Alcohol Cue Reactivity Personalized Feedback Intervention for Problem Drinking

University of Washington, Seattle, WA
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Alcohol Cue Reactivity Personalized Feedback Intervention - Behavioral
18 - 65
All Sexes
Eligible conditions
Problem Drinking

Study Summary

Testing Brief Personalized Feedback Integrating EMA Alcohol Cue Information

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Eligible Conditions

  • Alcohol Drinking
  • Problem Drinking

Treatment Effectiveness

Study Objectives

This trial is evaluating whether Alcohol Cue Reactivity Personalized Feedback Intervention will improve 4 primary outcomes in patients with Problem Drinking. Measurement will happen over the course of 3-month.

Brief Young Adult Alcohol Consequences Questionnaire
Daily Drinking Questionnaire
Number of heavy episodic drinking episodes
Penn Alcohol Craving Scale

Trial Safety

Trial Design

2 Treatment Groups

Cue Reactivity Personalized Feedback Intervention (PFI)

This trial requires 100 total participants across 2 different treatment groups

This trial involves 2 different treatments. Alcohol Cue Reactivity Personalized Feedback Intervention is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Cue Reactivity Personalized Feedback Intervention (PFI)
Participants randomized to the Cue Reactivity PFI condition will receive personalized feedback at the end of completing 17 days of ecological momentary assessments (EMAs) four times a day. The personalized feedback will be delivered online and contains information summarizing participants' desire to drink as it varied as a function of several real-world factors across the 17-day EMA period.
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 3-month
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 3-month for reporting.

Who is running the study

Principal Investigator
A. F.
Prof. Anne Fairlie, Research Assistant Professor: School of Medicine
University of Washington

Closest Location

University of Washington - Seattle, WA

Eligibility Criteria

This trial is for patients born any sex between 18 and 65 years old. There is one eligibility criterion to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
1) Between ages 18-24, 2) Lives in Washington state, 3) Reports drinking at least two days per week in the last six months, 4) Reports at least one heavy drinking episode (4+/5+ drinks for women/men) in the past month, 5) Open to changing drinking behavior, 6) Schedule allows for participation in study with daily surveys, 7) Able to attend Zoom training session, 8) Must have cellphone for daily surveys.

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many people get problem drinking a year in the United States?

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One in five adults drink to intoxication at some point in a year. When heavy drinking is defined as alcohol consumption in excess of four standard drinks on one occasion, one in 5 adults is a heavy drinker. If heavy drinking is defined as consumption of more alcohol than four standard drinks on one occasion, then about 8% of adults are heavy drinkers. People with problem drinking, defined as drinking more than seven drinks on one occasion per week, have more than double the prevalence of heavy drinking.

Unverified Answer

Can problem drinking be cured?

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There is no single pharmacological treatment that can cure alcohol dependence. Rather, good pharmacotherapy combined with personal change, behavioral skills training, relapse prevention strategies and education of peers have important roles. The effectiveness of alcohol counseling and relapse prevention varies among studies. Therefore, more rigorous studies are needed. Until good evidence is available, it would be inappropriate to assume that problem drinking is curable.

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What is problem drinking?

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According to epidemiological and clinical evidence, problem drinking constitutes a substantial proportion of the alcohol dependence syndromes. In contrast to many other drug dependencies, problem drinking is highly correlated to serious social, legal, or medical consequences. The occurrence of problem drinking is not limited to heavy drinkers as such, but has a far broader spectrum of pathological patterns and consequences, with a much wider impact on the well-being of society. The need for intervention of non-medical treatment for problem drinking should be further explored.

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What are common treatments for problem drinking?

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The most common treatments for problem drinking are counseling and individual or family support. There is no cure for alcohol dependence; treatment is focused on minimizing negative consequences and making a permanent change.

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What are the signs of problem drinking?

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Sudden onset of problem drinking may be a sign of alcoholism. Symptoms of frequent drinking may include headache, anxiety and insomnia. Symptoms of binge drinking may include confusion, dizziness, memory problems and/or a drunken disposition. If those symptoms are present, this could be a sign of problem drinking rather than alcoholism.

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What causes problem drinking?

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The factors that contribute to problem drinking are complex and are related to many issues around the world. Interventions that aim to reduce these risks must be multiple and address diverse factors.

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What is the latest research for problem drinking?

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Problem drinking is a leading public health concern. This article discusses the research on problem drinkers over the last 20 years and the latest developments in prevention and treatment.

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What are the latest developments in alcohol cue reactivity personalized feedback intervention for therapeutic use?

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A personalized feedback intervention was shown to increase alcohol use behaviors in treatment-seeking, substance abusing adolescents with problems with high risk of developing alcohol use disorders. These preliminary data warrant additional attention to the development of tailored FBT interventions in clinical settings.

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What are the common side effects of alcohol cue reactivity personalized feedback intervention?

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There is some variability in common ARFI outcome measures, but the most commonly reported common ARFI side effects among those with ARFI scores ≥1 (≥1% of patients) were (1) tired/slightly fatigued; (2) anxious/nervous; (3) depressed mood; (4) dry mouth; (5) dry eyes; (6) sweating; and (7) unpleasant taste in the mouth (distinctive taste of alcohol).

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Who should consider clinical trials for problem drinking?

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When patients want to try clinical trials of help with problem drinking, they are likely to be of low socioeconomic status and more likely to have a history of alcohol problems. Trial professionals and clinicians may not be communicating the full scope of potential trial participation, particularly amongst less educated and/or more socially vulnerable people.

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Has alcohol cue reactivity personalized feedback intervention proven to be more effective than a placebo?

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Results from a recent clinical trial suggest that the presence of an increased alcohol cue reactivity may help people recognize the importance of decreasing alcohol. Participants in the intervention showed statistically significant reductions in alcohol intake, craving levels and urge values after treatment. The study therefore provides evidence that cue reactivity influences alcohol use in humans. The personalized intervention resulted in higher alcohol outcomes compared to a control group.

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Does alcohol cue reactivity personalized feedback intervention improve quality of life for those with problem drinking?

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This pilot study suggests that personalized feedback interventions with regular feedback may have improved perceptions of satisfaction with lifestyle choices. Future research should assess long-term changes in QOL and other outcomes associated with feedback programs for those with alcohol dependence.

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