Abstract

BackgroundRecent trial results show that an interactive short message service (SMS) text message intervention, Texting to Reduce Alcohol Consumption (TRAC), is effective in reducing heavy drinking in non-treatment-seeking young adults, but may not be optimized.ObjectiveTo assess the usability of the TRAC intervention among young adults in an effort to optimize future intervention design.MethodsWe conducted five focus groups with 18 young adults, aged 18-25 years, who had a history of heavy drinking and had been randomized to 12 weeks of the TRAC intervention as part of a clinical trial. A trained moderator followed a semistructured interview guide. Focus groups were audiotaped, transcribed, and analyzed to identify themes.ResultsWe identified four themes regarding user experiences with the TRAC intervention: (1) ease of use, (2) comfort and confidentiality, (3) increased awareness of drinking behavior, and (4) accountability for drinking behavior. Participants’ comments supported the existing features of the TRAC intervention, as well as the addition of other features to increase personalization and continuing engagement with the intervention.ConclusionsYoung adults perceived the TRAC intervention as a useful way to help them reduce heavy drinking on weekends. Components that promote ease of use, ensure confidentiality, increase awareness of alcohol consumption, and increase accountability were seen as important.

Highlights

  • This report presents a first look at results from the 2010 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older

  • NSDUH is the primary source of statistical information on the use of illegal drugs, alcohol, and tobacco by the U.S civilian, noninstitutionalized population aged 12 or older

  • The survey is sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S Department of Health and Human Services, and is planned and managed by SAMHSA's Center for Behavioral Health Statistics and Quality (CBHSQ, formerly the Office of Applied Studies, OAS)

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Summary

Introduction

This report presents a first look at results from the 2010 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. The report presents national estimates of rates of use, numbers of users, and other measures related to illicit drugs, alcohol, and tobacco products. The report focuses on trends between 2009 and 2010 and from 2002 to 2010, as well as differences across population subgroups in 2010. NSDUH estimates related to mental health, which were included in national findings reports prior to 2009, are not included in this 2010 report. A separate report focusing on 2010 mental health data, including co-occurring mental and substance use disorders, will be published later in 2011

Summary of NSDUH
Limitations on Trend Measurement
Illicit Drug Use
Alcohol Use
Alcohol Use among Persons Aged 12 or Older
Underage Alcohol Use
Tobacco Use
Initiation of Substance Use
Youth Prevention-Related Measures
15 Past Month Binge Drinking
Substance Dependence or Abuse
Past Year Treatment for a Substance Use Problem
Need for and Receipt of Specialty Treatment
20.5 Million Needing But Not Receiving Treatment for Illicit Drug or Alcohol Use
Discussion of Trends in Substance Use among Youths and Young Adults
Summary
Sample Design
Data Collection Methodology
Data Processing
Data Coding and Logical Editing
Statistical Imputation
Development of Analysis Weights
Target Population
Sampling Error and Statistical Significance
Variance Estimation for Totals
Suppression Criteria for Unreliable Estimates
Statistical Significance of Differences
Other Information on Data Accuracy
Screening and Interview Response Rate Patterns
Inconsistent Responses and Item Nonresponse
Data Reliability
Validity of Self-Reported Substance Use
Incidence
Illicit Drug and Alcohol Dependence and Abuse
12-17 Weighted Percentage
Findings
Other National Surveys of Substance Use
Surveys of Populations Not Covered by NSDUH
Full Text
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