Florian Labhart

ICAT: Development of an Internet-Based Data Collection Method for Ecological Momentary Assessment Using Personal Cell Phones

Rapid advances in mobile data-transfer technologies offer new possibilities in the use of cell phones to conduct assessments of a person’s natural environment in real time. This paper describes features of a new Internet-based, cell phone-optimized assessment technique (ICAT), which consists of a retrospective baseline assessment combined with text messages sent to the participants’ personal cell phones providing a hyperlink to an Internet-stored cell phone-optimized questionnaire. Two participation conditions were used to test variations in response burden. Retention rates, completion rates, and response times in different subgroups were tested by means of χ² tests, Cox regression, and logistic regression. Among the 237 initial participants, we observed a retention rate of 90.3% from the baseline assessment to the cell-phone part, and 80.4% repeated participation in the 30 daily assessments. Each day, 40–70% of the questionnaires were returned, a fourth in less than 3 minutes. Qualitative interviews underscored the ease of use of ICAT. This technique appears to be an innovative, convenient, and cost-effective way of collecting data on situational characteristics while minimizing recall bias. Because of its flexibility, ICAT can be applied in various disciplines, whether as part of small pilot studies or large-scale, crosscultural, and multisite research projects.

Drinking motives moderate the impact of pre‐drinking on heavy drinking on a given evening and related adverse consequences—an event‐level study

AIMS To test whether (i) drinking motives predict the frequency of pre-drinking (i.e. alcohol consumption before going out); (ii) drinking motives predict HDGE (heavy drinking on a given evening: 4+ for women, 5+ for men) and related adverse consequences (hangover, injuries, blackouts, etc.), even when pre-drinking is accounted for, and (iii) drinking motives moderate the impact of pre-drinking on HDGE and consequences. DESIGN Using the internet-based cellphone-optimized assessment technique (ICAT), participants completed a series of cellphone questionnaires every Thursday, Friday and Saturday evening over 5 weeks. SETTING French-speaking Switzerland. PARTICIPANTS A total of 183 young adults [53% female, mean age (standard deviation) = 23.1 (3.1)] who completed 7828 questionnaires on 1441 evenings. MEASUREMENTS Drinking motives assessed at baseline, alcohol consumption assessed at 8 p.m., 9 p.m., 10 p.m., 11 p.m. and midnight and consequences assessed at 11 a.m. the next day. FINDINGS Gender-separate multi-level models revealed that pre-drinking predicted HDGE (men: B = 2.17, P < 0.001; women: B = 2.12, P < 0.001) and alcohol-related consequences (men: B = 0.24, P < 0.01; women: B = 0.29, P < 0.001). Enhancement motives were found to predict HDGE (B = 0.48, P < 0.05) and related consequences (B = 0.09, P < 0.05) among men, while among women coping motives had the same effect (HDGE: B = 0.73, P < 0.001; consequences: B = 0.13, P < 0.01). With the exception of conformity motives among women (B = 0.54, P < 0.05), however, no drinking motive dimension predicted the frequency of pre-drinking, while coping and conformity motives moderated the impact of pre-drinking on HDGE (men, conformity: B = -1.57, P < 0.05) and its consequences (men, coping: B = -0.46, P < 0.01; women, coping: B = 0.76, P < 0.05). CONCLUSIONS Among young adults in Switzerland, heavy weekend drinking and the related consequences seem to result from the combination of pre-drinking, level of negative reinforcement drinking for women and positive reinforcement drinking for men.

The future is now: Using personal cellphones to gather data on substance use and related factors

Most of what is known in substance use research is based on retrospective answers in paper-and-pencil questionnaires or given online or in telephone interviews. Current smartphone technology, however, opens virtually unlimited possibilities for collecting data in real-time and real-life situations, including sounds, pictures or locations, and with (almost) no recall bias.

Predrinking, alcohol use, and breath alcohol concentration: a study of young adult bargoers

Predrinking (preloading, pregaming) has been found to be related to alcohol use and intoxication. However, most research relies on estimates of blood alcohol concentration and does not control for usual drinking pattern. We assessed whether predrinking was associated with subsequent alcohol consumption and breath alcohol concentration (BrAC) among 287 young adult bargoers (173 men [60.3%], Mage = 21.86 years, SD = 2.55 years) who were recruited in groups in an entertainment district of a midsized city in Ontario, Canada. We also examined whether predrinking by other group members interacted with individual predrinking in relation to amount consumed/BrAC. Adjusting for nesting of individuals within groups in hierarchical linear models, predrinkers were found to consume more drinks in the bar district and over the entire night compared to nonpredrinkers and had higher BrACs at the end of the night controlling for drinking pattern. A group- by individual-level interaction revealed that individual predrinking predicted higher BrACs for members of groups in which at least half of the group had been predrinking but not for members of groups in which less than half had been predrinking. This study confirms a direct link of predrinking with greater alcohol consumption and higher intoxication levels. Group- by individual-level effects suggest that group dynamics may have an important impact on individual drinking. Given that predrinking is associated with heavier consumption rather than reduced consumption at the bar, initiatives to address predrinking should include more effective policies to prevent intoxicated people from entering bars and being served once admitted.

Reciprocal influences of drinking motives on alcohol use and related consequences: A full cross-lagged panel study among young adult men

ABSTRACT Using a full cross-lagged model, this study investigates the extent to which drinking motives predict alcohol use and related consequences, and vice versa. At baseline and 15 months later, 4575 men (mean age = 19.4 years) in Switzerland completed a questionnaire assessing drinking motives, average weekly consumption, risky single-occasion drinking, and alcohol-related consequences. Results indicated that social and enhancement motives more strongly influenced alcohol use over time than the other way round. Coping motives predicted an increase in alcohol-related consequences, and vice versa. Higher social motives predicted an increase in coping motives while higher coping motives predicted a decrease in enhancement motives. These results suggest that social and enhancement motives amplify each other in early adulthood and predict increases in risky drinking. Structural measures aimed at reducing opportunities to engage in heavy drinking are recommended. Additionally, the detection of young adult men vulnerable to maladaptive coping behaviors appears important for alcohol prevention strategies.

Development of the Geographical Proportional-to-size Street-Intercept Sampling (GPSIS) method for recruiting urban nightlife-goers in an entire city

Abstract We developed the Geographical Proportional-to-size Street-Intercept Sampling (GPSIS) method in order to obtain a sample of nightlife-goers which accounted for the diversity of spaces, patrons and locations within two Swiss cities. Popular nightlife zones were identified and quantified using social media data and local experts’ knowledge. Young people were recruited in the streets on Friday and Saturday nights on three consecutive weekends using the ‘fixed-line method, pro-rated for the zone’s estimated popularity. Of the 3092 young adults approached, 896 agreed to pre-register. The importance of recruitment in multiple zones and over multiple weekend-days was evidenced by significant variations in participant demographics and registration rates between recruitment zones, times and weather conditions. To conclude, by combining a geographical approach with in situ recruitment, GPSIS has considerable potential as a tool for recruiting samples that represent the diversity of the nightlife population and spaces.