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Completed

NCT Number: NCT05437484

Peer-led Brief Alcohol Intervention for College Student Drinkers in Spain

A pilot randomized controlled trial was carried out. Fifty nursing students were randomly assigned either a 50-minute brief motivational intervention with individual feedback or a treatment-as-usual control condition. The intervention was delivered by undergraduate peer counsellors trained in Brief Alcohol Screening and Intervention for College Students. Primary outcomes for testing efficacy were alcohol use and alcohol-related consequences.

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Key information

Conditions

Peer Group Alcohol Drinking Alcohol Drinking in College Behavior Cognitive Behavioral Therapy Drinking Behavior Motivational Interviewing

Age range

18 year–20 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Navarra

Pamplona, Navarre, 31008, Spain

About this study

Aims: To assess the potential efficacy and the feasibility of a peer-led brief alcohol intervention aimed to reduce the alcohol consumption in Spanish heavy nursing student drinkers.

Methods: A pilot randomized controlled trial was carried out. Fifty nursing students were randomly assigned either a 50-minute brief motivational enhancement intervention with individual feedback (n=23) or a treatment-as-usual control condition (n=27). Both motivational interviewing and personalized feedback were delivered by undergraduate peer counsellors trained in Brief Alcohol Screening and Intervention for College Students (BASICS). Participants were assessed during their pledge year of university with a one-month follow-up. Primary outcomes for testing efficacy were alcohol use (quantity, heavy-drinking episodes, and peak blood alcohol concentration), and alcohol-related consequences. Quantitative data were analyzed using the U-Mann-Whitney and Wilcoxon test. Content analysis was used for measuring the feasibility of the program.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • First year university students of Nursing Degree, between 18 and 20 years old.
  • Students of first access to the University.
  • Having had at least one episode of heavy drinking or binge drinking in the past month.

Exclusion criteria

  • Students who have started or previously studied other university degrees or a higher degree.
  • University students who do not consume alcohol or, if they do consume alcohol, have not had binge drinking in the last month.

Treatment and study plan

Peer-led BASICS

Behavioral

The peer-led BASICS session consisted in a face-to-face 50-minute motivational interview. In this meeting, the peer counsellor oriented the participant using a personalized graphic feedback sheet, with topics including participant's drinking pattern; level of intoxication; perceived and actual descriptive drinking norms, alcohol expectancies; drinking consequences; individual risk factors; financial costs; alcohol caloric consumption, and hours of exercise required to burn those calories, and protective behavioral strategies. Participants received a copy of the personalized feedback, a personalized BAC card, and a tips sheet.

BASICS facilitators were volunteer undergraduate nursing students from who attented a pre-training course and showed being competent to conduct BASICS-based motivational interview and knowledgeable about alcohol.

Primary outcomes

  1. Change in 'Quantitaty of alcohol use in a typical weekend' (preliminary efficacy outcomes)

    Time frame: For measuring the change, there are two time points: pre-test and post-test (one month after receiving the programme)

    Assesing the change in the total number of drinks during a typical weekend (Thursday, Friday, Saturday and Sunday) during the previous 30 days.

  2. Change in 'Estimated peak blood alcohol content (peak BAC)' (preliminary efficacy outcomes)

    Time frame: For measuring the change, there are two time points: pre-test and post-test (one month after receiving the programme)

    Assesing the change in the estimated peak blood alcohol content. It was calculated using participants' responses about maximum drinks consumed on the occasion of highest consumption in the last month, and the number of hours they spent drinking on that occasion.

  3. Change in 'Frequency of binge drinking episodes' (preliminary efficacy outcomes)

    Time frame: For measuring the change, there are two time points: pre-test and post-test (one month after receiving the programme)

    Assesing the change in the frequency of binge drinking episodes in the past month (5 or more (male)/ 4 or more (female) glasses of alcoholic beverages on the same drinking occasion).

  4. Change in 'Number of alcohol-related consequences (preliminary efficacy outcomes)'

    Time frame: For measuring the change, there are two time points: pre-test and post-test (one month after receiving the programme)

    Assesing the change in the number of negative consequences associated with their alcohol consumption in the previous 30 days.

Secondary outcomes

  1. Peer counselors' fidelity -adherence to motivational interviewing skills and alcohol-related content (feasibility outcomes)

    Time frame: From the beginning of the intervention sessions until the end of the intervention, an average of 3 months.

    Peer counselors' fidelity to the implementation of the intervention, including adherence to the theoretical alchol-related content, and the use of MI skills during the intervention.

    For their measurement, an alcohol-related content checklist and the Peer Proficiency Assessment were used.

  2. Barriers and facilitators of the implementation process (feasibility outcomes)

    Time frame: From the beginning of the peer counsellors' training until the end of the intervention, an average of 9 months.

    Factors that have affected positively and negatively during the program implementation.

  3. Acceptability -satisfaction- (feasibility outcomes)

    Time frame: From the beginning of the intervention sessions until the end of the intervention, an average of 3 months.

    Satisfaction of both participants and peer counsellors with the program. It was used and ad-hoc questionnaire

Sponsors and collaborators

Lead sponsor

Clinica Universidad de Navarra, Universidad de Navarra

Other

Registry information

Official study title

Design, Implementation and Evaluation of a Peer-led Alcohol Prevention Intervention for College Students. A Exploratory Trial

Important dates

Study start
2019
Primary completion
2020
Study completion
2021
First posted
Jun 29, 2022
Registry last updated
Jun 29, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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