Pilot test of an mHealth Intervention for Reducing Alcohol Use among Rural Adolescent and Young Adult Cancer Survivors

减少农村青少年和年轻成年癌症幸存者饮酒的移动医疗干预试点试验

• 批准号: 10273171
• 负责人: Carolyn Lauckner
• 金额: $ 37.87万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-14 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10273171
• 关键词: AIDS/HIV problem; Address; Adherence; Adolescent and Young Adult; Advocate; Aftercare; Alcohol consumption; Alcohols; Area; Behavior; Bluetooth; Cancer Center; Cancer Survivor; Cancer Survivorship; Caring; Cellular Phone; Clinic; Clinical Trials; Communities; Counseling; Country; Data; Development; Diagnosis; Education; Enrollment; Evidence based intervention; Frequencies; Health; Health Promotion; High Prevalence; Incidence; Intervention; Intervention Trial; Interview; Kentucky; Literature; Malignant Neoplasms; Mental Health; Meta-Analysis; Monitor; Moods; Oncology; Outcome; Ownership; Persons; Physical activity; Population; Primary Health Care; Procedures; Provider; Randomized Controlled Trials; Reporting; Research; Research Personnel; Risk; Risk Behaviors; Risk Factors; Rural; Sampling; Services; Sleep; Structure; Surveys; Survivors; Technology; Telephone; Testing; Transportation; Travel; United States; Veterans; Visit; Youth; acceptability and feasibility; aged; alcohol behavior; alcohol intervention; alcohol monitoring; barrier to care; base; binge drinker; binge drinking; cancer recurrence; cancer risk; comorbidity; comparison group; digital; digital health; drinking; efficacy testing; experience; feasibility testing; follow-up; health literacy; improved outcome; informant; innovation; literacy; mHealth; mortality; motivational enhancement therapy; nutrition; peer; physical conditioning; pilot trial; psychologic; reduced alcohol use; rural area; rural dwellers; social stigma; substance use; survivorship; tool; underage drinking

ABSTRACT Adolescent and young adult (AYA) survivors of cancer have poorer health than their peers who have not been diagnosed with cancer and are more likely to die from non-cancer related causes. Researchers have called for health promotion interventions to improve outcomes and reduce risk behaviors among this population; however, one key risk factor—alcohol consumption—has been largely unstudied. Most AYA survivors are current drinkers, and over a third report engaging in binge drinking. Survivors living in rural areas may be even more at risk, as they have limited access to health and psychological care and many youth in these areas report more frequent alcohol consumption than their urban counterparts. Given that alcohol use is associated with increased risk of cancer recurrence, poorer survival, and other comorbidities, it is important to explore interventions for reducing this behavior among rural AYA survivors. The proposed research will test a mobile health (mHealth) intervention for reducing alcohol use, called TRAC: Tracking and Reducing Alcohol Consumption. This intervention, which is currently being implemented among a sample of people living with HIV/AIDS, is based on principles of motivational interviewing. It utilizes weekly phone conversations with an interventionist over an 8-week period and twice-daily self-monitoring of alcohol consumption using mobile surveys and Bluetooth breathalyzers. The intervention has strong potential for acceptability among rural AYAs given this populations’ high digital literacy, and will also reduce barriers to care experienced by those in rural areas, who often have to travel long distances to see providers in-person. Through key informant interviews, the TRAC intervention will be adapted and refined for rural AYA survivors. Then, it will be tested through a pilot randomized controlled trial with a monitoring and education comparison group. This pilot trial will assess intervention retention, adherence, and acceptability, and provide preliminary data regarding impact on alcohol use. Overall, the proposed research will yield valuable feasibility data to inform a definitive randomized controlled trial of this intervention to test efficacy among a larger sample of rural AYA survivors. If TRAC is shown to be successful in this population, it could be implemented in rural cancer clinics across the country and reduce risky alcohol consumption among the over 2 million AYAs in the United States.

抽象的 癌症的青少年和青年 (AYA) 幸存者的健康状况比未接受过癌症治疗的同龄人要差 研究人员呼吁，被诊断患有癌症的人更有可能死于非癌症相关的原因。 旨在改善结果并减少该人群危险行为的健康干预措施； 然而，大多数 AYA 幸存者都没有对一个关键的风险因素——饮酒——进行研究。 目前的饮酒者，甚至超过三分之一的生活在农村地区的幸存者可能酗酒。 面临的风险更大，因为他们获得健康和心理护理的机会有限，而且许多年轻人都生活在这些领域 鉴于饮酒是相关的，报告的饮酒频率比城市同行更高。 随着癌症复发、生存较差和其他合并症的风险增加，探索 旨在减少农村 AYA 幸存者这种行为的干预措施 拟议的研究将测试移动设备。 用于减少饮酒的健康 (mHealth) 干预措施，称为 TRAC：跟踪和减少酒精 目前正在对患有这种疾病的人进行抽样调查。 艾滋病毒/艾滋病是基于动机访谈的原则，它利用每周与一个人进行电话交谈。 干预师在 8 周内使用手机每天两次自我监测酒精消耗量 调查和蓝牙呼气分析仪在农村 AYA 中具有很大的接受潜力。 鉴于这些人群的数字素养较高，也将减少农村人口获得护理的障碍 地区，他们经常需要长途跋涉才能通过关键知情人访谈来亲自见到医疗服务提供者， TRAC 干预措施将针对农村 AYA 幸存者进行调整和完善，然后将通过试点进行测试。 具有监测和教育对照组的随机对照试验该试点试验将进行评估。 干预保留、依从性和可接受性，并提供有关对酒精影响的初步数据 总体而言，拟议的研究将产生有价值的可行性数据，为最终的随机使用提供信息。 该干预措施的对照试验旨在测试农村 AYA 幸存者的更大样本的有效性（如果 TRAC 有效）。 该方法在这一人群中被证明是成功的，可以在全国各地的农村癌症诊所实施 减少美国超过 200 万 AYA 的危险酒精消费。