Psychoeducational Messaging to Reduce Alcohol Use for College Students With Type 1 Diabetes: Internet-Delivered Pilot Trial.
Psychoeducational Messaging to Reduce Alcohol Use for College Students With Type 1 Diabetes: Internet-Delivered Pilot Trial.
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DOI：
10.2196/26418
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发表时间：
2021-09-30
影响因子：
7.4
通讯作者：
Weitzman ER
中科院分区：
文献类型：
--
作者：
Wisk LE;Magane KM;Nelson EB;Tsevat RK;Levy S;Weitzman ER
大学环境促进了年轻人的大量饮酒或酗酒，这可能对1型糖尿病(T1D)患者特别有害。关于针对患有T1D的大学生减少饮酒的干预措施的可接受性和有效性，人们知之甚少，也不清楚干预框架(具体地说，干预信息的叙述者)是否与影响行为变化有关。由同伴教育者推动的干预措施可能具有高度相关性和社会说服力，而由临床提供者提供的干预措施可能具有高度可信度和激励性。本研究的目的是确定通过网络渠道对患有T1D的大学生进行的酒精使用心理教育干预的可接受性和影响。第二个目的是比较不同叙述者(同龄人与临床医生)的两种相互竞争的干预版本的影响。我们通过网络渠道招募了138名患有T1D的大学生(年龄17-25岁)，并对随机分配到2个版本中的1个版本的参与者进行了简短的干预，这些版本只在视听解说者方面有所不同。我们评估了整体和按组暴露于干预的影响，比较了基线、干预后立即和干预实施后2周内酒精和糖尿病相关知识、认知和使用的水平。在138名登记参与者中，122人(88.4%)完成了所有后续评估；参与者主要是妇女(98/122，80.3%)，非西班牙裔白人(102/122，83.6%)，并在过去一年中饮酒(101/122，82.8%)。干预后，两组患者在酒精对糖尿病相关因素的影响、对饮酒的健康保护态度以及对饮酒的担忧方面的知识都有了显著的提高。所有参与者在干预后2周的暴饮率(21.3%；优势比0.48，95%可信区间0.31~0.75)均较干预前显著下降(43/122，35.2%)。干预后酗酒的变化受到了对酒精使用和T1D担忧的变化的影响。那些认为提供者叙述者更有可能将他们的叙述者评为知识丰富和值得信任的人；在叙述者的干预效果上没有其他显著差异。该干预模式在减少后续自我报告的酗酒方面是高度可接受和有效的，鉴于基于网络的形式和非接触式、按需内容，提供了广泛传播和覆盖的潜力。两位干预叙述者都增加了知识，改善了健康保护态度，并增加了对酒精使用的担忧。参与者对专业知识和可信度的看法因叙述者而异。ClinicalTrials.gov NCT02883829；https://clinicaltrials.gov/ct2/show/NCT02883829 rr2-10.1177/1932296819839503
College environments promote high-volume or binge alcohol consumption among youth, which may be especially harmful to those with type 1 diabetes (T1D). Little is known about the acceptability and effectiveness of interventions targeting reduced alcohol use by college students with T1D, and it is unclear whether intervention framing (specifically, the narrator of intervention messages) matters with respect to affecting behavior change. Interventions promoted by peer educators may be highly relatable and socially persuasive, whereas those delivered by clinical providers may be highly credible and motivating. The aim of this study is to determine the acceptability and impacts of an alcohol use psychoeducational intervention delivered asynchronously through web-based channels to college students with T1D. The secondary aim is to compare the impacts of two competing versions of the intervention that differed by narrator (peer vs clinician). We recruited 138 college students (aged 17-25 years) with T1D through web-based channels and delivered a brief intervention to participants randomly assigned to 1 of 2 versions that differed only with respect to the audiovisually recorded narrator. We assessed the impacts of the exposure to the intervention overall and by group, comparing the levels of alcohol- and diabetes-related knowledge, perceptions, and use among baseline, immediately after the intervention, and 2 weeks after intervention delivery. Of the 138 enrolled participants, 122 (88.4%) completed all follow-up assessments; the participants were predominantly women (98/122, 80.3%), were White non-Hispanic (102/122, 83.6%), and had consumed alcohol in the past year (101/122, 82.8%). Both arms saw significant postintervention gains in the knowledge of alcohol’s impacts on diabetes-related factors, health-protecting attitudes toward drinking, and concerns about drinking. All participants reported significant decreases in binge drinking 2 weeks after the intervention (21.3%; odds ratio 0.48, 95% CI 0.31-0.75) compared with the 2 weeks before the intervention (43/122, 35.2%). Changes in binge drinking after the intervention were affected by changes in concerns about alcohol use and T1D. Those who viewed the provider narrator were significantly more likely to rate their narrator as knowledgeable and trustworthy; there were no other significant differences in intervention effects by the narrator. The intervention model was highly acceptable and effective at reducing self-reported binge drinking at follow-up, offering the potential for broad dissemination and reach given the web-based format and contactless, on-demand content. Both intervention narrators increased knowledge, improved health-protecting attitudes, and increased concerns regarding alcohol use. The participants’ perceptions of expertise and credibility differed by narrator. ClinicalTrials.gov NCT02883829; https://clinicaltrials.gov/ct2/show/NCT02883829 RR2-10.1177/1932296819839503
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影响因子：
3.8
作者：
Engler, Patricia A.;Ramsey, Susan E.;Smith, Robert J.
通讯作者：
Smith, Robert J.
DOI：
10.1016/j.jadohealth.2016.10.005
发表时间：
2017-03
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
Harris SK;Aalsma MC;Weitzman ER;Garcia-Huidobro D;Wong C;Hadland SE;Santelli J;Park MJ;Ozer EM
通讯作者：
Ozer EM
影响因子：
1.2
作者：
Hanna, Kathleen M.;Woodward, Jason
通讯作者：
Woodward, Jason
影响因子：
3.6
作者：
Jaser, Sarah S.;Whittemore, Robin;Grey, Margaret
通讯作者：
Grey, Margaret
影响因子：
7.6
作者：
Hanna, Kathleen M.;Stupiansky, Nathan W.;Stump, Timothy E.
通讯作者：
Stump, Timothy E.