Preventing Risky Drinking and PTSD After Sexual Assault: A Web-Based Intervention

预防性侵犯后的危险饮酒和创伤后应激障碍：基于网络的干预措施

基本信息

批准号：
9987771
负责人：
Emily Raphael Dworkin
金额：
$ 24.9万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-01 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9987771
关键词：
Address Adult Alcohol abuse Alcohol consumption Alcohol or Other Drugs use Alcohols Area Attention Award Behavioral Buffers Clinical Cognitive Cognitive Therapy Communities Complement Consult Cross-Sectional Studies Data Data Analyses Development Disclosure Distress Early Intervention Educational workshop Environment Etiology Evidence based practice Evidence based treatment Feedback Female Focus Groups Frequencies Funding Goals Healthcare Systems Iatrogenesis Individual Intervention Intervention Trial Interview Knowledge Learning Life Light Longitudinal Studies Manuals Medical Mental disorders Mentors Mentorship Monitor National Institute on Alcohol Abuse and Alcoholism Online Systems Outcome Participant Pathway interactions Perception Persons Phase Population Positioning Attribute Post-Traumatic Stress Disorders Procedures Process Psychopathology Public Health Randomized Randomized Controlled Trials Reaction Recording of previous events Reporting Research Research Activity Research Personnel Research Support Research Training Risk Role Sampling Scientist Social Environment Social Interaction Social support Source Stress Surveys Survivors Symptoms Technology Testing Training Training Activity Trauma Trauma recovery Treatment Efficacy United States National Institutes of Health Universities Victimization Washington Woman alcohol intervention alcohol research base coping disorder risk drinking drinking behavior economic cost efficacy testing experience feasibility trial follow-up help-seeking behavior high risk high risk drinking improved novel peer post-traumatic stress prevent professor programs protective factors prototype response satisfaction sexual assault skills social standardize measure statistics stressor symposium technological innovation theories trauma exposure usability user centered design web site

项目摘要

The long-term objectives of the proposed Pathway to Independence Award are to support the applicant in building an independent program of research, and support her transition into an independent research scientist in an assistant professor position. Broadly, her research to date has investigated facilitators of and barriers to trauma recovery, with a focus on the social contexts in which these processes occur, and she has recently begun examining alcohol use as an outcome of trauma. She intends to shift her postdoctoral research training from understanding mechanisms involved in the etiology of drinking after trauma to the creation and testing of technologically-based interventions to prevent the development of high-risk drinking after trauma. These objectives will be achieved through a 5-year training plan in which the applicant will acquire the skills and expertise necessary to establish her program of research through mentorship, coursework, seminars, workshops, and national conferences. The long-term goal of the research plan is to develop an effective web- based early intervention strategy to mitigate high-risk drinking and PTSD in female survivors of sexual assault (SA), given that SA is a particularly common and deleterious form of trauma in this population that is commonly associated with co-occurring drinking problems and PTSD. The intervention will adapt existing evidence-based practices in a manner consistent with theory and research to target these outcomes by increasing social support and mitigating the harm of negative social reactions (e.g., victim blame). The K99 phase will involve the accomplishment of Specific Aims 1 and 2. Specific Aim 1, which is to use existing sources of expertise to inform the development of a prototype intervention, will be accomplished by consulting existing clinical manuals and conducting qualitative interviews and focus groups with community stakeholders serving survivors of SA. Specific Aim 2 involves eliciting feedback from survivors to inform changes that improve the usability of and user satisfaction with the prototype intervention. Specific Aims 3 (i.e., assess participant reaction to the intervention) and 4 (i.e., assess the impact of the intervention on learning and symptoms) will be accomplished in the R00 phase via a feasibility trial of the intervention with a sample of women who have recently been sexually assaulted. This research will provide pilot data for an R01 submission to NIAAA during the R00 phase which will test the efficacy of the intervention in an RCT. Drs. Kaysen, Edwards, Rhew, and Areán will serve as mentors for this award and offer expertise in the areas of alcohol research, interventions targeting social support, randomized controlled trials, statistics, and technology-based interventions. The University of Washington training environment is highly conducive to developing the skills and expertise needed to transition into a role as an independent research scientist in the area of alcohol research and technological innovation. The proposed award is consistent with NIH's goal of developing new independent investigators with strong skills in their content area who are competitive for NIH funding.

拟议的独立之路奖的长期目标是支持申请人建立独立的研究计划，并支持她转变为独立研究科学家从广义上讲，她迄今为止的研究已经调查了助理教授的促进因素和障碍。创伤恢复，重点关注这些过程发生的社会背景，她最近她开始检查酒精使用是否是创伤的结果。她打算改变她的博士后研究训练。从了解创伤后饮酒的病因机制到创建和测试基于技术的干预措施，以防止创伤后出现高风险饮酒。将通过为期 5 年的培训计划来实现目标，在该计划中，申请人将获得技能和通过指导、课程作业、研讨会、研究计划的长期目标是开发一个有效的网络。基于早期干预策略，以减轻性侵犯女性幸存者的高风险饮酒和创伤后应激障碍 (SA)，鉴于 SA 是该人群中一种特别常见且有害的创伤形式，通常与同时发生的饮酒问题和创伤后应激障碍 (PTSD) 相关的干预措施将适应现有的循证医学。以与理论和研究一致的方式进行实践，通过增加社会影响来实现这些结果 K99 阶段将涉及支持和减轻负面社会反应的危害（例如受害者指责）。具体目标 1 和 2 的实现。具体目标 1，即利用现有的专业知识资源告知原型干预的开发，将通过咨询现有的临床来完成与服务的社区利益相关者进行手册和定性访谈和焦点小组具体目标 2 涉及征求幸存者的反馈，以告知改善情况的变化。原型干预的可用性和用户满意度。具体目标 3（即评估的参与者）对干预的反应）和 4（即评估干预对学习和症状的影响）将通过对具有以下特征的女性样本进行干预的可行性试验，在 R00 阶段完成：最近遭受过性侵犯，这项研究将为 NIAAA 期间提交的 R01 提供试点数据。 R00 阶段将测试 Kaysen、Edwards、Rhew 博士和 RCT 的干预效果。 Areán 将担任该奖项的导师，并提供酒精研究、干预领域的专业知识针对社会支持、随机对照试验、统计数据和基于技术的干预措施。华盛顿大学的培训环境非常有利于培养技能和专业知识需要转变为酒精研究领域的独立研究科学家拟议的奖项与 NIH 发展新独立性的目标是一致的。在其内容领域拥有强大技能的研究人员，在 NIH 资助方面具有竞争力。