Project CHOICE: Choosing healthy options in coping with emotions, an EMA/EMI plus in-person intervention for alcohol use
Project CHOICE: Choosing healthy options in coping with emotions, an EMA/EMI plus in-person intervention for alcohol use
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DOI：
10.1080/08897077.2020.1806182
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发表时间：
2020-08-22
期刊：
影响因子：
3.5
通讯作者：
Abrantes, Ana M.
中科院分区：
文献类型：
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作者：
Blevins, Claire E.;Marsh, Eliza L.;Abrantes, Ana M.
背景 成年初期（18-25 岁）是心理健康和药物滥用的危险时期。新兴成年人特别容易受到药物使用问题模式的影响，特别是如果他们经历焦虑和/或抑郁并使用药物来应对此类问题。然而，许多心理健康治疗并不解决药物滥用问题。我们开发了一种生态瞬时评估和干预 (EMA/EMI)，专门针对饮酒动机来应对焦虑/抑郁。方法：CHOICE 项目是一项为期 6 周的干预措施，将现场规范反馈与每日 EMA 相结合，如果个人报告负面影响和饮酒意图，立即将 EMI 发送到他们的手机上（个人选择的应对技能）。我们从精神病部分住院项目中招募了 20 名患者（55% 为女性，平均年龄 21.74 岁，85% 为白人，75% 为非西班牙裔/拉丁裔），进行为期 6 周的 CHOICE 干预开放试验，并在 6 周随访点进行重新评估。 结果：结果表明，饮酒变量和应对动机在基线时高度相关。干预后，饮酒天数、与酒精相关的问题和应对动机随着时间的推移显着减少。结果显示了高度的可行性和可接受性。结论：这个开放试点代表了在风险最高时利用智能手机功能提供干预措施的可行、可接受且有前途的方向。
Background Emerging adulthood (18-25 years) represents a risky time for mental health and substance use. Emerging adults are particularly susceptible to problematic patterns of substance use, especially if they experience anxiety and/or depression and use substances as a way to cope with such issues. However, many mental health treatments do not address substance use. We developed an ecological momentary assessment and intervention (EMA/EMI) to specifically target the motive of drinking to cope with anxiety/depression.Methods: Project CHOICE was a 6-week intervention that paired in-person normative feedback with daily EMA and, if an individual reported negative affect and intent to drink, an EMI was immediately sent to their phone (a personally-chosen coping skill). We recruitedn = 20 (55% female, mean age 21.74, 85% Caucasian and 75% non-Hispanic/Latino) individuals from a psychiatric partial hospitalization program for a 6-week open trial of the CHOICE intervention and re-assessed at the 6-week follow-up point.Results: Results indicated that drinking variables and coping motives were highly correlated at baseline. Days of drinking, alcohol-related problems, and coping motives significantly decreased over time following the intervention. Results indicated high levels of feasibility and acceptability.Conclusions: This open pilot represents a feasible, acceptable, and promising direction in delivering interventions in the moment when risk is highest, utilizing smartphone capabilities.