Social Media Interventions to Reduce Alcohol Use among Youth

社交媒体干预措施减少青少年饮酒

• 批准号: 8949770
• 负责人: Maureen A Walton
• 金额: $ 67.87万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-20 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8949770
• 关键词: 21 year old; Accounting; Address; Adolescent; Affect; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Area; Attention; Automobile Driving; Behavior; Cellular Phone; Characteristics; Computer software; Computers; Data; Development; Diffusion; Drug usage; Enrollment; Exposure to; Future; Gender; Health; Incentives; Injury; Internet; Intervention; Knowledge; Measures; Media Intervention; Minority Access; Outcome; Overdose; Participant; Pharmaceutical Preparations; Placebos; Policies; Prevalence; Public Health; Published Comment; Randomized Controlled Trials; Recruitment Activity; Research; Risk; Risk Behaviors; Site; Social Conditions; Social Network; Technology; Testing; Text; Treatment Efficacy; Update; Work; Youth; adolescent alcohol; age group; alcohol intervention; alcohol involvement; alcohol misuse; alcohol related consequences; alcohol risk; alcohol use disorder; base; behavior change; binge drinking; college; cost; design; drinking; eHealth; efficacy testing; emerging adult; health disparity; high risk drinking; innovation; news; novel strategies; peer; peer influence; prevent; public health intervention; public health relevance; reduced alcohol use; response; screening; social; trial comparing; underage drinking; web site; web-based social networking

 DESCRIPTION (provided by applicant): Despite numerous intervention efforts, risky drinking among adolescents and emerging adults remains prevalent, which is concerning given its association with other risk behaviors (e.g., drug use, drinking/driving) and health consequences (e.g., injury, overdose). The integration of alcohol interventions into popular social media platforms is a potentially exciting yet underutilized public health approach. Social media provides frequent interaction with online social networks, increasing exposure to peer influences. The most popular is Facebook, with 90% of adolescents and emerging adults having Facebook accounts that they access at least daily. Unlike traditional static website interventions, a key feature of social media is that content is dynamic, being constantly updated by users. In order to change alcohol use norms and behaviors, critical knowledge gaps in this area are how to capitalize on peer interaction in order to increase user-generated content, and identify intervention content that has the greatest diffusion. Thus, the proposed study will recruit adolescents and emerging adults (ages 16-24) using Facebook ads, and conduct online e-screening, enrolling 850 risky drinkers, who screen positive on the AUDIT-C, in a randomized controlled trial comparing three conditions: 8- week Social Media Intervention + Diffusion Incentives [i.e., gamification in which points earned for diffusion of participant's posts (responses by peer participants) result in monetary incentives]; 8-week Social Media Intervention Only, or 8-week attention placebo e-news control condition. Intervention conditions will involve access to secret Facebook group pages, separate by age group (16-20; 21-24), facilitated by peer e-health coaches, who will post dynamic content primarily focusing on alcohol use, but also addressing other drug use (illicit, non-medical prescription). Outcomes will be measured at 3, 6, and 12 months. The specific aims of the study are to: 1) develop and test the efficacy of intervention conditions compared to the control condition, in reducing risky drinking and alcohol related consequences; 2) compare active intervention conditions on participant engagement and alcohol-related outcomes; and, 3) examine how level of engagement in intervention conditions (i.e., Facebook metrics) and characteristics of intervention engagement (i.e., sentiment analysis) relate to alcohol-related outcomes. In addition, secondary aims are to examine: 1): the efficacy of the interventions, compared to the control condition, on reducing other drug use; 2) gender, age group (16-20; 21- 24), and baseline social network factors as moderators of outcome; and, 3) costs of the interventions to provide data to inform future public health interventions using social media. These innovative design features will provide the critical next step in public health efforts to reduce risky drinking, by capitalizing on social media to harness peer influences and deliver interventions using a familiar platform. Findings from this study could have enormous public health impact by altering the alcohol risk trajectories of adolescents and emerging adults, preventing health consequences as well as the development of alcohol use disorders.

 描述（由申请人提供）：尽管采取了大量的干预措施，青少年和新兴成年人中的危险饮酒仍然普遍存在，鉴于其与其他危险行为（例如吸毒、酒后/驾驶）和健康后果（例如受伤、服药过量）的关联，这一点令人担忧。将酒精干预措施纳入流行的社交媒体平台是一种潜在令人兴奋但尚未得到充分利用的公共卫生方法。社交媒体提供了与在线社交网络的频繁互动，增加了受到同伴影响的机会。最受欢迎的是 Facebook，90% 的青少年和新兴成年人都拥有至少每天访问的 Facebook 帐户。与传统的静态网站干预不同， 社交媒体的一个关键特征是内容是动态的，由用户不断更新。为了改变饮酒规范和行为，该领域的关键知识差距是如何利用同伴互动来增加用户生成的内容，并确定具有最大传播力的干预内容。因此，拟议的研究将使用 Facebook 广告招募青少年和新兴成年人（16-24 岁），并进行在线电子筛查，招募 850 名在 AUDIT-C 中筛查呈阳性的高风险饮酒者，在一项随机对照试验中比较以下三种条件：8 周社交媒体干预 + 扩散激励 [即游戏化，其中通过参与者帖子的扩散（同伴参与者的回复）获得积分，导致 金钱奖励]； 8 周仅社交媒体干预，或 8 周注意力安慰剂电子新闻控制条件。干预条件将涉及访问秘密 Facebook 群组页面，按年龄组（16-20；21-24）分开，并由同伴电子健康教练协助，他们将发布主要关注酒精使用的动态内容，但也涉及其他药物使用（非法、非医疗处方）。结果将在 3、6 和 12 个月时进行衡量。该研究的具体目的是：1）开发和测试干预条件与对照条件相比在减少危险饮酒和酒精相关后果方面的功效； 2）比较参与者参与度和酒精相关结果的主动干预条件； 3) 检查干预条件的参与水平（即 Facebook 指标）和干预参与的特征（即情绪分析）与酒精相关结果的关系。此外，次要目标是检查：1）：与对照条件相比，干预措施在减少其他药物使用方面的功效； 2) 性别、年龄组（16-20；21-24）和基线社交网络因素作为结果的调节因素； 3) 使用社交媒体提供数据以告知未来公共卫生干预措施的干预成本。这些创新的设计特点将提供关键的 公共卫生工作的下一步是减少危险饮酒，即利用社交媒体利用同伴影响并使用熟悉的平台提供干预措施。这项研究的结果可能会改变青少年和新兴成年人的酒精风险轨迹，防止健康后果以及酒精使用障碍的发展，从而对公共健康产生巨大影响。