Alcohol and "Heat of the Moment" Sexual Decision Making among MSM: Identifying Mechanisms of Sexual Risk and Promoting Behavior Change Through Brief Intervention
酒精与 MSM 中“一时冲动”的性决策:识别性风险机制并通过简短干预促进行为改变
基本信息
- 批准号:10541644
- 负责人:
- 金额:$ 73.09万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-08-15 至 2027-05-31
- 项目状态:未结题
- 来源:
- 关键词:AIDS preventionAddressAdultAffectAlcohol consumptionAlcoholic IntoxicationAlcoholsArousalBasic Behavioral ScienceBehaviorBehavior TherapyBehavioralBehavioral MechanismsCognitiveCounselingCuesDataDecision MakingDesire for foodDevelopmentEffectivenessEnvironmentExhibitsFosteringGoalsHIVHIV diagnosisHeavy DrinkingHuman immunodeficiency virus testIncidenceInformal Social ControlInterventionIntoxicationLaboratory FindingLaboratory ResearchLinkMeasuresMediatingMediator of activation proteinMethodsMotivationPatternPersonsPreventionPrevention approachProcessPublic HealthRandomizedResearchRewardsRiskRisk FactorsRisk ReductionRoleRouteSamplingSelf-control as a personality traitSex BehaviorSexual ArousalShort-Term MemoryTestingText MessagingTranslatingTreatment EfficacyUnited StatesWorkalcohol effectbasebehavior changebinge drinkingbrief interventioncognitive capacitycognitive testingcondomless anal sexcondomsdesigndiscountingeffectiveness testingexecutive functionexperienceexperimental studyfollow-upgroup interventionimprovedinsightintervention effectlaboratory experimentlongitudinal designmalemen who have sex with menmodifiable riskmotivational enhancement therapypost interventionpreventive interventionpsychologicresponsesexual roletheoriestherapy designtransmission process
项目摘要
PROJECT SUMMARY/ABSTRACT
This application is in response to two objectives of RFA-AA-21-016: HIV Prevention and Alcohol to translate
basic behavioral science findings about alcohol’s effects on sexual decision-making to 1). Test an intervention
designed to address sexual decision-making in the “heat-of-the-moment” (i.e., when intoxicated and sexually
aroused), and 2). Extend laboratory research to test cognitive and motivational within-person mechanisms
underlying alcohol and arousal effects on sexual decision-making in the natural environment. The application is
informed by our previous alcohol challenge laboratory research on factors contributing to CAI among MSM.
This research showed that intoxication was associated with heightened sexual arousal and increased CAI
intentions. Consistent with dual process theories, intoxication and arousal were associated with a shift in
decision-making process characterized by an increased role of sexual reward motivation relative to condom
use motivation and a corresponding decrease in the role of executive functioning. This pattern suggests that
prevention interventions may be effective in reducing CAI by targeting strategies that enhance condom use
motivation and reduce the reliance on effortful / controlled processing in the “heat-of-the-moment.” We piloted
an intervention that integrates motivational interviewing, personalized cognitive counseling, and text messaging
that decreased alcohol consumption and CAI in MSM. The intervention is designed, in part, to foster increased
condom-related planning and increase the use of implementation scripts to foster use of condoms in the “heat-
of-the-moment.” In AIM 1, we extend the pilot work on the intervention to a larger sample and an intensive
longitudinal design comprised of 3-weeks of experience sampling method (ESM) pre- and post- intervention to
test the intervention’s mechanisms of action. Specifically, we hypothesize that A. the intervention will be
associated with reduced alcohol intoxication and CAI, B. the intervention will reduce within-person associations
of intoxication and arousal with CAI, and C. intoxication and condom-related planning will mediate associations
between intervention condition and CAI at 4-month follow-up. Of particular importance is hypothesis B, which
tests whether the intervention affects sexual decision-making in the “heat-of-the-moment” when compelling
cues are prominent. Aim 2 extends to the natural environment our laboratory research to test dual-process
theory derived mechanisms linking intoxication, arousal, and CAI. Here, we test if sexual delay discounting and
working memory mediate, within-person, associations of intoxication and arousal with CAI and if changes in
these effects underlie the intervention effects during the 3-week post-intervention period. The proposed study
will advance understanding of within-person processes affecting sexual decision-making in the “heat-of-the-
moment” when drive for immediate gratification peaks, test the effectiveness of a brief intervention, and identify
the intervention’s effects on both within-person processes proximal to CAI as well as between-person
mechanisms of behavior change.
项目摘要/摘要
此应用程序是为了响应RFA-AA-21-016的两个目标:艾滋病毒预防和酒精翻译
关于酒精对性决策影响的基本行为科学发现1)。测试干预措施
旨在解决“一时冲动”的性决策(即,喝醉了,
引起),和2)。扩展实验室研究,以测试认知和动机的人内机制
在自然环境中,酒精和性唤起对性决策的潜在影响。应用程序
通过我们先前的酒精挑战实验室研究,了解MSM中CAI的因素。
这项研究表明,醉酒与性唤起和CAI增加有关
intentions.与双重过程理论相一致,醉酒和觉醒与
决策过程的特点是性奖励动机相对于安全套的作用增加
使用动机和执行功能的作用相应减少。这种模式表明,
预防干预措施可能有效地减少CAI的目标策略,提高安全套的使用
动机,减少对“一时冲动”中的努力/控制处理的依赖。我们驾驶
一种整合了动机访谈、个性化认知咨询和短信的干预措施
降低了MSM的饮酒量和CAI。干预措施的部分目的是促进增加
与安全套有关的规划,并更多地使用执行脚本,以促进在“炎热-
现在的”在AIM 1中,我们将干预的试点工作扩展到更大的样本和密集的
纵向设计包括干预前后3周的经验抽样法(ESM),
测试干预的作用机制。具体地说,我们假设A.干预将是
与减少酒精中毒和CAI相关,B.干预将减少人与人之间的联系
和C.醉酒和避孕套相关的规划将调解协会
在4个月随访时,干预条件与CAI之间的差异。假设B特别重要,
测试干预是否会影响性决策的“热的时刻”时,引人注目的
线索是突出的。目标2将我们的实验室研究扩展到自然环境中,以测试双过程
理论推导的机制连接中毒,唤醒,和CAI。在这里,我们测试性延迟折扣和
工作记忆调解,在人,协会的中毒和觉醒与CAI,如果改变,
这些影响是干预后3周期间干预效果的基础。拟定研究
将促进对影响性决策的人内过程的理解,
在“瞬间”,当驱动器立即满足高峰,测试的有效性,一个简短的干预,并确定
干预对接近CAI的人内过程以及人与人之间过程的影响
行为改变的机制。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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STEPHEN A MAISTO的其他文献
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{{ truncateString('STEPHEN A MAISTO', 18)}}的其他基金
Clinical Course of Alcohol Use Disorder Recovery
酒精使用障碍康复的临床过程
- 批准号:
10585118 - 财政年份:2022
- 资助金额:
$ 73.09万 - 项目类别:
Alcohol and "Heat of the Moment" Sexual Decision Making among MSM: Identifying Mechanisms of Sexual Risk and Promoting Behavior Change Through Brief Intervention
酒精与 MSM 中“一时冲动”的性决策:识别性风险机制并通过简短干预促进行为改变
- 批准号:
10684336 - 财政年份:2022
- 资助金额:
$ 73.09万 - 项目类别:
Clinical Course of Alcohol Use Disorder Recovery
酒精使用障碍康复的临床过程
- 批准号:
10707414 - 财政年份:2022
- 资助金额:
$ 73.09万 - 项目类别:
Translational Mechanisms of Behavior Change (MOBC) Science
行为改变的转化机制 (MOBC) 科学
- 批准号:
10488574 - 财政年份:2021
- 资助金额:
$ 73.09万 - 项目类别:
Brief Acceptance and Commitment Therapy for HIV-Infected At-Risk Drinkers
针对感染艾滋病毒的高危饮酒者的简短接受和承诺疗法
- 批准号:
9883696 - 财政年份:2018
- 资助金额:
$ 73.09万 - 项目类别:
Brief Acceptance and Commitment Therapy for HIV-Infected At-Risk Drinkers Administrative Supplement
针对艾滋病毒感染高危饮酒者的简短接受和承诺治疗行政补充
- 批准号:
10289729 - 财政年份:2018
- 资助金额:
$ 73.09万 - 项目类别:
Working toward efficacious preventive interventions for alcohol-related HIV/AIDS
致力于针对与酒精相关的艾滋病毒/艾滋病采取有效的预防干预措施
- 批准号:
9269935 - 财政年份:2016
- 资助金额:
$ 73.09万 - 项目类别:
Alcohol and Implicit Process in Sexual Risk Behavior in MSM
MSM 性危险行为中的酒精和内隐过程
- 批准号:
9269425 - 财政年份:2015
- 资助金额:
$ 73.09万 - 项目类别:
Alcohol and implicit process in sexual risk behavior in MSM
MSM 性危险行为中的酒精和内隐过程
- 批准号:
9111782 - 财政年份:2015
- 资助金额:
$ 73.09万 - 项目类别:
Web-based CBT for Substance Misusing and PTSD Symptomatic OEF/OIF Veterans
针对药物滥用和 PTSD 症状 OEF/OIF 退伍军人的基于网络的 CBT
- 批准号:
8527631 - 财政年份:2010
- 资助金额:
$ 73.09万 - 项目类别:
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