A Mobile-Delivered Personalized Feedback Intervention for Black Individuals who Engage in Hazardous Drinking

针对有害饮酒的黑人的移动提供的个性化反馈干预

• 批准号: 10821512
• 负责人: RICHARD A BROWN
• 金额: $ 27.56万
• 依托单位: HEALTH BEHAVIOR SOLUTIONS, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-25 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10821512
• 关键词: Accounting; Address; Adult; African American; African ancestry; Alcohol consumption; Alcohols; American Psychological Association; Anxiety; Attitude; Bahamian; Basic Science; Behavior Therapy; Black American; Black Populations; Black race; Cannabis; Cellular Phone; Chronic; Cirrhosis; Clinical; Communities; Data; Development; Disease; Disparity; Effectiveness; Enrollment; Ethnic Population; Evaluation; Expectancy; Feedback; Focus Groups; Frequencies; Goals; Happiness; Health Services Accessibility; Heavy Drinking; Impairment; Individual; Infrastructure; Intention; Intervention; Jamaican; Knowledge; Literature; Medical; Mental Health; Mobile Health Application; Motivation; National Institute on Alcohol Abuse and Alcoholism; National origin; Outcome; Participant; Persons; Phase; Population; Populations at Risk; Prevalence; Public Health; Publishing; Research; Research Support; Resources; Risk Factors; Rural; Severities; Small Business Innovation Research Grant; Small Business Technology Transfer Research; Symptoms; System; Testing; Translating; Treatment Cost; Underserved Population; United States; Work; alcohol misuse; alcohol misuse prevention; alcohol related consequences; alcohol use disorder; anxiety management; anxiety symptoms; biobehavior; brief intervention; cigarette smoking; clinical anxiety; comorbidity; coping; cost; design; digital treatment; drinking; dual diagnosis; evaluation/testing; experience; hazardous drinking; health disparity; health disparity populations; health inequalities; improved; interest; minority health; minority health disparity; mobile application; novel; optimism; pilot test; poor health outcome; post intervention; prevent; primary outcome; programs; prototype; psychoeducation; psychoeducational; racial minority population; racial population; satisfaction; secondary outcome; smartphone application; underserved community; usability

PROJECT SUMMARY/ABSTRACT Black persons are the second largest racial minority group in the United States (US) and experience striking health disparities, particularly in terms of hazardous drinking and co-occurring elevated anxiety. The co- occurrence of these risk factors contributes to worse physical/mental health outcomes among Black individuals. Few interventions to date have targeted hazardous drinking in the context of high anxiety among Black persons. The current Phase I STTR project directly aligns with the published NIAAA SBIR/STTR Research Interests, including developing “Mobile device applications … to improve the effectiveness, accessibility, and use of behavioral interventions for AUD and co-occurring disorders” and “Solutions for minority health and health disparities with capabilities of reaching persons in rural, remote, and under- resourced/under-served communities.” The current proposal has the end goal of improving strategies to prevent alcohol misuse, alcohol use disorder, and alcohol-related consequences among an ‘at-risk’ population for these conditions. In addition, it enhances the public health impact of NIAAA-supported research by focusing on the second largest racial minority group in the US who demonstrate disparities in hazardous drinking. We aim to remove barriers of treatment access and cost and increase treatment appeal by offering a digital therapeutic product in the form of a smartphone-delivered, personalized, brief intervention, designed to address hazardous drinking and associated elevated anxiety. We will utilize and iterative approach using expert input and focus groups (N = 15) of Black individuals who engage in hazardous drinking with elevated anxiety to inform the design and functionality of the prototype. We will then assess program navigation and conduct usability testing of the mobile app among Black individuals who engage in hazardous drinking with elevated anxiety (N = 5) and prepare the final prototype. With the final prototype we will evaluate the feasibility, acceptability, and effects of the mobile app among Black individuals who engage in hazardous drinking with elevated anxiety symptoms (N = 50). The low-cost app will address infrastructure barriers that prevent delivery of such interventions. This study represents an important and pivotal step in the larger landscape of translating basic research to more efficacious strategies for reducing hazardous drinking in underserved populations with biobehavioral comorbidities. We anticipate robust evidence for the feasibility, acceptability, and clinical utility of the mobile app that will support proceeding to Phase II development and evaluation. The project fills a crucial niche, is based on a theoretically rich and empirically derived intervention, and is practical enough to lend itself to mobile delivery throughout the Black community. We strongly believe this intervention will offer a promising and profitable approach to address alcohol/anxiety-related disparities among an underserved population.

项目摘要/摘要 黑人是美国第二大种族少数群体（美国），经验罢工 健康差异，特别是在危险饮酒和同时发生的动画方面。共同 这些危险因素的发生导致黑人的身体/心理健康状况恶化 个人。迄今为止，很少有干预措施针对高动画的危险饮酒 黑人。当前的I阶段ISTTR项目直接与已发表的NIAAA SBIR/STTR保持一致 研究兴趣，包括开发“移动设备应用……以提高有效性， 可访问性和使用行为干预措施用于AUD和共同发生的疾病”和“解决方案” 少数族裔健康和健康差异，具有在粗糙，遥远和不足的情况下接触人的能力 资源不足/服务不足的社区。”当前的提案的最终目标是改善策略 防止滥用酒精，酒精使用障碍和与酒精相关的后果 对于这些条件。此外，它通过专注于NIAAA支持的研究对公共卫生的影响增强 在美国第二大种族少数群体中，他们展示了危险饮酒的分布。我们 旨在消除治疗障碍和成本的障碍，并通过提供数字化来增加治疗外观 以智能手机提供的，个性化的简短干预形式的治疗产品，旨在 解决危险的饮酒和相关的高架动画。我们将使用 专家投入和焦点小组（n = 15）的黑人人参加危险饮酒， 焦虑以告知原型的设计和功能。然后，我们将评估程序导航和 与与危险饮酒进行危险饮酒的黑人对移动应用的可用性测试 提升动画（n = 5）并准备最终原型。使用最终原型，我们将评估可行性， 可接受性和移动应用程序在与与危险饮酒的黑人中的影响 动画症状升高（n = 50）。低成本应用程序将解决防止交付的基础设施障碍 这种干预措施。这项研究代表了翻译更大的景观中重要而关键的步骤 基础研究，以减少服务不足的人群的危险饮酒的更有效策略 生物行为合并症。我们预计有可行性，可接受性和临床实用性的可靠证据 将支持进入第二阶段开发和评估的移动应用程序。该项目充满了关键 利基市场基于理论上丰富且经验得出的干预措施，并且足够实用 到整个黑人社区的移动交付。我们坚信这种干预将提供诺言 以及解决欠服务人群中酒精/焦虑有关的差异的有利可图的方法。