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: 9976054
• 负责人: Brittney Hultgren
• 金额: $ 15.52万
• 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/9976054
• 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; 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; 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 滥用酗酒的后果仍然是美国的公共卫生问题， 特别是在新兴成年人中（EA；年龄〜18-24岁的个体）。以前的干预工作表明 减少酒精饮酒；但是，结果在减少负面后果方面受到限制，而 努力几乎只关注大学生。关于饮酒，注意力和决策的研究 指示的酒精增加了提示提示（因素通过提请注意行动的因素） 行为的益处），并减少抑制线索（通过提请注意行为的因素 缺点）。但是，缺乏研究与许多酒精有关的线索 后果EA经验。重要的是，这些提示可能包括许多内部和外部因素 从情绪/影响到特定的位置或人。了解后果可能提供的提示 干预措施的重要途径，以影响饮酒时做出的主义决定。这个项目 提出了三个研究阶段，以洞悉与后果相关的线索并发展 由预防复发框架设计的干预措施，该框架训练EA了解这些线索 并通过管理情况来选择安全行为。第1阶段将是详细的集合 在饮酒期间做出的决定的提示上的数据（定性和定量） 与酒精有关的后果。第1阶段将包括清醒的访谈和酒精管理 范式将评估中毒水平如何影响提示的注意力和感知的重要性。 第2阶段将利用第1阶段的研究来开发基于网络和文本的干预和阶段 3将是对开发干预措施的试验可行性测试。这项研究与详细的培训相结合 申请人的计划，旨在扩展知识的经验支持的关键组成部分 治疗并将其改编成简短的干预措施，在酒精中建立方法论和分析技能 管理和定性研究，并将以用户为中心的设计和技术整合为简要 干预措施。