RxFX - A Mobile Application to Prevent Misuse of Prescription Drugs

描述(申请人提供)：处方药的可获得性，加上对其安全性和成瘾潜力的误解，导致处方(主要是阿片类止痛药)滥用、滥用、依赖和过量使用的激增，并导致大学生死亡。因此，对于滥用处方阿片类药物(PO)的大学生来说，停止使用处方阿片类药物越来越重要，对于那些出于合法医疗原因使用PO的人来说，只按照医疗处方使用PO变得越来越重要。很少有资源可以帮助大学生了解PO的风险，并激励和支持他们减少或消除PO滥用的尝试。为了提供应对技能、健康的替代方案、教育和活动，以改变学生对PO滥用的态度和行为，世界媒体集团(EOW)与加州大学洛杉矶分校(UCLA)综合药物滥用项目(ISAP)合作，提出开发Rx Effect(RxFX)，这是一款互动手机应用程序，满足了为大学生设计PO干预计划的需求。该项目创造了一种新的商业产品，通过大学生选择的技术--手机，以一种引人入胜的方式交流和传播毒品预防和健康促进信息，从而直接造福于公众健康。RxFX将为学生提供信息和活动，以改变他们对PO滥用/滥用风险的态度和行为意图，并提供PO使用的健康替代方案。RxFX的长期目标是开发和评估一个高效、低成本、易于向大学生广泛传播的移动应用程序。这个第一阶段的应用程序建议开发内容、初始结构并评估移动应用程序的可行性，以教育学生有关PO的知识并阻止滥用。完成的RxFX原型将集成以下功能：目标设定、确定激励因素、教育游戏、应对技能指导、鼓励自我表达的引导媒体创建以及与Web2.0社交媒体资源(如Facebook)的集成。其目的是为可定制的移动应用程序奠定基础，为PO用户提供个性化的策略，通过根据个人情况和PO使用动机定制内容来限制或停止使用。由成瘾专家、毒品预防专家、校园健康、学生生活和其他学生事务专业人员组成的专家咨询小组将为内容开发提供信息。在第一阶段，将通过测量1)知识、2)对风险的态度、3)对行为改变的准备情况、4)感知效用以及5)使用PO的学生对产品的满意度来评估移动应用的内容和结构的可行性(N=40)。评估数据将通过焦点小组、评级量表和评级前后问卷收集，以便为将在第二阶段实施的试点有效性试验提供信息。 与公共健康相关：开发一款先进的手机应用程序，以防止大学生滥用处方药，将有助于遏制滥用日益增长的趋势，并降低与处方阿片成瘾相关的发病率和死亡率。这种资源的内容开发和可行性测试将评估几个功能的潜力，并帮助为预防和干预计划奠定基础，该计划以大学生的偏好为基础，并基于最佳证据实践。通过建议的基于移动的方法吸引年轻人参与，有可能1)在日常生活和自然环境中向大学生提供个性化的处方阿片滥用预防/干预，2)以经济高效和有趣的方式为大学生提供一系列健康促进支持工具。

DESCRIPTION (provided by applicant): The availability of prescription medications, coupled with misconceptions about their safety and addictive potential, has contributed to the surge in prescription (primarily opioid painkillers) misuse, abuse, dependence, and overdose, and to the death of college students. Thus, it is increasingly important for college students misusing prescription opioids (PO) to discontinue use and for those using PO for legitimate medical reasons to use only as medically prescribed. Few resources are available to help college students understand the risks of PO and motivate and support their attempts to reduce or eliminate PO misuse. In order to provide coping skills, healthy alternatives, education and activities to alter attitudes and behaviors toward PO misuse use by students, Eyes of the World Media Group (EOW), in collaboration with UCLA Integrated Substance Abuse Programs (ISAP), proposes to develop Rx Effects (RxFX), an interactive mobile phone application that fulfills the need for a PO intervention program designed for college students. The project directly benefits public health by creating a novel commercial product that communicates and disseminates drug prevention and health promotion information in an engaging way through college students' technology of choice, the mobile phone. RxFX will provide information and activities to students to change their attitudes and behavioral intentions regarding the risks of PO misuse/abuse and provide healthy alternatives to PO use. The long-term goal of RxFX is to develop and evaluate an effective, low-cost, mobile application that can be easily disseminated widely to college students. This Phase I application proposes to develop the content, initial structure and evaluate the feasibility of the mobile application's potential to educate students about and deter the misuse of PO. The completed RxFX prototype will integrate the following features: goal setting, identification of motivators, educational games, coaching on coping skills, guided media creation to encourage self expression, and integration with web 2.0 social media resources (e.g. Facebook). The aim is to lay the foundation for a customizable, mobile application that provides PO users with individualized strategies to limit or discontinue use by tailoring content to individual circumstances and motivations for PO use. An expert advisory group consisting of addiction experts, drug prevention experts, campus health, student life, and other student affairs professionals will inform content development. In Phase 1, the content and structure for the mobile application will be assessed for feasibility by measuring 1) knowledge, 2) attitudes about risk, 3) readiness for behavioral change, 4) perceived utility, and 5) satisfaction with the product by students using PO (N=40). Evaluative data will be collected via focus groups, rating scales, and pre/post rating questionnaires to inform a pilot effectiveness trial to be implemented during Phase II. PUBLIC HEALTH RELEVANCE: The development of an advanced mobile phone application to prevent misuse of prescription drugs by college students will help curb the increasing trend of misuse and reduce the morbidity and mortality associated with prescription opioid addiction. The content development and feasibility testing of such a resource will assess the potential of several features and aid in laying the foundation for a prevention and intervention program informed by college students' preferences and based on best-evidenced practices. Engaging youth through the proposed mobile-based approach has the potential to 1) deliver personalized prescription opiate misuse prevention/intervention to college students during their everyday lives and in natural settings, and 2) offer college students an array of health promotion support tools in a cost-effective and entertaining manner.