Development of a behavioral economic intervention with personalized resource allocation feedback to reduce young adult alcohol misuse

开发具有个性化资源分配反馈的行为经济干预措施，以减少年轻人酗酒

• 批准号: 10523858
• 负责人: Jennifer M Cadigan
• 金额: $ 67.06万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10523858
• 关键词: Age; Alcohol consumption; Alcohols; Attitude; Behavioral; Budgets; Consumption; Development; Ecological momentary assessment; Economic Models; Enrollment; Expenditure; Feedback; Financial cost; Focus Groups; Future; Goals; Heavy Drinking; Hobbies; Individual; Intervention; Life Cycle Stages; Longevity; Measures; Modeling; Motivation; Online Systems; Outcome; Participant; Pattern; Persons; Phase; Pilot Projects; Play; Process; Public Health; Randomized; Reporting; Research; Research Design; Research Support; Resource Allocation; Resource Development; Resources; Rewards; Risk Factors; Role; Sampling; Savings; Testing; Time; Work; acceptability and feasibility; age group; alcohol demand; alcohol free; alcohol intervention; alcohol misuse; alcohol use disorder; behavioral economics; binge drinking; brief intervention; college; discounting; drinking; economic indicator; effective intervention; feasibility testing; follow-up; high intensity drinking; indexing; interest; intervention effect; mobile application; online resource; preference; prototype; response; societal costs; theories; virtual; young adult

ABSTRACT Alcohol use across the life course peaks for most individuals in young adulthood, and use during this developmental period is associated with numerous consequences and societal costs. Personalized feedback interventions (PFIs) are among the most effective interventions for reducing young adult alcohol misuse, however questions remain regarding the magnitude and duration of effects and the extent to which PFIs are of interest to young adults (YAs). Previous studies have demonstrated YA preferences for feedback on practical information including financial expenditures on alcohol. Behavioral economic models posit that alcohol misuse is indexed by an excessive valuation of alcohol and resources allocated to alcohol (i.e., money and time spent on alcohol), and considerable research supports these models. Although some PFIs include information on alcohol-related resource allocation, they are often not the primary focus of feedback, are not personalized to YAs’ reported personal interests or financial goals, are often very brief and limited in scope, and provide feedback in reference to broad timeframes. This proposed research aims to develop a comprehensive web- based Resource Allocation PFI (RA-PFI) that summarizes YAs’ daily finances and time allocated to alcohol- related activities with weekly personalized information tailored to an individual’s own personal financial and time allocation goals. The RA-PFI will be developed to specifically target behavioral economic risk factors shown to be associated with alcohol misuse, including alcohol demand (e.g., feedback regarding overall and peak financial expenditures on alcohol), delay discounting (e.g., feedback regarding expenditures on immediate rewards [alcohol] vs. delayed rewards [savings]) and time allocation (e.g., feedback on time spent in alcohol vs. alcohol-free activities). To do so, Phase 1 will include formative research on the development of the RA-PFI, including qualitative work assessing young adult preference for specific RA feedback components. Phase 2 will be a pilot study where 150 young adult drinkers (ages 21-29) will be randomized to an RA-PFI intervention (n=75) or an assessment only control (n=75) condition and will complete an online baseline assessment, 3-weeks of daily assessments on resource allocation and weekly personalized feedback, and 1- and 3-month follow-up online assessments. Those in the RA-PFI will receive weekly personalized feedback on behavioral economic indices of alcohol use including spending patterns, expenditures, time allocation, and progress working towards financial goals. We will test the feasibility and acceptability of the RA-PFI and examine intervention effects on alcohol use, related consequences, and behavioral economic indices of alcohol misuse. Findings have important public health implications as we will develop, refine, and test an intervention with high potential for dissemination and interest to YAs by targeting theoretically and empirically supported behavioral economic risk factors to reduce young adult alcohol misuse.

抽象的 整个生命过程中的酒精含量是大多数成年中的大多数人的峰值，并在此期间使用 发展期与许多后果和社会成本有关。个性化的反馈 干预措施（PFI）是减少成人滥用年轻酒精的最有效干预措施之一 但是，关于效果的大小和持续时间以及PFI的程度仍然存在问题 年轻人的兴趣（YAS）。先前的研究表明，YA对实际反馈的偏好 包括酒精的财务支出在内的信息。滥用酒精的行为经济模型 被分配给酒精的酒精和资源的过多价值（即花费的时间和时间 关于酒精），大量研究支持这些模型。尽管有些PFI包括有关 与酒精相关的资源分配，它们通常不是反馈的主要重点，并不是个性化的 Yas报告的个人利益或财务目标通常非常简短且范围有限，并提供 参考广泛时间表的反馈。这项拟议的研究旨在开发全面的网络 - 基于资源分配PFI（RA-PFI）总结了YAS的日常财务和分配给酒精的时间 相关活动，每周针对个人个人财务量身定制的个性化信息， 时间分配目标。 RA-PFI将被开发以特别针对行为经济风险因素 被证明与滥用酒精有关，包括酒精需求（例如，有关总体和 酒精的高峰财务支出），延迟折现（例如，有关支出的反馈 立即奖励[酒精]与延迟的奖励[储蓄]）和时间分配（例如，时间消费的反馈 酒精与无酒精活动）。为此，第一阶段将包括有关开发的形成性研究 RA-PFI，包括评估年轻成人对特定RA反馈组件的定性工作。 第2阶段将是一项试点研究 干预（n = 75）或仅评估控制（n = 75）条件，将完成在线基线 评估，有关资源分配和每周个性化反馈的每日评估的3周，1- 和3个月的后续在线评估。 RA-PFI中的人将获得每周的个性化反馈 饮酒的行为经济指数，包括支出模式，支出，时间分配以及 朝着财务目标努力的进展。我们将测试RA-PFI的可行性和可接受性和 检查干预对酒精使用，相关后果和行为经济指数的影响 滥用酒精。研究结果具有重要的公共卫生影响，因为我们将开发，完善和测试 通过靶向理论和经验，具有很高传播潜力的干预措施，对YA进行兴趣 支持的行为经济风险因素减少了年轻的成人酒精滥用。