A novel social media approach to #identification and #screening for hazardous drinking among diverse non-college young adults

一种新颖的社交媒体方法

• 批准号: 10685492
• 负责人: Jennifer Elizabeth Merrill
• 金额: $ 18.67万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-20 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10685492
• 关键词: Address; Age; Alcohol consumption; Alcohols; Authorization documentation; Behavior; Black American; Consumption; Ethnic Origin; Ethnic Population; Etiology; Feedback; Feeling suicidal; Frequencies; Future; Gender; Gender Identity; Goals; Habits; Heavy Drinking; Hispanic Americans; Hispanic Populations; Individual; Injury; Instagram; Intervention; Interview; Memory Loss; Methods; Native Americans; Natural Language Processing; Nature; Participant; Population; Public Health; Reporting; Research; Research Personnel; Resources; Respondent; Risk; Sampling; Sensitivity and Specificity; Signal Transduction; Subgroup; Surveys; Testing; Time; Twitter; Underrepresented Populations; Underserved Population; Woman; Work; Writing; age group; alcohol abuse therapy; alcohol intervention; alcohol misuse; alcohol related consequences; alcohol screening; alcohol use disorder; brief intervention; college; drinking; drinking behavior; ethnic diversity; ethnic minority; experience; gang violence; hazardous drinking; high risk drinking; high risk population; improved; men; neglect; novel; outreach; phrases; racial diversity; racial minority; racial population; recruit; screening; screening and brief intervention; self reported behavior; sex; sexual assault; social media; social networking website; theories; university student; young adult

PROJECT SUMMARY Young adults have higher rates of alcohol use and experience more alcohol-related harms than other age groups, but are less likely to seek treatment. Further, young adults not attending college, who are more likely to be from non-White racial/ethnic groups, may be particularly underserved with respect to alcohol screening and intervention efforts. As such, it is critical that we expand alcohol screening strategies to reach non-college young adults, a traditionally underrepresented group. Social Networking Sites (SNS; e.g., Twitter, Instagram) are exciting platforms through which to identify at-risk young adults from diverse backgrounds, many of whom use SNS. Consistent with Self-Presentation Theory, it is common for young adults to publicly post about serious alcohol-related consequences (e.g., alcohol-related blackouts), which may reflect their actual drinking behavior and therefore signal the need for intervention. Despite their potential to be used for screening, SNS have rarely been leveraged for this purpose. Thus, our broad goals are to determine maximally sensitive and specific keywords within non-college young adults’ SNS posts that can be used in automated surveillance and/or screening efforts, and to determine how to maximize acceptability of SNS-based screening for diverse samples of heavy drinking non-college young adults. In Aim 1, we will determine content of public SNS posts that serves as a marker of hazardous drinking across a diverse group of non-college young adults by conducting online surveys with n=800 young adults who endorse posting about alcohol on SNS. Participants will report on their alcohol use, alcohol-related consequences, and whether they meet criteria for hazardous drinking (via the Alcohol Use Disorder Identification Test; AUDIT). They will also provide permission to collect their public SNS posts from the prior month. We will identify alcohol-related keywords/phrases in SNS posts that have the highest sensitivity and specificity in identifying hazardous drinking (i.e., AUDIT score >8). We will also explore whether certain terms are used more often, or are more sensitive/specific indicators of hazardous drinking, among respondents from different sex/gender and racial/ethnic groups. In Aim 2, we will conduct 80- 96 individual interviews with non-college young adults (stratified by racial/ethnic group and sex/gender) to obtain feedback from potential target individuals on how to maximize acceptability of and engagement with SNS-based contact for screening and intervention. By addressing these aims, the proposed R21 will provide a blueprint for future use of SNS to identify and potentially provide brief intervention for hazardous drinkers in an automated fashion. Such methods have great potential to improve public health by reducing alcohol misuse and negative consequences among non-college young adults across the US, with particular value for those from traditionally underrepresented racial and ethnic groups.

项目概要 与其他年龄段的人相比，年轻人的饮酒率更高，并且经历更多与酒精相关的危害 群体，但寻求治疗的可能性较小。此外，未上大学的年轻人更有可能上大学 来自非白人种族/族裔群体，在酒精筛查方面可能特别得不到充分服务，并且 干预努力。因此，至关重要的是，我们必须扩大酒精筛查策略以覆盖非大学人群 年轻人，传统上代表性不足的群体。社交网站（SNS；例如 Twitter、Instagram） 是令人兴奋的平台，通过这些平台可以识别来自不同背景的高危年轻人，其中许多人 使用社交网络服务。与自我表现理论一致，年轻人公开发布有关 与酒精相关的严重后果（例如，与酒精相关的昏厥），这可能反映了他们的实际饮酒情况 行为，因此表明需要干预。尽管 SNS 具有用于筛查的潜力，但 很少被用于此目的。因此，我们的总体目标是确定最大程度的敏感和 非大学生 SNS 帖子中可用于自动监控的特定关键词 和/或筛查工作，并确定如何最大限度地提高基于 SNS 的筛查对不同人群的可接受性 大量饮酒的非大学年轻人的样本。在目标 1 中，我们将确定公共 SNS 帖子的内容 这是不同的非大学年轻人群体危险饮酒的标志 对 n=800 名支持在 SNS 上发布有关酒精问题的年轻人进行在线调查。参加者 将报告他们的饮酒情况、与酒精相关的后果以及他们是否符合危险标准 饮酒（通过酒精使用障碍识别测试；审核）。他们还将提供收集许可 他们上个月的公共 SNS 帖子。我们将识别 SNS 帖子中与酒精相关的关键词/短语 在识别危险饮酒方面具有最高的敏感性和特异性（即审核分数 >8）。我们将 还探讨某些术语是否更常用，或者是更敏感/更具体的危险指标 来自不同性别和种族/族裔群体的受访者的饮酒情况。在目标 2 中，我们将进行 80- 对非大学年轻人进行 96 次个人访谈（按种族/族裔群体和性别/性别分层） 从潜在目标个人那里获取有关如何最大限度地提高接受度和参与度的反馈 基于 SNS 的联系以进行筛查和干预。通过解决这些目标，拟议的 R21 将提供 未来使用 SNS 来识别危险饮酒者并可能为其提供简短干预的蓝图 自动化时尚。这些方法具有通过减少酒精滥用来改善公共健康的巨大潜力 以及对美国各地未上大学的年轻人的负面影响，对这些人特别有价值 来自传统上代表性不足的种族和族裔群体。