A Novel Just-in-Time Intervention for Promoting Safer Drinking Among College Students: App Testing Across 2 Independent Pre-Post Trials

Abstract BackgroundBinge drinking, which is linked to various immediate and long-term negative outcomes, is highly prevalent among US college students. Behavioral interventions delivered via mobile phones have a strong potential to help decrease the hazardous effects of binge...

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Main Authors: Philip I Chow, Jessica Smith, Ravjot Saini, Christina Frederick, Connie Clark, Maxwell Ritterband, Jennifer P Halbert, Kathryn Cheney, Katharine E Daniel, Karen S Ingersoll
Format: Article
Language:English
Published: JMIR Publications 2025-04-01
Series:JMIR Human Factors
Online Access:https://humanfactors.jmir.org/2025/1/e69873
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author Philip I Chow
Jessica Smith
Ravjot Saini
Christina Frederick
Connie Clark
Maxwell Ritterband
Jennifer P Halbert
Kathryn Cheney
Katharine E Daniel
Karen S Ingersoll
author_facet Philip I Chow
Jessica Smith
Ravjot Saini
Christina Frederick
Connie Clark
Maxwell Ritterband
Jennifer P Halbert
Kathryn Cheney
Katharine E Daniel
Karen S Ingersoll
author_sort Philip I Chow
collection DOAJ
description Abstract BackgroundBinge drinking, which is linked to various immediate and long-term negative outcomes, is highly prevalent among US college students. Behavioral interventions delivered via mobile phones have a strong potential to help decrease the hazardous effects of binge drinking by promoting safer drinking behaviors. ObjectiveThis study aims to evaluate the preliminary efficacy of bhoos, a novel smartphone app designed to promote safer drinking behaviors among US college students. The app offers on-demand educational content about safer alcohol use, provides dynamic feedback as users log their alcohol consumption, and includes an interactive drink tracker that estimates blood alcohol content in real time. MethodsThe bhoos app was tested in 2 independent pre-post studies each lasting 4 weeks, among US college students aged 18‐35 years. The primary outcome in both trials was students’ self-reported confidence in using protective behavioral strategies related to drinking, with self-reported frequency of alcohol consumption over the past month examined as a secondary outcome. ResultsIn study 1, bhoos was associated with increased confidence in using protective behavioral strategies. Students also endorsed the high usability of the app and reported acceptable levels of engagement. Study 2 replicated findings of increased confidence in using protective behavioral strategies, and demonstrated a reduction in the self-reported frequency of alcohol consumption. ConclusionsBhoos is a personalized, accessible, and highly scalable digital intervention with a strong potential to effectively address alcohol-related behaviors on college campuses.
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spelling doaj-art-a9eff05340b4443291df87348eafd8bb2025-08-20T02:17:28ZengJMIR PublicationsJMIR Human Factors2292-94952025-04-0112e69873e6987310.2196/69873A Novel Just-in-Time Intervention for Promoting Safer Drinking Among College Students: App Testing Across 2 Independent Pre-Post TrialsPhilip I Chowhttp://orcid.org/0000-0002-1147-1145Jessica Smithhttp://orcid.org/0000-0002-0685-4598Ravjot Sainihttp://orcid.org/0009-0003-0079-8403Christina Frederickhttp://orcid.org/0000-0002-7452-1314Connie Clarkhttp://orcid.org/0009-0001-4913-8794Maxwell Ritterbandhttp://orcid.org/0009-0007-5601-1699Jennifer P Halberthttp://orcid.org/0000-0001-8909-8208Kathryn Cheneyhttp://orcid.org/0009-0004-8918-9141Katharine E Danielhttp://orcid.org/0000-0002-4371-2740Karen S Ingersollhttp://orcid.org/0000-0001-8115-2548 Abstract BackgroundBinge drinking, which is linked to various immediate and long-term negative outcomes, is highly prevalent among US college students. Behavioral interventions delivered via mobile phones have a strong potential to help decrease the hazardous effects of binge drinking by promoting safer drinking behaviors. ObjectiveThis study aims to evaluate the preliminary efficacy of bhoos, a novel smartphone app designed to promote safer drinking behaviors among US college students. The app offers on-demand educational content about safer alcohol use, provides dynamic feedback as users log their alcohol consumption, and includes an interactive drink tracker that estimates blood alcohol content in real time. MethodsThe bhoos app was tested in 2 independent pre-post studies each lasting 4 weeks, among US college students aged 18‐35 years. The primary outcome in both trials was students’ self-reported confidence in using protective behavioral strategies related to drinking, with self-reported frequency of alcohol consumption over the past month examined as a secondary outcome. ResultsIn study 1, bhoos was associated with increased confidence in using protective behavioral strategies. Students also endorsed the high usability of the app and reported acceptable levels of engagement. Study 2 replicated findings of increased confidence in using protective behavioral strategies, and demonstrated a reduction in the self-reported frequency of alcohol consumption. ConclusionsBhoos is a personalized, accessible, and highly scalable digital intervention with a strong potential to effectively address alcohol-related behaviors on college campuses.https://humanfactors.jmir.org/2025/1/e69873
spellingShingle Philip I Chow
Jessica Smith
Ravjot Saini
Christina Frederick
Connie Clark
Maxwell Ritterband
Jennifer P Halbert
Kathryn Cheney
Katharine E Daniel
Karen S Ingersoll
A Novel Just-in-Time Intervention for Promoting Safer Drinking Among College Students: App Testing Across 2 Independent Pre-Post Trials
JMIR Human Factors
title A Novel Just-in-Time Intervention for Promoting Safer Drinking Among College Students: App Testing Across 2 Independent Pre-Post Trials
title_full A Novel Just-in-Time Intervention for Promoting Safer Drinking Among College Students: App Testing Across 2 Independent Pre-Post Trials
title_fullStr A Novel Just-in-Time Intervention for Promoting Safer Drinking Among College Students: App Testing Across 2 Independent Pre-Post Trials
title_full_unstemmed A Novel Just-in-Time Intervention for Promoting Safer Drinking Among College Students: App Testing Across 2 Independent Pre-Post Trials
title_short A Novel Just-in-Time Intervention for Promoting Safer Drinking Among College Students: App Testing Across 2 Independent Pre-Post Trials
title_sort novel just in time intervention for promoting safer drinking among college students app testing across 2 independent pre post trials
url https://humanfactors.jmir.org/2025/1/e69873
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