Behavioral Economic Treatment to Enhance Rural (BETTER) Living

Behavioral Economic Treatment to Enhance Rural Living

The purpose of this trial is to get feedback to help develop programs delivered by phone and text messages to improve wellness and health behaviors. This study will enroll adult participants that have been seen in primary care settings and live in rurally designated areas.

This study will evaluate acceptability and feasibility of two remotely-delivered behavioral economic intervention components, alone and in combination, using remote text message delivery. The two intervention components are an episodic future thinking component and a volitional choice component. The goal of this work is to develop and determine acceptability and feasibility of a well-specified, accessible, and theory-driven mobile health intervention to reduce harmful alcohol use in people living in rural regions.

Screening Inclusion Criteria:

• adults presenting in Michigan Medicine primary care
• home address in a rurally designated area (e.g., zip code, county),
• documented alcohol use in the Electronic Health Record (EHR) (e.g., alcohol use disorder diagnosis, alcohol misuse or heavy alcohol consumption).

Baseline inclusion criteria:

• an Alcohol Use Disorders Identification Test (AUDIT-C) score of ≥3 in females or ≥4 in males
• regular access to an internet-enabled device (e.g., smart phone, computer, tablet).

Exclusion Criteria:

• Does not understand English
• currently pregnant
• unable to provide informed consent due to medical/psychiatric reasons
• currently in treatment for a substance use disorder.