A Longitudinal, Measurement Burst Study to Examine the Ecological Validity of the Prototype Willingness Model of Hazardous Adolescent and Young Adult Alcohol Use

一项纵向测量突发研究，旨在检验危险青少年和年轻人饮酒的原型意愿模型的生态有效性

• 批准号: 10219923
• 负责人: Melissa A Lewis
• 金额: $ 51.97万
• 依托单位: UNIVERSITY OF NORTH TEXAS HLTH SCI CTR
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-01 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10219923
• 关键词: Accounting; Adolescence; Adolescent and Young Adult; Age; Alcohol consumption; Area; Attitude; Behavior; Centers for Disease Control and Prevention (U.S.); Cessation of life; Characteristics; Cognition; Communities; Data; Data Analyses; Data Collection; Decision Making; Development; Ecological momentary assessment; Environment; Etiology; Fostering; Grain; Health; Health behavior; Individual; Individual Differences; Informal Social Control; Intervention; Intervention Studies; Knowledge; Literature; Location; Longevity; Measurement; Methods; Mobile Health Application; Modeling; National Institute on Alcohol Abuse and Alcoholism; Outcome; Pathway interactions; Personality; Personality Character; Persons; Prevalence; Prevention; Public Health; Reaction; Research; Risk; Risk Behaviors; Sampling; Strategic Planning; Technology; Testing; Time; Work; Youth; aged; alcohol consequences; alcohol use disorder; base; binge drinking; cost; design; drinking; drinking behavior; experience; high risk; high risk drinking; improved; innovation; insight; marijuana use; metropolitan; peer; preventable death; preventive intervention; prospective; prototype; recruit; reduced alcohol use; social; text messaging intervention; underage drinking; willingness; young adult; young adult alcohol use

PROJECT SUMMARY/ABSTRACT The proposed research will provide the first daily-level test of the Prototype Willingness Model (PWM), examining the effects of decision-making cognitions on high-risk alcohol use and related negative consequences using multi-burst ecological momentary assessment (EMA) across one year among adolescents and young adults aged 15-25. Based on literature focusing on developmentally appropriate health models for young adults, the PWM assumes that health-risk behaviors occur either when individuals have developed intentions to engage in a risk behavior (and these intentions vary as a function of attitudes and perceived injunctive norms) or through willingness to engage in risks (which varies as a function of perceived vulnerability to negative consequences, perceived descriptive norms, and prototypes). To improve the predictive utility of the PWM and to fully understand the relationships between cognitions in predicting high-risk drinking behavior from a PWM perspective, these associations should be examined close in time at the daily level (Aim 1), across a variety of risk-conducive situations (e.g., in contexts with presence of peer risk behavior, marijuana use, unexpected or expected locations, and in contexts with known or unknown people) (Aim 2), and across different individual characteristics (e.g., age, experience, and personality characteristics) (Aim 3). We will test these aims by recruiting a community sample of adolescents and young adults (N = 1,100), living in the greater Seattle metropolitan area, and utilizing multi-burst EMA data collection to assess information about the daily relations between drinking cognitions and alcohol use across three weekdays and three weekends per quarter for four quarters across one year. The proposed study is both significant and innovative in that it uses a lifespan perspective to evaluate the PWM in relation to high-risk drinking behavior both at the daily level and developmentally over time (i.e., age and experience as moderators), uses multi-burst EMA data collection to allow for greater insight into factors contributing to increased risk in-the moment to provide guidance to prevention and intervention work for young adult alcohol use. We will gain a theoretically-informed perspective to foster prevention and intervention strategies to target those at greatest risk at appropriate stages of the lifespan and help to determine the timing (e.g., improving young adults' ability to make healthier choices in moments when they may be at greater risk for engaging in risky behaviors) and type of intervention (e.g., focused on social reactance or reasoned pathways) that is most relevant toward individual's needs.

项目摘要/摘要 拟议的研究将提供原型意愿模型（PWM）的第一个日常测试，即 检查决策认知对高危饮酒和相关负面的影响 在一年中使用多生态瞬时评估（EMA）的后果 青少年和15-25岁的年轻人。基于关注发展适当健康的文献 PWM的年轻人模型假设健康风险行为发生在个人有 开发了从事风险行为的意图（这些意图因态度和 感知的禁令规范）或愿意从事风险（随着感知的函数而变化） 易受负面后果，可感知的描述性规范和原型）。改善 PWM的预测效用，并充分了解认知之间的关系 从PWM的角度来看，应在每日及时检查这些关联 级别（AIM 1），跨越各种风险有效的情况（例如，在存在同伴风险行为的情况下， 大麻使用，出乎意料的或预期的位置，以及在与已知或未知人的情况下）（AIM 2），并且 跨越不同的个人特征（例如，年龄，经验和人格特征）（目标3）。我们 将通过招募青少年和年轻人的社区样本（n = 1,100）来测试这些目标 大西雅图都会区，并利用多燃烧EMA数据收集来评估有关 在三个工作日的饮酒认知与饮酒之间的每日关系与每三个周末 季度在一年中持续四个季度。拟议的研究既重要又具有创新性 寿命的观点是在每日水平和 随着时间的流逝（即，作为主持人的年龄和经验）在开发上使用多爆炸EMA数据收集到 可以更深入地了解导致风险增加的因素，以提供指导 青年饮酒的预防和干预工作。我们将获得理论上知名的视角 促进预防和干预策略，以适当阶段的适当阶段针对最大风险的人 寿命并帮助确定时间安排（例如，提高年轻人做出更健康选择的能力 当他们可能面临风险行为的风险更大的时刻）和干预类型（例如， 专注于与个人需求最相关的社会反应或理性途径。