Social Media Intervention for Cannabis Use in Emerging Adults

针对新兴成年人吸食大麻的社交媒体干预

• 批准号: 9788380
• 负责人: Erin E. Bonar
• 金额: $ 23.4万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-30 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9788380
• 关键词: Address; Advertisements; Age; Alcohol or Other Drugs use; Alcohols; Attention; Biological; Cannabis; Clinical; Clinical Trials; Code; Cognitive Therapy; Cost Measures; Development; District of Columbia; Drug Screening; Drug usage; Early Intervention; Enrollment; Exposure to; Facebook; Frequencies; Friends; Future; Hand; Harm Reduction; Health; High Prevalence; Image; Injury; Intervention; Legal; Life; Linguistics; Measures; Mechanics; Media Intervention; Mediator of activation protein; Methods; Modeling; Modification; Online Systems; Outcome; Participant; Perception; Placebo Control; Prevalence; Privatization; Process; Public Health; Published Comment; Randomized Controlled Trials; Risk Behaviors; Risk Factors; Risk Reduction; Route; Schools; Site; Social Environment; Statutes and Laws; Stream; Stress; Stress and Coping; Students; Testing; Time; Tobacco; Training; Treatment Efficacy; Twitter; Universities; Urine; Vehicle crash; Work; alcohol intervention; attentional control; base; behavioral health intervention; college; crowdsourcing; drugged driving; effective intervention; emerging adult; emerging adulthood; evidence base; follow-up; group intervention; high school; innovation; intervention cost; intervention effect; intervention program; marijuana legalization; marijuana use; marijuana use disorder; motivational enhancement therapy; news; peer; peer coaching; peer influence; prevent; primary outcome; randomized trial; recruit; residence; screening; social; social cognitive theory; social media; social networking website; substance misuse; therapy development; trend; trial comparing; vaping; virtual

Project Summary Cannabis use poses an important public health problem among emerging adults (EAs), given increasing perceived acceptability and prevalence of cannabis use, combined with state-level legislation resulting in increased access to legal cannabis. Although there are some promising cannabis intervention approaches for college EAs, about half of EAs are not in college. Further, these interventions were developed prior to the legalization of recreational cannabis use in 8 U.S. states and the District of Columbia. In recent years engagement with social media has dramatically increased, with the majority of EAs accessing social media platforms multiple times per day, exposing EAs to online peer influences, which are generally not addressed in existing intervention programs. High levels of engagement with social media content provide a dynamic platform to engage EAs in interventions for cannabis risk reduction. The specific aims of the proposed study are to: 1) iteratively develop and focus test an 8-week social media-based intervention for cannabis use among EAs and 2) test the preliminary efficacy of the intervention versus a 8-week control condition on cannabis- related outcomes. We will use an iterative process to develop a social media-delivered 8-week “secret” group intervention (i.e., other “friends” on the site cannot see membership or content) delivered by peer coaches using the most popular social media platform among EAs (i.e., Facebook), with content pushed across other platforms allowing private messaging (e.g., Twitter, Snapchat). Based on prior work, we will develop engaging, user-generated content using crowdsourcing via Amazon's Mechanical Turk, followed by iterative focus testing with participants from states where recreational cannabis is legal and where it remains illegal. The intervention will harness peers as coaches to be positive influences, which is scalable given the availability of student trainees and will focus on “up-stream” factors for cannabis use such as motives for use (e.g., stress/coping, social), blending evidenced based approaches for cannabis risk reduction (e.g., motivational interviewing, cognitive behavioral therapy strategies). The developed intervention will be tested in a pilot randomized controlled trial versus an attention-placebo control (8-week social media news condition) among 18-25 year-old EAs who regularly use cannabis (i.e., at least weekly). Groups will be conducted separately for EAs residing in states with/without legal recreational cannabis. Outcomes will be measured at a 3-month post-test and 6- month follow-up, with biological verification of drug use. As opposed to static web-based interventions with limited shelf-life, the development of an adaptable, scalable and efficacious intervention for cannabis use among EAs is a critical next step in public health efforts to reduce cannabis use/consequences. This study could have significant impact by altering the cannabis use trajectories of EAs, preventing health and social consequences and the development of cannabis use disorders, as well as informing future social media interventions for behavioral health.

项目摘要 大麻使用在新兴成年人中存在重要的公共卫生问题（EAS），鉴于增加 认为使用大麻的可接受性和流行率与州级立法相结合，导致 增加获得合法大麻的机会。尽管有一些承诺的大麻干预方法 大学EAS，大约一半的EA不在大学。此外，这些干预措施是在 在美国8个州和哥伦比亚特区的娱乐大麻使用合法化。最近几年 与社交媒体的互动大大增加了，大多数EA都访问社交媒体 平台每天多次平台，将EAS暴露于在线同行影响方面，通常没有解决这些影响 现有的干预计划。与社交媒体内容的高度参与提供了动态 参与EAS进行大麻风险降低干预措施的平台。拟议研究的具体目的 为：1）迭代开发和聚焦测试为8周的社交媒体进行了为期8周的社交媒体干预措施，用于大麻使用 EAS和2）测试干预措施的初步效率与大麻的8周控制条件 相关结果。我们将使用一个迭代过程来开发一个社交媒体的8周“秘密”小组 同伴教练提供的干预（即网站上的其他“朋友”看不到会员资格或内容） 在EAS（即Facebook）中使用最受欢迎的社交媒体平台，内容推向其他内容 平台允许私人消息传递（例如，Twitter，Snapchat）。根据先前的工作，我们将发展参与， 使用亚马逊的机械土耳其人使用众包用户生成的内容，然后进行迭代焦点测试 来自娱乐大麻合法并且仍然是非法的州的参与者。干预 将利用同伴作为教练的积极影响，鉴于学生的可用性，这是可扩展的 受训者并将专注于大麻使用的“上游”因素，例如使用动机（例如，压力/应对， 社交），融合基于大麻风险的基于证据的方法（例如，动机访谈， 认知行为疗法策略）。开发的干预措施将在随机的飞行员中进行测试 18-25岁 经常使用大麻的EAS（即至少每周一次）。将分别进行居住的EAS的组 具有法律休闲大麻的州。结果将在3个月后测试和6-- 随访，并对吸毒的生物学验证。与基于静态网络的干预措施相反 保质期有限，开发适应性，可扩展和高效的大麻干预措施 EAS之一是公共卫生努力减少大麻使用/后果的重要下一步。这项研究 可以通过更改大麻使用EA的轨迹来产生重大影响，从而防止健康和社会 后果和大麻使用障碍的发展，并告知未来的社交媒体 行为健康的干预措施。