Brief Personalized Feedback Intervention for Latinx Hazardous Drinkers: A Community-Based Intervention

针对拉丁裔危险饮酒者的简短个性化反馈干预：基于社区的干预

• 批准号: 10482223
• 负责人: RICHARD A BROWN
• 金额: $ 25.95万
• 依托单位: HEALTH BEHAVIOR SOLUTIONS, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-15 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10482223
• 关键词: Address; Administrator; Adult; Alcohol consumption; Alcohols; Anxiety; Anxiety Disorders; Attitude; Basic Science; Behavior Therapy; Blood alcohol level measurement; Breathing; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Clinical; Communities; Data; Development; Disease; Effectiveness; Enrollment; Evaluation; Exercise; Expectancy; Federally Qualified Health Center; Feedback; Focus Groups; General Population; Goals; Happiness; Health; Health Services Accessibility; Impairment; Information Systems; Infrastructure; Intention; Intervention; Knowledge; Language; Latinx; Latinx population; Literature; Maintenance; Mental Health; Mobile Health Application; Motivation; Names; National Institute on Alcohol Abuse and Alcoholism; Neighborhood Health Center; Outcome; Participant; Persons; Phase; Populations at Risk; Prevalence; Public Health; Publishing; Research; Research Support; Resources; Risk Factors; Rural; Severities; Small Business Innovation Research Grant; Small Business Technology Transfer Research; Suggestion; Symptoms; Techniques; Testing; Translating; Treatment Cost; Underserved Population; United States; Work; alcohol misuse; alcohol misuse prevention; alcohol related consequences; alcohol use disorder; anxiety management; anxiety symptoms; base; biobehavior; brief intervention; cigarette smoking; comorbidity; coping; cost; demographics; design; digital treatment; drinking; dual diagnosis; evidence base; experience; hazardous drinking; health disparity; health inequalities; improved; interest; minority health disparity; mobile application; novel; patient oriented; pilot test; point of care; post intervention; prevent; primary outcome; programs; prototype; psychoeducation; recruit; satisfaction; secondary outcome; smartphone Application; therapy design; underserved community; usability

PROJECT SUMMARY/ABSTRACT Despite being one of the largest and fastest-growing demographics in the United States (US), Latinx persons experience striking health disparities, particularly in terms of hazardous drinking and co-occurring elevated anxiety. The co-occurrence of these risk factors contributes to worse physical/mental health outcomes among Latinx individuals. Few interventions to date have targeted hazardous drinking in the context of high anxiety among Latinx persons. The current Phase I STTR project directly aligns with the published NIAAA SBIR/STTR Research Interests1, including developing “Mobile device applications … to improve the effectiveness, accessibility, and use of behavioral interventions for AUD and co-occurring disorders” and “Solutions for minority health and health disparities with capabilities of reaching persons in rural, remote, and under- resourced/under-served communities.” The current proposal has the end goal of improving strategies to prevent alcohol misuse, alcohol use disorder, and alcohol-related consequences among an ‘at-risk’ population for these conditions. In addition, it enhances the public health impact of NIAAA-supported research by focusing on one of the fastest-growing and largest demographics in the US who demonstrate disparities in hazardous drinking. We aim to remove barriers of treatment access and cost and increase treatment appeal by offering a digital therapeutic product in the form of a smartphone-delivered, personalized, brief intervention named Aliento, designed to address hazardous drinking and associated elevated anxiety. We will utilize and iterative approach using expert input and focus groups (N = 21) of Latinx hazardous drinkers with elevated anxiety to inform the design and functionality of the prototype. We will then assess program navigation and conduct usability testing of Aliento among Latinx hazardous drinkers with elevated anxiety (N = 5) and prepare the final prototype. With the final prototype we will evaluate the feasibility, acceptability, and effects of Aliento among Latinx hazardous drinkers with elevated anxiety symptoms (N = 50) recruited from a Federally Qualified Health Center (FQHC). The low-cost app will address infrastructure barriers that prevent delivery of such interventions in point-of-care settings (i.e., community health centers) and will be delivered in Spanish to reduce language barriers. This study represents an important and pivotal step in the larger landscape of translating basic research to more efficacious strategies for reducing hazardous drinking in underserved populations with biobehavioral comorbidities. We anticipate robust evidence for the feasibility, acceptability, and clinical utility of the Aliento mobile app that will support proceeding to Phase II development and evaluation. Aliento fills a crucial niche as evidenced by requests from local community health center administrators and clinicians, is based on a theoretically rich and empirically derived intervention and is practical enough to lend itself to mobile delivery in community health centers. We strongly believe this intervention will offer a promising and profitable approach to address alcohol/anxiety-related disparities among an underserved population.

项目概要/摘要 尽管拉丁裔是美国人口规模最大、增长最快的群体之一，但 经历显着的健康差异，特别是在危险饮酒和同时发生的高血压方面 这些危险因素的同时出现会导致身体/心理健康状况恶化。 迄今为止，很少有针对拉丁裔人群高度焦虑的危险饮酒的干预措施。 目前的第一阶段 STTR 项目与已发布的 NIAAA SBIR/STTR 直接一致。 研究兴趣1，包括开发“移动设备应用程序……以提高效率， AUD 和并发疾病的可及性和行为干预的使用”和“解决方案” 少数族裔的健康状况和健康差异与覆盖农村、偏远和欠发达地区人民的能力有关 当前提案的最终目标是改进战略 预防“高危”人群中的酒精滥用、酒精使用障碍和酒精相关后果 此外，它还通过重点关注 NIAAA 支持的研究对公共卫生的影响。 美国人口增长最快、人口最多的地区之一，他们在危险方面表现出差异 我们的目标是通过提供治疗机会和费用来消除障碍并增加治疗吸引力。 数字治疗产品，以智能手机提供的、个性化的、简短的干预形式命名 Aliento，旨在解决危险饮酒和相关的焦虑加剧问题。 采用专家意见和焦点小组 (N = 21) 的方法，该小组由具有高度焦虑的拉丁裔危险饮酒者组成 告知原型的设计和功能，然后我们将评估程序导航和实施。 在焦虑程度较高的拉丁危险饮酒者 (N = 5) 中进行 Aliento 的可用性测试，并准备最终结果 通过最终的原型，我们将评估 Aliento 的可行性、可接受性和效果。 从联邦合格健康中心招募的具有较高焦虑症状的拉丁裔危险饮酒者 (N = 50) 该低成本应用程序将解决阻碍此类干预措施实施的基础设施障碍。 在护理点环境（即社区卫生中心），将以西班牙语提供以减少语言 这项研究代表了翻译基础的更大范围内的重要一步和障碍关键一步。 研究更有效的策略，减少服务不足人群的危险饮酒 我们期望有强有力的证据来证明其可行性、可接受性和临床实用性。 Aliento 移动应用程序将支持第二阶段的开发和评估。 当地社区卫生中心管理者和上级的要求证明，关键的利基市场是 基于丰富的理论和经验得出的干预措施，并且足够实用，适合移动设备 我们坚信这种干预措施将提供有前途且有利可图的服务。 解决服务不足人群中与酒精/焦虑相关的差异的方法。