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.

项目摘要 性暴力（SV）和酗酒是美国大学校园中普遍存在的共同流行病。大约25% 的女大学生在大学期间遭到性侵犯，高达55%的大学生参与了严重的性侵犯。 间歇性饮酒（HED;男性5杯或以上，女性4杯或以上）。非常确定的是 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 干预然而，现有的旁观者行为干预措施没有纳入信息或传授技能 鼓励酒精参与的旁观者干预（例如，当个体消费时， 酒精或在酒精环境中，如酒吧或聚会），也没有在大学生中测试信息， 参与HED。本研究旨在通过发展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，旨在增加酒精参与的旁观者干预。 大约84%的大学适龄成年人使用社交媒体。社交媒体已被用于提供数字媒体 信息，以改变行为和态度，在各种公共卫生领域，是一个理想的方式，鼓励 健康行为和决策发生的生态环境中的行为。具体目标是 建议是1）开发和产生数字媒体消息（即，图片、图像、纯文本内容、视频） 关注酒精参与的旁观者干预，2）评估可行性，可接受性和初步 数字媒体信息对酒精参与的旁观者干预和态度的有效性。我们会进行 焦点小组，告知数字媒体消息的开发（n=36）并评估对静态消息的关注 使用眼动追踪技术（n=30）与从事HED的大学生。数字媒体信息将 提高对何时以及如何在酒精环境中和/或旁观者饮酒时进行干预的认识。 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“扫视房间”， “制造一个转移”，“用液体勇气介入”，等等）。我们将在试点研究中测试开发的信息 与60名大学生谁从事HED谁将被随机分为以下几组：1）酒精参与 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。与会者将看到 并通过Instagram进行为期六周的社交媒体干预， 可行性将通过社交媒体指标进行评估（例如，分享，评论，喜欢），Instagram帖子的数量 意见，以及样本的招募和保留。将评估数字媒体信息的可接受性 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 通过基线、测试后即刻和3个月随访时的自我报告调查进行评估。时发现的问题 创新的R21将通过提供可扩展的社交媒体，为校园SV预防做出重要贡献 针对酒精参与的旁观者干预的干预。