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Heavy DrinkingNCT07118826

A Brief Intervention for Young Adult Substance Users With Interpersonal Trauma

A study testing Standard Brief Intervention and Trauma-Informed and Peer-Supported Brief Intervention in people with Heavy Drinking and Alcohol Drinking, run by Western Kentucky University at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This proposal seeks to improve a mobile-based brief intervention for young adults who engage in heavy alcohol use and have experienced interpersonal trauma. The enhancement involves incorporating adaptive coping strategies to address trauma-related distress and engaging peer coaches following the intervention to… Read more about this study

Who is it for?
Ages 18 to 29 years
Conditions the study is for
Heavy Drinking, Alcohol Drinking, Substance Use
What is being tested?
Standard Brief Intervention and Trauma-Informed and Peer-Supported Brief Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteUnited States
Study dates
1 Sep 2025to 1 Oct 2027
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 29 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age 18 to 29
  • Ability to speak and understand English
  • Access to a cell phone
  • Lifetime history of interpersonal trauma exposure
  • Heavy alcohol use

Who cannot join

  • 1) Currently receiving psychological therapy or psychotropic medication for substance use.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Western Kentucky University

    Bowling Green, Kentucky, 42101

Other trials in United States

About this study

Official title: Evaluation and Refinement of a Trauma-Informed and Peer Supported Mobile Brief Intervention for Young Adult Substance Users With Interpersonal Trauma

This proposal seeks to improve a mobile-based brief intervention for young adults who engage in heavy alcohol use and have experienced interpersonal trauma. The enhancement involves incorporating adaptive coping strategies to address trauma-related distress and engaging peer coaches following the intervention to support sustained treatment effects. Participants will be randomly assigned to receive either the enhanced intervention with peer coaching or a standard version of the brief intervention. Follow-up assessments will be conducted at 3 and 6 months after the intervention. The research team expects that the trauma-informed and peer-supported brief intervention (TIPS-BI) will have low dropout rates, be well-received by participants, and lead to greater reductions in alcohol use than the standard brief intervention.

Read the detailed description

Alcohol is the most commonly used substance in the United States, with emerging adults (EAs) showing the highest rates of heavy use among all age groups. Persistent heavy drinking in this population is linked to a range of negative outcomes, including poor mental health, reduced life satisfaction, cognitive impairments, academic difficulties, increased risk for motor vehicle accidents, and the development of substance use disorders.

Brief interventions (BIs) for substance use typically involve one or two individual sessions that provide personalized feedback. These interventions aim to challenge inaccurate normative beliefs and emphasize personal consequences of substance use. While BIs have demonstrated success in reducing alcohol consumption and related problems in numerous clinical trials, their impact is often limited. Common challenges include small effect sizes that diminish over time and reduced effectiveness among individuals with interpersonal trauma-specifically, trauma involving human-perpetrated violence and associated emotional distress.

One explanation for these limited outcomes is that BIs are not tailored to high-risk groups such as trauma survivors. Improving BIs may require addressing two key gaps: (1) targeting coping motives-strong predictors of heavy and persistent drinking among trauma-exposed individuals that are typically not addressed in standard BIs, and (2) incorporating peer coaches to support continued gains after the intervention.

There are compelling reasons to integrate trauma content, coping strategies, and peer support into BIs for substance-using EAs. Emerging adulthood is the developmental stage with the highest risk of experiencing interpersonal trauma, which is linked to poor mental health, low social support, and elevated alcohol use. Research indicates that coping with negative emotions is a common motive for substance use in this age group-especially among trauma-exposed individuals-yet these connections are not typically addressed in standard BIs. Additionally, traditional BIs often fail to provide adaptive strategies for managing trauma-related emotional distress, despite the availability of evidence-based coping techniques.

Peer influence also plays a critical role in both initiating and maintaining substance use during emerging adulthood. Including affiliated peers in in-person BIs has improved treatment outcomes in past studies. However, few interventions have extended peer involvement to the post-intervention period, despite the demonstrated success of peer coaches in other health domains.

Further, in-person, counselor-delivered BIs have been criticized as costly and difficult to implement broadly, limiting their scalability. Since few EAs actively seek substance use prevention or treatment services, there is a pressing need for low-cost, accessible delivery methods. Given the widespread use of mobile phones, mobile-delivered BIs represent a promising approach. Early evidence suggests they can be effective with EAs, though engagement tends to be low. Incorporating peer coaches into follow-up may help address this issue and boost engagement.

The primary aim of the proposed study is to evaluate the feasibility and efficacy of a mobile-delivered, trauma-informed, and peer-supported brief intervention (TIPS-BI) for emerging adults with a history of interpersonal trauma. This study will advance the BI literature by:

  1. including content that links trauma to substance use and teaches emotion regulation strategies, and
  2. integrating trained peer coaches into the text-message follow-up phase.

A total of 190 emerging adults (ages 18-29, with 60% expected to be female) who have a history of interpersonal trauma and report recent heavy alcohol use will be enrolled in a two-arm randomized controlled trial. Participants will be assigned to one of two conditions:

Group 1: Mobile-delivered TIPS-BI with peer coach follow-up (N=95)

Group 2: Mobile-delivered standard substance use BI (N=95)

Aim 1: Assess the feasibility and acceptability of the TIPS-BI. The investigators hypothesize that the TIPS-BI will result in low dropout rates (<10%) at follow-up, comparable to the standard BI. They also expect participants to rate the TIPS-BI as satisfactory, relevant, helpful, and minimally burdensome.

Aims 2 \& 3: Evaluate the efficacy of the TIPS-BI. It is hypothesized that participants in the TIPS-BI group will show greater reductions in alcohol use and coping motives at 3- and 6-month follow-ups compared to those receiving the standard BI. Additionally, the TIPS-BI is expected to lead to greater improvements in coping self-efficacy at both follow-up time points.

Being tested
Standard Brief Intervention, Trauma-Informed and Peer-Supported Brief Intervention
Keywords
Brief intervention, Alcohol, Trauma, Drinking, Peer coaching
Medical subject headings
Alcohol Drinking, Substance-Related Disorders, Drinking Behavior, Wounds and Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard Brief InterventionBehavioural

    Immediately following completion of the baseline assessment, participants will be texted a link to a secure website which contains the participant's personalized feedback. Personalized feedback is automatically presented via a programming algorithm that is based on the participants baseline survey responses. The personalized feedback component will include a personalized substance use profile, information on peer norms, prior substance-related consequences experienced by the participant, practical costs (e.g., money spent on substances, fees for a DUI), and standard protective behavioral strategies to limit substance-related risk.

  • Trauma-Informed and Peer-Supported Brief InterventionBehavioural

    In addition to the components of the standard brief intervention, the TIPS-BI will include personalized feedback about participants use of substances to cope. Additionally, participants will be provided with psychoeducation about the link between substance use, trauma, and coping motives, and information highlighting the iatrogenic effects that substance use has on negative emotions. Participants will also be given a series of evidence-based alternative coping strategies for managing trauma-related distress such as anxiety, depression, and PTSD. Participants will be asked to set goals related to utilization of these alternative coping strategies. Participants will then be informed that a trained peer who is part of the research team will follow up with them via text message at the monthly time points to review adherence to their goals and offer support.

Study groups in NCT07118826
Study groupRoleWhat they receive
Standard Brief InterventionExperimentalImmediately following completion of the baseline assessment, participants will be texted a link to a secure website which contains the participant's personalized feedback. Personalized feedback is automatically presented via a programming algorithm that is based on the participants baseline survey responses. The personalized feedback component will include a personalized substance use profile, information on peer norms, prior substance-related consequences experienced by the participant, practical costs (e.g., money spent on substances, fees for a DUI), and standard protective behavioral strategies to limit substance-related risk.
Receives: Behavioral: Standard Brief Intervention; Behavioral: Trauma-Informed and Peer-Supported Brief Intervention
Trauma-Informed and Peer-Supported Brief InterventionExperimentalIn addition to the components of the standard brief intervention, the TIPS-BI will include personalized feedback about participants use of substances to cope. Additionally, participants will be provided with psychoeducation about the link between substance use, trauma, and coping motives, and information highlighting the iatrogenic effects that substance use has on negative emotions. Participants will also be given a series of evidence-based alternative coping strategies for managing trauma-related distress such as anxiety, depression, and PTSD. Participants will be asked to set goals related to utilization of these alternative coping strategies. Participants will then be informed that a trained peer who is part of the research team will follow up with them via text message at the monthly time points to review adherence to their goals and offer support.
Receives: Behavioral: Trauma-Informed and Peer-Supported Brief Intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Alcohol use

    The Daily Drinking Questionnaire

    Measured: Change from Baseline to 3-month follow-up

  2. Alcohol use

    The Daily Drinking Questionnaire

    Measured: Change from Baseline to 6-month follow-up

  3. Alcohol consequences

    The Brief Young Adult Alcohol Consequences Questionnaire

    Measured: Change from Baseline to 3-month follow-up

  4. Alcohol consequences

    The Brief Young Adult Alcohol Consequences Questionnaire

    Measured: Change from Baseline to 6-month follow-up

  5. Intervention feasibility

    Percentage of drop out in the interventions

    Measured: 6-month follow-up

  6. Intervention acceptability

    Participants in both the standard and modified brief interventions will be asked to rate on a Likert scale how satisfied they were with the brief intervention content.

    Measured: Baseline

  7. Peer coaching acceptability

    Participants in the modified brief intervention will be asked to rate on a Likert scale how satisfied they were with the peer coaching.

    Measured: Baseline

Secondary outcomes (6)
  1. Alcohol use motives

    Modified Drinking Motives Questionnaire - Revised

    Measured: Baseline to 3-month follow-up

  2. Alcohol use motives

    Modified Drinking Motives Questionnaire - Revised

    Measured: Baseline to 6-month follow-up

  3. Substance-related coping

    The Brief Cope Inventory; scores range from 2 to 8; higher scores reflected greater use of the specified coping method

    Measured: Baseline to 3-month follow-up

  4. Substance-related coping

    The Brief Cope Inventory; scores range from 2 to 8; higher scores reflected greater use of the specified coping method

    Measured: Baseline to 6-month follow-up

  5. Coping self-efficacy

    The Coping Self-Efficacy Scale; scores range from 0-260; higher scores reflect greater coping self-efficacy.

    Measured: Change from baseline to 3-month follow-up

  6. Coping self-efficacy

    The Coping Self-Efficacy Scale; scores range from 0-260; higher scores reflect greater coping self-efficacy.

    Measured: Change from baseline to 6-month follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Aug 2025
  2. Study start1 Sep 2025 (estimated)
  3. Primary completion1 Feb 2027 (estimated)
  4. Study completion1 Oct 2027 (estimated)

Why it stopped: Accidental duplicate entry into clinicaltrials.gov

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly assigned to either 1) a standard brief intervention 2) a modified brief intervention with peer coaching and trauma-related information
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07118826
Sponsor's protocol ID
1839376-8
Status last verified
Feb 2026
First submitted
5 Aug 2025
Last updated
27 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bonomo Y, Coffey C, Wolfe R, Lynskey M, Bowes G, Patton G. Adverse outcomes of alcohol use in adolescents. Addiction. 2001 Oct;96(10):1485-96. doi: 10.1046/j.1360-0443.2001.9610148512.x.

    PubMed 11571067
  • Wilk AI, Jensen NM, Havighurst TC. Meta-analysis of randomized control trials addressing brief interventions in heavy alcohol drinkers. J Gen Intern Med. 1997 May;12(5):274-83. doi: 10.1046/j.1525-1497.1997.012005274.x.

    PubMed 9159696
  • Kurtz SP, Pagano ME, Buttram ME, Ungar M. Brief interventions for young adults who use drugs: The moderating effects of resilience and trauma. J Subst Abuse Treat. 2019 Jun;101:18-24. doi: 10.1016/j.jsat.2019.03.009. Epub 2019 Mar 24.

    PubMed 31174710
  • Bountress KE, Cusack SE, Sheerin CM, Hawn S, Dick DM, Kendler KS, Amstadter AB. Alcohol consumption, interpersonal trauma, and drinking to cope with trauma-related distress: An auto-regressive, cross-lagged model. Psychol Addict Behav. 2019 May;33(3):221-231. doi: 10.1037/adb0000457. Epub 2019 Mar 14.

    PubMed 30869917
  • Tanner-Smith EE, Parr NJ, Schweer-Collins M, Saitz R. Effects of brief substance use interventions delivered in general medical settings: a systematic review and meta-analysis. Addiction. 2022 Apr;117(4):877-889. doi: 10.1111/add.15674. Epub 2021 Oct 14.

    PubMed 34647649
  • Teeters JB, Soltis KE, Murphy JG. A Mobile Phone-Based Brief Intervention With Personalized Feedback and Text Messaging Is Associated With Reductions in Driving After Drinking Among College Drinkers. J Stud Alcohol Drugs. 2018 Sep;79(5):710-719. doi: 10.15288/jsad.2018.79.710.

    PubMed 30422784

Questions about this trial

What is this clinical trial studying?

A study testing Standard Brief Intervention and Trauma-Informed and Peer-Supported Brief Intervention in people with Heavy Drinking and Alcohol Drinking, run by Western Kentucky University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Alcohol use (time frame: Change from Baseline to 3-month follow-up). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07118826, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Feb 2026.

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