Exercise as Alcohol Use Disorders Intervention for Non-Treatment Seeking Adults

运动作为不寻求治疗的成年人的酒精使用障碍干预措施

• 批准号: 8146978
• 负责人: Jeremiah Weinstock
• 金额: $ 3.6万
• 依托单位: SAINT LOUIS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-25 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8146978
• 关键词: Address; Adherence; Adult; Advertisements; Aftercare; Alcohol consumption; American; Anxiety; Applications Grants; Appointment; Award; Behavior; Behavior Therapy; Body Composition; Cardiovascular system; Client; Communities; Connecticut; Counseling; Data Collection; Dependence; Disease; Equipment; Exercise; Faculty; Frequencies; Funding; Future; Grant; Health; Health Benefit; Health Professional; Heavy Drinking; Incentives; Individual; Individual Differences; Intervention; Investigation; Letters; Measures; Mediating; Mental Health; Methods; Moods; Motivation; Outcome; Outcome Measure; Participant; Patient Self-Report; Pharmacological Treatment; Physical Fitness; Physical activity; Pilot Projects; Prize; Randomized; Records; Recruitment Activity; Research; Saints; Sample Size; Self Efficacy; Severities; Social support; Staging; Stigmata; Testing; Universities; alcohol use disorder; contingency management; drinking; emotion regulation; fitness; help-seeking behavior; improved; indexing; innovation; meetings; motivational enhancement therapy; motivational intervention; muscle strength; novel; payment; physical conditioning; primary outcome; public health relevance; reinforcer; secondary outcome; sedentary; social stigma

DESCRIPTION (provided by applicant): About 26 million Americans (8.5%) meet criteria for an alcohol use disorder (AUD; i.e., abuse or dependence), and most with an AUD will not ever seek help. A variety of reasons exist for not seeking help, with stigma and desire to handle the problem on one's own being primary among them. Therefore, offering interventions for AUD that do not stigmatize or require an individual to see a mental health professional may increase the utility and acceptability of AUD interventions and ultimately increase the number of individuals effectively treated. This pilot study evaluates exercise as an AUD intervention. Exercise has been proposed as a potential treatment for AUD due to its numerous mental and physical health benefits. SOAR funds will augment existing pilot and start-up funds and enable an additional thirty sedentary non-treatment seeking AUD individuals to be recruited from the community via advertisements. Participants will be given a four month YMCA gym membership and will be randomized to one of two conditions: (1) assessment only (AO), or (2) a combination of two motivational enhancement therapy (MET) sessions focused on increasing exercise spaced two months apart and four months of weekly contingency management (CM) for adhering to specific exercise activities. MET is a client-centered, directive method of enhancing intrinsic motivation to change by exploring and resolving ambivalence, and CM is a behavioral treatment offering individuals tangible reinforcers such as prizes for completion of specific target behaviors. Assessments of all participants will take place at baseline, 2-months (mid-treatment), and 4-months (post- treatment) with primary outcome measures being indices of alcohol use and engagement in exercise. Secondary outcomes include health-related physical fitness (e.g., tests of body composition, cardiovascular endurance, and muscle strength). We hypothesize that MET+CM will show increased levels of exercise and physical fitness and reductions in alcohol use in comparison to AO. Results from this pilot study will guide future investigations of exercise as a method for intervening with non-treatment seeking AUD individuals. PUBLIC HEALTH RELEVANCE: Alcohol use disorders are common and few individuals with the disorder ever seek help. This study proposes to intervene in a novel way - exercise, as it has many mental and physical health benefits and is an activity that is incompatible with simultaneous alcohol use. If effective, this non-stigmatizing intervention may increase the utility and acceptability of interventions for alcohol use disorders and ultimately increase the number of individuals effectively treated.

描述（由申请人提供）：大约2600万美国人（8.5%）符合酒精使用障碍（AUD;即，滥用或依赖），而大多数有AUD的人永远不会寻求帮助。不寻求帮助的原因多种多样，其中最主要的是耻辱感和希望自己处理问题。因此，为AUD提供不污名化或要求个人去看心理健康专业人员的干预措施可能会增加AUD干预措施的实用性和可接受性，并最终增加有效治疗的人数。这项初步研究评估了运动作为AUD干预措施。运动已被提议作为AUD的潜在治疗方法，因为它具有许多精神和身体健康益处。SOAR资金将增加现有的试点和启动资金，并通过广告从社区招募另外30名久坐不动的非治疗寻求澳元的个人。参与者将获得为期四个月的YMCA健身房会员资格，并将被随机分配到以下两种情况之一：（1）仅评估（AO），或（2）两次动机增强治疗（MET）课程的组合，重点是间隔两个月增加运动，以及为期四个月的每周应急管理（CM），以坚持特定的运动活动。MET是一种以客户为中心的指导性方法，通过探索和解决矛盾心理来增强改变的内在动机，CM是一种行为治疗，为个人提供有形的奖励，例如完成特定目标行为的奖励。所有参与者的评估将在基线、2个月（治疗中期）和4个月（治疗后）进行，主要结局指标为酒精使用和运动参与指数。次要结果包括与健康相关的身体健康（例如，身体成分、心血管耐力和肌肉力量测试）。我们假设MET+CM与AO相比将显示运动和体能水平的提高以及酒精使用的减少。这项试点研究的结果将指导未来的调查，运动作为一种方法，干预非寻求治疗的AUD个人。 公共卫生相关性：酒精使用障碍是常见的，很少有人与障碍寻求帮助。这项研究建议以一种新的方式进行干预-运动，因为它具有许多身心健康益处，并且是一种与同时饮酒不相容的活动。如果有效，这种非污名化的干预措施可能会增加酒精使用障碍干预措施的实用性和可接受性，并最终增加有效治疗的人数。

项目成果

Randomized clinical trial of exercise for nontreatment seeking adults with alcohol use disorder.

针对未接受治疗的患有酒精使用障碍的成年人进行的运动随机临床试验。

• DOI: 10.1037/adb0000506
• 发表时间: 2020
• 期刊: Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
• 作者: Weinstock,Jeremiah;Petry,NancyM;Pescatello,LindaS;Henderson,CraigE;Nelson,CaseyR
• 通讯作者: Nelson,CaseyR

Exercise as an Adjunctive Treatment for Substance Use Disorders: Rationale and Intervention Description.

运动作为药物使用障碍的辅助治疗：基本原理和干预措施描述。

• DOI: 10.1016/j.jsat.2016.09.002
• 发表时间: 2017
• 期刊: Journal of substance abuse treatment
• 影响因子: 3.9
• 作者: Weinstock,Jeremiah;Farney,MargaretR;Elrod,NoelM;Henderson,CraigE;Weiss,EdwardP
• 通讯作者: Weiss,EdwardP