Motivational Interventions for Exercise in Hazardous Drinking College Students

危险饮酒大学生运动动机干预

• 批准号: 8134070
• 负责人: Jeremiah Weinstock
• 金额: $ 18.79万
• 依托单位: SAINT LOUIS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8134070
• 关键词: Adherence; Affect; Aftercare; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcoholic beverage heavy drinker; Alcoholism; American; Behavior; Behavior Therapy; Body Composition; Cardiovascular system; Client; Contracts; Data; Driving While Intoxicated; Exercise; Frequencies; Future; Health; Health Benefit; Heavy Drinking; Individual; Injury; Institutes; Intervention; Investigation; Libido; Literature; Measures; Mediating; Mediation; Mental Health; Methods; Monitor; Motivation; National Institute on Alcohol Abuse and Alcoholism; Outcome; Outcome Measure; Participant; Pathway interactions; Patient Self-Report; Perception; Performance; Physical Fitness; Physical activity; Pilot Projects; Prevalence; Preventive; Prize; Psyche structure; Psychological reinforcement; Psychosocial Stress; Randomized; Reading; Records; Research; Research Priority; Risk Behaviors; Self Efficacy; Staging; Students; Testing; Treatment outcome; Unsafe Sex; Well in self; Woman; adverse outcome; age group; alcohol use disorder; binge drinking; brief intervention; college; contingency management; coping; coping mechanism; design; drinking; follow-up; hazardous drinking; help-seeking behavior; indexing; meetings; men; motivational enhancement therapy; motivational intervention; muscle strength; novel; physical conditioning; primary outcome; programs; public health relevance; reduced alcohol use; response; secondary outcome; sedentary; therapy development; treatment effect; university student

DESCRIPTION (provided by applicant): College students have high rates of alcohol problems, and the National Institute on Alcohol Abuse and Alcoholism has targeted this age group for a number of intervention initiatives designed to reduce alcohol use (NIAAA, 2002). Substance use, including heavy drinking, often occurs at the expense of other, substance-free, activities. This Stage 1 therapy development project will examine the promotion of one specific substance-free activity - exercise - as an intervention for hazardous drinking. Exercise has numerous physical and mental health benefits, and data suggest that students who engage in exercise regularly are less likely to drink heavily. Seventy hazardous drinking (AUDIT scores > 8) college students who are sedentary will be randomized to one of two conditions: (1) two 50-minute sessions of motivational enhancement therapy (MET) focused on increasing exercise spaced one month apart plus 8 weeks of exercise contracting, or (2) two 50-minute sessions of MET focused on increasing exercise plus 8 weeks of 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 that offers individuals tangible reinforcement such as prizes for completion of specific target behaviors. All participants will meet briefly with a therapist once per week to review the prior week's exercise contract and complete an exercise contract for the upcoming week. Those in the CM intervention will also receive any reinforcement earned for verified exercise (e.g., pedometer readings, attendance records from campus gym) in the prior week. Assessments of all participants will take place at baseline, 2-months (post-treatment), and 6-months (follow-up) with primary outcome measures being objective and subjective indices of physical activity and exercise, and self-reported alcohol use. Secondary outcomes include health-related physical fitness (e.g., tests of body composition, cardiovascular endurance, and muscle strength). We hypothesize that the MET+CM intervention will show increased levels of physical activity, exercise, physical fitness, and reductions in alcohol use in comparison to the MET intervention. Results from this Stage 1 therapy development study will guide future investigations of exercise-related motivational interventions as a method for reducing hazardous drinking in college students. PUBLIC HEALTH RELEVANCE: The National Institute of Alcohol Abuse and Alcoholism has identified hazardous drinking in college students as a significant concern and a research priority due to its significant prevalence on many college campuses and its association with many adverse consequences. Research suggests that engaging college students in activities unrelated to drinking decreases alcohol use. This pilot study will seek to decrease alcohol use by engaging sedentary hazardous drinking college students in an exercise program. Exercise has numerous mental and physical health benefits. Exercise is hypothesized to reduce hazardous drinking due to its function as a coping mechanism.

描述（由申请人提供）：大学生酒精问题的发生率很高，国家酒精滥用和酒精中毒研究所针对这一年龄组采取了一些旨在减少酒精使用的干预措施（NIAAA，2002年）。物质使用，包括大量饮酒，往往以牺牲其他不含物质的活动为代价。第一阶段治疗开发项目将研究促进一种特定的无物质活动-运动-作为危险饮酒的干预措施。运动对身心健康有许多好处，数据表明，经常锻炼的学生不太可能大量饮酒。70危险饮酒（AUDIT评分> 8）久坐不动的大学生将被随机分配到以下两种情况之一：（1）两次50分钟的动机增强疗法（MET），重点是增加运动，间隔一个月，加上8周的运动收缩，或（2）两次50分钟的MET，重点是增加运动量，加上8周的应急管理（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，为个人提供有形的强化，例如完成特定目标行为的奖励。所有参与者将每周与治疗师进行一次简短的会面，以回顾前一周的锻炼合同，并完成下周的锻炼合同。那些在CM干预中的人也将获得任何经过验证的锻炼所获得的强化（例如，计步器读数，校园健身房的出勤记录）。将在基线、2个月（治疗后）和6个月（随访）时对所有参与者进行评估，主要结局指标为身体活动和锻炼的客观和主观指数以及自我报告的饮酒情况。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干预与MET干预相比，将显示身体活动、锻炼、身体健康水平的提高和酒精使用的减少。第一阶段治疗开发研究的结果将指导未来对运动相关动机干预的研究，作为减少大学生危险饮酒的方法。 公共卫生相关性：美国国家酒精滥用和酒精中毒研究所已确定危险饮酒在大学生作为一个重要的关注和研究重点，由于其显着的流行在许多大学校园和它的关联与许多不良后果。研究表明，让大学生参与与饮酒无关的活动可以减少饮酒。这项试点研究将寻求通过让久坐不动的危险饮酒大学生参与锻炼计划来减少酒精使用。锻炼对身心健康有许多好处。运动被假设为减少危险饮酒，因为它的功能是一种应对机制。

项目成果

Exercise as an adjunct treatment for opiate agonist treatment: review of the current research and implementation strategies.

• DOI: 10.1080/08897077.2012.663327
• 发表时间: 2012
• 期刊: Substance abuse
• 影响因子: 3.5
• 作者: Weinstock J;Wadeson HK;VanHeest JL
• 通讯作者: VanHeest JL

A review of exercise as intervention for sedentary hazardous drinking college students: rationale and issues.

运动作为久坐危险饮酒大学生干预措施的回顾：基本原理和问题。

• DOI: 10.1080/07448481003686034
• 发表时间: 2010
• 期刊: Journal of American college health : J of ACH
• 作者: Weinstock,Jeremiah

Sedentary college student drinkers can start exercising and reduce drinking after intervention.

• DOI: 10.1037/adb0000207
• 发表时间: 2016-12
• 期刊: Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
• 作者: Weinstock J;Petry NM;Pescatello LS;Henderson CE
• 通讯作者: Henderson CE