Expanding recovery support for emerging adults with alcohol use disorder: Training in the science of social network sites

扩大对患有酒精使用障碍的新兴成年人的康复支持：社交网站科学培训

• 批准号: 10158378
• 负责人: Brandon G. Bergman
• 金额: $ 18.15万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-01 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10158378
• 关键词: Address; Adopted; Affinity; Alcoholics Anonymous; Alcohols; Area; Behavioral; Boston; Caring; Clinical; Clinical Investigator; Clinical Research; Clinical Services; Code; Coping Skills; DSM-V; Data; Data Analyses; Development; Developmental Process; Disease; Disease remission; Dose; Drug usage; Elderly; Enrollment; Evaluation; Expectancy; Facebook; General Hospitals; Goals; Grant; Health; Health behavior; Health behavior change; Immersion; Individual; Intervention; K-Series Research Career Programs; Link; Literature; Longitudinal Studies; Massachusetts; Measurement; Measures; Mediation; Mentors; Mentorship; Methodology; National Institute on Alcohol Abuse and Alcoholism; Onset of illness; Outcome; Outpatients; Participant; Patient Self-Report; Patients; Perception; Persons; Positioning Attribute; Psychologist; Public Health; Public Health Schools; Recovery; Research; Research Institute; Resources; Risk; Self Efficacy; Services; Severities; Site; Social Network; Social Processes; Social Sciences; Socialization; Surveys; Technology; Testing; Time; Training; Training Support; Treatment outcome; Twitter; United States; Universities; addiction; alcohol and other drug; alcohol expectancy; alcohol use disorder; analog; base; behavior change; burden of illness; career; cognitive change; college; connected health; design; diaries; digital; disability; drinking; drinking behavior; emerging adult; emerging adulthood; experience; flexibility; hazardous drinking; in vivo; indexing; innovation; medical schools; multidisciplinary; novel; online community; patient oriented; patient oriented research; programs; research study; response; role model; service utilization; smartphone Application; social; social cognitive theory; social networking website; social norm; social space; societal costs; support network; supportive environment; tau-1; theories; treatment as usual; underage drinking; web app

The overarching goal of this K23 is to support the training of Dr. Brandon G. Bergman, a new clinical investigator and addiction psychologist located at the Massachusetts General Hospital and Harvard Medical School (MGH/HMS). His goal is to become an expert in scientific methodologies that capitalize on social network site (SNS) platforms to promote, and increase our understanding of, recovery-related behavior change among individuals with alcohol use disorder (AUD). As a major first step toward gaining expertise in the science of SNSs, the candidate proposes an original, mentored research study focused on recovery-specific SNSs (recovery SNSs), a novel area of patient-oriented AUD research. Recovery SNSs are similar functionally to conventional SNSs, such as Facebook and Twitter, though they also provide convenient and flexible access to recovery resources in a recovery-supportive online community. The study builds on an extensive literature showing the clinical and public health utilities of in-vivo, recovery-oriented networks, such as Alcoholics Anonymous (AA), by examining the clinical utility of these digital recovery support services as adjuncts to outpatient addiction treatment and continuing care specifically for emerging adults (EAs; 18-29 years old). EAs are targeted because they evidence poorer outcomes relative to older adults, on average, and theory suggests their social immersion in SNSs can be leveraged to enhance positive recovery expectancies, coping skills, self- efficacy, and network support for recovery by exposing them to pro-recovery social norms and engaging them with recovery resources present in recovery SNSs. This mentored study is intended to provide the candidate with intensive, hands-on training, helping him to develop expertise on which he can build an independent patient-oriented addiction research program. Dr. Bergman's mentorship team will aid his scientific development in the following areas: 1) the conduct of original patient-oriented addiction research among emerging adults with AUD, and mechanisms of recovery-related behavior change (John Kelly; MGH/HMS); 2) the conduct of health behavior research in digital social spaces (Kamal Jethwani; MGH/HMS); 3) the integration of digital recovery management in face-to-face addiction treatment (Lisa Marsch; Dartmouth College); 4) longitudinal, propensity score matching, and mediation approaches to data analysis (Robert Stout, Pacific Institute for Research and Evaluation); and 5) EA social-developmental processes (Dr. Jeffrey Arnett; Clark University). In addition to training within MGH/HMS centers (e.g., Partners Connected Health), Dr. Bergman's training plan also includes substantive coursework at the Emerging Media Studies program at Boston University, and quantitative coursework at the Harvard School of Public Health. His career goals are in line with the NIAAA’s emphases on a) the development of innovative behavioral strategies to promote positive drinking behavior change, and b) the study of potentially vital recovery mechanisms (e.g., social network influences) during an at-risk developmental stage (emerging adulthood; http://grants.nih.gov/grants/guide/pa-files/PA-15-299.html).

该K23的首要目标是支持布兰登博士G.伯格曼，一个新的临床 一位调查员和成瘾心理学家，分别在马萨诸塞州总医院和哈佛医学院工作 学校（MGH/HMS）。他的目标是成为科学方法学方面的专家， 网络网站（SNS）平台，以促进，并增加我们的理解，恢复相关的行为改变 酒精使用障碍（AUD）患者。作为获得专业知识的重要第一步， 科学的SNS，候选人提出了一个原始的，指导研究的重点是恢复特定的 SNSs（恢复SNSs），一个面向患者的AUD研究的新领域。恢复SNS在功能上类似 传统的社交网络服务，例如Facebook和Twitter，尽管它们也提供方便和灵活的访问 在一个支持康复的在线社区中提供康复资源。这项研究建立在广泛的文献基础上 显示了体内的临床和公共卫生效用，以恢复为导向的网络，如酗酒者 匿名（AA），通过检查这些数字恢复支持服务的临床效用， 门诊成瘾治疗和持续护理专门为新兴的成年人（EAs; 18-29岁）。EAS 是有针对性的，因为他们的结果比老年人差，平均而言，理论表明， 他们在SNS中的社会沉浸可以被用来增强积极的恢复预期、应对技能、自我 通过让他们接触有利于恢复的社会规范并让他们参与， 其中恢复资源存在于恢复SNS中。这项指导性研究旨在为候选人提供 通过密集的，实践的培训，帮助他发展专业知识，他可以建立一个独立的 以病人为导向的成瘾研究项目伯格曼博士的导师团队将帮助他的科学发展 在以下领域：1）在新兴成年人中进行原创的以患者为导向的成瘾研究 与AUD，和恢复相关的行为变化的机制（约翰凯利; MGH/HMS）; 2）进行 数字社会空间中的健康行为研究（Kamal Jethwani; MGH/HMS）; 3）数字社会空间的整合 面对面成瘾治疗中的恢复管理（丽莎马施;达特茅斯学院）; 4）纵向， 倾向分数匹配和数据分析的中介方法（罗伯特·斯托特，太平洋研究所， 研究和评估）;和5）EA社会发展过程（杰弗里阿内特博士;克拉克大学）。在 除了MGH/HMS中心内的培训外（例如，Partners Connected Health），伯格曼博士的培训计划 还包括波士顿大学新兴媒体研究项目的实质性课程， 哈佛公共卫生学院的量化课程。他的职业目标与NIAAA的一致 重点是a）制定创新的行为策略，以促进积极的饮酒行为 改变，和B）研究潜在的重要恢复机制（例如，社交网络影响）， 处于危险发育阶段（成年初显期; http：//grants.nih.gov/grants/guide/pa-files/PA-15-299.html）。