Exploring the Feasibility of Using Mobile Technology to Deliver Brief Motivational Intervention to High-Risk Drinkers March 11, 2016 Southern College Health Association Annual Conference Beau Dooley, MS, MPH, MCHES Director, Center for Wellness Promotion

1.Describe the components of a grant-funded research project designed to develop a mobile device app that will deliver BMI to high-risk drinkers Overview of project and research methods Live demo Results (thus far) 2.Discuss the implications of a successful mobile device app in helping to reduce high-risk drinking on college campuses Objectives for this Session

University of North Carolina at Charlotte

Smartphones in the U.S.

Project Title: mHealth Delivery of a Motivational Intervention to Address Heavy Drinking Among College Students Funding Opportunity: Exploratory and Developmental Grant to Improve Health Care Quality through Health Information Technology (R21) Funding for exploratory and developmental research grants that will contribute to the evidence base of how health IT improves health care quality. More specifically, this project is to pilot and feasibility of health IT research project, specifically to inform development of future health IT applications or systems Project Dates: Aug – July 2017 Funding Amount: $300,000 Project Funding

Project Team Investigators –Donna Kazemi, PhD (PI) –UNC Charlotte College of Health and Human Services (School of Nursing) –Brian Borsari, PhD (CI) –Brown University Center for Alcohol and Addiction Studies (Dept. of Behavioral and Social Sciences) –Beau Dooley, MS, MPH, MCHES (CI) –UNC Charlotte Center for Wellness Promotion –Shaoyu Li, PhD (CI) –UNC Charlotte College of Liberal Arts and Sciences (Dept. of Mathematics and Statistics) –Mary Lou Maher, PhD (CI) –UNC Charlotte College of Computing and Informatics (Chair) –Mohamed Shehab, PhD (CI) –UNC Charlotte College of Computing and Informatics (Dept. of Computing and Informatics) Research Assistants –Betria Stinson, MPH, CHES (BASICS Coord.) –Many Graduate Assistants (CHHS, CCI, CWP, etc.)

Literature Review Purpose of review was to examine current state of knowledge of use of mobile phone-based technology for AOD prevention Inclusion Criteria ; English language; mobile- based interventions on AOD use Exclusion Criteria Tobacco cessation interventions

Project Timeline July – Oct 2016 Nov – Jan 2016 Feb – April 2016 May – July 2016 Aug – Oct 2016 Nov – Jan 2017 Feb – April 2017 May – July 2017 PHASE I: Development of pBMI+SP a. IRB & pBMI+SP Dev b. Conduct Theater Testing (TT) (n=10) c. Make Modifications to pBMI+SP PHASE II: Test pBMI+SP feasibility efficacy a. Recruit for Pilot RCT b. Conduct Pilot RCT (N=160) c. Final Modifications to pBMI+SP

Develop a Suite of Applications to Deliver BMI in a Mobile Environment

System Architecture

Device type usage stats from UNC Charlotte IT Department data showed that 128,025 smart phone devices that accessed University WIFI network last year. Choice of Framework for App

Day 1 Complete instruments Disclaimers Career Goals Personalized Feedback Goals Strategies Days 2-14 Prompt: “Did you drink yesterday?” If “Yes”  Option for drinking log, work with BAC and Strategies If “No”  Static content Anytime BAC Calculator Strategies Resources Trivia Drinking Log 2 Week Overview

Mobile App Demo

Average daily usage time: 5.3 minutes Average number of MI messages sent for 4 users in a week: 83 Total number of Drinking Log entries by 4 users in a week: 11 Trivia Game scores (10 points per correct answer): –21,550 –20,680 –3,070 –1,140 No one completed the one week summary log We are also working on creating admin dashboard where we will be able to see all the user activity, including MI messages, user responses, & drink log. Analytics for Theater Testing (n = 4)

4 students theater tested app from Feb Feb. 23 Feedback Session & Survey Major Findings: Ease of use (vs. other apps) App name Audio & text slang Feedback from MI Coach Strategies & Goals Technical glitches Theater Testing Results (n = 4) Second round of theater testing scheduled shortly after spring break (n = 5)

Randomized Controlled Trial

Phase II: RCT Screening Baseline BMI F2F (n=80) BMI = Brief Motivational Intervention R = Randomization Baseline pBMI+SP (n=80) Recruitment R (n=160) 2 week BMIF2F 2 week pBMI+ SP 1 & 3 Mo Follow-ups

Beau Dooley, MS, MPH, MCHES Director, Center for Wellness Promotion UNC Charlotte