Development of Brief Interventions for Alcohol, Marijuana, and Sleep Problems in Young Adults

针对年轻人酒精、大麻和睡眠问题的简短干预措施的开发

• 批准号: 10155376
• 负责人: MARY E. LARIMER
• 金额: $ 14.63万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-15 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10155376
• 关键词: Abstinence; Accidental Injury; Accidents; Achievement; Address; Adolescent; Alcohol consumption; Alcoholic beverage heavy drinker; Alcohols; Automobile Driving; Behavior Therapy; Behavioral; Brief Alcohol Screening and Intervention for College Students; Cause of Death; Cessation of life; Cognitive Therapy; Comorbid Insomnia; Data; Decision Making; Depression and Suicide; Development; Distress; Drowsiness; Elderly; Event; Fatigue; Feedback; Homicide; Impaired cognition; Impairment; Inadequate Sleep Hygiene; Individual; Intervention; Link; Maintenance; Marijuana; Measures; Mental Health; Modeling; Motivation; Participant; Pattern; Performance; Periodicity; Physiological; Population; Prevalence; Prevention; Prevention program; Process; Public Health; REM Sleep; Randomized; Relapse; Reporting; Research; Risk; Risk Factors; Sample Size; Schedule; Schools; Sexual Development; Sleep; Sleep Disorders; Sleep disturbances; Sleeplessness; Stress; Students; Suicide; Surveys; Technology; Testing; Unsafe Sex; Work; actigraphy; addiction; alcohol comorbidity; alcohol consequences; alcohol effect; alcohol misuse; alcohol prevention; alcohol risk; alcohol use disorder; automobile accident; binge drinking; brief alcohol intervention; brief motivational intervention; cohesion; college; comorbidity; contextual factors; cost; design; diaries; drinking; experience; feasibility testing; follow-up; high risk; high risk drinking; improved; intervention effect; marijuana prevention; marijuana use; marijuana use disorder; obesity risk; poor sleep; post intervention; reduced alcohol use; secondary outcome; skills; sleep difficulty; sleep health; sleep onset; sleep quality; sleep quantity; social; success; therapy development; young adult; young adult alcohol use

PROJECT SUMMARY/ABSTRACT This application is designed to develop an integrated intervention to reduce alcohol and MJ use and consequences and improve sleep among young adults (YA) with comorbid heavy episodic drinking (HED), MJ use, and sleep impairment. HED in YA is an important public health problem, with consequences including accidental injury and death, academic or work problems, unsafe and unwanted sex, and development of alcohol use disorders. Many YA with HED also use MJ, often simultaneously, and experience increased harm as a result. Sleep impairment is common and problematic among YA, identified as the 3rd leading barrier to academic success for students and an important risk factor for mental health problems and suicide in YA. More than 60% of YA report frequent daytime fatigue, 27% extreme distress related to sleep problems, and more than 1 in 4 are at high risk for a sleep disorder. Alcohol use has been linked to impaired sleep in adolescent, YA, college, and older adult populations, with bidirectional causal links between alcohol use and impaired sleep, including negative physiological effects of alcohol on the sleep cycle (e.g., suppression of REM sleep), use of alcohol to promote sleep onset which can both increase alcohol use and resultant sleep impairment, and poor sleep hygiene including delayed and variable sleep-wake timing associated with cyclical patterns of alcohol use during evening and/or weekend social events. Comorbidity of HED and sleep impairment is associated with increased consequences of alcohol use, and exacerbates risk of accidents (including automobile accidents), impaired decision-making, and work and academic difficulties. Similar bidirectional relations exist with MJ use and sleep. Despite risks and consequences, alcohol and MJ prevention programs rarely target sleep directly, and the majority of YA interventions for sleep either focus on sleep hygiene broadly in the absence of specific strategies shown to improve sleep or reduce alcohol or MJ use, or have been relatively intensive interventions with insufficient sample size to truly evaluate impacts on sleep or related comorbid alcohol or MJ use. The current study addresses these gaps through developing and evaluating feasibility and preliminary efficacy of a brief, integrated intervention combining efficacious brief motivational feedback and skills for reducing HED and MJ use and consequences (BASICS) with Brief Behavioral Therapy for Insomnia (SLEEP) shown to improve sleep in other populations. Feasibility and efficacy will be evaluated over a 3-month period, using surveys and daily diaries to assess alcohol, MJ, and sleep at post-intervention and 3- months. Specific aims are: 1) Assess feasibility, acceptability, and preliminary efficacy BASICS + SLEEP in reducing alcohol use and consequences, improving sleep, and weakening daily and lagged (next day) relationships between alcohol and MJ use and sleep impairment; 2 Use diary data to explore daily and lagged relationships between alcohol use, MJ, sleep impairment, and unique YA contextual factor to further inform prevention of comorbid alcohol use, MJ, and sleep impairment.

项目摘要/摘要 此应用程序旨在开发一种综合干预措施，以减少酒精和MJ的使用，并 青少年(YA)合并重度间歇性饮酒(HED)的后果和改善睡眠 使用，和睡眠障碍。雅加达的HED是一个重要的公共卫生问题，后果包括 意外伤害和死亡，学业或工作问题，不安全和不受欢迎的性行为，以及 酒精使用障碍。许多患有HED的YA也经常同时使用MJ，并经历更多的伤害 结果。睡眠障碍在YA中很常见，也是有问题的，被确定为第三大障碍 学生的学业成就是雅加达心理健康问题和自杀的重要风险因素。更多 超过60%的YA报告说经常白天疲劳，27%的人极度痛苦与睡眠问题有关，还有更多 每四个人中就有一个有患睡眠障碍的高危人群。饮酒与青少年睡眠受损有关， YA、大学生和老年人群，酒精使用和受损之间存在双向因果联系 睡眠，包括酒精对睡眠周期的负面生理影响(例如，抑制快速眼动睡眠)， 使用酒精来促进入睡，这既会增加酒精使用量，也会导致睡眠障碍， 以及糟糕的睡眠卫生，包括与周期性睡眠模式相关的延迟和可变的睡眠-醒来时间 在晚上和/或周末的社交活动中饮酒。HED和睡眠障碍的共病是 与酒精使用的后果增加相关，并加剧事故风险(包括 车祸)、决策能力受损、工作和学习困难。相似双向 与MJ的使用和睡眠有关。不顾风险和后果，酒精和MJ预防计划 很少直接针对睡眠，YA的大多数睡眠干预措施要么广泛地关注睡眠卫生 在没有显示出改善睡眠或减少酒精或MJ使用的具体策略的情况下，或已经 相对密集的干预措施，样本量不足，无法真正评估对睡眠或相关疾病的影响 同时饮酒或喝MJ酒。目前的研究通过发展和评估来解决这些差距 简明综合干预结合有效的简明激励的可行性和初步效果 通过简短的行为疗法减少HED和MJ使用的反馈和技巧以及后果(基础) 对于失眠(睡眠)，在其他人群中被证明可以改善睡眠。将对可行性和有效性进行评估 在3个月的时间里，使用调查和日常日记来评估干预后的酒精、MJ和睡眠 和3个月。具体目标是：1)评估可行性、可接受性和初步疗效基础+ 睡眠中减少酒精的使用和后果，改善睡眠，并每天虚弱和滞后(下一步 一天)酒精和MJ的使用与睡眠障碍之间的关系；2使用日记数据来探索日常和 酒精使用、MJ、睡眠障碍和独特的YA背景因素之间的滞后关系进一步 告知预防共病饮酒、MJ和睡眠障碍。