A Mobile-Based Intervention to Address Heavy Drinking and Binge Eating in College Students

基于移动设备的干预措施解决大学生酗酒和暴饮暴食问题

基本信息

批准号：
10575275
负责人：
Stuart B Murray
金额：
$ 23.78万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-05-01 至 2026-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10575275
关键词：
Address Adolescence Adult Affect Alcohol consumption American Anxiety Behavior Behavioral Binge Eating Binge eating disorder Bulimia Cellular Phone Cessation of life Cognitive Consumption Counseling Coupled Data Development Diagnosis Diagnostic Disease Eating Behavior Eating Disorders Education Evidence based intervention Evidence based practice Evidence based treatment Feedback Female Focus Groups Food Frequencies Harm Reduction Healthy Eating Heavy Drinking Impairment Impulsivity Incidence Individual Injury Intervention Link Medical Memory Mental Depression Methods Morbidity - disease rate Motivation Neurobiology Obesity Outcome Pattern Persons Phase Phenotype Population Prevalence Prevention Prevention approach Procedures Public Health Randomized Randomized, Controlled Trials Reporting Resistance Resources Rewards Risk Severities Social Functioning Students Symptoms Testing Time Treatment Efficacy Treatment outcome acceptability and feasibility alcohol measurement alcohol poisoning alcohol related consequences alcohol use disorder behavior change behavioral health intervention binge drinking binge type behavior care seeking college conventional therapy design diagnostic strategy diagnostic value drinking drinking behavior efficacy evaluation emotion regulation evidence base experience fighting food restriction heavy drinking college student high intensity drinking high risk sexual behavior innovation intervention effect intervention refinement male mortality negative affect personalized approach personalized intervention physical conditioning pilot test post intervention prevent preventable death preventive intervention programs recruit screening secondary outcome sex sexual assault skills societal costs university student young adult

项目摘要

Project Summary/Abstract More than 52 million American adults report binge drinking in the past month. Binge drinking is intricately linked to, and exponentially increases the risk for, the development of an alcohol use disorder - a pernicious illness linked to severe medical and psychiatric morbidity, elevated mortality, and a resistance to conventional treatments. In tandem, up to 43 million Americans engage in episodes of binge eating, characterized by the consumption of a large amount of food coupled with a loss of control. Binge eating is inherently linked to the development of binge eating disorder, the most prevalent eating disorder phenotype, and obesity, which is among the leading causes of global preventable death. Crucially, binge drinking and binge eating frequently co-occur, with robust data illustrating a bidirectional antagonistic effect of one binge type behavior upon the severity and frequency of the other, indicative of shared underlying mechanisms. Although the shared mechanisms underpinning both binge drinking and binge eating have been well-explicated, few treatments to date have been developed to target these transdiagnostic maintaining factors. Addressing these mechanisms early through the use of accessible prevention approaches has important public health implications for preventing the development of harmful and difficult-to-treat disorders. Importantly, the risk for both binge drinking and binge eating are substantially elevated in young adults, and particularly among college students, where paradoxically, rates of treatment seeking for these problematic behaviors are reliably low. Since both alcohol use disorder and binge eating disorder most typically onset in late adolescence, precision methods to target these symptomatic behaviors prior to their conversion to full threshold disorders, in the populations most at-risk, is of critical importance. Moreover, and owing to the reliably low rates of treatment seeking in college students, the development of precision approaches that are personalized and accessible on a large scale are especially warranted. In this study, we propose to leverage our group’s experience in developing mobile phone-based behavioral health interventions, to develop a mobile intervention to dually reduce co-occurring binge drinking and binge eating by targeting their shared underlying mechanisms. This two-phase study will first seek to develop and conduct a systematic beta test of the intervention, comprised of components of evidence-based treatments vetted with experts, in 20 male and female college students who engage in binge drinking and eating. Subsequently, we will pilot test the refined intervention in a randomized controlled trial of 300 college students who engage in both behaviors, and who will receive the intervention (N=150) or standard receipt of resources (control; N=150), to ascertain intervention efficacy in reducing binge frequency and related problems. Results will provide the first known data relating to a scalable and transdiagnostic approach to reducing binge drinking and eating frequency in a population at heightened risk and limited treatment-seeking.

项目概要/摘要超过 5200 万美国成年人报告过去一个月酗酒情况。与酒精使用障碍（一种有害的疾病）的发展相关，并成倍增加风险。与严重的医疗和精神发病率、死亡率升高以及对传统疗法的抵抗力相关的疾病与此同时，多达 4300 万美国人出现了暴饮暴食的情况，其特点是：大量食物的消耗加上失控与暴饮暴食有着内在的联系。暴食症（最常见的饮食失调表型）和肥胖的发展，这是至关重要的是，酗酒和暴饮暴食是全球可预防死亡的主要原因之一。同时发生，有可靠的数据说明一种暴饮暴食类型行为对另一个的严重性和频率，表明共同的潜在机制。暴饮暴食的机制已被充分阐明，但很少有治疗方法已经制定了针对这些跨诊断维持因素的数据来解决这些机制。及早使用可行的预防方法对公共卫生具有重要意义重要的是，防止出现有害和难以治疗的疾病。年轻人，尤其是大学生，酗酒和暴饮暴食的比例大幅上升，矛盾的是，由于这两个问题，寻求治疗的比率确实很低。酒精使用障碍和暴食症最常见于青春期后期，精确方法在大多数人群中，在转化为完全阈值障碍之前针对这些症状行为此外，由于在大学寻求治疗的比率确实很低。学生们，开发个性化且可大规模使用的精确方法是在这项研究中，我们建议利用我们团队在开发移动设备方面的经验。基于电话的行为健康干预措施，开发移动干预措施以双重减少同时发生的情况这项两阶段的研究将通过针对暴饮暴食的共同潜在机制来研究它们。首先寻求开发并进行系统的干预贝塔测试，其中包括以下组成部分：专家对 20 名酗酒的男女大学生进行了循证治疗随后，我们将在一项随机对照试验中对精细干预进行试点测试。 300 名从事这两种行为的大学生，并将接受干预（N=150）或标准接收资源（对照；N=150），以确定干预措施在减少暴饮暴食频率和相关结果将提供与可扩展和跨诊断方法相关的第一个已知数据。减少有胃肠道风险且寻求治疗有限的人群的暴饮暴食频率。