Brief Online Intervention to Reduce Heavy Alcohol Use Among Young Adult Veterans

减少年轻退伍军人酗酒的简短在线干预

• 批准号: 8909001
• 负责人: Eric R. Pedersen
• 金额: $ 16.81万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-20 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8909001
• 关键词: Address; Afghanistan; Age; Alcohol abuse; Alcohol consumption; Alcohols; Attention; Attitude; Behavior; Belief; Caring; Characteristics; Communities; Data; Development; Drops; Evaluation; Frequencies; Goals; Health; Health Services Accessibility; Healthcare; Healthcare Systems; Heavy Drinking; Individual; Influentials; Internet; Intervention; Iraq; Life; Mediation; Mediator of activation protein; Mental Health; Method Acceptability; Methodology; Military Personnel; Outcome; Participant; Pattern; Peer Review; Perception; Persons; Phase; Pilot Projects; Population; Populations at Risk; Preparation; Randomized; Randomized Controlled Trials; Recruitment Activity; Research; Research Design; Resources; Risk; Rural; Sampling; Specificity; Target Populations; Testing; Treatment Efficacy; Variant; Veterans; War; alcohol abuse therapy; alcohol intervention; alcohol misuse; alcohol related consequences; alcohol related problem; alcohol use disorder; base; brief intervention; care seeking; cost; design; drinking; drinking behavior; follow-up; help-seeking behavior; improved; innovation; interest; intervention effect; journal article; meetings; novel; novel strategies; peer; personalized normative feedback; prevent; randomized trial; reduced alcohol use; rural area; university student; young adult

DESCRIPTION (provided by applicant): Young adult veterans from the wars in Iraq and Afghanistan represent a population at-risk for heavy and problematic alcohol use. Unfortunately, few seek treatment for alcohol concerns and those that do seek care may drop out from lengthy multi component treatments. Additionally, veterans who live in rural areas and those who are not engaged in the Veterans Affairs Healthcare System (VA) are often overlooked, difficult to engage in treatment, and may not be actively seeking treatment for heavy patterns of use that may develop into an alcohol use disorder. The objective of this proposed study is to develop and pilot test a brief single-session alcohol intervention with young adult veterans to help them reduce their drinking and prevent the development of problematic alcohol use. Recruitment and intervention is delivered entirely over the Internet to address barriers to seeking care among this at-risk group. The online intervention consists of a single module of lengthier multi component motivational enhancement interventions -- personalized normative feedback (PNF). PNF has established efficacy as a stand-alone intervention with young adult college students, but has not yet been empirically supported for the at-risk veteran population. PNF provides individuals with accurate information to reduce misperceptions regarding the frequency and acceptability of risky peer behavior. The proposed study will consist of two phases to meet the goal of providing support for an easily accessible, brief and engaging, and age-appropriate online-based PNF intervention that can reach a wide range of young adult veterans in the community. Phase 1 is designed to collect drinking data among a sample of 800 young adult veterans to examine the associations between perceptions of peer behavior and actual behavior to document which specific perceptions are most influential on behavior within this group. Examination of the Phase 1 data will inform the content and help develop the Phase 2 intervention pilot study, which will utilize a sample of 600 young adult veterans (300 PNF intervention condition, 300 control condition) to examine the efficacy of a single-session targeted PNF intervention on reducing perceived norms, intentions to drink, actual drinking behavior, and consequences. Specific subpopulations of this veteran population, including those with mental health concerns and those differentiated by demographic and military characteristics, level of drinking problems, and connection to peers, will be examined to support generalizability of the intervention. This intervention has the potential to improve veteran health care by utilizing a novel approach to increase access to care, assist with drinking reductions, and prevent alcohol-related problems.

描述（由申请人提供）：来自伊拉克和阿富汗战争的年轻成年退伍军人代表了大量和有问题的酒精使用的风险人群。不幸的是，很少有人寻求酒精问题的治疗，而那些寻求治疗的人可能会从漫长的多成分治疗中退出。此外，生活在农村地区的退伍军人和那些不参与退伍军人事务医疗保健系统（VA）的退伍军人经常被忽视，难以进行治疗，并且可能不会积极寻求治疗可能发展为酒精使用障碍的重度使用模式。这项拟议研究的目的是开发和试点测试一个简短的单次酒精干预与年轻的成年退伍军人，以帮助他们减少饮酒，防止发展成问题的酒精使用。招募和干预完全通过互联网进行，以解决在这些人群中寻求护理的障碍。 高危人群在线干预包括一个单一的模块更简单的多组件动机增强干预-个性化规范反馈（PNF）。PNF已经建立了一个独立的干预与年轻的成年大学生的疗效，但尚未得到经验支持的风险退伍军人人口。PNF为个体提供了准确的信息，以减少对危险同伴行为的频率和可接受性的误解。拟议的研究将包括两个阶段，以实现为一个易于访问的，简短的，引人入胜的，适合年龄的基于在线的PNF干预提供支持的目标，可以达到广泛的年轻成年退伍军人在社区。第一阶段的目的是收集800名年轻的成年退伍军人的样本中的饮酒数据，以检查同伴行为的看法和实际行为之间的关联，以记录哪些具体的看法是最有影响力的行为在这个群体。第1阶段数据的检查将为内容提供信息，并有助于开发第2阶段干预试点研究，该研究将利用600名年轻成年退伍军人的样本（300名PNF干预条件，300名对照条件）来检查单次有针对性的PNF干预的有效性减少感知规范，饮酒意图，实际饮酒行为和后果。这个退伍军人群体的特定亚群，包括那些有心理健康问题的人和那些由人口和军事特征，饮酒问题的水平，以及与同龄人的联系所区分的人，将进行检查，以支持干预的普遍性。这种干预措施有可能通过利用一种新的方法来改善退伍军人的医疗保健，增加获得护理的机会，帮助减少饮酒，并预防与酒精有关的问题。

项目成果

Double Vision on Social Media: How Self-Generated Alcohol-Related Content Posts Moderate the Link between Viewing Others' Posts and Drinking.

• DOI: 10.1080/10810730.2021.1878311
• 发表时间: 2021-01-02
• 期刊: Journal of health communication
• 影响因子: 4.4
• 作者: Steers MN;Ward RM;Neighbors C;Tanygin AB;Guo Y;Teas E
• 通讯作者: Teas E

Follow-up evaluation with ultrasonography of peripheral nerve injuries after an earthquake.

• DOI: 10.4103/1673-5374.130095
• 发表时间: 2014-03-15
• 期刊: Neural regeneration research
• 影响因子: 6.1
• 作者: Lu M;Wang Y;Yue L;Chiu J;He F;Wu X;Zang B;Lu B;Yao X;Jiang Z
• 通讯作者: Jiang Z

Behavioral Health Treatment Receipt Among a Community Sample of Young Adult Veterans.

• DOI: 10.1007/s11414-016-9534-7
• 发表时间: 2017-10
• 期刊: The journal of behavioral health services & research
• 作者: Pedersen ER;Marshall GN;Kurz J
• 通讯作者: Kurz J

Combat experience and problem drinking in veterans: Exploring the roles of PTSD, coping motives, and perceived stigma.

• DOI: 10.1016/j.addbeh.2016.11.011
• 发表时间: 2017-03
• 期刊: ADDICTIVE BEHAVIORS
• 影响因子: 4.4
• 作者: Miller, Stephen M.;Pedersen, Eric R.;Marshall, Grant N.
• 通讯作者: Marshall, Grant N.

Help-Seeking Stigma and Mental Health Treatment Seeking Among Young Adult Veterans.

• DOI: 10.1080/21635781.2015.1055866
• 发表时间: 2015
• 期刊: Military behavioral health
• 作者: Kulesza M;Pedersen E;Corrigan P;Marshall G
• 通讯作者: Marshall G