Web-Supported Adolescent Motivational Enhancement to Reduce Alcohol Use

网络支持的青少年动机增强以减少饮酒

• 批准号: 9031013
• 负责人: CAROLYN A MC CARTY
• 金额: $ 22.06万
• 依托单位: SEATTLE CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-03-10 至 2017-05-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9031013
• 关键词: Academy; Address; Adolescent; Age; Alcohol consumption; Alcohols; Algorithms; American; Appointment; Area; Clinic; Counseling; Data; Development; Early Intervention; Early identification; Effectiveness; Evidence based intervention; Feedback; Frequencies; Goals; Guidelines; Health; Health Care Visit; Health Personnel; Health Services; Healthcare; Healthy Eating; Internet; Intervention; Interview; Knowledge; Lead; Link; Manuals; Mediating; Mediator of activation protein; National Institute on Alcohol Abuse and Alcoholism; Nature; Online Systems; Outcome; Patients; Pattern; Pediatrics; Penetration; Perception; Physical activity; Problem behavior; Process; Provider; Publishing; Randomized; Readiness; Reporting; Risk; Sampling; Site; Surgeon; Techniques; Technology; Testing; Time; Training; Youth; adolescent alcohol; aged; alcohol misuse; alcohol risk; alcohol screening; alcohol screening and brief intervention; alcohol use disorder; base; behavior change; binge drinking; brief intervention; design; drinking; eHealth; evidence base; follow-up; improved; innovation; motivational enhancement therapy; personalized strategies; population based; prevent; reduce adolescent alcohol; reduced alcohol use; satisfaction; screening; support tools; tool; treatment as usual; underage drinking

DESCRIPTION (provided by applicant): Without early identification and intervention, adolescent alcohol use can escalate and lead to the development of alcohol use disorders. The American Academy of Pediatrics, together with federal health services agencies, including NIAAA and the US Surgeon General, recommends regular screening for underage drinking among adolescents in healthcare settings with brief intervention strategies following positive screens. Despite the availability of guidelines and manuals, alcohol screening is still infrequentl performed at healthcare visits with youth, and screening is often not linked to the delivery of evidence-based interventions. One promising approach to increasing the delivery of efficient, population-based youth alcohol screening and brief intervention is through the use of eHealth technologies that connect patients and HPs. eHealth screening with real-time results is associated with higher levels of problem behavior recognition by HPs than interview alone, and youth prefer these technologies to provide information on sensitive health-related topics. EHealth tools have already been successfully used to promote behavior changes such as increasing physical activity and healthy eating among adolescents. We propose to test the effectiveness of an eHealth tool we have developed to promote systematic screening and indicated intervention strategies to reduce adolescent alcohol use, Web-based Adolescent Motivational Enhancement (Web-AME). Web-AME automates screening, delivers motivational enhancement feedback and alcohol reduction strategies directly to adolescents, and provides HPs with targeted decision support tools to facilitate the use of motivational interviewing techniques. Web-AME provides a platform for more systematic delivery of evidence-based interventions, including motivational interviewing strategies and personalized feedback. The proposed study will develop implementation and training processes for providers and clinic staff to prepare Web-AME for use in healthcare settings. We will then test Web-AME as a means to increase alcohol- related discussions at healthcare visits and to reduce alcohol use among youth. Our study will screen 715 youth ages 13-18 drawn from 2 different healthcare sites to yield a sample of 200 who endorse at least moderate risk drinking, using NIAAA age-based definitions based on frequency of use. Youth will be randomized to receive Web-AME (n=100) or usual care (screening only; n=100) prior to their healthcare appointment. We will examine frequency of provider counseling on alcohol use, youth satisfaction with the healthcare visit, and changes in alcohol consumption 2 months following their appointment across groups. We will also test perceived drinking norms and readiness to change as a mediators of the effects of Web-AME on alcohol use. This innovative eHealth tool (Web-AME) geared to adolescents and their providers could improve the penetration of alcohol screening and linked intervention among youth, thus reducing adolescent alcohol misuse and the development of alcohol use disorders.

描述（由申请人提供）：没有早期鉴定和干预，青少年饮酒可以升级并导致饮酒障碍的发展。美国儿科学会以及包括NIAAA和美国外科医生在内的联邦卫生服务机构一起，建议定期筛查医疗保健环境中的青少年未成年人饮酒，并在正面屏幕上进行简短的干预策略。尽管有准则和手册的可用性，但在与青年的医疗探访中，酒精筛查仍然很少进行，并且筛查通常与基于证据的干预措施的提供无关。 通过使用将患者和HPS连接的eHealth技术来提高高效，基于人群的青年酒精筛查和简短干预的一种有希望的方法。具有实时结果的eHealth筛查与HPS相比，与单独访谈相比，HPS的问题行为识别水平更高，而青年更喜欢这些技术提供有关敏感健康相关主题的信息。 eHealth工具已经成功地用于促进行为改变，例如增加体育锻炼和青少年健康饮食。我们建议测试我们开发的eHealth工具的有效性，以促进系统筛查，并指出减少青少年饮酒的干预策略，基于网络的青少年动机增强（Web-AME）。 Web-Ame会自动筛选，直接向青少年提供动机增强反馈和减少酒精策略，并为HP提供有针对性的决策支持工具，以促进使用动机访谈技术。 Web-AME提供了一个平台，可以更系统地提供基于证据的干预措施，包括动机访谈策略和个性化反馈。 拟议的研究将为提供者和诊所工作人员开发实施和培训过程，以准备用于医疗机构的网络名称。然后，我们将测试Web-AME作为增加医疗访问中与酒精相关的讨论并减少青年饮酒的一种手段。我们的研究将使用基于使用频率的基于NIAAA年龄的定义来筛选从2个不同的医疗保健站点中提取的715名年轻人13-18岁，以产生200个至少适度风险饮酒的样本，这些样本基于使用频率。在预约医疗保健之前，年轻人将随机接受网络名称（n = 100）或通常的护理（仅筛查； n = 100）。我们将检查提供者咨询有关酒精饮酒的频率，青年对医疗保健访问的满意度以及跨小组任命后2个月的饮酒频率。我们还将测试感知到的饮酒规范，并准备改变，以作为网络名称对酒精使用的影响的调解人。适用于青少年及其提供者的这种创新的eHealth工具（Web-AME）可以改善酒精筛查和与青年人之间的联系的渗透，从而减少青少年酒精滥用和饮酒障碍的发展。

项目成果

Same, opposite and both-sex attracted adolescents' mental health, safe-sex practices and substance use.

• DOI: 10.1080/19359705.2021.1967826
• 发表时间: 2022
• 期刊: JOURNAL OF GAY & LESBIAN MENTAL HEALTH
• 影响因子: 1.6
• 作者: Gersh, Elon;Richardson, Laura P.;Coker, Tumaini R.;Inwards-Breland, David J.;McCarty, Carolyn A.
• 通讯作者: McCarty, Carolyn A.