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新闻发布 2022年8月，强调了美国年轻人面临的惊人问题 COVID-19的大流行持续：“年轻人的大麻和致幻剂使用量达到了所有时间高 在2021年…过去的尼古丁和大麻蒸发水平在早期大流行后反弹。“我们提出了一个 únet的随机对照试验，这是一种创新的多级策略，结合了友谊支持 来自名人影响者（演员，歌手和体育参与者）的网络和有针对性的消息传递，以减少毒品 使用差距和拉丁裔社区健康社会决定者的负面影响。我们将重点关注 低收入，年轻的拉丁裔（19至30岁），他是移民或第一代美国 公民，患有健康差异和歧视。 Nete将在南佛罗里达州实施 Latinx是居民的69％，并且在贫困以下生活的可能性是非Latinx白人的三倍 线。我们的总体目标是评估减少药物使用的效果（大麻， 致幻剂，尼古丁和大麻蒸发）。该策略有三个组成部分：1。名人影响者 30名名人的组成部分。我们将与名人影响者和低收入的年轻成人拉丁裔合作 开发和文化量身定制信息，以促进对话并提高朋友对 吸毒的风险。我们将在多个 格式可以通过主要媒体渠道（电视，广播，流视频，网站，网站， 游戏，互动）。 2。拉丁裔友谊网络（13个朋友组）。社区卫生工作者 （CHW）将绘制每个友谊网络的结构。 CHW和每个网络的受欢迎人 将使用此信息设计一个三个月和九个月的计划，以增加药物使用的预防 基于名人消息的对话。 3。CHW将鼓励社会信息共享 我们社区合作伙伴提供的卫生服务的决定因素（例如粮食安全，ESL，住房和 运输，法律服务）并建立网络凝聚力以增加同伴支持以访问这些 服务。参与者将被随机分配到únete（n = 24种种子和288名新兵 友谊关系）或标准的健康促进（n = 312）。评估将在基线，6和12进行。 月份。 únete的多学科团队包括与拉丁裔社区合作的拉丁语PI，这是两个最多的。 重要的社区组织为低收入拉丁裔提供卫生服务的社会决定者 南佛罗里达州（开放武器和木星），与国际和地方的名人运动专家 Latinx庆祝活动，以及一个在美国触及并与拉丁裔吸引并参与的拉丁文广播媒体合作伙伴。 únete具有创新性和高影响力，因为它使用了名人影响者放大器的量身定制消息 通过拉丁裔友谊网络可以扩大干预措施，达到较大的人群，从而产生广泛 对公共卫生的影响，并增加获得有关卫生社会决定者的服务的机会。