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

基本信息

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
项目类别：
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

项目摘要

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.

项目概要/摘要高强度饮酒（HID；女性/男性饮酒 8+/10+）是过度饮酒的一种独特形式，导致 15% 的年轻人遭受严重甚至危及生命的身体和心理后果。成年人在过去两周内有过 HID，这种饮酒形式最常发生在社交场合饮酒环境的特征（例如酒精供应情况、活动的人口构成）。然而，目前针对年轻人饮酒的干预措施滥用并不能解决饮酒环境中的实时风险因素。科学家职业发展奖（K01）将为考克斯博士提供培训和指导，使其成为一名科学家独立行为科学家致力于预防年轻人滥用酒精。拟议的研究旨在确定年轻人和青少年中直接饮酒环境中 HID 的危险因素使用此信息来开发和试点测试及时适应性干预 (JITAI)，以解决确定了减少 HID 和相关后果的风险因素。为了实现她的长期职业目标，博士。 Cox 需要额外的培训。K01 将为 Cox 博士追求以下目标提供必要的支持。科学培训目标：(1) 获得设计移动医疗干预方法的技能，(2) 执行测试针对年轻人滥用酒精的干预措施的实验设计，(3) 优先获得熟练程度选择干预策略的行为改变技术，(4) 丰富统计能力这些目标将通过全面的培训计划来实现。包括一对一会议、教学/培训、导师指导的阅读、研讨会/实验室会议、为了支持这些目标，考克斯博士拥有一个指导团队。由所有这些领域的领先研究人员组成，每个人都有 NIH 资助的成功记录通过培训计划获得的研究和丰富的指导经验将付诸实践。通过执行补充研究计划，目标 1 是通过以下方式确定 JITAI 决策点。通过为期 4 周的研究，确定饮酒环境中与 HID 唯一相关的因素对 50 名年轻人（18-24 岁）进行生态瞬时评估，目标 2 是迭代开发 JITAI。目标 3 是对 JITAI 进行试点测试，以达到以下目的：评估其可行性和可接受性，以及 b) 探讨对 HID 的初步影响本研究是一致的。 NIAAA 倡议制定有效的预防策略，以应对以下后果的风险：过量饮酒或其他形式的滥用酒精造成的结果拟议的研究将为博士提供数据。考克斯的第一个 R01 提案将在该提案的最后一年提交。