PMID- 38407160 OWN - NLM STAT- MEDLINE DCOM- 20240425 LR - 20240510 IS - 1532-2491 (Electronic) IS - 1082-6084 (Linking) VI - 59 IP - 8 DP - 2024 TI - Evaluation of an SMS Based Alcohol Intervention for Same Sex Attracted Women: A Randomized Controlled Trial to Examine Feasibility, Acceptability, and Efficacy. PG - 1157-1166 LID - 10.1080/10826084.2024.2321257 [doi] AB - PURPOSE: The purpose of this randomized controlled trial (Trial registration ID: redacted) was to examine the feasibility, acceptability, and efficacy of the Step One program, an SMS-based alcohol intervention for same-sex attracted women (SSAW). METHODS: Ninety-seven SSAW who scored >/=8 on the Alcohol Use Disorders Identification Test (AUDIT) were randomly allocated to receive the Step One program (n = 47; mean age = 36.79) or a weekly message containing a link to a website with health information and support services for LGBT individuals (n = 50; mean age = 34.08). Participants completed questionnaires on alcohol use, wellbeing, and help-seeking at baseline (T1), intervention completion (T2; 4 wk after baseline) and 12 wk post-intervention (T3). In addition, participants in the intervention condition completed feasibility and accessibility measures at T2, and a subsample (n = 10) was interviewed about acceptability at T3. RESULTS: Across conditions, participants significantly reduced their alcohol intake and improved their wellbeing and help-seeking over time. However, there were no significant differences between the intervention and control condition. Furthermore, frequency of help-seeking was low; only four intervention group participants and three control group participants began accessing support between T1 and T3. Overall, our findings indicate the intervention would benefit from revision prior to implementation. CONCLUSIONS: Our approach was consistent with best practice in the development of an ecologically valid intervention; however, this intervention, in its current form, lacks the complexity desired by its users to optimally facilitate alcohol reduction among SSAW. Keywords: Alcohol intervention; Intervention mapping framework; Randomized controlled trial (RCT); Same-sex attracted women; Short-message service (SMS). FAU - Bush, Rachel AU - Bush R AD - School of Psychology, Deakin University, Geelong, Australia. FAU - Staiger, Petra K AU - Staiger PK AD - School of Psychology, Deakin University, Geelong, Australia. FAU - McNeill, Ilona M AU - McNeill IM AD - School of Psychology, Deakin University, Geelong, Australia. AD - Department of Psychological Sciences, Swinburne University of Technology, Hawthorn, Australia. FAU - Brown, Rhonda AU - Brown R AD - School of Nursing and Midwifery, Deakin University, Geelong, Australia. FAU - Orellana, Liliana AU - Orellana L AD - Biostatistics Unit, Deakin University, Geelong, Australia. FAU - Lubman, Dan AU - Lubman D AD - Turning Point, Monash University, Eastern Health, Richmond, Australia. FAU - McNair, Ruth AU - McNair R AD - Department of General Practice, The University of Melbourne, Carlton, Australia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240226 PL - England TA - Subst Use Misuse JT - Substance use & misuse JID - 9602153 SB - IM MH - Adult MH - Female MH - Humans MH - Middle Aged MH - *Alcohol Drinking/therapy MH - Alcoholism/therapy MH - *Feasibility Studies MH - Homosexuality, Female/psychology MH - *Patient Acceptance of Health Care MH - Sexual and Gender Minorities/psychology MH - *Text Messaging OTO - NOTNLM OT - Alcohol intervention OT - Intervention mapping framework OT - Randomized controlled trial (RCT) OT - Same-sex attracted women OT - Short-message service (SMS) EDAT- 2024/02/26 12:42 MHDA- 2024/04/25 12:54 CRDT- 2024/02/26 11:01 PHST- 2024/04/25 12:54 [medline] PHST- 2024/02/26 12:42 [pubmed] PHST- 2024/02/26 11:01 [entrez] AID - 10.1080/10826084.2024.2321257 [doi] PST - ppublish SO - Subst Use Misuse. 2024;59(8):1157-1166. doi: 10.1080/10826084.2024.2321257. Epub 2024 Feb 26.