Tailored Mobile Text Messaging to Reduce Problem Drinking

定制移动短信以减少饮酒问题

• 批准号: 8530120
• 负责人: Fred John Muench
• 金额: $ 25.08万
• 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 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8530120
• 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; public health relevance; 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.

描述（由申请人提供）：本申请是为了响应 NIAAA 的计划公告“行为与综合治疗开发计划”PA-10-013 而提交，并且与 NIH 最近对开发适应性移动干预措施的兴趣一致。拟议的开发研究题为“定制移动短信以减少饮酒问题”，旨在为有兴趣停止或减少饮酒的个人开发和测试定制的自适应短信/短信服务 (SMS) 干预措施。过量饮酒是一个严重的个人和公共卫生问题以及社会经济问题。尽管酗酒问题 (PD) 会造成严重后果，但大多数有酗酒问题的人从未寻求正规治疗。虽然基于互联网的干预措施 (IBI) 的出现扩大了对问题饮酒者的接触和简短干预机会，但传统的 IBI 存在人员流失率高、主动满足问题的能力有限等问题。 个人发生PD并适应实时需求。戒烟研究的最新证据强调，短信干预措施可以提供所需的强化，帮助个人增强自我调节，并在自然环境中最需要的时候减少问题性饮酒。此外，由于 PD 通常具有规则的情节模式，因此定制的交互设计可能特别有效。本研究旨在开发和测试针对 PD 的交互式自适应移动消息传递干预措施，其中包括根据基线评估结果（包括饮酒时间）量身定制的消息，这些消息可适应持续的饮酒模式和通过交互式生态瞬时评估 (EMA) 实现的目标。 其他功能包括参与者发起的帮助消息传递和支持网络警报。我们将对 40 名有问题的饮酒者进行 beta 研究，以评估消息传递偏好和可接受性，然后对 10 名 PD 进行试点测试。在第 1b 阶段，我们的目标是在 12 周内对 200 名有问题的饮酒者测试这种干预措施，并了解不同短信干预措施的作用机制。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（第 1a 阶段干预）〜2）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）每天下午 3 点发送的基于结果的未定制消息〜4）仅简短反馈和 EMA。评估将在基线时完成，每周通过 SMS 进行 EMA，并在第 12 周通过基于网络的后续评估完成。 主要结果包括每个饮酒日的饮酒量、大量饮酒的天数以及每次饮酒的平均饮酒量 通过每周 EMA 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。结果将用于修改干预措施并为更大规模的 1c 期随机对照试验做好准备。