Potentials of Smart Breathalyzer: Interventions for Excessive Drinking Among College Students

  • Aehong MinEmail author
  • Daehyoung Lee
  • Patrick C. Shih
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 10766)


Excessive drinking among college students is a significant public health issue. Electronic Screening Brief Intervention (e-SBI) has been shown to be an effective prevention tool, and it has been implemented on personal computers, web, mobile phones and social networking platforms. In this research, we asked college students to discuss about their perception of BACtrack Mobile Pro, the FDA-approved and consumer-oriented smart breathalyzer. We recruited 15 college students who have consumed alcohol regularly, asked them to use the smart breathalyzer for two weeks, and conducted pre- and post-study surveys and interviews. We identified five barriers with design opportunities for the smart breathalyzer: (1) Support from immediate family members or close friends, (2) Personalized results, (3) Intuitive status display, (4) Accessorizing the form factor, and (5) Quicker access. Future mobile and smart wearable e-SBI interventions targeted at college students should take these design considerations into account.


Smart breathalyzer Screening and brief intervention e-SBI Excessive drinking Alcohol consumption Persuasive technology 


  1. 1.
    Alessi, S.M., Petry, N.M.: A randomized study of cell phone technology to reinforce alcohol abstinence in the natural environment. Addiction 108(5), 900–909 (2013)CrossRefGoogle Scholar
  2. 2. BACtrack Mobile Smartphone Breathalyzer for iPhone and Android Devices (2017).
  3. 3.
    BACtrack: BACtrack (2017).
  4. 4.
    Bendtsen, P., Johansson, K., Åkerlind, I.: Feasibility of an email-based electronic screening and brief intervention (e-SBI) to college students in Sweden. Addict. Behav. 31(5), 777–787 (2006)CrossRefGoogle Scholar
  5. 5.
    Bernstein, M.H., Wood, M.D., Erickson, L.R.: The effectiveness of message framing and temporal context on college student alcohol use and problems: a selective e-mail intervention. Alcohol and Alcohol. 51(1), 106–116 (2015)CrossRefGoogle Scholar
  6. 6.
    Centers for Disease Control and Prevention: Planning and Implementing Screening and Brief Intervention for Risky Alcohol Use: A Step-by-Step Guide for Primary Care Practices. Atlanta, vol. 44. Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Georgia (2014)Google Scholar
  7. 7.
    Centers for Disease Control and Prevention: Alcohol & Public Health (2017).
  8. 8.
    Community Preventive Services Task Force: Preventing Excessive Alcohol Consumption: Electronic Screening and Brief Interventions (e-SBI). Technical report, U.S. Department of Health and Human Services (2013).
  9. 9.
    Corbin, J., Strauss, A.: Basics of Qualitative Research. SAGE Publication, Inc., Thousand Oaks (2014)Google Scholar
  10. 10.
    Cunningham, J.A.: Internet evidence-based treatments. In: Miller, P.M. (ed.) Evidence-Based Addiction Treatment, pp. 379–397. Academic Press, Cambridge (2009)Google Scholar
  11. 11.
    Cunningham, J.A., Hendershot, C.S., Murphy, M., Neighbors, C.: Pragmatic randomized controlled trial of providing access to a brief personalized alcohol feedback intervention in university students. Addict. Sci. Clin. Practice 7, 21 (2012)CrossRefGoogle Scholar
  12. 12.
    Donoghue, K., Patton, R., Phillips, T., Deluca, P., Drummond, C.: The effectiveness of electronic screening and brief intervention for reducing levels of alcohol consumption: a systematic review and meta-Analysis. J. Med. Internet Res. 16(6) (2014)Google Scholar
  13. 13.
    Gajecki, M., Berman, A.H., Sinadinovic, K., Rosendahl, I., Andersson, C.: Mobile phone brief intervention applications for risky alcohol use among university students: a randomized controlled study. Addict. Sci. Clin. Practice 9, 11 (2014)CrossRefGoogle Scholar
  14. 14.
    Gustafson, D.H., McTavish, F.M., Chih, M.Y., Atwood, A.K., Johnson, R.A., Boyle, M.G.: A smartphone application to support recovery from alcoholism: a randomized controlled trial. JAMA Psychiatry 71(5), 566–572 (2014).
  15. 15.
    Heather, N.: Interpreting the evidence on brief interventions for excessive drinkers: the need for caution. Alcohol Alcohol. 30(3), 287–296 (1995).
  16. 16.
    Hester, R.K., Delaney, H.D., Campbell, W.: The college drinker’s check-up: outcomes of two randomized clinical trials of a computer-delivered intervention. Psychol. Addict. Behav. 26(1), 1–12 (2012)CrossRefGoogle Scholar
  17. 17.
    Hingson, R.W., Zha, W., Weitzman, E.R.: Magnitude of and trends in alcohol-related mortality and morbidity among U.S. college students ages 18–24, 1998–2005. J. Stud. Alcohol Drugs (Suppl. 16), 12–20 (2009).
  18. 18.
    Kaner, F.S.E., Dickinson, H.O., Beyer, F.R., Campbell, F., Schlesinger, C., Heather, N., Saunders, J.B., Burnand, B., Pienaar, E.D.: Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst. Rev. (2) (2007)Google Scholar
  19. 19.
    Khadjesari, Z., Murray, E., Hewitt, C., Hartley, S., Godfrey, C.: Can stand-alone computer-based interventions reduce alcohol consumption? A systematic review. Addiction 106(2), 267–282 (2011)CrossRefGoogle Scholar
  20. 20.
    Knight, J., Sherritt, L., Harris, S., Gates, E., Chang, G.: Validity of brief alcohol screening tests among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT. Alcohol Clin. Exp. Res. 27(1), 67–73 (2003). pm: 12544008Google Scholar
  21. 21.
    Kypri, K., Saunders, J.B., Gallagher, S.J.: Acceptability of various brief intervention approaches for hazardous drinking among university students. Alcohol Alcohol. 38(6), 626–628 (2003)CrossRefGoogle Scholar
  22. 22.
    Mason, M., Benotsch, E.G., Way, T., Kim, H., Snipes, D.: Text messaging to increase readiness to change alcohol use in college students. J. Primary Prev. 35(1), 47–52 (2014).
  23. 23.
    Milward, J., Khadjesari, Z., Fincham-Campbell, S., Deluca, P., Watson, R., Drummond, C.: User preferences for content, features, and style for an app to reduce harmful drinking in young adults: analysis of user feedback in app stores and focus group interviews. JMIR mHealth uHealth 4(2), e47 (2016)CrossRefGoogle Scholar
  24. 24.
    Moreira, M.T., Smith, L.A., Foxcroft, D.: Social norms interventions to reduce alcohol misuse in university or college students. Evid.-Based Child Health 7(2), 450–575 (2012)CrossRefGoogle Scholar
  25. 25.
    Moyer, A., Finney, J., Swearingen, C., Vergun, P.: Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment seeking and non treatment seeking populations. Addiction 97, 279–292 (2002)CrossRefGoogle Scholar
  26. 26.
    National Institute on Alcohol Abuse and Alcoholism: NIAAA council approves definition of binge drinking. NIAAA Newslett. 3, 3 (2004)Google Scholar
  27. 27.
    National Institute on Alcohol Abuse and Alcoholism: College Drinking. Technical report (2015)Google Scholar
  28. 28.
    Palfai, T.P., Winter, M., Lu, J., Rosenbloom, D., Saitz, R.: Personalized feedback as a universal prevention approach for college drinking: a randomized trial of an e-mail linked universal web-based alcohol intervention. J. Primary Prev. 35(2), 75–84 (2014)CrossRefGoogle Scholar
  29. 29.
    Shaw, S.J., Cartwright, A.K.J., Spratley, T.A., Harwin, J.: Responding to Drinking Problems. University Park Press, Baltimore (1978)Google Scholar
  30. 30.
    Substance Abuse and Mental Health Services Administration: 2014 National Survey on Drug Use and Health. Technical report (2014)Google Scholar
  31. 31.
    Tahaney, K.D., Palfai, T.P.: Text messaging as an adjunct to a web-based intervention for college student alcohol use: a preliminary study. Addict. Behav. 73(November 2016), 63–66 (2017).
  32. 32.
    Tansil, K.A., Esser, M.B., Sandhu, P., Reynolds, J.A., Elder, R.W., Williamson, R.S., Chattopadhyay, S.K., Bohm, M.K., Brewer, R.D., McKnight-Eily, L.R., Hungerford, D.W., Toomey, T.L., Hingson, R.W., Fielding, J.E.: Alcohol electronic screening and brief intervention: a community guide systematic review. Am. J. Prev. Med. 51(5), 801–811 (2016).
  33. 33.
    Wilson, G.B., Lock, C.A., Heather, N., Cassidy, P., Christie, M.M., Kaner, E.F.S.: Intervention against excessive alcohol consumption in primary health care: a survey of GPs’ attitudes and practices in England 10 years on. Alcohol Alcohol. 46(5), 570–577 (2011)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Indiana University BloomingtonBloomingtonUSA

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