A social media intervention for high-intensity drinking in a national sample of emerging adults

对全国新兴成年人样本中高强度饮酒的社交媒体干预

基本信息

批准号：
10006494
负责人：
Erin E. Bonar
金额：
$ 24.57万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-02 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10006494
关键词：
Acute Address Adult Adverse effects Advertisements Age Alcohol consumption Alcohol or Other Drugs use Alcohols Behavioral Catalogs Cessation of life Clinical Clinical Trials Cognitive Communication Consumption Cost Measures Data Development Dose Emergency department visit Enrollment Expectancy Female Future Generations Goals Harm Reduction Health Healthcare High Prevalence Image Individual Injury Intervention Measures Media Intervention Mediator of activation protein Modeling Motivation National Institute on Alcohol Abuse and Alcoholism Outcome Participant Pattern Population Prevalence Prevention Privatization Public Health Randomized Controlled Trials Reporting Research Assistant Risk Risk-Taking Safety Sampling Schools Source Students Testing Time Training Translating Treatment Efficacy University Hospitals Unsafe Sex Update Woman Work aged alcohol consequences alcohol intervention alcohol misuse alcohol related consequences alcohol use disorder base behavioral health intervention binge drinking brief intervention coping cost crowdsourcing design drinking effective intervention emerging adult emerging adulthood experience fighting follow-up health care settings high risk high risk drinking high risk population innovation intervention effect male men motivational enhancement therapy normative feedback novel peer peer coaching peer influence prevent primary outcome recruit screening sex sexual assault social social media trend trial comparing twelfth grade

项目摘要

Project Summary Preventing high intensity drinking episodes (HID; consuming 8+ standard drinks for women and 10+ for men) among emerging adults (EAs) is an important public health concern; HID increases risk for both short (e.g., injury) and long-term consequences of alcohol use. Developmentally, EAs report the highest prevalence of alcohol use and misuse. Approximately 11% of EAs report past 2-week HID, 1/3 of those who binge drink (5+ drinks) report HID in the past 2 weeks, and 1 in 7 high school seniors follow a sustained HID pattern through emerging adulthood. HID increases risk for blackouts, potentially leading to further health consequences such as injury. Although there are promising interventions that reduce alcohol consumption among EAs, intervention effects are typically modest in size without sustained effects over time, and interventions to date have not addressed HID specifically, which may be less likely to change as a result of previous interventions. Engaging with social media (SM) is now a daily norm for EAs with regular use of private mobile-messaging apps like Snapchat among ~80% of EAs. Users under age 25 spend an M=40min/day on Snapchat. These high levels of engagement with SM content provide a dynamic platform to engage EAs in interventions providing access to peer-like health coaches to address HID in their daily lives closer to in real-time than traditional interventions. The specific aims of the proposed study are to: 1) iteratively develop and focus test a peer-facilitated 8-week SM-based intervention for HID among EAs, and 2) test the preliminary efficacy of the intervention versus a control condition on HID and alcohol consequences. We will iteratively develop a peer-facilitated private SM messaging intervention delivered via Snapchat. As in prior work, we will initially develop engaging, user- generated content via a participatory approach with EAs and national crowdsourcing, followed by iterative focus testing with nationally recruited EA participants with HID. The intervention will leverage peers as health coaches to promote rapport and connection (which is scalable given access to student trainees in health fields) and will focus on the “Why, How” model of motivational interviewing with tailoring of content addressing “why” change (e.g., elicit reasons for change, review of negative consequences, normative feedback on HID, etc.) and “how” change (e.g., elicit benefits of protective strategies, addressing expectancies and motives, use of cognitive behavioral coping strategies for motives, goal setting, etc.). We will test the developed intervention in a pilot randomized controlled trial versus a control condition among 100 18-25 year-old EAs with past-month HID. Outcomes will be measured at a 2-month post-test and 4-month follow-up (post-baseline). The development of an adaptable, scalable and efficacious intervention tailored for HID among EAs is a critical step in public health efforts to high-risk drinking and related consequences. This study could have significant impact by altering HID trajectories among EAs, preventing health and social consequences and the development of alcohol use disorders, as well as informing future SM interventions for behavioral health.

项目概要预防高强度饮酒（HID；女性饮用 8 杯以上标准饮料，男性饮用 10 杯以上标准饮料）在新兴成年人 (EA) 中，HID 会增加两者的风险（例如，伤害）和饮酒的长期后果，EA 报告的患病率最高。大约 11% 的 EA 报告过去 2 周发生过 HID，其中 1/3 酗酒（5 次以上）饮料）在过去 2 周报告了 HID，七分之一的高中生通过以下方式遵循持续的 HID 模式进入成年期后，HID 会增加停电的风险，并可能导致进一步的健康后果，例如尽管有一些有希望的干预措施可以减少 EA 的饮酒量，但干预措施仍然存在。影响通常规模不大，不会随着时间的推移产生持续的影响，迄今为止的干预措施还没有特别针对 HID，该问题不太可能因之前的干预措施而发生改变。对于经常使用私人移动消息应用程序（如大约 80% 的 25 岁以下的 EA 用户每天在 Snapchat 上花费 M=40 分钟。与 SM 内容的互动提供了一个动态平台，使 EA 参与干预措施，提供访问类似同伴的健康教练可以比传统干预措施更实时地解决日常生活中的 HID 问题。拟议研究的具体目标是：1）迭代开发并集中测试由同行推动的为期 8 周的研究基于 SM 的干预措施对 EA 中的 HID 进行干预，2) 测试干预措施相对于其他干预措施的初步效果 HID 酒精的控制条件和后果我们将迭代开发同行促进的私人 SM。与之前的工作一样，我们将首先开发吸引人的、用户交互的消息干预。通过 EA 和全国众包的参与式方法生成内容，然后进行迭代对全国招募的患有 HID 的 EA 参与者进行重点测试该干预措施将利用同伴作为健康者。教练促进融洽和联系（考虑到健康领域的学生学员，这是可扩展的）并将重点关注动机性访谈的“为什么、如何”模型，并针对“为什么”定制内容变更（例如，引出变更原因、负面后果审查、HID 规范反馈等）以及“如何”改变（例如，获得保护策略的好处、解决期望和动机、使用我们将测试已开发的干预措施（动机、目标设定等）。一项针对 100 名 18-25 岁 EA 的试点随机对照试验与控制条件的比较 HID 将在 2 个月的测试后和 4 个月的随访（基线后）中测量结果。在 EA 中开发针对 HID 的适应性强、可扩展且有效的干预措施是关键的一步这项研究可能会对高风险饮酒及其相关后果产生重大影响。通过改变 EA 之间的 HID 轨迹，防止健康和社会后果以及发展酒精使用障碍，以及为未来的行为健康 SM 干预措施提供信息。