1 Scopus citations


Background: Underage drinking and related risky sexual behavior (RSB) are major public health concerns on United States college campuses. Although technology-delivered personalized feedback interventions (PFIs) are considered a best practice for individual-level campus alcohol prevention, there is room for improving the effectiveness of this approach with regard to alcohol-related RSB. Objective: The aims of this study are to (1) evaluate the impact of a brief PFI that integrates content on alcohol use and RSB and is adapted to include a novel cross-tailored dynamic feedback (CDF) component for at-risk first-year college students and (2) identify implementation factors critical to the CDF’s success to facilitate future scale-up in campus settings. Methods: This study uses a hybrid type 1 effectiveness-implementation design and will be conducted in 3 phases. Phase 1 is a stakeholder-engaged PFI+CDF adaptation guided by focus groups and usability testing. In phase 2, 600 first-year college students who drink and are sexually active will be recruited from 2 sites (n=300 per site) to participate in a 4-group randomized controlled trial to examine the effectiveness of PFI+CDF in reducing alcohol-related RSB. Eligible participants will complete a baseline survey during the first week of the semester and follow-up surveys at 1, 2, 3, 6, and 13 months post baseline. Phase 3 is a qualitative evaluation with stakeholders to better understand relevant implementation factors. Results: Recruitment and enrollment for phase 1 began in January 2022. Recruitment for phases 2 and 3 is planned for the summer of 2023 and 2024, respectively. Upon collection of data, the effectiveness of PFI+CDF will be examined, and factors critical to implementation will be evaluated. Conclusions: This hybrid type 1 trial is designed to impact the field by testing an innovative adaptation that extends evidence-based alcohol programs to reduce alcohol-related RSB and provides insights related to implementation to bridge the gap between research and practice at the university level.

Original languageEnglish
Article numbere43986
JournalJMIR Research Protocols
StatePublished - 2023

Bibliographical note

Funding Information:
This work was supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) grant R01 AA028246. The content is solely the responsibility of the authors and does not represent the official views of the NIAAA or the National Institutes of Health.

Publisher Copyright:
© Anne E Ray, Eun-Young Mun, Melissa A Lewis, Dana M Litt, Jerod L Stapleton, Lin Tan, David B Buller, Zhengyang Zhou, Heather M Bush, Seth Himelhoch.


  • alcohol-related risky sexual behavior
  • college students
  • cross-tailored dynamic feedback
  • effectiveness-implementation hybrid designs
  • personalized feedback intervention
  • underage drinking

ASJC Scopus subject areas

  • Medicine (all)


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