Social Media Interventions to Reduce Alcohol Use among Youth

社交媒体干预措施减少青少年饮酒

• 批准号: 9145610
• 负责人: Maureen A Walton
• 金额: $ 66.22万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-20 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9145610
• 关键词: 21 year old; Accounting; Address; Adolescent; Affect; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Area; Attention; Automobile Driving; Behavior; Cellular Phone; Characteristics; Computer software; Computers; Data; Development; Diffusion; Drug usage; Enrollment; Exposure to; Future; Gender; Health; Incentives; Injury; Internet; Intervention; Knowledge; Measures; Media Intervention; Minority Access; Outcome; Overdose; Participant; Pharmaceutical Preparations; Placebos; Policies; Prevalence; Public Health; Published Comment; Randomized Controlled Trials; Recruitment Activity; Research; Risk; Risk Behaviors; Site; Social Network; Technology; Testing; Text; Treatment Efficacy; Update; Work; Youth; adolescent alcohol; age group; alcohol intervention; alcohol involvement; alcohol misuse; alcohol related consequences; alcohol risk; alcohol use disorder; base; behavior change; binge drinking; college; cost; design; drinking; eHealth; efficacy testing; emerging adult; health disparity; high risk drinking; illicit drug use; innovation; news; novel strategies; peer; peer influence; prevent; public health intervention; rate of change; reduced alcohol use; response; screening; social media; social networking website; trial comparing; underage drinking; web site

 DESCRIPTION (provided by applicant): Despite numerous intervention efforts, risky drinking among adolescents and emerging adults remains prevalent, which is concerning given its association with other risk behaviors (e.g., drug use, drinking/driving) and health consequences (e.g., injury, overdose). The integration of alcohol interventions into popular social media platforms is a potentially exciting yet underutilized public health approach. Social media provides frequent interaction with online social networks, increasing exposure to peer influences. The most popular is Facebook, with 90% of adolescents and emerging adults having Facebook accounts that they access at least daily. Unlike traditional static website interventions, a key feature of social media is that content is dynamic, being constantly updated by users. In order to change alcohol use norms and behaviors, critical knowledge gaps in this area are how to capitalize on peer interaction in order to increase user-generated content, and identify intervention content that has the greatest diffusion. Thus, the proposed study will recruit adolescents and emerging adults (ages 16-24) using Facebook ads, and conduct online e-screening, enrolling 850 risky drinkers, who screen positive on the AUDIT-C, in a randomized controlled trial comparing three conditions: 8- week Social Media Intervention + Diffusion Incentives [i.e., gamification in which points earned for diffusion of participant's posts (responses by peer participants) result in monetary incentives]; 8-week Social Media Intervention Only, or 8-week attention placebo e-news control condition. Intervention conditions will involve access to secret Facebook group pages, separate by age group (16-20; 21-24), facilitated by peer e-health coaches, who will post dynamic content primarily focusing on alcohol use, but also addressing other drug use (illicit, non-medical prescription). Outcomes will be measured at 3, 6, and 12 months. The specific aims of the study are to: 1) develop and test the efficacy of intervention conditions compared to the control condition, in reducing risky drinking and alcohol related consequences; 2) compare active intervention conditions on participant engagement and alcohol-related outcomes; and, 3) examine how level of engagement in intervention conditions (i.e., Facebook metrics) and characteristics of intervention engagement (i.e., sentiment analysis) relate to alcohol-related outcomes. In addition, secondary aims are to examine: 1): the efficacy of the interventions, compared to the control condition, on reducing other drug use; 2) gender, age group (16-20; 21- 24), and baseline social network factors as moderators of outcome; and, 3) costs of the interventions to provide data to inform future public health interventions using social media. These innovative design features will provide the critical next step in public health efforts to reduce risky drinking, by capitalizing on social media to harness peer influences and deliver interventions using a familiar platform. Findings from this study could have enormous public health impact by altering the alcohol risk trajectories of adolescents and emerging adults, preventing health consequences as well as the development of alcohol use disorders.

 描述（由适用提供）：尽管进行了许多干预工作，但青少年和新兴成年人的危险饮酒仍然很普遍，这涉及其与其他风险行为的关联（例如，吸毒，饮酒/驾驶）和健康后果（例如，受伤，服药过量）。将酒精干预措施整合到流行的社交媒体平台中，这是一种令人兴奋但未充分利用的公共卫生方法。社交媒体经常与在线社交网络相互作用，增加对同伴影响的影响。最受欢迎的是Facebook，有90％的青少年和新兴的成年人至少每天访问Facebook帐户。与传统的静态网站干预不同， 社交媒体的一个关键特征是内容是动态的，用户不断更新。为了改变酒精使用规范和行为，该领域的关键知识差距是如何利用同行交互以增加用户生成的内容，并确定具有最大扩散的干预内容。 That, the proposed study will recruit adolescents and emerging adults (ages 16-24) using Facebook ads, and conduct online e-screening, enrolling 850 risky drinkers, who screen positive on the AUDIT-C, in a randomized controlled trial comparing three conditions: 8-week Social Media Intervention + Diffusion Incentives [i.e., gamification in which points earned for differences of participants' posts (responses by peer participants) result in货币激励措施]；仅8周的社交媒体干预，或8周的关注安慰剂E-NEWS控制状况。干预条件将涉及访问秘密的Facebook集团页面，该页面由同龄人的卫生教练促进了年龄段（16-20; 21-24），他们将主要关注酒精使用的动态内容，但也应解决其他毒品使用（非法，非医学处方）。结果将在3、6和12个月时测量。该研究的具体目的是：1）与对照条件相比，在降低风险饮酒和与酒精有关的后果方面相比，发展和测试干预条件的效率； 2）将主动干预条件与参与参与和与酒精有关的结果进行比较； 3）检查如何在干预条件（即Facebook指标）和干预参与的特征（即情绪分析）中的参与程度如何与酒精相关结果有关。此外，次要目的是检查：1）：与对照条件相比，干预措施的效率在减少其他药物的情况下； 2）性别，年龄组（16-20; 21-24）和基线社交网络因素作为结果的主持人； 3）提供数据的干预成本，以使用社交媒体告知未来的公共卫生干预措施。这些创新的设计功能将提供关键 通过利用社交媒体来利用同伴的影响并使用熟悉的平台提供干预措施来减少风险饮酒的下一步。这项研究的发现可能会通过改变青少年和新兴成年人的酒精风险轨迹，从而防止健康后果以及饮酒障碍的发展，从而产生巨大的公共卫生影响。