Development of a Just-in-Time Adaptive Intervention to Reduce High-Intensity Drinking among Young Adults

制定及时适应性干预措施以减少年轻人的高强度饮酒

• 批准号: 10470180
• 负责人: Melissa Jean Cox
• 金额: $ 17.79万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-16 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10470180
• 关键词: 21 year old; Acute; Address; Age; Alcohol abuse; Alcohol consumption; Alcohol dependence; Area; Award; Behavioral; Characteristics; Consequentialism; Consumption; Data; Development; Ecological momentary assessment; Ecology; Elements; Event; Experimental Designs; Female; Focus Groups; Funding; Goals; Health; Health behavior change; Heavy Drinking; High Prevalence; Individual; Intervention; Interview; Intoxication; K-Series Research Career Programs; Life; Location; Mentors; Mentorship; National Institute on Alcohol Abuse and Alcoholism; Outcome; Population; Prevention; Prevention strategy; Public Health Practice; Randomized; Randomized Clinical Trials; Reading; Research; Research Personnel; Research Priority; Risk; Risk Factors; Sampling; Scientist; Social Environment; Specific qualifier value; Structure; Surveys; Taxonomy; Techniques; Testing; Time; Training; Training Activity; United States National Institutes of Health; Work; acceptability and feasibility; adaptive intervention; alcohol availability; alcohol consequences; alcohol measurement; alcohol misuse; base; behavior change; binge drinking; career; design; drinking; effectiveness evaluation; experience; follow-up; hands on research; high intensity drinking; high risk; innovation; mHealth; male; meetings; novel; peer; pilot test; prevent; preventive intervention; psychologic; public health relevance; severe injury; skills; smartphone Application; social; time interval; treatment strategy; uptake; usability; young adult; young adult alcohol use

PROJECT SUMMARY/ABSTRACT High-intensity drinking (HID; 8+/10+ drinks for females/males) is a distinct form of excessive alcohol use that results in significant, even life-threatening, physical and psychological consequences. Fifteen percent of young adults have engaged in HID in the past two weeks, and this form of drinking most often occurs in social settings. Characteristics of the drinking context (e.g. alcohol availability, demographic composition of the event) are associated with levels of alcohol consumption; however, current interventions for young adult alcohol misuse do not address real-time risk factors in the drinking context. The proposed Mentored Research Scientist Career Development Award (K01) will provide Dr. Cox with the training and mentorship to become an independent behavioral scientist focused on the prevention of young adult alcohol misuse. The objective of the proposed research is to identify risk factors in the immediate drinking context for HID among young adults and use this information to develop and pilot test a just-in-time adaptive intervention (JITAI) that addresses the identified risk factors to reduce HID and associated consequences. To achieve her long-term career goals, Dr. Cox requires additional training. This K01 will provide the necessary support for Dr. Cox to pursue the following scientific training objectives: (1) obtain skills in the design of mHealth intervention approaches, (2) execute experimental designs to test interventions for young adult alcohol misuse, (3) gain proficiency in priority selection of behavior change techniques for intervention strategies, and (4) enrich statistical capacities in the analysis of intensive longitudinal data. These objectives will be met through a comprehensive training plan that consists of one-on-one meetings, didactics/trainings, mentor-directed readings, seminars/lab meetings, scientific meetings, and hands-on research experience. To support these goals, Dr. Cox has a mentoring team comprised of leading researchers in all of these areas that each have a record of successful NIH-funded research and extensive mentoring experience. Skills gained through the training plan will be put into action through the execution of the complementary research plan. Aim 1 is to determine JITAI decision points by identifying factors in the drinking context that are uniquely associated with HID via a 4-week study using ecological momentary assessment with 50 young adults (ages 18-24). Aim 2 is to iteratively develop a JITAI that addresses identified risk factors to prevent HID among this population. Aim 3 is to pilot test the JITAI to a) assess its feasibility and acceptability, and b) explore preliminary effects on HID. This research is consistent with NIAAA’s initiative to develop effective prevention strategies that address the risks for consequences that result from excessive drinking or other forms of alcohol misuse. The proposed study will provide data for Dr. Cox’s first R01 proposal, to be submitted in the final year of this proposed award.

项目摘要/摘要 高强度饮酒（HID;雌性/男性的8+/10+饮料）是多余的酒精使用形式 导致重大甚至威胁生命，身体和心理后果。年轻的15％ 在过去的两个星期中，成年人一直藏起来，这种形式最常发生在社交中 设置。饮酒环境的特征（例如酒精的可用性，事件的人口统计组成） 与饮酒水平有关；但是，当前对年轻成人酒精的干预措施 滥用在饮酒环境中不会解决实时风险因素。拟议的指导研究 科学家职业发展奖（K01）将为考克斯博士提供培训和心态，成为一种 独立的行为科学家专注于预防年轻成人滥用滥用年轻人。目的 拟议的研究是在直接饮酒环境中确定年轻人和 使用此信息来开发和进行试验测试，即及时的自适应干预措施（JITAI） 确定了减少隐藏和相关后果的风险因素。为了实现她的长期职业目标，博士 考克斯需要额外的培训。该K01将为考克斯博士提供必要的支持，以追求以下内容 科学培训目标：（1）获得MHealth干预方法设计的技能，（2）执行 实验设计以测试年轻成人酒精滥用的干预措施，（3）优先级熟练 选择干预策略的行为改变技术，以及（4）丰富的统计能力 密集纵向数据的分析。这些目标将通过一个全面的培训计划来实现 由一对一的会议，教学/培训，精神上的读数，半手/实验室会议， 科学会议和动手研究经验。为了支持这些目标，考克斯博士有一个心理团队 在所有这些领域的领先研究人员完成，每个领域都有成功的NIH资助的记录 研究和广泛的心理经验。通过培训计划获得的技能将采取行动 通过执行完整的研究计划。目标1是通过 通过一项为期4周的研究，在饮酒环境中识别与与HID有关的因素 对50名年轻人（18-24岁）的生态瞬时评估。目标2是迭代开发吉泰 这解决了确定的风险因素，以防止该人群中隐藏。 AIM 3是试点测试Jitai至A） 评估其可行性和可接受性，b）探索对HID的初步影响。这项研究是一致的 NIAAA的倡议旨在制定有效的预防策略，以应对后果的风险 由于饮酒过多或其他形式的滥用饮酒而导致。拟议的研究将为博士提供数据。 考克斯的第一个R01提案将在该拟议奖励的最后一年提交。