Preventing Alcohol Misuse among Young Adult Veterans through Brief Online Intervention

通过简短的在线干预防止年轻退伍军人滥用酒精

• 批准号: 10386855
• 负责人: Eric R. Pedersen
• 金额: $ 37.24万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10386855
• 关键词: Address; Affect; Afghanistan; Age; Alcohol abuse; Alcohols; Attention; Behavior; Car Phone; Caring; Chronic; Clinic Visits; Databases; Development; Early treatment; Facebook; Family; Feedback; Female; Gender; Grant; Healthcare; Healthcare Systems; Heavy Drinking; Human Resources; Internet; Intervention; Iraq; Left; Life; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Methodology; Methods; Military Personnel; Moods; Motivation; Outcome; Participant; Pattern; Pilot Projects; Population; Populations at Risk; Post-Traumatic Stress Disorders; Prevention approach; Program Accessibility; Program Sustainability; Public Health; Quality of Care; Randomized; Randomized Controlled Trials; Reporting; Research; Resistance; Risk; Sampling; Subgroup; Symptoms; Tablets; Testing; Time; Treatment Efficacy; Unemployment; United States Department of Veterans Affairs; Veterans; War; Work; alcohol abuse therapy; alcohol comorbidity; alcohol misuse; alcohol misuse prevention; alcohol related consequences; alcohol seeking behavior; alcohol use disorder; attentional control; base; behavioral health; brief intervention; care seeking; college; comorbidity; comparison group; conventional therapy; coping; depressive symptoms; design; deter alcohol use; drinking; efficacy testing; experience; follow-up; health assessment; help-seeking behavior; high risk; intervention effect; intervention participants; male; military veteran; novel; online intervention; outreach; personalized normative feedback; pilot test; post intervention; post-traumatic symptoms; prevent; programs; public database; recruit; screening; sex; social; social media; social stigma; societal costs; therapy design; therapy development; young adult

Project Summary/Abstract Young adult veterans from the wars in Iraq and Afghanistan represent a population at risk for heavy drinking and resulting long-term problems from use. Unfortunately, few seek treatment for alcohol concerns. The objective of this planned research is to more fully test the efficacy of a very brief, inexpensive, single-session, and web-delivered personalized normative feedback (PNF) intervention developed by our team and evaluated in a successful pilot R34 study to prevent alcohol misuse and associated negative consequences, as well as increase behavioral health treatment seeking behaviors among a difficult to reach and treatment resistant veteran population. We expand on our successful pilot work by (1) building a large publicly available database of young veteran drinking and treatment seeking norms, (2) focusing on reaching veterans who have recently separated from the military and drink heavily but who have not recently sought any behavioral health treatment, (3) evaluating how an enhanced intervention offering PNF content specifically related to treatment seeking affects preparatory behaviors and actual treatment initiation, and (4) testing hypothesized mediators and moderators of intervention drinking and treatment initiation outcomes relevant for this population. In Aim 1, we add to our large database of drinking norms for the population by collecting drinking and treatment seeking information from veterans underrepresented in the pilot, such as female veterans (total sample N = 2,500). In Aim 2, we then use these norms in a randomized controlled trial of the PNF intervention designed to reach heavy drinking young veterans who are not currently receiving behavioral health care (N = 800) and test if additional feedback about treatment seeking can help promote treatment initiation among this treatment resistant group. Outcomes at 3, 6, 9, and 12 months are compared for participants receiving an enhanced PNF condition (N = 400) to an attention-only control condition (N = 400). In Aim 3, we test mediators of intervention efficacy on drinking outcomes (i.e., changes in perceived norms, increases in treatment initiation) and explore moderators of outcomes to determine if the brief intervention works better for veteran participants based on age, gender, reasons for drinking (social versus coping), perceived stigma, PTSD and depression symptoms, and solitary drinking. The proposed research offers significant methodological advancements to current PNF approaches by targeting a comorbid population with unmet behavioral health needs. The public health impact of the approach is promising as the intervention is hosted entirely on the Internet and can reach veterans outside of treatment settings. The self-sustaining program uses limited time and personnel and is available on mobile phones and tablets. The intervention can reach a large population resistant to conventional therapies and functions as a stand-alone approach to prevent drinking consequences and promote treatment initiation early, before alcohol misuse and comorbid problems become chronic.

项目总结/文摘

项目成果

Moral injury events and behavioral health outcomes among American veterans.

美国退伍军人的道德伤害事件和行为健康结果。

• DOI: 10.1016/j.janxdis.2022.102605
• 发表时间: 2022
• 期刊: Journal of anxiety disorders
• 影响因子: 10.3
• 作者: Saba,ShaddyK;Davis,JordanP;Lee,DanielS;Castro,CarlAndrew;Pedersen,EricR
• 通讯作者: Pedersen,EricR

Associations between symptoms of posttraumatic stress disorder, pain, and alcohol use disorder among OEF/OIF/OND veterans.

• DOI: 10.1016/j.addbeh.2021.107031
• 发表时间: 2021-11
• 期刊: Addictive behaviors
• 影响因子: 4.4
• 作者: Saba SK;Davis JP;Prindle JJ;Castro CA;Pedersen ER
• 通讯作者: Pedersen ER

Changes in alcohol use during the COVID-19 pandemic among American veterans.

• DOI: 10.1016/j.addbeh.2021.107052
• 发表时间: 2021-11
• 期刊: Addictive behaviors
• 影响因子: 4.4
• 作者: Davis JP;Prindle J;Castro CC;Saba S;Fitzke RE;Pedersen ER
• 通讯作者: Pedersen ER

Changes in perceived stress during the COVID-19 pandemic among American veterans.

COVID-19 大流行期间美国退伍军人感知压力的变化。

• DOI: 10.1002/smi.3153
• 发表时间: 2022
• 期刊: Stress and health : journal of the International Society for the Investigation of Stress
• 作者: Davis,JordanP;Prindle,John;Saba,ShaddyK;Tran,DeniseD;Lee,DanielS;Sedano,Angeles;Castro,CarlA;Pedersen,EricR
• 通讯作者: Pedersen,EricR

American Veterans in the Era of COVID-19: Reactions to the Pandemic, Posttraumatic Stress Disorder, and Substance Use Behaviors.

• DOI: 10.1007/s11469-021-00620-0
• 发表时间: 2023
• 期刊: International journal of mental health and addiction
• 影响因子: 8
• 作者: Pedersen ER;Davis JP;Fitzke RE;Lee DS;Saba S
• 通讯作者: Saba S