Introduction: For many people with alcohol use disorders, alcohol drinking is a highly ingrained and automatized behavior with negative long-term health consequences. Implementation intentions, a behavioral intervention that links high-risk drinking situations with alternative, healthier responses, provide a means to intervene on habitual drinking behaviors. Here, a pilot treatment using implementation intentions was assessed with remote assessments and treatment prompts. Methods: Treatment-seeking individuals with alcohol use disorder between the ages of 18 and 65 were recruited from the community from October 2014 to November 2016. Participants (N = 35) were quasi-randomly assigned to complete either active (n = 18) or control (n = 17) two-week implementation intention interventions. Active implementation intentions linked high-risk situations with alternative responses whereas the control condition selected situations and responses but did not link these together. Daily ecological momentary interventions of participant-tailored implementation intentions were delivered via text message. Alcohol consumption was assessed once daily with self-reported ecological momentary assessments (EMAs) of drinks consumed the previous day and thrice daily remotely submitted breathalyzer samples to assess reliability of self-reports. Results: On drinking days (80% of days), the active implementation intentions group reduced alcohol consumption during the intervention period compared to the control condition; however the difference between consumption was not observed at one-month follow-up. Discussion: The implementation intention intervention was associated with a 1.09 drink per day decrease in alcohol consumption on drinking days compared to a decrease of 0.29 drinks per day in the control condition. Future studies may combine implementation intentions with other treatments to help individuals to reduce alcohol consumption.
|Number of pages||8|
|State||Published - Aug 2018|
Bibliographical noteFunding Information:
Funding for this study was provided by an NIAAA Grant R01-AA021529 awarded to WKB and R21-AA022727 and R21-AA023605 awarded to MNK. LNM's time was funded by NIAAA Grant F31-AA024368 . NIAAA has no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or decision to submit this paper for publication.
© 2017 Elsevier Ltd
- Alcohol use
- Ecological momentary assessment
- Ecological momentary intervention
- Implementation intentions
- Remote treatment
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Clinical Psychology
- Psychiatry and Mental health