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：
10661059
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/10661059
关键词：
Address Alcohol consumption Alcohols Automobile Driving Behavior Therapy Cause of Death Cellular Phone Characteristics Clinical Clinical Psychology Collaborations Collection Data Development Development Plans Disparity Ecological momentary assessment Economic Burden Economic Models Educational workshop Effectiveness Ensure Equity 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 Care Procedures Productivity Psychologist Public Health Randomized Reduce health disparities 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 access disparities addiction alcohol availability alcohol demand alcohol intervention alcohol misuse alcohol related consequences 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.

项目摘要/摘要候选人：Coughlin博士的目标是建立自己的独立临床研究人员研究领域的重点是通过开发良好的，高效的行为来减少健康分布经济移动健康干预措施对风险的酒精使用者。申请人有一个多方面的生产力行为经济学和临床心理学的背景，自从NIAAA的F31和T32资金以来 2014年。此K23的总体目标是支持Coughlin博士追求培训和研究经验综合移动干预开发方法与行为经济学，以解决风险的酒精使用服务不足的人群。职业发展计划：Coughlin博士的职业发展计划以她为基础临床心理学培训和成瘾研究经验，填补了其专业发展的空白建立知识库，技能和专业合作，以成为移动领域的领导者农村人口的酒精使用干预措施。她的全面培训计划涉及参与科学会议，方法研讨会，课程工作和野外领导人的精神职位，博士。弗雷德里克（Frederic Blow）和Inbal Nahum-Shani以及一组贡献者。这些活动将发展她专业知识：1）早期饮酒干预措施，用于危险饮酒者，2）移动收集和分析密集的纵向每日数据以告知干预措施，3）准备，优化和评估移动多组分干预措施。这些培训经验与拟议的研究目的以提高酒精行为干预的有效性，效率和平等性的总体目标滥用，符合NIAAA的使命和战略计划。研究计划：Coughlin博士将使用技能在多相优化的指导下，通过她的完整研究计划中的培训活动获得策略（大多数）框架，开发移动多组分行为干预以减少酒精使用危险的饮酒者。她将根据行为来完善两个承诺的干预组件在3波的现场测试之前，对远程，基于文本的传递的成瘾理论的经济理论干预组件和重点测试访谈，以纳入迭代的最终用户反馈。从初级保健（AIM 1）招募的饮酒者（n = 15）。在同一人群中并使用随机阶乘试验，AIM 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组件（n = 75），以及候选人的初步评估行为经济变化机制。与最多的框架一致，AIM 2结果将告知随后的R01提交，以优化移动行为经济知情（MBE）干预危险的饮酒者。从长远来看，这项研究的数据将在战略上告知行为更改干预措施，直接针对行为经济结构和酒精使用结果患有健康差异的人口在获得护理方面。

项目成果

期刊论文数量（7）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Methamphetamine use among American Indians and Alaska Natives in the United States.

DOI：
10.1016/j.drugalcdep.2021.108921
发表时间：
2021-10-01
期刊：
Drug and alcohol dependence
影响因子：
4.2
作者：
Coughlin LN;Lin LA;Jannausch M;Ilgen MA;Bonar EE
通讯作者：
Bonar EE

Alcohol-involved overdose deaths in US veterans.

DOI：
10.1016/j.drugalcdep.2021.109196
发表时间：
2022-01-01
期刊：
Drug and alcohol dependence
影响因子：
4.2
作者：
Lin LA;Bonar EE;Zhang L;Girard R;Coughlin LN
通讯作者：
Coughlin LN

Patterns of same-day alcohol and cannabis use in adolescents and young adults with risky alcohol use.

DOI：
10.1080/16066359.2021.1936511
发表时间：
2022
期刊：
ADDICTION RESEARCH & THEORY
影响因子：
2.9
作者：
Coughlin, Lara N.;Bonar, Erin E.;Bohnert, Amy S. B.;Blow, Frederic C.;Bauermeister, Jose A.;Cross, Yazmyn;Cunningham, Rebecca;Young, Sean D.;Walton, Maureen A.
通讯作者：
Walton, Maureen A.

Comparing telemedicine to in-person buprenorphine treatment in U.S. veterans with opioid use disorder.