Examining Motivations for and Quality of Alcohol and Marijuana Protective Behavior Strategy Use: Improving Prevention of Hazardous Young Adult Substance Use

检查酒精和大麻保护行为策略使用的动机和质量：改善对危险青少年药物使用的预防

• 批准号: 10604308
• 负责人: Melissa A Lewis
• 金额: $ 19.4万
• 依托单位: UNIVERSITY OF NORTH TEXAS HLTH SCI CTR
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10604308
• 关键词: Acute; Address; Age; Alcohol consumption; Alcohols; Behavior; Behavioral; Data; Data Collection; Development; Effectiveness; Etiology; Evaluation; Event; Feedback; Female; Focus Groups; Future; Gender; Goals; Grain; Group Interviews; Harm Reduction; Individual; Intervention; Knowledge; Literature; Marijuana; Martens; Mediating; Mediator; Methods; Motivation; National Institute of Drug Abuse; National Institute on Alcohol Abuse and Alcoholism; Participant; Pilot Projects; Populations at Risk; Prevention; Process; Public Health; Randomized; Readiness; Reporting; Research; Risk; Role; Strategic Planning; Surveys; Testing; Text Messaging; Time; Treatment Efficacy; Waiting Lists; acceptability and feasibility; brief intervention; cognitive interview; design; deter alcohol use; drinking; efficacious intervention; efficacy trial; group intervention; high risk; improved; intervention delivery; intervention effect; male; marijuana use; marijuana user; nonbinary; novel; online intervention; premature; prevent; protective behavior; reduced substance use; skills; skills training; substance use; text messaging intervention; university student; young adult; young adult alcohol use

PROJECT SUMMARY/ABSTRACT Young adulthood is associated with increased alcohol and marijuana use compared to other developmental periods (Schulenberg et al., 2019). Alcohol and marijuana use place individuals at high risk for acute and long- term negative consequences (Volkow et al., 2014; White & Hingson, 2014). SAM use is associated with increased risk for consequences, compared to marijuana use alone or CAM use (Lipperman-Kreda et al., 2017). In the proposed research, all participants will be current alcohol and marijuana users allowing us to consider Concurrent Alcohol and Marijuana (CAM) use and Simultaneous Alcohol and Marijuana (SAM) use. In this application, CAM use refers to use of both substances on the same day, but not so their effects overlap, whereas SAM use refers to use of alcohol and marijuana at the same time so that their effects overlap. Despite the relatively large cross-sectional and longitudinal literature on protective behavioral strategies (PBS; Pearson, 2013), little is known about why young adults choose to use PBS on specific occasions or why young adults might use PBS differently across occasions. Moreover, findings have been mixed for PBS use as a mediator of intervention effects (Reid & Carey, 2015). Thus, there is significant room for improvement in the conceptualization, application, and understanding of alcohol and marijuana PBS. The proposed research is needed to determine motivations, or reasons, for when, why, and how young adults may or may not use PBS in a quality manner when using alcohol and/or marijuana. This gained knowledge can be used to enhance intervention efficacy by addressing these motivations in intervention content delivered across days. Research has yet to examine how alcohol and marijuana PBS use on a given day relates to an individual’s use of alcohol or marijuana alone in comparison to CAM or SAM days. The current study has potential to contribute significantly to the literature as it will allow for a fine-grained examination of how alcohol and marijuana PBS use relate to alcohol, marijuana, and CAM/SAM use at the daily level. Taken together, the proposed study will fill these gaps by utilizing online focus groups and cognitive interviews to identify “why” young adults use or do not use PBS (for marijuana or alcohol) as well as to examine quality of PBS use and if quality differs on alcohol-only days, CAM days, or SAM days (Aim 1). Findings from Aim 1 will inform a pilot study (Aim 2) testing a newly developed online and text message alcohol and marijuana PBS intervention among alcohol and marijuana users age 18-24. The pilot study includes event-level data collection over 8 weekends to determine whether alcohol or marijuana PBS are as effective at reducing use or consequences when CAM or SAM use occurs, compared to using alcohol alone. In the pilot study (Stage I; N=200), we will establish acceptability, feasibility, and preliminary effect sizes to determine readiness for a full-scale efficacy trial. Because the proposed intervention will be designed to target PBS for alcohol and marijuana use the intervention will be relevant to a wider group of at-risk young adults.

项目摘要/摘要 与其他发育相比 时期（Schulenberg等，2019）。酒精和大麻使用急性和长期的个人高风险 术语负面后果（Volkow等，2014； White＆Hingson，2014）。 SAM使用与 与仅使用大麻或使用CAM相比，后果风险增加（Lipperman-Kreda等人， 2017）。在拟议的研究中，所有参与者将是当前的酒精和大麻使用者，使我们能够 考虑并发酒精和大麻（CAM）使用和同时使用酒精和大麻（SAM）。在 此应用程序，CAM使用是指在同一天使用两种物质，但它们的影响重叠并不是如此， 而Sam使用的是指同时使用酒精和大麻，以使它们的影响重叠。尽管 有关保护行为策略的相对大型横断面和纵向文献（PBS； 皮尔逊（Pearson），2013年），关于为什么年轻人选择在特定场合使用PBS或为什么年轻的年轻人，知之甚少 成年人可能在各场合使用PBS不同。此外，发现的发现已被用作PBS 干预效果的调解人（Reid＆Carey，2015年）。那，有很大的改进空间 对酒精和大麻PB的概念化，应用和理解。拟议的研究是 需要确定何时，为什么以及年轻人如何使用PBS，为什么以及如何使用PBS的动机或原因 使用酒精和/或大麻时，以高质量的方式。获得的知识可用于增强 干预效率通过解决这些动机在整天提供的干预内容中的动机。研究 尚未研究酒精和大麻PBS在特定的一天中如何使用与个人使用酒精有关的 或与CAM或SAM Days相比，仅大麻。当前的研究有可能贡献 重要的是文献，因为它将允许对酒精和大麻PBS的细粒度进行精细的检查 与酒精，大麻和CAM/SAM使用有关的使用。综上所述，拟议的研究将 通过使用在线焦点小组和认知访谈来确定“为什么”年轻人使用或做的“原因”，以填补这些空白 不使用PBS（用于大麻或酒精），并且可以检查PBS的质量以及是否质量差异 仅酒精天，CAM天或SAM天（AIM 1）。 AIM 1的发现将为试点研究提供信息（AIM 2） 测试新开发的在线和短信酒精和大麻PBS饮酒中的干预 和大麻使用者18-24岁。试点研究包括8个周末的事件级数据收集到 确定酒精或大麻PBS是否在降低CAM或CAM或 与单独使用酒精相比，发生SAM使用。在试点研究（第一阶段; n = 200）中，我们将建立 可接受性，可行性和初步效果大小，以确定全面有效试验的准备。 因为建议的干预措施将旨在针对酒精和大麻的PBS使用 干预将与更广泛的高危年轻人有关。

项目成果

Investigating Why and How Young Adults Use Protective Behavioral Strategies for Alcohol and Marijuana Use: Protocol for Developing a Randomized Controlled Trial.

• DOI: 10.2196/37106
• 发表时间: 2022-04-19
• 期刊: JMIR RESEARCH PROTOCOLS
• 影响因子: 1.7
• 作者: Lewis, Melissa A.;Litt, Dana M.;Fairlie, Anne M.;Kilmer, Jason R.;Kannard, Emma;Resendiz, Raul;Walker, Travis
• 通讯作者: Walker, Travis