Optimizing mobile behavioral economic interventions for rural risky drinkers

优化农村高风险饮酒者的移动行为经济干预措施

• 批准号: 10201456
• 负责人: Lara Nicole Coughlin
• 金额: $ 19.66万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10201456
• 关键词: Address; Alcohol consumption; Alcohols; Attenuated; Automobile Driving; Behavior Therapy; Behavioral; Car Phone; Cause of Death; Cellular Phone; Characteristics; Clinical; Clinical Psychology; Collaborations; Collection; Data; Development; Development Plans; Ecological momentary assessment; Economic Burden; Economic Models; Educational workshop; Effectiveness; Ensure; Evaluation; Feedback; Fostering; Funding; Future; Goals; Health; Health Services Accessibility; Individual; Intervention; Interview; Mentorship; Methods; Mission; Morbidity - disease rate; National Institute on Alcohol Abuse and Alcoholism; Outcome; Ownership; Participant; Pathology; Phase; Population; Preparation; Primary Health Care; Procedures; Psychologist; Public Health; Randomized; Research; Research Activity; Research Personnel; Research Support; Rewards; Rural; Rural Developments; Rural Population; Services; Specific qualifier value; Strategic Planning; Substance of Abuse; Technology; Testing; Text Messaging; Thinking; Time; Training; Training Activity; Underserved Population; Volition; addiction; alcohol availability; alcohol demand; alcohol intervention; alcohol misuse; alcohol related consequences; base; behavior change; behavioral economics; career development; discounting; drinking; early alcohol use; effective intervention; experience; field study; health disparity; high risk drinking; improved; innovation; insight; intervention refinement; knowledge base; mHealth; method development; mortality; multi-component intervention; multiphase optimization strategy; novel; patient oriented; preference; prevent; recruit; reduced alcohol use; reinforcer; remote delivery; repaired; rural America; rural Americans; rural area; rural residence; satisfaction; service intervention; skills; symposium; theories; therapy development; usability

PROJECT SUMMARY/ABSTRACT Candidate: Dr. Coughlin’s goal is to establish herself as an independent clinical researcher with a systematic line of research focused on reducing health disparities by developing well-specified, highly effective behavioral economic mobile health interventions for risky alcohol users. The applicant has a multifaceted and productive background in behavioral economics and clinical psychology, with F31 and T32 funding from NIAAA since 2014. The overall goal of this K23 is to support Dr. Coughlin in pursuing training and research experiences to integrate mobile intervention development methods with behavioral economics to address risky alcohol use in underserved populations. Career Development Plan: Dr. Coughlin’s career development plan builds on her clinical psychology training and addiction research experience, filling gaps in her professional development to establish the knowledge base, skills, and professional collaborations to become a leader in the field of mobile alcohol use interventions for rural populations. Her comprehensive training plan involves participation in scientific conferences, methods workshops, coursework, and mentorship from leaders in the field, Drs. Frederic Blow and Inbal Nahum-Shani, along with a team of contributors. These activities will develop her expertise in: 1) early alcohol use interventions for rural risky drinkers, 2) mobile collection and analysis of intensive longitudinal daily-level data to inform interventions, and 3) preparation, optimization, and evaluation of mobile multicomponent interventions. These training experiences interface with the proposed research aims with the overall goal of improving the effectiveness, efficiency, and equity of behavioral interventions for alcohol misuse, consistent with the NIAAA’s mission and strategic plans. Research Plan: Dr. Coughlin will use skills gained through training activities in her complementary research plan, guided by the Multiphase Optimization Strategy (MOST) framework, to develop a mobile multicomponent behavioral intervention to reduce alcohol use in rural risky drinkers. She will refine two promising intervention components based on behavioral economic theories of addiction for remote, text message-based delivery prior to 3-waves of field testing of the intervention components and focus testing interviews to incorporate iterative end-user feedback from rural risky drinkers (N=15) recruited from primary care (Aim 1). In the same population and using a randomized factorial trial, Aim 2 will ensure intervention preparation through assessment of acceptability and technical feasibility of the intervention components alone and in combination (N=75), along with preliminary evaluation of candidate behavioral economic mechanisms of change. Consistent with the MOST framework, Aim 2 outcomes will inform a subsequent R01 submission to optimize the mobile behavioral economically informed (mBE) intervention in rural risky drinkers. Over the long-term, data from this study will strategically inform behavior change interventions that directly target behavioral economic constructs and alcohol use outcomes in a population with significant health disparities in access to care.

项目总结/摘要 候选人：考夫林博士的目标是建立自己作为一个独立的临床研究人员与系统的 一系列的研究集中在通过开发明确的，高效的行为， 对危险的酒精使用者进行经济的移动的健康干预。申请人具有多方面和富有成效的 在行为经济学和临床心理学背景，与F31和T32资金从NIAAA以来， 2014.该K23的总体目标是支持Coughlin博士追求培训和研究经验， 将移动的干预开发方法与行为经济学相结合，以解决危险饮酒问题 服务不足的人群。职业发展计划：考夫林博士的职业发展计划建立在她的 临床心理学培训和成瘾研究经验，填补了她的专业发展的空白， 建立知识基础、技能和专业合作，成为移动的领域的领导者 对农村人口的酒精使用干预。她的综合培训计划包括参加 科学会议，方法研讨会，课程，并在该领域的领导人指导，博士。 Frederic Blow和Inbal Nahum-Shani，沿着和一组贡献者。这些活动将发展她 专门知识：1）对农村危险饮酒者的早期酒精使用干预，2）移动的收集和分析 密集的每日纵向数据，为干预措施提供信息; 3）准备、优化和评估 移动的多组分干预。这些培训经验与拟议的研究目标相结合 总体目标是提高酒精行为干预的有效性、效率和公平性 滥用，符合NIAAA的使命和战略计划。研究计划：考夫林博士将使用技能 通过她的补充研究计划中的培训活动获得，由多阶段优化指导 战略（MOST）框架，以制定一个移动的多成分行为干预措施，以减少酒精 在农村危险饮酒者中使用。她将完善两个有前途的干预组成部分的基础上，行为 成瘾的经济理论，远程，基于短信的交付之前，3波的现场测试， 干预组成部分和重点测试访谈，以纳入来自农村风险较高地区的反复最终用户反馈 饮酒者（N=15）从初级保健招募（目标1）。在同一人群中，使用随机因子 目标2将通过评估以下方面的可接受性和技术可行性来确保干预准备工作： 干预成分单独和联合（N=75），沿着候选人的初步评价 行为经济学的变化机制。根据社会变革管理计划框架，目标2的成果将 通知后续的R 01提交，以优化移动的行为经济信息（MBE） 对农村危险饮酒者的干预。从长远来看，这项研究的数据将战略性地为行为提供信息。 改变直接针对行为经济学结构和酒精使用结果的干预措施， 在获得保健服务方面存在重大健康差距的人口。