Iterative intervention development for high-risk teen alcohol use: A multi-method, multi-level examination of engagement in substance-free activities and high-risk alcohol and substance use

针对高风险青少年酒精使用的迭代干预开发：对参与无物质活动以及高风险酒精和物质使用的多方法、多层次检查

• 批准号: 9190641
• 负责人: Jennifer M Cadigan
• 金额: $ 5.65万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-01 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9190641
• 关键词: Adolescent; Adult; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Career Choice; Cognitive; Development; Employment; Etiology; Event; Feasibility Studies; Feedback; Focus Groups; Foundations; Goals; Group Interviews; Guidelines; High Prevalence; High School Student; Intervention; Investigation; Lead; Measurement; Methodology; Methods; Mission; Modeling; National Institute on Alcohol Abuse and Alcoholism; Nature; Participant; Pathology; Performance; Population; Prevention; Preventive Intervention; Process; Psychological reinforcement; Randomized Clinical Trials; Randomized Controlled Trials; Reporting; Research; Research Project Grants; Rewards; Role; Staging; Statistical Methods; Strategic Planning; Surveys; Teenagers; Time; Training; Training Activity; Youth; abstracting; adolescent alcohol; adolescent substance use; alcohol consequences; base; behavioral economics; brief intervention; brief motivational intervention; career; design; diaries; discounting; group intervention; high risk; high school; marijuana use; meetings; novel; novel strategies; peer; programs; substance use prevention; theories; therapy development; underage drinking; university student

7. Project Summary/Abstract Adolescent alcohol use is associated with limited academic performance, career aspirations, eventual adult role attainment, and less engagement in substance-free activities. The proposed project aims to design a developmentally tailored substance use intervention for adolescents using an iterative treatment development process of a daily diary study, focus groups, and an intervention refinement study. Brief substance use interventions for college students have been enhanced using a behavioral economic supplement (Substance-Free Activity Session; SFAS). The SFAS behavioral economic intervention aims to increase the salience of delayed academic and career goals, increase engagement in substance-free activities, and increase the salience of both short and long-term goals in the context of existing alcohol and other substance use. However, less is known about how high school students spend their time, what substance-free activities they engage in and view as attractive and acceptable, and how their goals impact substance use. Utilizing the guidelines of a stage model for intervention development, the study will consist of an iterative treatment development approach to examine a novel SFAS intervention for high school students. The specific aims are as follow: (1) Use event-level daily diary methods to characterize how high school students spend their time in relation to substance use and goals, specifically examining temporal precedence of substance-free activities and substance use (2) Qualitatively assess substance-free activities among high school students, and (3) Examine the feasibility and acceptability of the SFAS for high school students with an intervention refinement study. Findings from the etiologic investigation of Aim 1 and Aim 2 will inform the design of the modified behavioral-economic intervention that is developmentally tailored to suit an adolescent population. This project is viewed as an initial treatment development study that will inform research on prevention and intervention approaches for adolescent substance use and may lead to a larger randomized clinical trial. The applicant will receive training in: (1) the etiology, prevention, and treatment of adolescent substance use, (2) adolescent substance use within a developmental context, and (3) advanced statistical methods. The proposed research and related training activities will provide a foundation for the applicant's program of research toward the establishment of effective, developmentally informed substance use intervention for adolescents.

7. 项目总结/文摘