Social Media Interventions for Risky Drinking Among Adolescents and Emerging Adults: Protocol for a Randomized Controlled Trial
Social Media Interventions for Risky Drinking Among Adolescents and Emerging Adults: Protocol for a Randomized Controlled Trial
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DOI：
10.2196/16688
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发表时间：
2020-05-01
影响因子：
1.7
通讯作者：
Walton, Maureen A.
中科院分区：
文献类型：
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作者：
Bonar, Erin E.;Schneeberger, Diane M.;Walton, Maureen A.
背景：尽管到目前为止进行了干预努力，但青少年和初出茅庐的成年人中危险饮酒的流行率仍然很高，增加了健康后果和酒精使用障碍的风险。同龄人的影响在这个年龄段中尤其突出，包括通过社交媒体。因此，通过社交媒体上训练有素的同龄人广泛提供有效的青少年早期干预措施，可以在解决高风险饮酒和伴随的药物使用方面发挥重要作用。目的：本文描述了一项随机对照试验(RCT)的方案，测试社交媒体干预在符合危险饮酒标准的青少年和新兴成年人中的有效性(使用酒精使用障碍识别测试-消费[AUDIT-C])，在有和没有经济激励参与的情况下提供，与注意安慰剂控制条件(即，娱乐社交媒体内容)进行比较。关于饮酒及其后果。方法：这项随机对照研究通过Facebook和Instagram上的广告招募了955名16-24岁的年轻人，让他们自己进行一项基于网络的简短筛查调查。那些过去3个月危险饮酒筛查阳性的人(AUDIT-C阳性：16-17岁：>；=3名女性和4名男性；18-24岁：>；=4名女性和5名男性)符合随机对照试验的条件。在提供同意后(未成年人获得了父母同意的豁免)，参与者完成了基于网络的基线调查和几个验证程序，包括一张与Facebook个人资料照片匹配的自拍照片。然后，参与者被随机分配到只接受邀请的Facebook秘密群中，父母、朋友或任何未被研究招募的人都不能搜索或查看这些群。这3个条件是有激励的社交媒体干预、无激励的社交媒体干预(SMI)和注意安慰剂控制。每种情况持续8周，由学士和硕士级别的治疗师电子教练发布相关内容，并以与激励性访谈一致的方式回应参与者的帖子。控制条件和SMI条件的参与者没有收到报酬，但对这两个条件之间的条件分配视而不见。结果：我们在10次招募中招募了955名高风险饮酒筛查呈阳性的参与者进入随机对照试验。结论：这项研究的结果将为向青少年提供早期酒精干预提供关键的下一步，利用社交媒体平台，这可能通过改变从事高风险饮酒的青少年和新兴成年人的饮酒轨迹而对公众健康产生重大影响。
Background: Despite intervention efforts to date, the prevalence of risky drinking among adolescents and emerging adults remains high, increasing the risk for health consequences and the development of alcohol use disorders. Peer influences are particularly salient among this age group, including via social media. Thus, the development of efficacious early interventions for youth, delivered with a broad reach via trained peers on social media, could have an important role in addressing risky drinking and concomitant drug use.Objective: This paper describes the protocol of a randomized controlled trial (RCT) testing the efficacy of a social media intervention among adolescents and emerging adults who meet the criteria for risky drinking (using the Alcohol Use Disorders Identification Test-Consumption [AUDIT-C]), delivered with and without financial incentives for participation, compared with an attention placebo control condition (ie, entertaining social media content), on alcohol consumption and consequences.Methods: This RCT involved recruiting 955 youths (aged 16-24 years) via advertisements on Facebook and Instagram to self-administer a brief web-based screening survey. Those screening positive for past 3-month risky drinking (AUDIT-C positive: ages 16-17 years: >= 3 females and >= 4 males; and ages 18-24 years: >= 4 females and >= 5 males) were eligible for the RCT. After providing consent (a waiver of parental consent was obtained for minors), participants completed a web-based baseline survey and several verification procedures, including a selfie photo matched to Facebook profile photos. Participants were then randomized to join invitation-only secret Facebook groups, which were not searchable or viewable by parents, friends, or anyone not recruited by the study. The 3 conditions were social media intervention with incentives, social media intervention without incentives (SMI), and attention placebo control. Each condition lasted 8 weeks and consisted of bachelor's-level and master's-level therapist electronic coaches posting relevant content and responding to participants' posts in a manner consistent with Motivational Interviewing. Participants in the control condition and SMI condition did not receive payments but were blind to condition assignment between these 2 conditions. Follow-ups are ongoing and occur at 3, 6, and 12 months poststart of the groups.Results: We enrolled 955 participants over 10 waves of recruitment who screened positive for risky drinking into the RCT.Conclusions: The findings of this study will provide the critical next step in delivering early alcohol interventions to the youth, capitalizing on social media platforms, which could have significant public health impact by altering alcohol use trajectories of adolescents and emerging adults engaged in risky drinking.