ÚNETE: Combining Friendship Support Networks and Targeted Messaging from Celebrity Influencers to Reduce Latinx Substance Use Disparities

�NETE：结合友谊支持网络和名人影响者的有针对性的消息来减少拉丁裔药物使用差异

• 批准号: 10740012
• 负责人: Mariano Juan Kanamori Nishimura
• 金额: $ 107.45万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10740012
• 关键词: Address; Binding; Broadcast Media; COVID-19 pandemic; Communities; Community Health Aides; Discrimination; Disparity; Drops; Drug usage; Face; Florida; Friends; Friendships; Generations; Goals; Hallucinogens; Health Promotion; Health Services; Health Services Accessibility; Housing; Immigrant; Individual; International; Intervention; Latinx; Legal; Low income; Maps; Marijuana; National Institute of Drug Abuse; Nicotine; Participant; Population; Poverty; Public Health; Radio; Randomized; Randomized, Controlled Trials; Risk; Services; Sports; Stream; Structure; Television; Testing; Time; Transportation; Work; arm; cohesion; community organizations; design; drug abuse prevention; effectiveness evaluation; food security; health disparity; improved; innovation; marijuana vaping; multidisciplinary; news; pandemic disease; peer support; recruit; reduced substance use; scale up; social health determinants; substance use; support network; tailored messaging; web site; young adult

Abstract The NIDA News Release for August 2022 highlights the striking problem that young adults in the US face as the COVID-19 pandemic endures: “Marijuana and hallucinogen use among young adults reached all time-high in 2021…past-month nicotine and marijuana vaping levels rebound after early pandemic drop.” We propose a randomized controlled trial of ÚNETE, an innovative multilevel strategy that combines friendship support networks and targeted messaging from celebrity influencers (actors, singers and sport players) to reduce drug use disparities and the negative effects of social determinants of health in Latinx communities. We will focus on low-income, young adult Latinx (19 to 30 years old), who, as predominantly immigrants or first-generation US citizens, suffer from health disparities as well as discrimination. ÚNETE will be implemented in South Florida, where Latinx are 69% of residents, and are three times as likely as non-Latinx Whites to live below the poverty line. Our overall goal is to evaluate effectiveness of the ÚNETE strategy to reduce drug use (marijuana, hallucinogen, nicotine and marijuana vaping). The strategy has three components: 1. Celebrity Influencer Component of 30 celebrities. We will work with celebrity influencers and low-income, young adult Latinx to develop and culturally tailor messages to facilitate conversations and improve friends’ understanding of the risks of drug use. We will produce and pre-test these messages, featuring celebrity influencers, in multiple formats to allow dissemination through principal media channels (television, radio, streaming video, websites, gaming, interactive). 2. Latinx Friendship Networks (groups of 13 friends). Community Health Workers (CHWs) will map the structure of each friendship network. CHWs and popular individuals from each network will use this information to design a one- three- and nine-month plan to increase drug use prevention conversations based on celebrity messages. 3. CHWs will encourage information sharing of Social Determinants of Health Services provided by our community partners (e.g., food security, ESL, housing and transportation, legal services), and build network cohesion to increase peer support for accessing these services. Participants will be randomly assigned to either ÚNETE (N=24 seeds and 288 recruits through friendship ties) or a standard health promotion (N=312). Assessments will be conducted at baseline, 6, and 12 months. ÚNETE’s multidisciplinary team includes a Latinx PI working with Latinx communities, two of the most important community organizations providing social determinant of health services to low-income Latinx in South Florida (Open Arms and MUJER), experts in celebrity-based campaigns with international and local Latinx celebrities, and a Latinx broadcast media partner that reaches and engages Latinx throughout the US. ÚNETE is innovative and high impact because its use of tailored messages from celebrity influencers amplified through Latinx friendship networks can scale up interventions reaching larger populations, generating broad impacts to public health and increase access to services addressing social determinants of health.

抽象的 NIDA 新闻稿 2022 年 8 月的报告凸显了美国年轻人面临的突出问题： COVID-19 大流行持续存在：“年轻人中大麻和致幻剂的使用达到历史最高水平 2021 年……过去一个月的尼古丁和大麻电子烟水平在大流行早期下降后出现反弹。” ÚNETE 的随机对照试验，一种结合友谊支持的创新多层次策略 名人影响者（演员、歌手和运动员）的网络和有针对性的信息，以减少毒品 我们将重点关注拉丁美洲社区的使用差异和健康社会决定因素的负面影响。 低收入的拉丁裔年轻人（19 至 30 岁），他们主要是移民或第一代美国人 遭受健康差异和歧视的公民将在南佛罗里达州实施 ÚNETE， 其中拉丁裔人口占居民总数的 69%，生活在贫困线以下的可能性是非拉丁裔白人的三倍 我们的总体目标是评估 ÚNETE 减少毒品使用（大麻、 该策略由三个组成部分组成： 1. 名人影响者。 我们将与名人影响者和低收入的拉丁裔年轻人合作​​，共同努力。 开发并根据文化定制信息，以促进对话并提高朋友对内容的理解 我们将通过多个名人影响者的方式制作和预先测试这些信息。 允许通过主要媒体渠道（电视、广播、流媒体视频、网站、 2. 拉丁裔友谊网络（由 13 名社区卫生工作者组成的小组）。 (CHW) 将绘制每个友谊网络和每个网络中受欢迎的个人的结构。 将利用这些信息设计一个为期三个月和九个月的计划，以加强吸毒预防 3. CHW 将鼓励社交信息共享。 我们的社区合作伙伴提供的健康服务的决定因素（例如食品安全、ESL、住房和 交通、法律服务），并建立网络凝聚力以增加同行对获得这些服务的支持 参与者将被随机分配到 ÚNETE（N = 24 名种子和 288 名新兵） 友谊关系）或标准健康促进（N=312）将在基线、6 和 12 时进行。 ÚNETE 的多学科团队包括一名与拉丁裔社区合作的拉丁裔 PI，其中两个社区的工作时间最长。 向低收入拉丁裔提供卫生服务社会决定因素的重要社区组织 南佛罗里达州（Open Arms 和 MUJER），与国际和本地名人开展活动的专家 拉丁裔名人，以及拉丁裔广播媒体合作伙伴，该合作伙伴在美国各地接触并吸引拉丁裔。 ÚNETE 具有创新性和高影响力，因为它对来自名人影响者的定制信息的使用得到了放大 通过拉丁裔友谊网络可以扩大干预措施，覆盖更多人群，产生广泛的影响 对公共卫生的影响并增加获得解决健康问题社会决定因素的服务的机会。