Optimizing mobile behavioral economic interventions for rural risky drinkers

优化农村高风险饮酒者的移动行为经济干预措施

基本信息

批准号：
10201456
负责人：
Lara Nicole Coughlin
金额：
$ 19.66万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-07-01 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10201456
关键词：
Address Alcohol consumption Alcohols Attenuated Automobile Driving Behavior Therapy Behavioral Car Phone Cause of Death Cellular Phone Characteristics Clinical Clinical Psychology Collaborations Collection Data Development Development Plans Ecological momentary assessment Economic Burden Economic Models Educational workshop Effectiveness Ensure Evaluation Feedback Fostering Funding Future Goals Health Health Services Accessibility Individual Intervention Interview Mentorship Methods Mission Morbidity - disease rate National Institute on Alcohol Abuse and Alcoholism Outcome Ownership Participant Pathology Phase Population Preparation Primary Health Care Procedures Psychologist Public Health Randomized Research Research Activity Research Personnel Research Support Rewards Rural Rural Developments Rural Population Services Specific qualifier value Strategic Planning Substance of Abuse Technology Testing Text Messaging Thinking Time Training Training Activity Underserved Population Volition addiction alcohol availability alcohol demand alcohol intervention alcohol misuse alcohol related consequences base behavior change behavioral economics career development discounting drinking early alcohol use effective intervention experience field study health disparity high risk drinking improved innovation insight intervention refinement knowledge base mHealth method development mortality multi-component intervention multiphase optimization strategy novel patient oriented preference prevent recruit reduced alcohol use reinforcer remote delivery repaired rural America rural Americans rural area rural residence satisfaction service intervention skills symposium theories therapy development usability

项目摘要

PROJECT SUMMARY/ABSTRACT Candidate: Dr. Coughlin’s goal is to establish herself as an independent clinical researcher with a systematic line of research focused on reducing health disparities by developing well-specified, highly effective behavioral economic mobile health interventions for risky alcohol users. The applicant has a multifaceted and productive background in behavioral economics and clinical psychology, with F31 and T32 funding from NIAAA since 2014. The overall goal of this K23 is to support Dr. Coughlin in pursuing training and research experiences to integrate mobile intervention development methods with behavioral economics to address risky alcohol use in underserved populations. Career Development Plan: Dr. Coughlin’s career development plan builds on her clinical psychology training and addiction research experience, filling gaps in her professional development to establish the knowledge base, skills, and professional collaborations to become a leader in the field of mobile alcohol use interventions for rural populations. Her comprehensive training plan involves participation in scientific conferences, methods workshops, coursework, and mentorship from leaders in the field, Drs. Frederic Blow and Inbal Nahum-Shani, along with a team of contributors. These activities will develop her expertise in: 1) early alcohol use interventions for rural risky drinkers, 2) mobile collection and analysis of intensive longitudinal daily-level data to inform interventions, and 3) preparation, optimization, and evaluation of mobile multicomponent interventions. These training experiences interface with the proposed research aims with the overall goal of improving the effectiveness, efficiency, and equity of behavioral interventions for alcohol misuse, consistent with the NIAAA’s mission and strategic plans. Research Plan: Dr. Coughlin will use skills gained through training activities in her complementary research plan, guided by the Multiphase Optimization Strategy (MOST) framework, to develop a mobile multicomponent behavioral intervention to reduce alcohol use in rural risky drinkers. She will refine two promising intervention components based on behavioral economic theories of addiction for remote, text message-based delivery prior to 3-waves of field testing of the intervention components and focus testing interviews to incorporate iterative end-user feedback from rural risky drinkers (N=15) recruited from primary care (Aim 1). In the same population and using a randomized factorial trial, Aim 2 will ensure intervention preparation through assessment of acceptability and technical feasibility of the intervention components alone and in combination (N=75), along with preliminary evaluation of candidate behavioral economic mechanisms of change. Consistent with the MOST framework, Aim 2 outcomes will inform a subsequent R01 submission to optimize the mobile behavioral economically informed (mBE) intervention in rural risky drinkers. Over the long-term, data from this study will strategically inform behavior change interventions that directly target behavioral economic constructs and alcohol use outcomes in a population with significant health disparities in access to care.

项目概要/摘要候选人：Coughlin 博士的目标是使自己成为一名独立的临床研究员，拥有系统的研究能力研究方向侧重于通过制定明确、高效的行为来减少健康差距针对高风险饮酒者的经济移动健康干预措施申请人具有多方面且富有成效的能力。具有行为经济学和临床心理学背景，自此获得 NIAAA 的 F31 和 T32 资助 2014 年。K23 的总体目标是支持 Coughlin 博士追求培训和研究经验，以将移动干预开发方法与行为经济学相结合，以解决高风险饮酒问题服务不足的人群的职业发展计划：考夫林博士的职业发展计划建立在她的基础上。临床心理学培训和成瘾研究经验，填补了她专业发展的空白建立知识库、技能和专业合作，成为移动领域的领导者她的综合培训计划包括参与农村人口的酒精使用干预措施。科学会议、方法研讨会、课程作业以及该领域领导者的指导。 Frederic Blow 和 Inbal Nahum-Shani 以及贡献者团队将通过这些活动来培养她。专业知识包括：1) 针对农村高风险饮酒者的早期饮酒干预措施，2) 移动收集和分析密集的每日纵向数据为干预措施提供信息，以及 3) 准备、优化和评估这些培训经验与拟议的研究目标相结合。总体目标是提高酒精行为干预措施的有效性、效率和公平性滥用，符合 NIAAA 的使命和战略研究计划：Coughlin 博士将使用技能。通过她的补充研究计划中的培训活动获得，以多阶段优化为指导战略（MOST）框架，开发移动多成分行为干预措施以减少酒精摄入她将根据行为改进两个有前景的干预措施。在进行 3 波现场测试之前，基于文本消息的远程传输成瘾的经济理论干预措施和重点测试访谈，以纳入来自农村风险地区的最终用户迭代反馈从初级保健机构招募的饮酒者（N = 15）（目标 1）在同一人群中并使用随机因子分析。试验，目标 2 将通过评估可接受性和技术可行性来确保干预准备单独和组合干预措施（N = 75），以及对候选人的初步评估与 MOST 框架一致，目标 2 的结果将是：通知后续 R01 提交，以优化移动行为经济知情 (mBE) 从长远来看，这项研究的数据将为农村危险饮酒者的行为提供战略性的指导。改变针对行为经济结构和直接饮酒结果的干预措施在获得护理方面存在显着健康差异的人群。