Actively Recruiting

Phase 2
Phase 3
Age: 18Years +
All Genders
Healthy Volunteers
ID06821295

Efficacy of a Smartphone-Based Just-In-Time Adaptive Intervention to Reduce Drinking Among Adults Experiencing Homelessness

Led by University of Oklahoma ยท Updated on 2026-05-01

600

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

U

University of Oklahoma

Lead Sponsor

N

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating a smartphone-based intervention called Smart-T Alcohol designed to reduce alcohol use among adults experiencing homelessness who report hazardous drinking. This randomized controlled trial will compare the effects of the Smart-T Alcohol intervention plus usual shelter-based care versus usual care alone. The study aims to assess alcohol consumption, drinking risk factors, and the intervention's effectiveness in specific subgroups such as women and younger adults. Participants will be recruited from five shelters in Dallas, TX and Oklahoma City, OK, and will complete screening and training visits. They will use a smartphone app to complete daily surveys for one week before randomization. The intervention period lasts eight weeks, during which participants receive either usual care or usual care plus the Smart-T Alcohol app that delivers on-demand tips and tailored messages based on daily survey responses to support drinking reduction goals. Follow-up assessments occur at 9, 13, and 26 weeks post-enrollment. Throughout the 13-week study period, all participants complete brief daily smartphone surveys to track alcohol use and related factors like mood and motivation. Researchers will monitor drinking patterns, alcohol-related problems, and changes in risk indicators. Data collection includes app-based assessments and follow-up visits at shelters or via phone. The study also documents engagement with existing treatment services, and participants reporting heavy or high-intensity drinking receive additional referrals for support.

CONDITIONS

Brief Title

Efficacy of a Smartphone-Based JITAI to Reduce Drinking Among Adults Experiencing Homelessness

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 18 years old
  • Score of 8 or above on the Alcohol Use Disorders Identification Test (AUDIT)
  • Currently receiving shelter-based services
  • Consumed at least one standard drink of alcohol in the past week
  • Reading ability score of 4 or higher on the REALM-SF
  • Cognitive score under 8 on the 6-Item Cognitive Impairment Test (6CIT)
Not Eligible

You will not qualify if you...

  • Under 18 years old
  • Not meeting all inclusion criteria

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person) at a partnering shelter

Baseline Assessment

Duration - 1 week

Participants complete training on the smartphone-based assessment platform and complete four brief daily surveys for 1 week to establish baseline drinking levels and related risk factors.

Daily brief smartphone-based surveys for 7 days

Treatment

Duration - 8 weeks

Participants are randomized to either Usual Care or Usual Care plus the Smart-T Alcohol intervention that delivers on-demand content and tailored messages based on daily survey responses to help reduce drinking.

Daily smartphone-based surveys and use of the intervention app as applicable

Post-treatment Monitoring

Duration - 4 weeks

Participants continue daily smartphone-based surveys for 4 weeks after treatment to assess if intervention effects are maintained.

Daily brief smartphone-based surveys for 4 weeks

Follow-up Assessments

Duration - Up to 26 weeks post-enrollment

Participants complete follow-up assessments via app, shelter visits, or phone at 9, 13, and 26 weeks post-enrollment to monitor drinking outcomes and intervention effects.

3 follow-up assessments at weeks 9, 13, and 26

Trial Site Locations

Total: 1 location

1

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States, 73104

Actively Recruiting

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Research Team

M

Michael Businelle, PhD

K

Krista Kezbers, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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