Evidence map›Paper›PMID 40410939›Full record

ArticleJournal of studies on alcohol and drugs2026

Designing an Online and Text-Messaging Intervention to Enhance Protective Behavioral Strategy Utilization at the Daily Level Among Young Adults Engaged in Alcohol and Cannabis Use.

Melissa A Lewis, Dana M Litt, Anne M Fairlie, Scott Graupensperger, Allison Cross, Rachel Stankus, Jennifer Murphy, Jason R Kilmer

Abstract read
In one paragraph

Article in Journal of studies on alcohol and drugs, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Melissa A LewisSchool of Social Work, University of Texas at Arlington, Arlington, Texas.
Dana M LittSchool of Social Work, University of Texas at Arlington, Arlington, Texas.
Anne M FairlieCenter for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.
Scott GraupenspergerCenter for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.
Allison CrossCollege of Public Health, University of North Texas Health Science Center, Fort Worth, Texas.
Rachel StankusSchool of Social Work, University of Texas at Arlington, Arlington, Texas.
Jennifer MurphySchool of Social Work, University of Texas at Arlington, Arlington, Texas.
Jason R KilmerCenter for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.

Funding

Examining Motivations for and Quality of Alcohol and Marijuana Protective Behavior Strategy Use: Improving Prevention of Hazardous Young Adult Substance UseR34AA028730 · NIAAA · UNIVERSITY OF TEXAS ARLINGTON · PI LEWIS, MELISSA A · 2021 to 2023
$594k
NIAAA NIH HHS R34 AA028730
6 · The paper itself

Abstract

objectiveThis article describes the development of an online and text-messaging intervention aimed at augmenting protective behavioral strategies (PBS) utilization at the daily level among young adults engaged in alcohol and cannabis use. PBS, encompassing tips and strategies to moderate alcohol and cannabis use and reduce associated risks, have been integral components of personalized feedback interventions. The quality and consistency of PBS use have been underexplored in intervention frameworks.

methodWe describe six initial focus groups and 13 cognitive interviews that were conducted with young adults who use alcohol and cannabis to learn the motivations underpinning alcohol and cannabis PBS utilization, barriers impeding PBS use, and PBS use with high quality and consistency. This step served as the cornerstone for crafting targeted intervention strategies. Drawing from the insights from the focus groups and cognitive interviews, we developed an interactive online intervention and text message platform. We then conducted three additional focus groups and nine cognitive interviews with young adults who use alcohol and cannabis to gain insight into intervention content, and we implemented any needed changes.

resultsWe present the final iteration of the intervention, which consisted of a brief, web-based intervention followed by text messages 3 days a week for 8 consecutive weeks, as well as two monthly daily-level summaries of behaviors reported across 8 weeks.

conclusionsThis article shares our process for designing an intervention using daily-level data, aimed at reducing alcohol and cannabis use among young adults and fostering quality and consistent use of PBS.

Indexed as

Alcohol DrinkingInternet-Based InterventionMarijuana UseText MessagingAdolescentAdultFemaleFocus GroupsHumansInternetMaleMotivationYoung Adult

Identifiers

PMID40410939
PMCPMC12798747

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.