Tailored Mobile Text Messaging to Reduce Problem Drinking

定制移动短信以减少饮酒问题

• 批准号: 8364647
• 负责人: Fred John Muench
• 金额: $ 22.97万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-15 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8364647
• 关键词: Achievement; Alcohol abuse; Alcohol consumption; Area; Behavioral; Behavioral Research; Body Weight decreased; Car Phone; Cellular Phone; Consumption; Development; Disease; Economics; Environment; Ethnic Origin; Feedback; Foundations; Frequencies; Goals; Growth; Health; Heavy Drinking; Home environment; Individual; Informal Social Control; Internet; Intervention; Literature; Measurement; Measures; Memory; Modeling; NIH Program Announcements; Online Systems; Outcome; Participant; Pattern; Personal Digital Assistant; Persons; Pharmaceutical Preparations; Population; Privacy; Psychological reinforcement; Public Health; Publishing; Race; Randomized Controlled Trials; Recovery; Research; Services; Site; Societies; Staging; Surveys; Symptoms; Technology; Testing; Text; Time; Tobacco Use Cessation; United States National Institutes of Health; Work; addiction; arm; base; behavior change; brief intervention; craving; design; drinking; follow-up; high risk; improved; interest; meetings; new growth; normative feedback; preference; primary outcome; problem drinker; programs; psychosocial; response; satisfaction; service intervention; smoking cessation; therapy development; university student

DESCRIPTION (provided by applicant): This application is submitted in response to NIAAA's program announcement, Behavioral & Integrative Treatment Development Program, PA-10-013 and is consistent with NIH's recent interest in developing adaptive mobile interventions. The proposed development study entitled, Tailored Mobile Text Messaging to Reduce Problem Drinking is designed to develop and test a tailored adaptive text messaging/short message service (SMS) intervention for individuals interested in stopping or reducing their alcool consumption. Excessive alcohol consumption is a serious personal and public health issue and economic problem to society. Despite the significant consequences of problem drinking (PD), most persons with alcohol problems never seek formal treatment. While the emergence of internet based interventions (IBIs) has expanded access and brief intervention opportunities to problem drinkers, traditional IBIs suffer from high attrition, limited ability to proactively meet individuals where PD occurs and adapt to real-time needs. Recent evidence from smoking cessation studies highlight that SMS interventions may provide the needed reinforcement to help individuals enhance self-regulation and reduce problem alcohol use when they need it most in their natural environment. Moreover, because PD typically has regular episodic patterns, tailored interactive designs may be particularly effective. This study is designed to develop and test an interactive adaptive mobile messaging intervention for PD, which includes messages tailored to baseline assessment results (including drinking times) that are adaptive to ongoing drinking patterns and goal achievement via interactive ecological momentary assessment (EMA). Other features include participant initiated help messaging and support network alerts. We will conduct beta research with 40 problem drinkers to assess messaging preferences and acceptability, and then conduct a pilot test with 10 PDs. In Stage 1b, we aim to test this intervention and understand the mechanisms of action of different text messaging interventions with 200 problem drinkers over a 12-week period. We propose to compare four types of messaging: 1) Tailored content and timed messaging adaptive to the participants current state (Stage 1a intervention)~ 2) Tailored content messaging (not adaptive or timed) sent at 3 pm every day~ 3) Untailored consequence based messages sent at 3 pm every day~ and 4) Brief feedback and EMA only. Assessments will be completed at baseline, through weekly EMA via SMS and at week 12 via a web-based follow-up assessment. Primary outcomes include drinks per drinking day, days of heavy drinking, and average drinks per week as measured through weekly EMA. Additional outcomes will include drinking related consequences, goal commitment and intervention satisfaction. Outcomes will be used to modify the intervention and to prepare for a larger Stage 1c RCT. PUBLIC HEALTH RELEVANCE: Excessive alcohol consumption has serious personal and public health consequences. Internet based interventions for problem drinking have proven mildly effective but have limited ability to help individuals maintain changes. Tex messaging interventions can support individuals proactively and be tailored to an individual's current state with real-time interactive features. We propose to create an adaptive tex messaging intervention to reduce alcohol consumption and related problems and test whether tailored adaptive messaging is superior to untailored messaging in a randomized controlled trial. This intervention could be easily disseminated and potentially improve long-term psychosocial and health outcomes for problem drinkers.

描述(由申请人提供)：本申请是针对NIAAA的计划公告，PA-10-013的行为和综合治疗发展计划而提交的，与NIH最近对开发适应性移动干预措施的兴趣一致。这项名为《为减少问题饮酒量身定做的移动短信》的开发研究旨在为有意停止或减少饮酒的个人开发和测试量身定制的适应性短信/短消息服务(SMS)干预措施。过度饮酒是严重的个人和公共健康问题，也是社会的经济问题。尽管问题饮酒(PD)带来了严重的后果，但大多数有酒精问题的人从未寻求正式治疗。虽然基于互联网的干预措施(IBIS)的出现为问题饮酒者提供了更多的机会和短暂的干预机会，但传统的IBIS存在高消耗率，主动满足的能力有限 发生帕金森病并适应实时需求的个人。最近来自戒烟研究的证据表明，短信干预可能会提供所需的强化，以帮助个人加强自我调节，并在自然环境中最需要的时候减少问题酒精的使用。此外，由于帕金森病通常有规律的插曲模式，量身定制的互动设计可能特别有效。本研究旨在开发和测试针对帕金森病的交互式自适应移动消息干预，其中包括根据基线评估结果(包括饮酒时间)量身定做的消息，以适应正在进行的饮酒模式和通过交互式生态瞬时评估(EMA)实现目标。其他功能包括参与者发起的帮助消息和支持网络警报。我们将对40名有问题的饮酒者进行Beta版研究，以评估信息偏好和可接受性，然后用10台PD进行试点测试。在阶段1b，我们的目标是测试这一干预措施，并了解在12周内对200名问题饮酒者进行不同短信干预的作用机制。我们建议比较四种类型的消息传递：1)适应参与者当前状态的定制内容和定时消息传递(阶段1a干预)~2)在每天下午3点发送的定制内容消息传递(非自适应或定时)~3)在每天下午3点发送的非定制基于结果的消息~以及4)仅简短反馈和EMA。评估将在基线时完成，通过短信每周EMA完成，并在第12周通过基于网络的后续评估完成。主要结果包括每天饮酒量、大量饮酒天数和平均饮酒量 通过每周均线衡量的周。其他结果将包括与饮酒相关的后果、目标承诺和干预满意度。结果将被用来修改干预措施，并为更大的1c期随机对照试验做准备。 与公共健康相关：过度饮酒会对个人和公共健康造成严重后果。基于互联网的对问题饮酒的干预已被证明是温和有效的，但帮助个人保持变化的能力有限。TeX消息传递干预可以主动支持个人，并根据个人的 具有实时交互功能的当前状态。我们建议创建自适应TeX消息传递干预，以减少酒精消耗和相关问题，并在随机对照试验中测试定制的自适应消息传递是否优于未定制的消息传递。这种干预可以很容易地传播，并有可能长期改善 问题饮酒者的心理社会和健康后果。