Mobile Application Intervention Targeting the High Risk Drinking Practice of Prepartying

针对聚会前高风险饮酒行为的移动应用干预

• 批准号: 10170069
• 负责人: Eric R. Pedersen
• 金额: $ 25.42万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-10 至 2022-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10170069
• 关键词: 21 year old; Address; Affect; Alcohol consumption; Alcoholic beverage heavy drinker; Attention; Behavior; Behavioral; Blood alcohol level measurement; Clinical Trials; Cognitive; Consumption; Dangerousness; Data; Destinations; Ethanol Metabolism; Event; Evidence based intervention; Evidence based practice; Expectancy; Feedback; Female; Focus Groups; Goals; Harm Reduction; Heavy Drinking; Injury; Intervention; Mediator of activation protein; Methods; Motivation; Nature; Outcome; Persons; Population; Prevalence; Prevention; Privatization; Procedures; Public Health; Randomized; Randomized Controlled Trials; Research; Research Project Grants; Research Support; Risk; Risk Behaviors; Sampling; Schools; Series; Source; Sports; Students; Testing; Text; Time; Treatment Efficacy; Universities; Variant; alcohol misuse; alcohol related consequences; alcohol related problem; attentional control; base; behavior change; brief intervention; brief prevention intervention; college drinker; college drinking; drinking; drinking behavior; experience; hangover; heavy drinking college student; high risk drinking; improved; innovation; intervention effect; male; mobile application; post intervention; prevent; programs; recruit; residence; screening; sex; sexual assault; skills; societal costs; student drinker; theories; university student

Project Summary/Abstract The proposed research project addresses the public health concern of heavy drinking among college students by developing and testing an innovative mobile-based application to target the specific dangerous drinking behavior known as prepartying, a risky behavior practiced by upwards of 85% of college students. Prepartying involves fast-paced heavy drinking in residence halls or off-campus residences prior to going out for the night where students inevitably drink even more. Findings from over 80 prepartying studies suggest the behavior is perhaps the riskiest known college drinking behavior, leading to consequences during the prepartying event, to continued drinking and consequences after prepartying events, and to greater global levels of drinking and alcohol-related problems. Yet the lack of interventions directly targeting prepartying represents a major gap in the college student drinking research field, as such an approach could address and reduce the behavior known to be the greatest risk. For the proposed study, we will develop and test a prepartying-specific brief mobile-app intervention that is intended to help students reduce their prepartying behavior. We first develop the intervention content based on theory and research supporting mechanisms of change in brief interventions with college students and document normative drinking information from 500 college students for inclusion in the intervention content. We then beta test the intervention with a sample of 14 heavy drinking college students. Focus group feasibility and acceptability feedback will inform the final intervention content, as well as help us refine study procedures. We will then pilot test the mobile-based intervention in a randomized controlled trial of 500 college students who preparty frequently (n = 250 intervention, n = 250 attention control) and determine the efficacy of the intervention on (1) preventing heavy consumption levels and consequences during and after prepartying in the immediate term (i.e., pre-intervention two weeks to post-intervention two weeks), and on (2) reducing students’ global levels of heavy drinking and consequences one and three months post-intervention. Lastly, we will evaluate hypothesized moderators known to contribute to greater risk during prepartying; mainly, that female students, students under age 21, heavier drinkers, and those motivated to change their drinking will benefit the most from the intervention. We will test a hypothesized effect that changes in prepartying drinking post-intervention (baseline to one-month) will explain changes observed in global drinking and consequences from baseline to three-month post-intervention. This prepartying-specific approach expands on global interventions and improves upon promising event-specific approaches that only focus on infrequently occurring events (e.g., 21st birthdays, spring break) by targeting the popular behavior that precedes multiple drinking contexts and directly leads to further drinking and problems. By intervening at the potential source of concern, this first-ever prepartying intervention has the potential to greatly change the culture of heavy college drinking.

项目概要/摘要 拟议的研究项目解决了大学生酗酒的公共卫生问题 通过开发和测试创新的移动应用程序来针对特定的危险饮酒 超过 85% 的大学生都有这种危险行为。 包括晚上外出前在宿舍或校外住处快节奏地酗酒 超过 80 项聚会前研究的结果表明，学生们不可避免地会喝得更多。 也许是已知的最危险的大学饮酒行为，会在准备活动期间导致后果 准备活动后继续饮酒及其后果，以及全球饮酒和饮酒水平的提高 然而，缺乏直接针对派对准备的干预措施是一个重大差距。 大学生饮酒研究领域，因为这种方法可以解决和减少已知的行为 对于拟议的研究，我们将开发并测试一个专门针对派对准备的简短移动应用程序。 我们首先制定旨在帮助学生减少聚会前行为的干预措施。 干预内容基于理论和研究支持的简短干预机制 大学生并记录 500 名大学生的规范饮酒信息，以纳入 然后，我们以 14 名酗酒大学生为样本，对干预措施进行了 Beta 测试。 焦点小组的可行性和可接受性反馈将为最终的干预内容提供信息，并帮助我们 然后，我们将在一项随机对照试验中对基于移动设备的干预进行试点测试。 500 名经常准备聚会的大学生（n = 250 干预，n = 250 注意力控制）并确定 干预措施对以下方面的功效：(1) 预防期间和之后的高消费水平和后果 近期准备聚会（即干预前两周至干预后两周），以及 (2) 减少学生在干预后一到三个月的全球酗酒水平和后果。 最后，我们将评估已知在准备派对期间会带来更大风险的有价值的主持人； 女学生、21岁以下学生、酗酒者以及有动力改变饮酒意愿的人 我们将测试聚会前饮酒变化的培养效果。 干预后（基线至一个月）将解释观察到的全球饮酒变化及其后果 从基线到干预后三个月，这种针对聚会前的具体方法扩展到全球。 干预措施并改进仅关注不经常发生的有希望的特定事件的方法 通过针对多次饮酒之前的流行行为来安排活动（例如 21 岁生日、春假） 通过干预潜在的担忧源，直接导致进一步的饮酒和问题。 这种前所未有的派对前干预措施有可能极大地改变大学酗酒文化。

项目成果

A latent profile analysis of social anxiety, depression, and pregaming motives among heavy-drinking college students.

酗酒大学生社交焦虑、抑郁和游戏前动机的潜在概况分析。

• 发表时间: 2024-01
• 作者: Fitzke, Reagan E;Atieh, Toni;Davis, Jordan P;Canning, Liv;Tran, Denise D;Buch, Keegan;Hummer, Justin F;Pedersen, Eric R
• 通讯作者: Pedersen, Eric R

A mobile-based pregaming drinking prevention intervention for college students: study protocol for a randomized controlled trial.

针对大学生的基于移动设备的游戏前饮酒预防干预措施：随机对照试验的研究方案。

• 发表时间: 2022-06-18
• 影响因子: 3.7
• 作者: Pedersen, Eric R;Hummer, Justin F;Davis, Jordan P;Fitzke, Reagan E;Christie, Nina C;Witkiewitz, Katie;Clapp, John D
• 通讯作者: Clapp, John D

Multifaceted impulsivity as a moderator of social anxiety and cannabis use during pregaming.

多方面的冲动是游戏前社交焦虑和大麻使用的调节剂。

• 发表时间: 2020
• 影响因子: 10.3
• 作者: Davis, Jordan P;Christie, Nina C;Pakdaman, Sheila;Hummer, Justin F;DeLeon, Jessenia;Clapp, John D;Pedersen, Eric R
• 通讯作者: Pedersen, Eric R

High Spirits? Exploring "Halloweekend" Alcohol and Cannabis Use Among Heavy-Drinking College Students.

精神高涨？

• 发表时间: 2023-07
• 作者: Fitzke, Reagan E;Tran, Denise D;Hummer, Justin F;Davis, Jordan P;Prince, Mark A;Prindle, John J;Lee, Daniel S;Pedersen, Eric R
• 通讯作者: Pedersen, Eric R

Increased Risk for Sexual Violence Victimization on Drinking Days Involving Pregaming.

涉及游戏前的饮酒日，性暴力受害风险增加。

• 发表时间: 2022
• 作者: Pedersen, Eric R;Davis, Jordan P;Setodji, Claude;Dworkin, Emily R;Leamon, Isabel;Hummer, Justin F;Zutshi, Rushil;Clapp, John D
• 通讯作者: Clapp, John D