Brief Online Intervention to Reduce Heavy Alcohol Use Among Young Adult Veterans

减少年轻退伍军人酗酒的简短在线干预

• 批准号: 8909001
• 负责人: Eric R. Pedersen
• 金额: $ 16.81万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-20 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8909001
• 关键词: Address; Afghanistan; Age; Alcohol abuse; Alcohol consumption; Alcohols; Attention; Attitude; Behavior; Belief; Caring; Characteristics; Communities; Data; Development; Drops; Evaluation; Frequencies; Goals; Health; Health Services Accessibility; Healthcare; Healthcare Systems; Heavy Drinking; Individual; Influentials; Internet; Intervention; Iraq; Life; Mediation; Mediator of activation protein; Mental Health; Method Acceptability; Methodology; Military Personnel; Outcome; Participant; Pattern; Peer Review; Perception; Persons; Phase; Pilot Projects; Population; Populations at Risk; Preparation; Randomized; Randomized Controlled Trials; Recruitment Activity; Research; Research Design; Resources; Risk; Rural; Sampling; Specificity; Target Populations; Testing; Treatment Efficacy; Variant; Veterans; War; alcohol abuse therapy; alcohol intervention; alcohol misuse; alcohol related consequences; alcohol related problem; alcohol use disorder; base; brief intervention; care seeking; cost; design; drinking; drinking behavior; follow-up; help-seeking behavior; improved; innovation; interest; intervention effect; journal article; meetings; novel; novel strategies; peer; personalized normative feedback; prevent; randomized trial; reduced alcohol use; rural area; university student; young adult

DESCRIPTION (provided by applicant): Young adult veterans from the wars in Iraq and Afghanistan represent a population at-risk for heavy and problematic alcohol use. Unfortunately, few seek treatment for alcohol concerns and those that do seek care may drop out from lengthy multi component treatments. Additionally, veterans who live in rural areas and those who are not engaged in the Veterans Affairs Healthcare System (VA) are often overlooked, difficult to engage in treatment, and may not be actively seeking treatment for heavy patterns of use that may develop into an alcohol use disorder. The objective of this proposed study is to develop and pilot test a brief single-session alcohol intervention with young adult veterans to help them reduce their drinking and prevent the development of problematic alcohol use. Recruitment and intervention is delivered entirely over the Internet to address barriers to seeking care among this at-risk group. The online intervention consists of a single module of lengthier multi component motivational enhancement interventions -- personalized normative feedback (PNF). PNF has established efficacy as a stand-alone intervention with young adult college students, but has not yet been empirically supported for the at-risk veteran population. PNF provides individuals with accurate information to reduce misperceptions regarding the frequency and acceptability of risky peer behavior. The proposed study will consist of two phases to meet the goal of providing support for an easily accessible, brief and engaging, and age-appropriate online-based PNF intervention that can reach a wide range of young adult veterans in the community. Phase 1 is designed to collect drinking data among a sample of 800 young adult veterans to examine the associations between perceptions of peer behavior and actual behavior to document which specific perceptions are most influential on behavior within this group. Examination of the Phase 1 data will inform the content and help develop the Phase 2 intervention pilot study, which will utilize a sample of 600 young adult veterans (300 PNF intervention condition, 300 control condition) to examine the efficacy of a single-session targeted PNF intervention on reducing perceived norms, intentions to drink, actual drinking behavior, and consequences. Specific subpopulations of this veteran population, including those with mental health concerns and those differentiated by demographic and military characteristics, level of drinking problems, and connection to peers, will be examined to support generalizability of the intervention. This intervention has the potential to improve veteran health care by utilizing a novel approach to increase access to care, assist with drinking reductions, and prevent alcohol-related problems.

描述（由申请人提供）：参加过伊拉克和阿富汗战争的年轻成年退伍军人代表了存在大量酗酒风险的人群。不幸的是，很少有人因酒精问题而寻求治疗，而那些确实寻求治疗的人可能会放弃漫长的多成分治疗。此外，居住在农村地区的退伍军人和未参加退伍军人事务医疗保健系统 (VA) 的退伍军人经常被忽视，难以参与治疗，并且可能不会因过度使用而积极寻求治疗，这可能会发展为酒精使用障碍。这项拟议研究的目的是为年轻的成年退伍军人开发和试点测试一种简短的单次酒精干预措施，以帮助他们减少饮酒并防止出现酒精使用问题。招募和干预完全通过互联网进行，以解决这些人寻求护理的障碍 高危人群。在线干预由较长的多成分动机增强干预的单个模块组成——个性化规范反馈（PNF）。 PNF 作为一种独立的干预措施已在年轻的成年大学生中确立了有效性，但尚未在高危退伍军人群体中得到实证支持。 PNF 为个人提供准确的信息，以减少对危险同伴行为的频率和可接受性的误解。拟议的研究将分为两个阶段，以实现为社区中广泛的年轻成年退伍军人提供易于访问、简短、有吸引力且适合年龄的在线 PNF 干预措施提供支持的目标。第一阶段旨在收集 800 名年轻成年退伍军人样本中的饮酒数据，以检查对同伴行为的看法与实际行为之间的关联，以记录哪些特定看法对该群体内的行为影响最大。对第一阶段数据的检查将为内容提供信息并帮助开发第二阶段干预试点研究，该研究将利用 600 名年轻成年退伍军人的样本（300 名 PNF 干预条件，300 名对照条件）来检查单次针对性治疗的有效性PNF 干预减少认知规范、饮酒意图、实际饮酒行为和后果。将检查这些退伍军人群体的特定亚群，包括那些有心理健康问题的人以及那些因人口和军事特征、饮酒问题程度以及与同龄人的联系而区分的人，以支持干预措施的普遍性。这种干预措施有可能通过利用一种新颖的方法来增加获得护理的机会、帮助减少饮酒并预防与酒精相关的问题，从而改善退伍军人的医疗保健。

项目成果

Help-Seeking Stigma and Mental Health Treatment Seeking Among Young Adult Veterans.

年轻退伍军人寻求帮助的耻辱和寻求心理健康治疗。

• 发表时间: 2015
• 作者: Kulesza, Magdalena;Pedersen, Eric;Corrigan, Patrick;Marshall, Grant
• 通讯作者: Marshall, Grant

Using facebook to recruit young adult veterans: online mental health research.

使用 Facebook 招募年轻成年退伍军人：在线心理健康研究。

• 发表时间: 2015-06-01
• 影响因子: 1.7
• 作者: Pedersen, Eric R;Helmuth, Eric D;Marshall, Grant N;Schell, Terry L;PunKay, Marc;Kurz, Jeremy
• 通讯作者: Kurz, Jeremy

Video Games as a Potential Modality for Behavioral Health Services for Young Adult Veterans: Exploratory Analysis.

视频游戏作为年轻退伍军人行为健康服务的潜在方式：探索性分析。

• 发表时间: 2018-07-26
• 影响因子: 4
• 作者: Grant, Sean;Spears, Asya;Pedersen, Eric R
• 通讯作者: Pedersen, Eric R

Behavioral Health Treatment Receipt Among a Community Sample of Young Adult Veterans.

年轻成年退伍军人社区样本的行为健康治疗收据。

• 发表时间: 2017-10
• 作者: Pedersen, Eric R;Marshall, Grant N;Kurz, Jeremy
• 通讯作者: Kurz, Jeremy

Depression, posttraumatic stress, and alcohol misuse in young adult veterans: The transdiagnostic role of distress tolerance.

年轻退伍军人的抑郁、创伤后应激和酒精滥用：痛苦耐受力的跨诊断作用。

• 发表时间: 2016-04-01
• 影响因子: 4.2
• 作者: Brooks Holliday, Stephanie;Pedersen, Eric R;Leventhal, Adam M
• 通讯作者: Leventhal, Adam M