We will recruit sexual and gender minority couples to complete 56 days of daily surveys in order to evaluate (1) the impact of COVID-19 stress and sexual and gender minority stress on heavy episodic drinking and intimate partner violence (IPV) perpetration, and (2) a brief, mobile-phone delivered text messaging intervention to mitigate the effects of these stressors. This project has high potential to inform how pandemic stress contributes to etiological models of alcohol-related IPV perpetration in sexual and gender minority couples and inform a culturally-sensitive, low burden, and easy to disseminate intervention to mitigate these effects critical during a pandemic when access to care is limited.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
474
Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order, with content equally distributed across the four content areas (i.e., psychoeducation regarding effects of stress, distress tolerance, emotion regulation, alcohol reduction).
Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order. All texts will be supportive messages which express empathy and unconditional positive regard and provide support for dealing with stressors. These messages will be nondirective and will not include any CBT skill suggestions.
Georgia State University
Atlanta, Georgia, United States
Alcohol Use (Burst 1)
Proportion of reporting days on which alcohol was consumed
Time frame: Burst 1, Daily for 14 days
Alcohol Use (Burst 2)
Proportion of reporting days on which alcohol was consumed
Time frame: Burst 2, Daily for 14 days
Alcohol Use (Burst 3)
Proportion of reporting days on which alcohol was consumed
Time frame: Burst 3, Daily for 14 days
Alcohol Use (Burst 4)
Proportion of reporting days on which alcohol was consumed
Time frame: Burst 4, Daily for 14 days
Intimate Partner Violence (IPV) Perpetration (Burst 1)
Proportion of reporting days on which IPV perpetration occurred
Time frame: Burst 1, Daily for 14 days
IPV Perpetration (Burst 2)
Proportion of reporting days on which IPV perpetration occurred
Time frame: Burst 2, Daily for 14 days
IPV Perpetration (Burst 3)
Proportion of reporting days on which IPV perpetration occurred
Time frame: Burst 3, Daily for 14 days
IPV Perpetration (Burst 4)
Proportion of reporting days on which IPV perpetration occurred
Time frame: Burst 4, Daily for 14 days
Alcohol Use --> IPV Perpetration (Pre-Intervention)
Odds ratio (OR) of IPV perpetration corresponding to alcohol use (versus non-use). Estimated using a multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2).
Time frame: Bursts 1 and 2 (daily for 14 x 2 days)
Alcohol Use --> IPV Perpetration (Post-Intervention)
Odds ratio (OR) of IPV perpetration corresponding to alcohol use (versus non-use). Estimated using a multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2).
Time frame: Bursts 3 and 4 (daily for 14 x 2 days)
Sexual Minority Stress (Burst 1)
Total daily count across 15 daily sexual minority stress (SMS) indicators
Time frame: Burst 1, Daily for 14 days
Sexual Minority Stress (Burst 2)
Total daily count across 15 daily sexual minority stress (SMS) indicators
Time frame: Burst 2, Daily for 14 days
Sexual Minority Stress (Burst 3)
Total daily count across 15 daily sexual minority stress (SMS) indicators
Time frame: Burst 3, Daily for 14 days
Sexual Minority Stress (Burst 4)
Total daily count across 15 daily sexual minority stress (SMS) indicators
Time frame: Burst 4, Daily for 14 days
Gender Minority Stress (Burst 1)
Total daily count across 14 daily gender minority stress (GMS) indicators
Time frame: Burst 1, Daily for 14 days
Gender Minority Stress (Burst 2)
Total daily count across 14 daily gender minority stress (GMS) indicators
Time frame: Burst 2, Daily for 14 days
Gender Minority Stress (Burst 3)
Total daily count across 14 daily gender minority stress (GMS) indicators
Time frame: Burst 3, Daily for 14 days
Gender Minority Stress (Burst 4)
Total daily count across 14 daily gender minority stress (GMS) indicators
Time frame: Burst 4, Daily for 14 days
COVID Stress (Burst 1)
Average daily count of COVID stress (CS) indicators
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Time frame: Burst 1, Daily for 14 days
COVID Stress (Burst 2)
Average daily count of COVID stress (CS) indicators
Time frame: Burst 2, Daily for 14 days
COVID Stress (Burst 3)
Average daily count of COVID stress (CS) indicators
Time frame: Burst 3, Daily for 14 days
COVID Stress (Burst 4)
Average daily count of COVID stress (CS) indicators
Time frame: Burst 4, Daily for 14 days