A novel social media approach to #identification and #screening for hazardous drinking among diverse non-college young adults

一种新颖的社交媒体方法

• 批准号: 10685492
• 负责人: Jennifer Elizabeth Merrill
• 金额: $ 18.67万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-20 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10685492
• 关键词: Address; Age; Alcohol consumption; Alcohols; Authorization documentation; Behavior; Black American; Consumption; Ethnic Origin; Ethnic Population; Etiology; Feedback; Feeling suicidal; Frequencies; Future; Gender; Gender Identity; Goals; Habits; Heavy Drinking; Hispanic Americans; Hispanic Populations; Individual; Injury; Instagram; Intervention; Interview; Memory Loss; Methods; Native Americans; Natural Language Processing; Nature; Participant; Population; Public Health; Reporting; Research; Research Personnel; Resources; Respondent; Risk; Sampling; Sensitivity and Specificity; Signal Transduction; Subgroup; Surveys; Testing; Time; Twitter; Underrepresented Populations; Underserved Population; Woman; Work; Writing; age group; alcohol abuse therapy; alcohol intervention; alcohol misuse; alcohol related consequences; alcohol screening; alcohol use disorder; brief intervention; college; drinking; drinking behavior; ethnic diversity; ethnic minority; experience; gang violence; hazardous drinking; high risk drinking; high risk population; improved; men; neglect; novel; outreach; phrases; racial diversity; racial minority; racial population; recruit; screening; screening and brief intervention; self reported behavior; sex; sexual assault; social media; social networking website; theories; university student; young adult

PROJECT SUMMARY Young adults have higher rates of alcohol use and experience more alcohol-related harms than other age groups, but are less likely to seek treatment. Further, young adults not attending college, who are more likely to be from non-White racial/ethnic groups, may be particularly underserved with respect to alcohol screening and intervention efforts. As such, it is critical that we expand alcohol screening strategies to reach non-college young adults, a traditionally underrepresented group. Social Networking Sites (SNS; e.g., Twitter, Instagram) are exciting platforms through which to identify at-risk young adults from diverse backgrounds, many of whom use SNS. Consistent with Self-Presentation Theory, it is common for young adults to publicly post about serious alcohol-related consequences (e.g., alcohol-related blackouts), which may reflect their actual drinking behavior and therefore signal the need for intervention. Despite their potential to be used for screening, SNS have rarely been leveraged for this purpose. Thus, our broad goals are to determine maximally sensitive and specific keywords within non-college young adults’ SNS posts that can be used in automated surveillance and/or screening efforts, and to determine how to maximize acceptability of SNS-based screening for diverse samples of heavy drinking non-college young adults. In Aim 1, we will determine content of public SNS posts that serves as a marker of hazardous drinking across a diverse group of non-college young adults by conducting online surveys with n=800 young adults who endorse posting about alcohol on SNS. Participants will report on their alcohol use, alcohol-related consequences, and whether they meet criteria for hazardous drinking (via the Alcohol Use Disorder Identification Test; AUDIT). They will also provide permission to collect their public SNS posts from the prior month. We will identify alcohol-related keywords/phrases in SNS posts that have the highest sensitivity and specificity in identifying hazardous drinking (i.e., AUDIT score >8). We will also explore whether certain terms are used more often, or are more sensitive/specific indicators of hazardous drinking, among respondents from different sex/gender and racial/ethnic groups. In Aim 2, we will conduct 80- 96 individual interviews with non-college young adults (stratified by racial/ethnic group and sex/gender) to obtain feedback from potential target individuals on how to maximize acceptability of and engagement with SNS-based contact for screening and intervention. By addressing these aims, the proposed R21 will provide a blueprint for future use of SNS to identify and potentially provide brief intervention for hazardous drinkers in an automated fashion. Such methods have great potential to improve public health by reducing alcohol misuse and negative consequences among non-college young adults across the US, with particular value for those from traditionally underrepresented racial and ethnic groups.

项目摘要 与其他年龄相比，年轻人的酒精使用率更高，与酒精有关 小组，但不太可能寻求治疗。此外，年轻人不上大学，他们更有可能 来自非白人种族/族裔群体，在酒精筛查和 干预工作。因此，至关重要的是要扩大酒精筛查策略以达到非大学 年轻人，传统上代表性不足的群体。社交网站（SNS；例如Twitter，Instagram） 是令人兴奋的平台，可以通过该平台来识别潜水员背景的年轻人，其中许多人 使用SNS。与自我表达理论一致，年轻人公开发布有关 严重与酒精有关的后果（例如，与酒精相关的停电），这可能反映出他们的实际饮酒 行为，因此表明需要干预。尽管它们有可能用于筛查，但SNS 为此目的很少利用。那就是我们的广泛目标是确定最大敏感的目标 非大学年轻人的社交媒体帖子中的特定关键字，可用于自动监视 和/或筛选工作，并确定如何最大程度地提高基于SN的筛查的潜水员 大量饮用非大学年轻人的样本。在AIM 1中，我们将确定公共SNS帖子的内容 通过 与n = 800名年轻人一起进行在线调查，他们认可在SNS上发布有关酒精的文章。参与者 将报告他们的酒精使用，与酒精相关的后果以及是否符合危险的标准 饮酒（通过酒精使用障碍识别测试；审核）。他们还将允许收集 他们上个月的公共SNS帖子。我们将在SNS帖子中确定与酒精相关的关键字/短语 在识别危险饮酒方面具有最高敏感性和特异性（即审核得分> 8）。我们将 还要探索某些术语是否更频繁地使用，还是更敏感/更特定的危险指标 在不同的性别/性别和种族/种族群体的受访者中喝酒。在AIM 2中，我们将进行80- 96个对非大学年轻人的个人访谈（由种族/种族群体和性别/性别分层） 从潜在的目标个人那里获得有关如何最大化可接受性和参与的反馈 基于SNS的联系人进行筛查和干预。通过解决这些目标，拟议的R21将提供 蓝图将来使用SNS来识别并可能为有害饮酒者提供简短的干预措施 自动化时尚。这种方法具有通过减少滥用酒精来改善公共卫生的巨大潜力 美国各地的非大学年轻人之间的负面后果，对那些人的价值特别有价值 来自传统代表性不足的赛车和族裔。