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Related Experiment Video

Updated: Jun 30, 2025

Murine Drinking Models in the Development of Pharmacotherapies for Alcoholism: Drinking in the Dark and Two-bottle Choice

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Published on: January 7, 2019

Developing a Text Messaging Intervention to Prevent Binge and Heavy Drinking in a Military Population: Mixed Methods

Chase A Aycock¹, Indika Mallawaarachchi², Xin-Qun Wang²

¹United States Air Force, 37th Human Performance Squadron, Joint Base San Antonio-Lackland Air Force Base, San Antonio, TX, United States.

JMIR Formative Research

|March 19, 2024

Summary

This summary is machine-generated.

This study developed an SMS text messaging intervention to reduce binge and heavy drinking among Air Force personnel. The intervention uses behavior change techniques and is tailored to the military population, now being tested in an efficacy trial.

Keywords:

Air Force Airmen SMS SMS intervention US US military United States alcohol consumption alcohol misuse alcohol reduction binge drinking career careers descriptive statistics development study drinking drinking alcohol functioning health message messages military mixed methods approach qualitative coding readiness short message service survey text message text messages text messaging

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Published on: November 8, 2024

Area of Science:

Military Health
Behavioral Science
Digital Health Interventions

Background:

Alcohol misuse is a significant problem in the US military, contributing to mortality.
Existing brief alcohol interventions show promise, but scalable solutions for binge and heavy drinking are needed.
SMS text messaging offers a potential scalable intervention for military populations, yet programs are currently lacking.

Purpose of the Study:

To develop an SMS text messaging intervention tailored to reduce binge and heavy drinking among US Air Force Airmen in Technical Training.
To incorporate evidence-based behavior change techniques (BCTs) informed by target population feedback.

Main Methods:

A 2-phase, mixed-methods study was conducted to develop the intervention.
Phase 1 involved feedback on 49 expert-developed messages from 149 respondents, including message persuasiveness and preferences.
Phase 2 involved feedback on 77 new messages from 283 respondents, assessing persuasiveness and coding against the Behavior Change Technique Taxonomy (BCTT).

Main Results:

Top message themes included warnings about adverse outcomes, recommendations, and invoking values/goals.
Respondents preferred 1-3 messages weekly, primarily on weekends.
The final library contains 28 BCTT-informed messages, with top-rated messages focusing on valued self-identity and health consequences, tailored for different age groups.

Conclusions:

A BCTT-informed SMS text messaging intervention was successfully developed with input from the target military population.
The intervention is now undergoing an efficacy trial to determine its impact on binge drinking and alcohol consumption in the US Air Force.