Translating Behavioral Economics Strategies to Culturally Tailor a Mobile Health Mindfulness Intervention to Reduce Risky Drinking Behaviors in Black College Student Men

将行为经济学策略转化为文化定制移动健康正念干预措施，以减少黑人大学生的危险饮酒行为

• 批准号: 10571045
• 负责人: Laura Michelle Reid Marks
• 金额: $ 17.28万
• 依托单位: FLORIDA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-20 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10571045
• 关键词: Address; Alcohol consumption; Alcohols; Baseline Surveys; Behavior; Behavior Therapy; Behavioral; Black Populations; Black race; Cellular Phone; Clinical; Consumption; Data; Development; Distal; Ecological momentary assessment; Educational workshop; Ensure; Environment; Focus Groups; Future; Gifts; Goals; Health; Heavy Drinking; Hour; Incentives; Individual; Institution; Intervention; Interview; Learning; Legal; Mentored Patient-Oriented Research Career Development Award; Mentors; Methods; Mobile Health Application; Modeling; National Institute on Alcohol Abuse and Alcoholism; Outcome; Participant; Phase; Populations at Risk; Preparation; Qualitative Research; Randomized; Reporting; Research; Research Design; Research Personnel; Research Project Grants; Rewards; Scientist; Statistical Data Interpretation; Stress; Students; Text; Thinking; Time; Training; Translating; Translations; United States; United States National Institutes of Health; Woman; acceptability and feasibility; adaptive intervention; aged; alcohol misuse prevention; alcohol related consequences; alcohol use disorder; automobile accident; base; behavioral economics; binge drinking; black women; career development; college; coping; drinking; drinking behavior; emerging adult; experience; feasibility testing; habituation; handheld mobile device; health disparity; high risk drinking; improved; mHealth; meetings; men; mindfulness; mindfulness intervention; novel; peer; programs; racial minority population; randomized trial; recruit; response; retention rate; satisfaction; skills; stress management; symposium; theories; therapy development; training project; university student

Abstract Black emerging adult college men (BCM; 18−29 years) in the U.S. experience more alcohol-related health disparities than same-aged White men and Black women. However, BCM are hesitant to engage in interventions shown to alleviate stress and alcohol consumption in college students. Using mobile health (mHealth) interventions tailored for BCM may address these disproportionalities. Hence, the long-term goal of this Mentored Patient-Oriented Research Career Development Award (K23) is to launch Dr. Laura Reid Marks’s program of research as an independent clinical scientist with a focus on reducing alcohol-related health disparities in Black emerging adults. This goal will be achieved through a 5-year parallel training and research plan. Training goals include: (1) developing expertise in the theory and practice of T1 translation of the ORBIT model (an NIH model of phased behavioral intervention development); (2) cultivating skills in behavioral economics theory to develop engagement strategies for a behavioral mHealth intervention; (3) implementing novel experimental approaches (i.e., micro-randomized trials; MRTs), to increase mHealth engagement; and (4) building skills to successfully direct a research lab and mentor a diverse lab of students. Training objectives will be met through a comprehensive training plan involving: (1) ongoing individual meetings with mentors (Drs. Naar, Murphy, Nahum-Shani, and Li), to learn from their combined expertise in T1 translation of health intervention, behavioral economics, mHealth, MRT research design, and statistical analyses; (2) courses, workshops, and seminars; (3) conferences and professional development. Skills gained through the training plan will be applied to a project capitalizing on Phases I and II of the ORBIT model in preparation for Phase III. To address Aim 1 (Phase 1), in Years 1−2, we will analyze focus group data collected from BCM drinkers at a predominantly White institution to develop and refine strategies drawn from behavioral economics (i.e., episodic future thinking, reciprocity) to increase engagement in a mindfulness application (app) for binge and heavy drinking BCM. To address Aim 2 (Phase I and II), across Years 2−4, we will use a pilot-MRT to test the feasibility, acceptability, and preliminary effect of the Aim 1 engagement strategies to engage binge and heaving drinking BCM (N = 40) in a mindfulness app. Participants will be randomized to one of three conditions (episodic future thinking, reciprocity, or no prompt conditions). A baseline survey, ecological momentary assessments, paradata, and a post-pilot MRT individual exit interview will assess feasibility, acceptability, and the preliminary effect of the engagement strategies delivered as text-based prompts in a smartphone to increase engagement in mHealth mindfulness, reduce stress, and ultimately alcohol consumption in BCM. The proposed studies will provide pilot data for Dr. Marks’ first R01 submission to NIAAA, to be submitted in Year 5. The proposal is aligned with the NIH Research Career Development’s goal of ensuring the training of a diverse pool of scientists to address U.S. behavioral and biomedical needs.

摘要 美国黑人新兴成人大学男性（18 - 29岁）经历更多与酒精相关的健康 与同龄的白色男性和黑人女性相比，然而，他们对参与 干预措施显示，减轻压力和酒精消费的大学生。使用移动的健康 为残疾人量身定制的移动健康干预措施可以解决这些问题。因此，长期目标是 这个指导以病人为导向的研究职业发展奖（K23）是推出劳拉里德博士 马克斯的研究计划作为一个独立的临床科学家，重点是减少酒精相关的 黑人成年人的健康差距。这一目标将通过为期5年的平行培训来实现， 研究计划。培训目标包括：（1）培养T1翻译理论和实践方面的专业知识， ORBIT模型（NIH分阶段行为干预发展模型）;（2）培养以下技能： 行为经济学理论，以制定行为mHealth干预的参与策略;（3） 实现新颖的实验方法（即，微观随机试验; MRT），以提高mHealth 参与;（4）培养成功指导研究实验室和指导多样化实验室学生的技能。 培训目标将通过一个全面的培训计划来实现，包括：（1）持续的个人培训; 与导师（Naar博士、Murphy博士、Nahum-Shani博士和Li博士）会面，学习他们在T1方面的综合专业知识 翻译健康干预，行为经济学，mHealth，MRT研究设计和统计 分析;（2）课程，讲习班和研讨会;（3）会议和专业发展。获得的技能 通过培训计划将应用于一个利用轨道模型第一和第二阶段的项目， 为第三阶段做准备。为了实现目标1（第1阶段），在第1 - 2年，我们将分析收集的焦点小组数据 从一个以白色为主的机构的饮酒者那里， 经济学（即，情景未来思维，互惠），以增加正念应用的参与度 (app)因为酗酒而被逮捕为了实现目标2（第一阶段和第二阶段），在第2 - 4年，我们将使用 试验性MRT测试目标1参与战略的可行性、可接受性和初步效果， 在正念应用程序中参与狂欢和呕吐饮酒者（N = 40）。参与者将被随机分配到一个 三个条件（情景未来思维，互惠性，或没有提示条件）。基线调查，生态 瞬时评估，paradigm，和飞行员后MRT个人离职面谈将评估可行性， 的可接受性，以及在一个基于文本的提示交付的参与策略的初步效果， 智能手机，以增加参与mHealth正念，减少压力，并最终酒精 消费量在2010年拟议的研究将为Marks博士的第一份R 01申请提供试验数据， NIAAA，将在第5年提交。该提案符合NIH研究职业发展的目标 确保培训多样化的科学家，以满足美国的行为和生物医学需求。