Changing Decisions During Drinking: Development of an Alcohol-Related Consequence Intervention for Emerging Adults

改变饮酒期间的决定：针对新兴成年人制定与酒精相关的后果干预措施

• 批准号: 10393599
• 负责人: Brittney Hultgren
• 金额: $ 15.38万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-10 至 2025-03-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10393599
• 关键词: Accidental Injury; Address; Affect; Alcohol consumption; Alcohols; Arousal; Attention; Awareness; Behavior; Behavioral; Behavioral inhibition; Blood alcohol level measurement; Clinical; Code; Cognitive Therapy; Complement; Coupled; Cues; Data; Data Collection; Decision Making; Development; Disadvantaged; Dose; Goals; Individual; Internet; Intervention; Interview; Intoxication; K-Series Research Career Programs; Knowledge; Lead; Location; Mentors; Methodology; Modeling; Moods; Myopia; National Institute on Alcohol Abuse and Alcoholism; Online Systems; Persons; Phase; Protocols documentation; Public Health; Qualitative Research; Research; Research Methodology; Research Support; Sampling; Sexually Transmitted Diseases; Societies; Structure; Technology; Testing; Text Messaging; Training; Training Programs; Training Support; United States; Unsafe Sex; aged; alcohol consequences; alcohol cue; alcohol intervention; alcohol misuse; alcohol misuse prevention; alcohol myopia; alcohol relapse; alcohol related consequences; alcohol research; alcohol use disorder; alcohol-related death; base; brief intervention; disorder later incidence prevention; drinking; emerging adult; emerging adulthood; experience; feasibility testing; improved; insight; motivational enhancement therapy; post intervention; prevent; programs; prototype; satisfaction; skills; sobriety; theories; therapy design; therapy development; university student; user centered design

ABSTRACT Consequences caused by alcohol misuse continue to be a public health concern in the United States, especially among emerging adults (EA; individuals aged ~18-24). Previous intervention efforts have shown reductions in alcohol use; however, results have been limited in the reduction of negative consequences, with efforts focused almost solely on college students. Research on alcohol use, attention, and decision-making has indicated alcohol increases the saliences of impelling cues (factors that incite action by drawing attention to benefits of a behavior), and decreases inhibiting cues (factors that prevent behavior by drawing attention to disadvantages). However, there is a lack of research examining cues associated with many alcohol-related consequences EA experience. Importantly, these cues may consist of a number of internal and external factors from mood/affect to specific locations or people. Understanding cues that precede consequences may provide an important avenue for intervention to impact in-the-moment decisions made while drinking. This project proposes three phases of research to provide insight on cues associated with consequences and develop an intervention designed from the relapse prevention framework that trains EA to become aware of these cues and choose safe behaviors by managing situations when then arise. Phase 1 will be a detailed collection of data (both qualitative and quantitative) on cues surrounding decisions made while drinking that influence alcohol related consequences. Phase 1 will include both sober interviews and an alcohol administration paradigm that will assess how level of intoxication may impact attention and perceived importance of cues. Phase 2 will utilize research from Phase 1 to develop a web- and text message-based intervention and Phase 3 will be a pilot feasibility test of the developed intervention. This research is coupled with a detailed training program for the applicant that focuses on expanding knowledge the key components of empirically-supported treatments and adapting them to brief interventions, building methodological and analytical skills in alcohol administration and qualitative research, and integrating user-centered design and technology into brief interventions.

抽象的 滥用酒精造成的后果仍然是美国的一个公共卫生问题， 尤其是在新兴成年人（EA；18-24 岁左右的个体）中。先前的干预努力表明 减少饮酒；然而，在减少负面后果方面取得的成果有限， 努力几乎完全集中在大学生身上。关于酒精使用、注意力和决策的研究 表明酒精增加了推动线索的显着性（通过引起注意来激发行动的因素） 行为的好处），并减少抑制线索（通过引起注意来阻止行为的因素） 缺点）。然而，缺乏研究来检验与许多酒精相关的线索。 后果 EA 经验。重要的是，这些线索可能由许多内部和外部因素组成 从情绪/情感到特定地点或人。了解后果之前的线索可能会提供 影响饮酒时做出的即时决策的干预的重要途径。这个项目 提出了三个阶段的研究，以提供与后果相关的线索的见解，并制定一个 根据复发预防框架设计的干预措施，训练 EA 意识到这些线索 并在出现情况时通过管理来选择安全行为。第一阶段将详细收集 关于饮酒时做出的影响决策的线索的数据（定性和定量） 酒精相关的后果。第一阶段将包括清醒访谈和酒精管理 评估醉酒程度如何影响注意力和感知线索重要性的范式。 第二阶段将利用第一阶段的研究来开发基于网络和短信的干预措施 3将对所制定的干预措施进行试点可行性测试。这项研究与详细的培训相结合 为申请人提供的计划，重点是扩大经验支持的关键组成部分的知识 治疗并使其适应简短的干预措施，建立酒精方面的方法和分析技能 管理和定性研究，并将以用户为中心的设计和技术融入简要 干预措施。