Digital Media Messages Targeting Alcohol-involved Bystander Intervention: A Pilot Study

针对酗酒旁观者干预的数字媒体信息：一项试点研究

• 批准号: 10668084
• 负责人: Anne Marie Schipani-McLaughlin
• 金额: $ 22.43万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10668084
• 关键词: Address; Adult; Affect; Alcohol consumption; Alcohols; Area; Attention; Attitude; Awareness; Behavior; Behavior Therapy; Belief; Cellular Phone; Cues; Data; Development; Educational process of instructing; Epidemic; Focus Groups; Future; Health behavior; Hour; Image; Impaired cognition; Individual; Instagram; Intervention; Intoxication; Knowledge; Lead; Liquid substance; Manuals; Media Campaign; Media Intervention; National Institute on Alcohol Abuse and Alcoholism; Neurobiology; Online Systems; Participant; Patient Self-Report; Pilot Projects; Placebos; Positioning Attribute; Predisposition; Prevention program; Principal Investigator; Procedures; Protocols documentation; Public Health; Published Comment; Randomized; Research; Resistance; Resources; Risk; Sampling; Scanning; Strategic Planning; Surveys; Technology; Testing; Text; Violence; Woman; aged; alcohol effect; alcohol intervention; alcohol involvement; alcohol myopia; behavior change; behavioral response; binge drinking; college; digital; digital delivery; digital media; drinking; efficacy evaluation; follow-up; high risk; high risk drinking; improved; innovation; intervention refinement; men; primary outcome; programs; randomized, clinical trials; recruit; secondary outcome; sexual assault; sexual violence; skills; social media; student participation; theories; university student; violence prevention; violence victimization; visual tracking

Project Summary Sexual violence (SV) and alcohol use are pervasive co-occurring epidemics on U.S. college campuses. About 25% of college women are sexually assaulted during college, and up to 55% of college students engage in heavy episodic drinking (HED; 5 or more drinks for men, 4 or more drinks for women). It is well-established that alcohol use increases the risk of SV but, more recently, findings show that alcohol also inhibits bystander intervention. However, existing bystander behavior interventions do not incorporate messages or teach skills encouraging alcohol-involved bystander intervention (e.g., bystander intervention when individuals consume alcohol or are in alcohol contexts such as bars or parties), nor tested messages among college students who engage in HED. This study aims to fill these gaps in knowledge by developing theory-driven digital media messages delivered in a social media intervention that aim to increase alcohol-involved bystander intervention. Approximately 84% of college-aged adults use social media. Social media has been used to deliver digital media messages to change behavior and attitudes in various public health areas and is an ideal way to encourage behavior within an ecological context where health behavior and decisions occur. The specific aims of this proposal are to 1) develop and produce digital media messages (i.e., pictures, images, text-only content, videos) focused on alcohol-involved bystander intervention and 2) assess the feasibility, acceptability, and preliminary efficacy of the digital media messages on alcohol-involved bystander intervention and attitudes. We will conduct focus groups to inform the development of digital media messages (n=36) and assess attention to static messages using eye-tracking technology (n=30) with college students who engage in HED. The digital media messages will raise awareness of when and how to intervene in alcohol contexts and/or when bystanders are drinking. Messages will promote identifying SV risk situations in settings involving alcohol and how to intervene safely and effectively when intoxicated or drinking (e.g., encouraging bystanders who are drinking to "scan the room," "create a diversion," "use that liquid courage to step in," etc.). We will test the developed messages in a pilot study with 60 college students who engage in HED who will be randomized to the following groups: 1) alcohol-involved bystander digital media messages or 2) attention-matched placebo digital media messages. Participants will view and engage with digital media messages in a six-week social media intervention implemented via Instagram. Feasibility will be assessed via social media metrics (e.g., shares, comments, likes), number of Instagram post views, and recruitment and retention of the sample. Acceptability of digital media messages will be assessed through an eye-tracking task and a self-report survey at immediate post-test; preliminary efficacy will be assessed via self-reported surveys at baseline, immediate post-test, and 3-month follow-up. Findings from this innovative R21 will make a critical contribution to campus SV prevention by informing a scalable social media intervention targeting alcohol-involved bystander intervention.

项目概要 性暴力（SV）和酗酒是美国大学校园中普遍存在的流行病。约25% 的女大学生在大学期间遭受过性侵犯，高达 55% 的大学生从事严重性行为 偶尔饮酒（HED；男性饮酒 5 杯或以上，女性饮酒 4 杯或以上）。众所周知， 饮酒会增加 SV 的风险，但最近的研究结果表明，酒精也会抑制旁观者 干涉。然而，现有的旁观者行为干预措施并未包含信息或教授技能 鼓励涉及酒精的旁观者干预（例如，当个人饮酒时旁观者干预 酒精或在酒吧或聚会等酒精环境中），也没有在大学生中测试过信息 从事HED。本研究旨在通过开发理论驱动的数字媒体来填补这些知识空白 在社交媒体干预中传递的信息，旨在增加涉及酒精的旁观者干预。 大约 84% 的大学生使用社交媒体。社交媒体已被用来传递数字媒体 改变各个公共卫生领域的行为和态度的信息，是鼓励 发生健康行为和决策的生态环境中的行为。本次活动的具体目标 建议 1) 开发和制作数字媒体消息（即图片、图像、纯文本内容、视频） 重点关注涉及酒精的旁观者干预，2) 评估可行性、可接受性和初步 数字媒体信息对涉及酒精的旁观者干预和态度的功效。我们将进行 焦点小组为数字媒体消息的发展提供信息（n=36）并评估对静态消息的关注 对从事 HED 的大学生使用眼动追踪技术 (n=30)。数字媒体消息将 提高人们对何时以及如何干预酒精环境和/或旁观者饮酒的认识。 信息将促进识别涉及酒精的环境中的 SV 风险情况以及如何安全干预 并且在醉酒或饮酒时有效（例如，鼓励正在喝酒的旁观者“扫描房间”， “创造一个转移注意力”，“利用流动的勇气介入，”等等）。我们将在试点研究中测试开发的消息 60 名从事 HED 的大学生将被随机分为以下几组：1) 酗酒 旁观者数字媒体消息或 2) 注意力匹配的安慰剂数字媒体消息。参与者将查看 并通过 Instagram 实施为期六周的社交媒体干预，与数字媒体信息互动。 将通过社交媒体指标（例如分享、评论、点赞）、Instagram 帖子数量来评估可行性 意见、样本的招募和保留。将评估数字媒体消息的可接受性 通过眼动追踪任务和测试后立即进行的自我报告调查；初步疗效将是 通过基线自我报告调查、测试后立即评估和 3 个月随访进行评估。由此得出的结论 创新的 R21 将通过可扩展的社交媒体为校园SV预防做出重要贡献 针对涉及酒精的旁观者干预的干预。