mHealth Behavior Study

Medical University of South Carolina46 enrolled

Overview

The goal of this clinical trial is to learn if a brief task completed on a smartphone can reduce alcohol use and risky sexual behavior among women between the ages of 18 and 25 who have a history of experiencing sexual assault or an unwanted sexual experience. The main questions it aims to answer are: * Does the smartphone task change approach biases for alcohol and condom-related images? * Does the smartphone task reduce alcohol use and risky sexual behavior? Researchers will compare the smartphone task to a sham control to see if the smartphone task changes biases and behavior. Participants will: * Complete a baseline assessment battery of questionnaires * Complete either the intervention smartphone task or the sham smartphone task on four consecutive days. * Complete a follow-up assessment one week after finishing the four tasks * Complete a three-month follow-up

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Alcohol Consumption Condom Use

Interventions

Implicit approach bias is the behavioral action tendency to be faster to approach rather than avoid cues for a stimulus category. The Approach-Avoidance Task (AAT)is a computerized program in which participants make approach or avoidance movements in response to an irrelevant feature of an image presented on a computer screen (e.g., push when in portrait, pull when in landscape). The intervention in this study is a treatment version of the AAT used as an Approach Bias Modification (ABM) intervention, to retrain participants' implicit biases toward or away from stimuli by presenting the target stimuli predominantly in one format (e.g., push or pull).

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 25 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult women who report lifetime experience sexual assault, * Consume alcohol at least moderately (e.g., at least seven drinks per week; NIAAA, 2015), * Have engaged in sexual intercourse with a casual, non-committed male partner without a condom at least three times during the three months prior to data collection. Exclusion Criteria: * Active homicidal or suicidal ideation; * History of or current psychotic disorders as the study protocol may be therapeutically insufficient; * Previously identified as having a Pervasive Developmental Disability.

Outcomes

Primary Outcomes

Approach Bias

At one-week and three-months following the completion of the final study interventional session, participants will complete the AAT Assessment Procedure and complete the baseline questionnaire battery to assess alcohol and condom use since the previous appointment.

Time frame: 3-months post final intervention session

Condom Use

Condom use over the past three months will be measured via the NIDA HIV Risk Measure (HRM).

Time frame: Three-Months

Alcohol Use

Alcohol use will be assessed at a three-month follow-up using the Daily Drinking Questionnaire - Revised (DDQ-R).