Piloting the Alcohol Feedback, Reflection, and Morning Evaluation (A-FRAME) Program : A Smartphone-delivered Alcohol Intervention

Abstract

Many college students engage in heavy drinking and experience negative consequences, but typically show little motivation to change their drinking behavior. Although personalized feedback interventions (PFIs) show promise, improved effect sizes, engagement, and potential for reach are needed. We developed and pilot-tested a theory-based, smartphone-delivered PFI for heavy-drinking college students that incorporated innovations, including a choice of feedback delivered in multiple doses that occur close in time to drinking events. In an open trial, we delivered the 4-week intervention to 18 heavy-drinking students, followed by individual interviews of participants’ experience. Feasibility was demonstrated by high enrollment and response rates, and acceptability was demonstrated by positive participant ratings and interview responses. Results will inform efforts to continue to develop this novel and scalable mobile intervention for alcohol misuse among college students, with potential impact for the public health problem of high-risk drinking.