Revolutionizing Normative Re-education: Delivering Enhanced PNF within a Social Media Inspired Game About College Life

彻底改变规范再教育：在社交媒体启发的大学生活游戏中提供增强的 PNF

• 批准号: 10172805
• 负责人: Joseph W. Labrie
• 金额: $ 42.18万
• 依托单位: LOYOLA MARYMOUNT UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-20 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10172805
• 关键词: Address; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Android; Attention; Attitude; Award; Behavior; Cellular Phone; Clinical Trials; Cognitive; Data; Development; Dose; Drug usage; Education; Effectiveness of Interventions; Elements; Enrollment; Esthesia; Feedback; Financial compensation; Friends; Future; Growth; Health; Heavy Drinking; Impulsivity; Incentives; Individual; Internet; Intervention; Knowledge; Life; Light; Literature; Longevity; Measures; Mechanics; Mental Health; National Institute on Alcohol Abuse and Alcoholism; Online Systems; Palate; Participant; Pattern; Perception; Personality; Persons; Pilot Projects; Play; Prize; Psychological Theory; Randomized; Randomized Controlled Trials; Research; Risk Reduction; Site; Students; Surveys; System; Testing; Treatment Efficacy; Uncertainty; Universities; Viral; Voting; Wages; Work; alcohol consequences; alcohol exposure; alcohol intervention; alcohol measurement; alcohol prevention; alcohol risk; base; cohort; college; cost; cost effective; critical period; design; digital; dosage; drinking; drinking behavior; effectiveness evaluation; efficacy evaluation; efficacy study; evidence base; experience; heavy drinking students; high risk drinking; high risk population; innovation; interest; matriculation; multi-site trial; novel; peer; personalized normative feedback; programs; psychologic; recruit; reduced alcohol use; remote delivery; response; sex; sexual identity; smartphone Application; social; social media; student drinker; student drinking; student participation; trait; university student; young adult

Project Summary NIAAA identifies first-year college students as a high-risk group for heavy drinking and harmful consequences. Further, these students' perceptions of their peers' drinking (descriptive norms) are strong predictors of their own alcohol use and those norms are consistently misperceived; students overestimate peer drinking behavior, leading them to drink more themselves. Most universities require incoming students to complete remotely- delivered interventions to correct these misperceptions, known as Normative Re-education programs. However, the main risk-reduction approach in these programs, personalized normative feedback (PNF), suffers from limitations that have impeded large reductions in student alcohol use and consequences. Our pilot work has introduced a new smartphone-based app called CampusGANDR that delivers PNF within a weekly game about college life. During the game students submit questions, vote on their favorite questions, answer these questions, and win or lose points based on the accuracy of their responses. A major innovation of CampusGANDR is that it draws on recent literature in the field of gamification, adding features like points, leader boards, and chance-based uncertainty to make PNF more interesting, believable, and palatable to students. Further, we have successfully invited students to play the game voluntarily, rather than offering monetary compensation for taking part or making participation mandatory like most current programs and research initiatives. In the context of CampusGANDR students view feedback because they are intrinsically motivated, rather than extrinsically motivated, to do so. Based on extensive pilot work, the current proposal seeks to: 1) evaluate the efficacy of CampusGANDR in a large-scale multi-site trial; 2) identify the optimal dosage of alcohol feedback to deliver within CampusGANDR for correcting norms and reducing alcohol use among students who differ in alcohol use (non-drinkers, light to moderate drinkers, and heavy drinkers); 3) examine person-level moderators of intervention efficacy; and 4) evaluate the sustainability of CampusGANDR among students who use the app but aren't recruited into the study. During the first year of the project we will work with an award-winning app development company to design and program a fully-functional versions of the CampusGANDR app. Next, 2,400 first-year students will be recruited across three cohorts at two distinctly different campuses (Loyola Marymount University and the University of Houston) to play CampusGANDR for 12 weeks and to complete 4 surveys about their alcohol use and personality variables. Students who are not sampled into the survey study will still be able to take part in CampusGANDR, and their app usage data will be employed to measure the organic churn rate and viral growth coefficient of the app. The project will result in cutting-edge native smartphone (IOS, Android) and web-versions of the app able to dynamically tailor the dosage of alcohol feedback delivered based on students' alcohol experience at the point of matriculation.

项目概要 NIAAA 将一年级大学生视为酗酒和造成有害后果的高风险群体。 此外，这些学生对同龄人饮酒的看法（描述性规范）是他们饮酒行为的有力预测因素。 自己饮酒，而这些规范一直被误解；学生高估同伴饮酒行为， 引导他们自己喝更多的酒。大多数大学要求新生远程完成- 采取干预措施来纠正这些误解，称为规范再教育计划。 然而，这些计划中的主要降低风险方法——个性化规范反馈（PNF）——受到了影响。 限制因素阻碍了学生饮酒量的大幅减少及其后果。我们的试点工作 推出了一款名为 CampusGANDR 的新智能手机应用程序，可在每周的比赛中提供 PNF 关于大学生活。在游戏过程中，学生提交问题，对他们最喜欢的问题进行投票，并回答这些问题 问题，并根据他们回答的准确性来赢得或失去分数。的一项重大创新 CampusGANDR 的特点是它借鉴了游戏化领域的最新文献，添加了点等功能， 排行榜和基于机会的不确定性使 PNF 更有趣、更可信、更容易被接受 学生。此外，我们成功地邀请学生自愿玩游戏，而不是提供 像大多数当前计划一样，对参与或强制参与进行货币补偿 研究举措。在 CampusGANDR 的背景下，学生会查看反馈，因为他们本质上是 这样做的动机，而不是外在动机。基于广泛的试点工作，目前的建议 旨在：1) 在大规模多中心试验中评估 CampusGANDR 的功效； 2）确定最优的 CampusGANDR 内提供的酒精剂量反馈，用于纠正规范和减少酒精使用 不同饮酒情况的学生（不饮酒者、轻度至中度饮酒者和重度饮酒者）； 3） 检查干预效果的个人层面调节因素； 4) 评估 CampusGANDR 的可持续性 使用该应用程序但未被纳入研究的学生。在项目的第一年，我们将 与一家屡获殊荣的应用程序开发公司合作，设计和编程全功能版本的 CampusGANDR 应用程序。接下来，将在两个不同的学校分三个队列招募 2,400 名一年级学生 不同校区（洛约拉马利蒙特大学和休斯顿大学）可玩 CampusGANDR 12 周并完成 4 项关于饮酒和性格变量的调查。不是的学生 抽样参与调查研究的人仍将能够参与 CampusGANDR，并且他们的应用程序使用数据将 用于衡量应用程序的有机流失率和病毒式增长系数。该项目将导致 最先进的本机智能手机（IOS、Android）和应用程序的网络版本能够动态定制 根据学生入学时的饮酒经历提供酒精剂量反馈。