ArticleDrug and alcohol dependence reports2024
Acceptability and feasibility of a mobile behavioral economic health intervention to reduce alcohol use in adults in rural areas.
Article in Drug and alcohol dependence reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Daily assessments of behavioral economic indices and drinking among rural-residing adults with at-risk drinking.Journal of the experimental analysis of behavior · 2026Article
- COVID-19-related role disruption and alcohol use disorder risk among adults in South Korea.Scientific reports · 2026Article
- Episodic Future Thinking as an Intervention for Alcohol Use Disorder: Effects on Delay Discounting and Real-World Alcohol Consumption.Research square · 2026Article
- Rural- and nonrural-specific themes in personalized intervention messages for adults with at-risk alcohol use living in rural areas.Experimental and clinical psychopharmacology · 2026Article
Corrections and comments
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Authors and funding
14 authors.
Funding
Abstract
Background: At-risk alcohol use is associated with increased adverse health consequences, yet is undertreated in healthcare settings. People residing in rural areas need improved access to services; however, few interventions are designed to meet the needs of rural populations. Mobile interventions can provide feasible, low-cost, and scalable means for reaching this population and improving health, and behavioral economic approaches are promising. Methods: We conducted a pilot randomized controlled trial focused on acceptability and feasibility of a mobile behavioral economic intervention for 75 rural-residing adults with at-risk alcohol use. We recruited participants from a large healthcare system and randomized them to one of four virtually-delivered conditions reflecting behavioral economic approaches: episodic future thinking (EFT), volitional choice (VC), both EFT and VC, or enhanced usual care control (EUC). The intervention included a telephone-delivered induction session followed by two weeks of condition-consistent ecological momentary interventions (EMIs; 2x/day) and ecological momentary assessments (EMAs; 1x/day). Participants completed assessments at baseline, post-intervention, and two-month follow-up, and provided intervention feedback. Results: All participants completed the telephone-delivered session and elected to receive EMI messages. Average completion rate of EMAs across conditions was 92.9%. Among participants in active intervention conditions, 89.3% reported the induction session was helpful and 80.0% reported it influenced their future drinking. We also report initial alcohol use outcomes. Discussion: The behavioral economic intervention components and trial procedures evaluated here appear to be feasible and acceptable. Next steps include determination of their efficacy to reduce alcohol use and public health harms.
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