Social Network Based Bystander Intervention for Hazardous Drinking

基于社交网络的有害饮酒旁观者干预

• 批准号: 9917675
• 负责人: NANCY P BARNETT
• 金额: $ 47.99万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-20 至 2022-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9917675
• 关键词: Address; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcoholic beverage heavy drinker; Alcohols; Attention; Awareness; Behavior; Behavior Therapy; Behavioral; Behavioral Model; Client; Cognitive; Communities; Data; Diffusion; Ecology; Educational Intervention; Elements; Enrollment; Environment; Evaluation; Feedback; Focus Groups; Foundations; Friendships; Future; Generations; Goals; Harm Reduction; Heavy Drinking; Individual; Influentials; Intervention; Literature; Manuals; Measures; Mediating; Methods; Morbidity - disease rate; Natural History; Network-based; Outcome; Participant; Pathway Analysis; Perception; Performance; Phase; Positioning Attribute; Preventive Intervention; Procedures; Process; Professional counselor; Qualitative Methods; Randomized; Randomized Controlled Trials; Readiness; Research; Risk Behaviors; Self Efficacy; Social Network; Students; Surveys; Therapeutic Studies; Training; Treatment Efficacy; Work; alcohol behavior; alcohol intervention; alcohol use disorder; analytical method; brief intervention; brief motivational intervention; college; college drinking; community college; cost; deter alcohol use; drinking; drinking behavior; emerging adult; follow-up; hazardous drinking; heavy drinking college student; heavy drinking students; high risk behavior; high school; innovation; interest; member; mortality; neighborhood safety; peer; peer influence; peer networks; pilot trial; post intervention; recruit; research and development; residence; risk perception; skills; social; sound; therapy development; university student; willingness

ABSTRACT The shift from high school to college coincides with a dramatic increase in substance use and new peer social influences. Despite the robust literature supporting the importance of peer dynamics for alcohol use, alcohol interventions have not incorporated elements that utilize peer influence for reducing hazardous alcohol use. An approach that takes the campus social ecology into consideration and that specifically leverages peer influences within college social networks may be more impactful and sustainable than currently established college alcohol intervention approaches. This treatment development research will follow the stage model of behavioral therapies research to create an innovative intervention in which college students in first-year dormitories are identified and engaged to assist in reducing the alcohol-related risk behaviors of their peers. Initial intervention development will entail conducting focus groups (4-5 groups, N = 32) to produce the intervention components using elements from Bystander Intervention and Brief Motivational Intervention approaches. An open trial phase will use social network analysis methods to collect information about friendship ties within one first-year college dormitory network and will randomly select participants to receive the new intervention (final N = 15 intervention recipients). The general goals for the intervention recipients are to increase concern and awareness about hazardous alcohol behavior in the community, assume responsibility for community safety, and develop the skills and self-efficacy to intervene with peers. Following the open trial, we will refine the intervention and counselor training procedures, then will conduct a small randomized controlled trial using two size-matched first-year dormitories (N = 30 intervention recipients; N = 260 networked peers) comparing the new intervention (Bystander Brief Motivational Intervention) in one dormitory to a natural history control in the other. The goal of the RCT is to demonstrate feasibility, acceptability, adequacy of counselor performance, and preliminary efficacy of the intervention. Intervention outcomes will be measured on the intervention recipients and their networked peers. We expect participants who live in the dormitory assigned to the new intervention will show evidence of greater reduction in number of heavy drinking days and negative consequences at 1 and 3 months relative to the control. We also expect that theoretically supported cognitive and behavioral processes targeted in the new intervention will be associated with reductions in the target behaviors. Our final goal will be to establish whether intervention recipients with high centrality (determined through network ties) are more effective alcohol harm reduction bystanders. This research has the potential to produce an efficacious brief intervention that can reduce hazardous drinking in the larger community via network diffusion. Findings have the potential to advance alcohol use prevention among various intact networked ecologies.

抽象的 从高中到大学的转变恰逢物质使用和新同伴社交的急剧增加 影响。尽管有大量文献支持同伴动态对饮酒的重要性，但酒精 干预措施没有纳入利用同伴影响来减少有害酒精使用的要素。一个 考虑校园社会生态并专门利用同伴的方法 大学社交网络内的影响力可能比目前建立的更具影响力和可持续性 大学酒精干预方法。该治疗开发研究将遵循以下阶段模型： 行为疗法研究旨在创造一种创新干预措施，让一年级大学生 确定并参与宿舍，以帮助减少同龄人与酒精相关的危险行为。 初步干预措施的制定将需要开展焦点小组（4-5 组，N = 32）以产生 使用旁观者干预和简短动机干预的元素进行干预 接近。公开试验阶段将使用社交网络分析方法收集有关 在一个大学一年级宿舍网络内建立友谊关系，并将随机选择参与者接收 新的干预措施（最终 N = 15 名干预接受者）。干预接受者的总体目标是 提高对社区有害酒精行为的关注和认识，承担责任 为了社区安全，并培养与同伴进行干预的技能和自我效能。公开审判后， 我们将完善干预和辅导员培训程序，然后进行小型随机 使用两个大小匹配的一年级宿舍进行对照试验（N = 30 名干预接受者；N = 260 名联网 同事）将一间宿舍中的新干预措施（旁观者简短动机干预）与自然干预进行比较 历史控制在另一个。 RCT 的目标是证明可行性、可接受性和充分性 辅导员的表现以及干预的初步效果。干预结果将根据 干预接受者及其网络同伴。我们希望住在宿舍的参与者 分配给新的干预措施将显示大量饮酒天数大幅减少的证据，并且 相对于对照，第 1 个月和第 3 个月的负面后果。我们还期望得到理论上的支持 新干预措施的目标认知和行为过程将与减少 目标行为。我们的最终目标是确定干预接受者是否具有高度中心性 （通过网络联系确定）是更有效的减少酒精危害的旁观者。这项研究有 有可能产生有效的简短干预措施，以减少更大范围内的危险饮酒 通过网络传播形成社区。研究结果有可能促进不同人群的饮酒预防 完整的网络生态。