Evaluating Change in Drinking Identity as a Mechanism for Reducing Hazardous Drinking

评估饮酒身份的变化作为减少危险饮酒的机制

• 批准号: 9269941
• 负责人: KRISTEN P LINDGREN
• 金额: $ 41.68万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-05-05 至 2021-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9269941
• 关键词: Address; Adult Hodgkin' s Lymphoma; Alcohol consumption; Alcohol or Other Drugs use; Behavior; Behavior Therapy; Behavioral; Cognition; Cognitive; Development; Effectiveness; Effectiveness of Interventions; Exercise; Family; Foundations; Goals; Heavy Drinking; Individual; Instruction; Intervention; Knowledge; Lead; Link; Mediating; Mediator of activation protein; Methods; National Institute on Alcohol Abuse and Alcoholism; Occupational; Online Systems; Participant; Persons; Population; Process; Public Health; Randomized; Recruitment Activity; Research; Risk Behaviors; Risk Factors; Sampling; Self Efficacy; Severities; Social Network; Strategic Planning; Students; Sum; Testing; Time; United States Substance Abuse and Mental Health Services Administration; Work; Writing; alcohol craving; alcohol related consequences; base; brief intervention; cognitive control; college; craving; design; drinking; drinking behavior; experience; experimental study; hazardous drinking; novel; novel strategies; public health relevance; university student; young adult

 DESCRIPTION (provided by applicant): The overarching objective of the proposed research is to evaluate whether changes in drinking identity (how much one associates one's self with drinking) can reduce hazardous drinking (HD; heavy alcohol use and negative alcohol-related consequences) among current and graduating college students. This work addresses two key priorities of NIAAA's strategic plan: (1) to identify factors that enable some young adults to transition out of HD without formal treatment, and (2) to test whether these factors can be manipulated to aid in the development of novel behavioral approaches to reduce HD. The public health burden of young adult HD is substantial: despite decades of research, HD is largely unabated and appears to be increasing in severity among college populations. While progress has been made towards identifying HD risk factors and developing interventions, HD levels remain persistently high. Moreover, recent findings question the effectiveness of interventions aimed at reducing college student HD, highlighting the need for improvement. We propose that drinking identity is a promising factor to investigate as a potential cognitive mechanism that contributes to the natural reductions in HD that occur for many college graduates. Recent findings have revealed drinking identity to be a robust predictor of college student HD cross-sectionally and over time, and changes in drinking identity lead to changes in alcohol consumption and vice-versa. Further, cognitions related to identity, drinking, and substance use can be manipulated, which can lead to increased self-efficacy to refuse a substance and reduced craving for that substance. Despite this promise, drinking identity has not been evaluated as a predictor of the transition out of HD; no studies have sought to change drinking identity directly; and no college HD interventions directly target drinking identity. The proposed studies, therefore, seek to bridge this gap by evaluating naturalistic (Study 1) and experimentally-induced (Study 2) change in drinking identity. The naturalistic study will follow a sample of 400 soon-to-graduate college HDs and evaluate their drinking identity and drinking behaviors at baseline and every 4 months for the 2-year period after graduation. This will allow for examination of within- and between-person change in drinking identity and HD at a key developmental period when reductions in HD occur. The experimental study will manipulate drinking identity (via narrative writing tasks) to increase self-efficacy and decrease alcohol craving and ultimately, reduce HD. A sample of 328 college student HDs will be recruited for a 3-session, lab-based study that includes 2-week, 1-month, and 3- month follow ups to test the potential for more durable, lasting change in drinking, self-efficacy, craving, and real-world drinking. The proposed research is particularly important because it evaluates a promising cognitive factor that is not currently targeted in existing behavioral treatments for HD, provides direct test of proposed mechanisms of change, and could ultimately lead to novel, brief interventions for reducing college student HD.

 描述（由申请人提供）：拟议研究的总体目标是评估饮酒身份的改变（一个人将自己与饮酒联系起来的程度）是否可以减少危险饮酒（HD；大量饮酒和与酒精相关的负面后果）这项工作涉及 NIAAA 战略计划的两个关键优先事项：(1) 确定使一些年轻人在没有正规治疗的情况下摆脱 HD 的因素，以及 (2) 测试是否可以操纵这些因素来达到目的。帮助减少亨廷顿舞蹈症的新行为方法的开发给年轻人带来了巨大的公共卫生负担：尽管经过数十年的研究，亨廷顿舞蹈症在很大程度上没有减轻，而且在大学人群中的严重程度似乎有所增加，同时在识别亨廷顿舞蹈症风险方面也取得了进展。此外，最近的研究结果对旨在减少大学生 HD 的干预措施的有效性提出了质疑，强调了改进的必要性，饮酒身份是一个有前景的因素，可以作为一种有助于研究的潜在认知机制。许多大学的 HD 自然减少最近的研究结果表明，饮酒身份是大学生 HD 的一个强有力的预测因素，随着时间的推移，饮酒身份的变化会导致饮酒量的变化，反之亦然。物质的使用是可以控制的，这可以提高拒绝某种物质的自我效能并减少对该物质的渴望，尽管如此，饮酒身份尚未被评估为摆脱 HD 的预测因素；改变饮酒身份；并且没有大学 HD 直接干预因此，拟议的研究旨在通过评估饮酒身份的自然主义（研究 1）和实验引起的（研究 2）变化来弥补这一差距。自然主义研究将以 400 名即将毕业的大学为样本。 HD 并在毕业后的 2 年内每 4 个月评估一次他们的饮酒身份和饮酒行为，这将允许在饮酒身份和 HD 减少的关键发展时期检查人内和人与人之间的变化。高清该实验研究将通过饮酒身份（通过叙述性写作任务）来提高自我效能并减少对酒精的渴望和操纵，从而减少 HD 的发生。将招募 328 名大学生 HD 进行为期 3 个阶段的实验室研究。包括 2 周、1 个月和 3 个月的随访，以测试饮酒、自我效能、渴望和现实世界饮酒方面更持久的变化的潜力。拟议的研究特别重要，因为它评估了饮酒的影响。有希望的认知因素目前，该研究并未针对 HD 的现有行为治疗，但它提供了对所提出的变化机制的直接测试，并最终可能导致减少大学生 HD 的新颖、简短的干预措施。