Shifts in Behavioral Allocation Patterns as an Alcohol Recovery Mechanism

行为分配模式的转变作为酒精恢复机制

基本信息

  • 批准号:
    9267890
  • 负责人:
  • 金额:
    $ 18.74万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2015
  • 资助国家:
    美国
  • 起止时间:
    2015-07-15 至 2019-04-30
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): This 3-year R01 application submitted in response to PAR-14-051 proposes secondary data analyses of four completed prospective studies of the natural course of recovery from alcohol problems to identify mechanisms of change predicted by behavioral economic (BE) theory and research. Persons with addictive disorders tend to choose less valuable but more immediate options (e.g., drinking) over more valuable, delayed outcomes (e.g., job stability, saving for the future). Successful recovery likely involves shifting allocatin of behavior and resources in ways that lead to experiencing delayed non-drinking rewards (NDRs) of sobriety. BE research suggests this hypothesized mechanism of change, but most studies were cross-sectional and cannot explicate mechanisms. A unique repeated-measures prospective data set (N ~ 450) created by pooling data from four natural recovery studies will support investigation of longitudinal relationships predicted by BE theory and research concerning mechanisms. Predominantly treatment naive, community-dwelling problem drinkers were enrolled shortly after they stopped excessive drinking. Detailed behavioral records collected using expanded Timeline Follow back interviews assessed daily drinking, monetary allocation, and other NDR sources (e.g., positive life events) during the year before and the year after initial sobriety. Comprehensive measurement of monetary allocation patterns assessed shifting preferences for drinking and engaging in qualitatively different activities using a common metric (dollars). After assessment at enrollment covering the pre-resolution year, the same variables were assessed prospectively for a year or more, yielding 2-year records surrounding sobriety onset. Two studies also offered access to sobriety support during early recovery using an Interactive Voice Response (IVR) self-monitoring system. Advanced longitudinal analysis methods will be used to model trajectories of drinking behavior change contextualized within problem drinkers' changing personal economies to: (1) identify the timing, structures, and typologies of monetary re-allocation through the pre- and post- resolution years associated with stable and unstable resolution; and (2) evaluate effects of engaging in IVR self-monitoring on allocation patterns during early recovery. The main hypotheses are: (1) Resolution stability is promoted by shifts in behavioral allocation that increase the probability of NDR experiences. (2) Beneficial effects of IVR self-monitoring on resolution stability are mediated by its effect on pos-resolution behavioral re- allocation that improves NDR experiences. Results will elucidate natural trajectories of BE mechanisms of change and support new intervention approaches, targets, and change mechanisms not tied to treatment- produced change. The research provides a unique, powerful, cost-efficient opportunity to translate and test BE theory and change mechanisms and to investigate BE mechanisms in a phone-based intervention with broad dissemination potential. This is a public health priority because gains in population health likely will come from extending care to untreated problem drinkers who contribute much harm and cost of alcohol-related problems.
描述(由申请人提供):这份针对PAR-14-051提交的3年R 01申请提出了对四项已完成的酒精问题自然恢复过程前瞻性研究的二级数据分析,以确定行为经济学(BE)理论和研究预测的变化机制。患有成瘾性疾病的人倾向于选择价值较低但更直接的选择(例如,饮酒)而不是更有价值的、延迟的结果(例如,工作稳定,为未来储蓄)。成功的恢复可能包括改变行为和资源分配方式,从而导致经历延迟的非饮酒奖励(NDRs)清醒。BE研究表明了这种假设的变化机制,但大多数研究是横断面的,不能解释机制。一个独特的重复测量的前瞻性数据集(N ~ 450)创建的汇集数据从四个自然恢复研究将支持调查的纵向关系预测的BE理论和研究有关的机制。主要是治疗幼稚,社区居住的问题饮酒者在他们停止过量饮酒后不久被招募。使用扩展的时间轴收集的详细行为记录跟踪访谈评估每日饮酒、货币分配和其他NDR来源(例如,积极的生活事件)在最初清醒的前一年和后一年。货币分配模式的综合测量评估了饮酒和从事性质不同的活动的变化偏好,使用一个共同的 公制(美元)。在入组时进行评估后,对相同的变量进行了一年或更长时间的前瞻性评估,产生了2年的清醒开始记录。两项研究还提供了使用交互式语音应答(IVR)自我监测系统在早期恢复期间获得清醒支持的机会。将使用先进的纵向分析方法来模拟问题饮酒者不断变化的个人经济背景下的饮酒行为变化轨迹,以:(1)通过与稳定和不稳定解决相关的解决前和解决后年份确定货币再分配的时间、结构和类型;(2)评估在早期恢复期间参与IVR自我监测对分配模式的影响。主要假设是:(1)分辨率稳定性是由行为分配的变化,增加了NDR经验的概率。(2)IVR自我监控对解决稳定性的有益影响是通过其对改善NDR体验的解决后行为重新分配的影响来介导的。研究结果将阐明BE变化机制的自然轨迹,并支持新的干预方法、目标和与治疗产生的变化无关的变化机制。这项研究提供了一个独特的,强大的,具有成本效益的机会,翻译和测试BE理论和变化机制,并调查BE机制在一个基于电话的干预具有广泛的传播潜力。这是一个公共卫生优先事项,因为人口健康的改善可能来自于向未经治疗的问题饮酒者提供护理,这些饮酒者造成了与酒精相关的问题的严重伤害和成本。

项目成果

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JALIE A TUCKER其他文献

JALIE A TUCKER的其他文献

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{{ truncateString('JALIE A TUCKER', 18)}}的其他基金

Digital Motivational Behavioral Economic Intervention to Reduce Risky Drinking Among Community-Dwelling Emerging Adults
数字激励行为经济干预减少社区新兴成年人的危险饮酒
  • 批准号:
    10115916
  • 财政年份:
    2021
  • 资助金额:
    $ 18.74万
  • 项目类别:
Digital Motivational Behavioral Economic Intervention to Reduce Risky Drinking Among Community-Dwelling Emerging Adults
数字激励行为经济干预减少社区新兴成年人的危险饮酒
  • 批准号:
    10687869
  • 财政年份:
    2021
  • 资助金额:
    $ 18.74万
  • 项目类别:
Digital Motivational Behavioral Economic Intervention to Reduce Risky Drinking Among Community-Dwelling Emerging Adults
数字激励行为经济干预减少社区新兴成年人的危险饮酒
  • 批准号:
    10493088
  • 财政年份:
    2021
  • 资助金额:
    $ 18.74万
  • 项目类别:
Time Horizons and the Behavioral Economics of Recovery from Drinking Problems
饮酒问题恢复的时间范围和行为经济学
  • 批准号:
    7729952
  • 财政年份:
    2009
  • 资助金额:
    $ 18.74万
  • 项目类别:
Recovery & Help-Seeking Processes in Problem Drinkers
恢复
  • 批准号:
    7853741
  • 财政年份:
    2009
  • 资助金额:
    $ 18.74万
  • 项目类别:
Time Horizons and the Behavioral Economics of Recovery from Drinking Problems
饮酒问题恢复的时间范围和行为经济学
  • 批准号:
    8314144
  • 财政年份:
    2009
  • 资助金额:
    $ 18.74万
  • 项目类别:
Time Horizons and the Behavioral Economics of Recovery from Drinking Problems
饮酒问题恢复的时间范围和行为经济学
  • 批准号:
    8127668
  • 财政年份:
    2009
  • 资助金额:
    $ 18.74万
  • 项目类别:
Time Horizons and the Behavioral Economics of Recovery from Drinking Problems
饮酒问题恢复的时间范围和行为经济学
  • 批准号:
    7933528
  • 财政年份:
    2009
  • 资助金额:
    $ 18.74万
  • 项目类别:
Telehealth Assessment of Risk Behaviors in Rural HIV+ Substance Users
农村艾滋病毒药物使用者风险行为的远程医疗评估
  • 批准号:
    7228356
  • 财政年份:
    2006
  • 资助金额:
    $ 18.74万
  • 项目类别:
Telehealth Assessment of Risk Behaviors in Rural HIV+ Substance Users
农村艾滋病毒药物使用者风险行为的远程医疗评估
  • 批准号:
    7295813
  • 财政年份:
    2006
  • 资助金额:
    $ 18.74万
  • 项目类别:

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