Optimizing mobile behavioral economic interventions for rural risky drinkers

优化农村高风险饮酒者的移动行为经济干预措施

• 批准号: 10442406
• 负责人: Lara Nicole Coughlin
• 金额: $ 19.66万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10442406
• 关键词: Address; Alcohol consumption; Alcohols; Attenuated; Automobile Driving; Behavior Therapy; Behavioral; Car Phone; Cause of Death; Cellular Phone; Characteristics; Clinical; Clinical Psychology; Collaborations; Collection; Data; Development; Development Plans; Ecological momentary assessment; Economic Burden; Economic Models; Educational workshop; Effectiveness; Ensure; Evaluation; Feedback; Fostering; Funding; Future; Goals; Health; Health Services Accessibility; Individual; Intervention; Interview; Mentorship; Methods; Mission; Morbidity - disease rate; National Institute on Alcohol Abuse and Alcoholism; Outcome; Ownership; Participant; Pathology; Phase; Population; Preparation; Primary Health Care; Procedures; Psychologist; Public Health; Randomized; Reduce health disparities; Research; Research Activity; Research Personnel; Research Support; Rewards; Rural; Rural Developments; Rural Population; Services; Specific qualifier value; Strategic Planning; Substance of Abuse; Technology; Testing; Text Messaging; Thinking; Time; Training; Training Activity; Underserved Population; Volition; addiction; alcohol availability; alcohol demand; alcohol intervention; alcohol misuse; alcohol related consequences; base; behavior change; behavioral economics; career development; discounting; drinking; early alcohol use; effective intervention; experience; field study; health disparity; high risk drinking; improved; innovation; insight; intervention refinement; knowledge base; mHealth; method development; mortality; multi-component intervention; multiphase optimization strategy; novel; patient oriented; preference; prevent; recruit; reduced alcohol use; reinforcer; remote delivery; repaired; rural America; rural Americans; rural area; rural residence; satisfaction; service intervention; skills; symposium; theories; therapy development; usability

PROJECT SUMMARY/ABSTRACT Candidate: Dr. Coughlin’s goal is to establish herself as an independent clinical researcher with a systematic line of research focused on reducing health disparities by developing well-specified, highly effective behavioral economic mobile health interventions for risky alcohol users. The applicant has a multifaceted and productive background in behavioral economics and clinical psychology, with F31 and T32 funding from NIAAA since 2014. The overall goal of this K23 is to support Dr. Coughlin in pursuing training and research experiences to integrate mobile intervention development methods with behavioral economics to address risky alcohol use in underserved populations. Career Development Plan: Dr. Coughlin’s career development plan builds on her clinical psychology training and addiction research experience, filling gaps in her professional development to establish the knowledge base, skills, and professional collaborations to become a leader in the field of mobile alcohol use interventions for rural populations. Her comprehensive training plan involves participation in scientific conferences, methods workshops, coursework, and mentorship from leaders in the field, Drs. Frederic Blow and Inbal Nahum-Shani, along with a team of contributors. These activities will develop her expertise in: 1) early alcohol use interventions for rural risky drinkers, 2) mobile collection and analysis of intensive longitudinal daily-level data to inform interventions, and 3) preparation, optimization, and evaluation of mobile multicomponent interventions. These training experiences interface with the proposed research aims with the overall goal of improving the effectiveness, efficiency, and equity of behavioral interventions for alcohol misuse, consistent with the NIAAA’s mission and strategic plans. Research Plan: Dr. Coughlin will use skills gained through training activities in her complementary research plan, guided by the Multiphase Optimization Strategy (MOST) framework, to develop a mobile multicomponent behavioral intervention to reduce alcohol use in rural risky drinkers. She will refine two promising intervention components based on behavioral economic theories of addiction for remote, text message-based delivery prior to 3-waves of field testing of the intervention components and focus testing interviews to incorporate iterative end-user feedback from rural risky drinkers (N=15) recruited from primary care (Aim 1). In the same population and using a randomized factorial trial, Aim 2 will ensure intervention preparation through assessment of acceptability and technical feasibility of the intervention components alone and in combination (N=75), along with preliminary evaluation of candidate behavioral economic mechanisms of change. Consistent with the MOST framework, Aim 2 outcomes will inform a subsequent R01 submission to optimize the mobile behavioral economically informed (mBE) intervention in rural risky drinkers. Over the long-term, data from this study will strategically inform behavior change interventions that directly target behavioral economic constructs and alcohol use outcomes in a population with significant health disparities in access to care.

项目概要/摘要 候选人：Coughlin 博士的目标是使自己成为一名独立的临床研究员，拥有系统的研究能力 研究方向侧重于通过制定明确、高效的行为来减少健康差距 针对高风险饮酒者的经济移动健康干预措施。申请人具有多方面且富有成效的能力 具有行为经济学和临床心理学背景，自此获得 NIAAA 的 F31 和 T32 资助 2014 年。K23 的总体目标是支持 Coughlin 博士追求培训和研究经验，以 将移动干预开发方法与行为经济学相结合，以解决高风险饮酒问题 服务不足的人群。职业发展计划：考夫林博士的职业发展计划建立在她的基础上 临床心理学培训和成瘾研究经验，填补了她专业发展的空白 建立知识库、技能和专业合作，成为移动领域的领导者 对农村人口的饮酒干预措施。她的综合培训计划包括参与 科学会议、方法研讨会、课程作业以及该领域领导者的指导。 Frederic Blow 和 Inbal Nahum-Shani 以及贡献者团队。这些活动将使她 专业知识包括：1) 对农村高风险饮酒者进行早期饮酒干预，2) 移动收集和分析 密集的每日纵向数据为干预措施提供信息，以及 3) 准备、优化和评估 移动多成分干预措施。这些培训经验与拟议的研究目标相结合 总体目标是提高酒精行为干预措施的有效性、效率和公平性 滥用，符合 NIAAA 的使命和战略计划。研究计划：考夫林博士将使用技能 通过她的补充研究计划中的培训活动获得，以多阶段优化为指导 战略 (MOST) 框架，开发移动多成分行为干预措施以减少酒精摄入 用于农村危险饮酒者。她将根据行为完善两个有前途的干预措施 在 3 波现场测试之前，基于文本消息的远程传输成瘾的经济理论 干预措施和重点测试访谈，以纳入来自农村风险的最终用户的反复反馈 从初级保健机构招募的饮酒者（N = 15）（目标 1）。在同一人群中并使用随机阶乘 试验，目标 2 将通过评估可接受性和技术可行性来确保干预准备 单独和组合干预措施（N = 75），以及对候选人的初步评估 变化的行为经济机制。与 MOST 框架一致，目标 2 的成果将 通知后续 R01 提交，以优化移动经济知情行为 (mBE) 对农村高风险饮酒者的干预。从长远来看，这项研究的数据将为行为提供战略性信息 直接针对行为经济结构和饮酒结果的改变干预措施 在获得护理方面存在显着健康差异的人群。