Refining and piloting a text messaging intervention to delay alcohol initiation and reduce alcohol use escalation among abstainer and lighter drinker college students

完善和试点短信干预措施，以延迟戒酒者和少量饮酒大学生的饮酒开始并减少饮酒升级

• 批准号: 9527320
• 负责人: DANA M LITT
• 金额: $ 20.99万
• 依托单位: UNIVERSITY OF NORTH TEXAS HLTH SCI CTR
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9527320
• 关键词: Address; Age; Alcohol consumption; Alcohols; Attention; Car Phone; Cognition; Development; Enrollment; Environment; Feedback; Focus Groups; Future; Goals; Health; Healthy People 2020; Heavy Drinking; Hour; Image; Income; Individual; Influentials; Intervention; Lead; Light; Literature; Methods; National Institute on Alcohol Abuse and Alcoholism; Pattern; Phase; Pilot Projects; Prevalence; Preventive Intervention; Process; Public Health; Randomized; Reaction; Research; Risk; Sample Size; Sampling; Series; Students; Surveys; Text Messaging; Time; United States Substance Abuse and Mental Health Services Administration; Woman; adverse outcome; alcohol measurement; alcohol use initiation; base; binge drinker; binge drinking; brief intervention; college; college drinker; college drinking; cost; critical period; drinking; evidence base; experience; group intervention; hazardous drinking; high risk; high school; innovation; men; post intervention; prevent; prototype; recruit; reduced alcohol use; response; social; student drinking; student participation; universal prevention; university student; young adult

PROJECT SUMMARY/ABSTRACT While a large focus of research on U.S. college drinking has focused on the prevalence of and problems related to heavy-episodic drinking, a much smaller amount of research has focused on college students who are either abstainers (i.e., do not drink any alcohol) or lighter drinkers (i.e., for men, drinking 4 or fewer drinks in two hours and 14 or fewer drinks per week; and for women drinking 3 or fewer in two hours and 7 or fewer drinks per week). According to a national survey, over 40% percent of college students ages 18–22 do not report drinking in the past month (SAMSHA, 2014) with only half of those engaging in regular heavy-episodic drinking (NIAAA factsheet). Research further suggests that a significant proportion of students who were abstinent or light drinkers prior to and upon entering college do initiate drinking, and often progress to becoming heavy-episodic drinkers (McCabe et al., 2005; O'Malley & Johnston, 2002; Schulenberg et al., 2005). This provides evidence that the first year of college, and specifically the first few months, is a high-risk time for initiating both drinking and heavy-episodic drinking and that delaying the onset of heavy-episodic drinking among light drinkers and abstainers should lead to greater related harms throughout both the college years and young adulthood. Additionally, mobile phone-based interventions are an innovative method for reaching young people and have been established as an evidence-based, recommended approach towards addressing health issues (Free et al., 2011), including alcohol use (Suffoletto et al., 2012). As such, the ultimate goal of this proposal is to develop, refine and pilot a text message (TM) intervention for abstainer and lighter drinking first year college students with the ultimate goal of delaying alcohol initiation and/or reducing alcohol use escalation. An iterative process of focus groups, intervention content development, and user feedback focused on the unique experiences of abstainers and lighter drinkers will inform the TM Intervention to be delivered in a pilot study with 6 weeks of TMs, a 6 week post-intervention assessment, and 3, 6, and 9 month follow-ups and among 100 incoming first year abstainer and lighter drinker college students. The proposed research has great potential for impact on public health. Although TM interventions have been used with high-risk young adult drinkers, this is the first TM intervention to be developed for abstaining or lighter drinkers, which is a noted gap in the literature (Bock et al., 2016). Delaying alcohol use initiation or escalation to heavy alcohol use will, in the longer-term, save money and effort associated with higher-risk alcohol use. Given that reducing young adults' and college students' engagement in excessive alcohol use has been listed as a major objective of Healthy People 2020 (USDHHS, 2015) and a key priority of NIAAA, an intervention that focuses on delaying alcohol initiation and escalation into higher-risk alcohol use among abstainer and lighter drinkers could make important strides to achieving this goal.

项目摘要/摘要 虽然大量的有关美国大学饮酒的研究重点是关注和问题的普遍性和问题 与剧烈的饮酒有关，研究的重点少得多。 是abtainers（即不要喝任何酒精），或者是饮酒者（即男士，喝4或更少的饮料） 每周两小时零14杯或更少的饮料；对于在两个小时零7或更少的女性中喝3或更少的女性 每周饮料）。根据全国调查，超过40％的18-22岁的大学生没有 报告在过去一个月（Samsha，2014年）中喝酒，只有一半的人从事常规剧烈剧烈的饮酒 喝酒（NIAAA FACTSHEET）。研究进一步表明，很大一部分是 戒酒或进入大学之前和饮酒者的饮酒确实开始喝酒，并且经常发展 成为沉重的饮酒者（McCabe等，2005; O'Malley＆Johnston，2002; Schulenberg et al。 2005）。这提供了证据，表明大学的第一年，尤其是头几个月，是高风险 开始喝酒和剧烈饮酒的时候，这延迟了沉重的发作 饮酒者和饮酒者之间的饮酒应导致整个大学的相关危害更大 年和成年。此外，基于手机的干预措施是一种创新方法 接触年轻人，并已成为一种基于证据的建议方法 解决健康问题（Free等，2011），包括饮酒（Suffoletto等，2012）。因此， 该提案的最终目标是开发，完善和试点戒酒者的文本消息（TM）干预措施 较轻的饮酒一年级的大学生的最终目标是推迟饮酒和/或减少酒精 酒精使用升级。焦点组，干预内容开发和用户的迭代过程 反馈的重点是Abtainers和较轻的饮酒者的独特经历，将告知TM干预 将在一项针对TMS 6周，干预后6周以及3、6和6的试点研究中进行。 一个月的随访以及100个即将到来的第一年戒酒者和较轻的饮酒者大学生。这 拟议的研究对公共卫生有很大的影响。尽管已经使用了TM干预措施 对于高风险的年轻饮酒者，这是第一次开发用于弃权或更轻的TM干预措施 饮酒者，这是文献中著名的差距（Bock等，2016）。延迟饮酒的启动或升级 长远来看，将大量的饮酒量将节省与高风险饮酒有关的金钱和精力。 鉴于减少年轻人和大学生的过量使用饮酒的参与已列为 作为2020年健康人民的主要目标（USDHHS，2015年）和NIAAA的关键优先事项，这是一种干预措施 专注于延迟酒精倡议和升级为戒酒和更轻的高风险酒精使用 饮酒者可以取得重要的进步来实现这一目标。