An Ecologically Valid Application of Self-Determination Theory to Understand Responsible Alcohol Use

自决理论在生态学上的有效应用，以理解负责任的饮酒

基本信息

批准号：
10460643
负责人：
Dylan K Richards
金额：
$ 5.83万
依托单位：
UNIVERSITY OF NEW MEXICO
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-01 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10460643
关键词：
Alcohol abuse Alcohol consumption Alcohols Behavior Behavioral Cognitive Competence Data Development Ecological momentary assessment Environment Etiology Future Grant Harm Reduction Health Promotion Human Individual Differences Intervention Intoxication Knowledge Life Maintenance Mentors Methods Modeling Motivation Outcome Persons Pharmaceutical Preparations Principal Investigator Public Health Reporting Research Research Activity Research Design Research Personnel Sampling Self Determination Training Training Activity addiction alcohol behavior alcohol intervention alcohol measurement alcohol misuse alcohol research base behavior change biological sex brief intervention career design drinking ethnic diversity innovation novel post-doctoral training pressure psychologic racial and ethnic recruit reduced alcohol use research study responsible alcohol use satisfaction sex theories training opportunity university student young adult

项目摘要

PROJECT SUMMARY Alcohol misuse among young adults in the U.S. is a significant public health concern. Protective behavioral strategies (PBS) are cognitive-behavioral strategies used before, during, or immediately after drinking to reduce alcohol use, intoxication, and/or alcohol-related harms. Using PBS appears to be an effective means of harm-reduction, though PBS-based interventions are unlikely to have reached their full potential. While much is known about motivation for drinking, surprisingly little is known about motivation for engaging in PBS. Better understanding of motivation for PBS use can inform the development of novel interventions that motivate young adults to use such behaviors. Self-determination theory (SDT) is a general theory of human motivation that has been applied to understand a wide range of health-promoting behaviors, though its application to alcohol research has been limited. SDT proposes that there are different types of motivation that vary in the extent to which they are self-determined. For example, people may engage in a behavior because they feel pressured to do so (i.e., controlled motivation) or because they value the behavior (i.e., autonomous motivation). According to SDT, autonomous motivation is more likely to result in the initiation and maintenance of health-promoting behaviors than controlled motivation. Autonomous motivation is posited to be facilitated by environments that satisfy the basic psychological needs for autonomy, competence, and relatedness. Our objective in this proposal is to use an ecological momentary assessment (EMA) design to comprehensively investigate the tenets of SDT to better understand PBS use. Specifically, we will retain a racially/ethnically diverse, sex-balanced sample of college student (n = 90) and non-college attending young adult drinkers (n = 90) who are self-determined (n = 30/30; highest in autonomous motivation, lowest in amotivation), highly motivated (n = 30/30; high in both autonomous and controlled motivation), and low/amotivated (n = 30/30; relatively high on amotivation and low on both autonomous and controlled motivation) to use PBS to complete a 4-week EMA study. This innovative design will allow us to efficiently evaluate the tenets of SDT as applied to using PBS at both the within-subjects (Aim 1) and between-subjects level (Aim 2), clarifying novel targets for alcohol interventions that could result in sustained behavioral change. Each aspect of the research design was chosen deliberately to enhance the applicant’s training. Potential moderators of the within-subjects associations between SDT constructs and alcohol-related outcomes will be examined to help inform future intervention tailoring (Exploratory Aim).

项目摘要美国年轻人的酒精遗嘱是一个重大的公共卫生问题。保护行为策略（PBS）是饮酒之前，期间或之后使用的认知行为策略减少饮酒，醉酒和/或与酒精有关的危害。使用PBS似乎是有效的手段减少危害，尽管基于PBS的干预措施不太可能发挥其全部潜力。虽然很多关于饮酒的动机，人们对参与PBS的动机知之甚少。更好的了解PBS使用动机可以为动机的新干预措施的发展提供信息年轻人使用这种行为。自决理论（SDT）是人类动机的一般理论尽管将其应用于酒精研究受到限制。 SDT的提议，即有不同类型的动机在他们自我确定的程度。例如，人们可能会从事行为，因为他们感到被迫这样做（即受控动机）或因为它们重视行为（即自主动机）。根据SDT的说法，自主动机更有可能导致主动和维护促进健康的行为而不是受控动机。自主动机定位为满足自治，能力和相关性的基本心理需求的环境。我们的该提案中的目的是使用生态瞬时评估（EMA）设计研究SDT的原则，以更好地了解PBS的使用。具体而言，我们将大致/种族保留潜水员，大学生的性均衡样本（n = 90）和非大学参加年轻饮酒者（n = 90）自定性（n = 30/30；自主动机最高，最低动力），高度动机（n = 30/30;自主和受控动机都高）和低/动机（n = 30/30; 相对较高的动力和自主动机和受控动机的较低）使用PBS完成一项为期4周的EMA研究。这种创新的设计将使我们能够有效地评估SDT的原则在受试者内（AIM 1）和受试者之间使用PBS（AIM 2），这是针对新的目标可能导致行为改变的酒精干预措施。研究设计的各个方面是故意选择以增强申请人的培训。主题内的潜在主持人 SDT结构与与酒精相关的结果之间的关联将进行检查，以帮助未来干预剪裁（探索目的）。