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

Investigating Why and How Young Adults Use Protective Behavioral Strategies for Alcohol and Marijuana Use: Protocol for Developing a Randomized Controlled Trial.
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DOI:
10.2196/37106
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发表时间:
2022-04-19
影响因子:
1.7
通讯作者:
Walker, Travis
Walker, Travis
中科院分区:
其他
文献类型:
--
作者:
Lewis, Melissa A.;Litt, Dana M.;Fairlie, Anne M.;Kilmer, Jason R.;Kannard, Emma;Resendiz, Raul;Walker, Travis

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与其他发育时期相比,年轻的成年期与酒精和大麻的使用增加有关。酒精和大麻的使用使个人处于急性和长期负面后果的高风险之中。尽管关于保护性行为策略(PBS;个人可以用来限制后果和减少物质使用的行为)的横断面和纵向文献相对较多,但对于为什么年轻人选择在特定场合使用PBS,或者为什么他们在不同场合使用PBS的方式不同(即质量和一致性),人们知之甚少。在PBS的概念化、应用和理解方面还有很大的改进空间。本研究旨在开发一种新颖的、简短的基于网络和SMS短信的干预措施,并从使用酒精和大麻的年轻人中获取信息,以解决单独使用酒精与同时使用大麻时使用和不使用PBS(大麻或酒精)的动机和PBS使用的质量(有效性或实施程度)的差异程度。本研究将分两个阶段进行。第一阶段将包括基于网络的焦点小组(N=100)和认知访谈(N=10),以确定为什么年轻人(18-24岁)使用或不使用与酒精和大麻使用相关的特定PBS,并就如何将PBS的动机和质量纳入基于网络和短信的PBS干预措施以及对开发的干预材料的反馈征求意见。在第二阶段,通常每周至少使用两天酒精和大麻的年轻人(N=200;年龄在18-24岁)将被随机分为干预组或候补对照组。干预将是简短的,基于网络的,重点是自我选择的酒精和大麻PBS信息以及使用酒精和大麻相关PBS的动机,并包括通过短信发送的干预内容,每周3天(随机日,周五和周六),连续8周。所有参与者将报告PBS的使用情况,使用(和不使用)PBS的动机,PBS的使用质量,以及酒精和大麻的使用情况,在干预后的第二天早上进行调查,给干预组的人发短信。第一阶段的招募和注册于2022年1月开始。第二阶段的招聘预计将于2023年1月开始。第二期试验完成后,我们会研究新发展的网页简讯及短讯干预措施的可行性、可接受性及初步效果。这项研究将提供对年轻人使用PBS的深入了解,并有可能开发出一种更有效的干预措施,用于同时发生或同时发生的酒精和大麻行为。ClinicalTrials.gov NCT04978129;https://clinicaltrials.gov/ct2/show/NCT04978129 derr1 - 10.2196/37106
Young adulthood is associated with increased alcohol and marijuana use compared with other developmental periods. Alcohol and marijuana use place individuals at high risk for acute and long-term negative consequences. Despite the relatively large cross-sectional and longitudinal literature on protective behavioral strategies (PBS; behaviors that individuals can use to limit consequences and reduce substance use), little is known about why young adults choose to use PBS on specific occasions or why they might use PBS differently across occasions (ie, quality and consistency). There is significant room for improvement in the conceptualization, application, and understanding of PBS. This study aims to develop a novel, brief web-based and SMS text messaging intervention, with input from young adults who use alcohol and marijuana, which addresses the extent to which motivations for PBS use and nonuse (marijuana or alcohol) and the quality of PBS use (the degree of effectiveness or degree of implementation) differ when using alcohol alone versus concurrently or simultaneously with marijuana. This research will be conducted in 2 phases. Phase 1 will involve web-based focus groups (N=100) and cognitive interviews (N=10) to determine why young adults (aged 18-24 years) use or do not use specific PBS related to alcohol and marijuana use and elicit feedback on how motivations and the quality of PBS could be incorporated into a web-based and SMS text messaging PBS intervention as well as elicit feedback on developed intervention material. In phase 2, young adults (N=200; aged 18-24 years), who typically use alcohol and marijuana for at least 2 days per week, will be randomized to either the intervention or waitlist control group. The intervention will be brief, web-based, focusing on self-selected alcohol and marijuana PBS messages and motives for using alcohol- and marijuana-related PBS, and including intervention content delivered via SMS text messages 3 days a week (random day, Friday, and Saturday) over 8 consecutive weeks. All participants will report on PBS use, motivations for PBS use (and nonuse), quality of PBS use, and alcohol and marijuana use in morning surveys timed to occur the day after the intervention SMS text messages for those in the intervention group. Recruitment and enrollment for phase 1 began in January 2022. Recruitment for phase 2 is anticipated to begin in January 2023. Upon completion of the phase 2 pilot, we will examine the feasibility, acceptability, and preliminary effect sizes of the newly developed brief web-based and SMS text messaging intervention. This study will provide an in-depth understanding of young adults’ PBS use and has the potential to develop a more efficacious intervention for co-occurring or simultaneous alcohol and marijuana behaviors. ClinicalTrials.gov NCT04978129; https://clinicaltrials.gov/ct2/show/NCT04978129 DERR1-10.2196/37106
DOI: 10.1037/adb0000740
发表时间: 2021-08
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影响因子: --
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发表时间: 1998-07-01
期刊: JOURNAL OF STUDIES ON ALCOHOL
影响因子: --
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DOI: 10.1111/j.2517-6161.1995.tb02031.x
发表时间: 1995-01-01
影响因子: 5.8
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