The effectiveness of text-based messaging strategies for preventing subsequent problematic alcohol use among technical trainees in the U.S. Air force

基于文本的消息传递策略对于防止美国空军技术学员随后出现酗酒问题的有效性

• 批准号: 10703492
• 负责人: Robert C Klesges
• 金额: $ 58.47万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-12 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10703492
• 关键词: Accident and Emergency department; Adult; Air; Alcohol abuse; Alcohol consumption; Alcohols; American; Automobile Driving; Cause of Death; Certificate of Confidentiality; Cessation of life; Consumption; Counseling; Effectiveness; Epidemic; Event; Feedback; Gender; Harm Reduction; Health; Health Promotion; Health behavior; Heavy Drinking; High Prevalence; Individual; Injury; Intervention; Intervention Studies; Legal; Literature; Methods; Military Personnel; Monitor; Outcome; Patient Self-Report; Population; Privileged Communications; Professional counselor; Public Health; Publishing; Punishment; Randomized; Reporting; Research; Risk; Risk Reduction; Safety; Sampling; Services; Suicide; Surveys; Techniques; Testing; Text; Text Messaging; Time; Training; Treatment Efficacy; United States; Work; alcohol abstinence; alcohol availability; alcohol involvement; alcohol misuse; alcohol research; automated text message; base; binge drinking; brief alcohol intervention; college; cost; cost effective; court; data anonymization; drinking; drinking behavior; driving under influence; efficacious intervention; efficacy evaluation; experience; follow-up; group intervention; hazardous drinking; high risk; improved; innovation; intervention effect; live text; military service; motivational enhancement therapy; opioid overdose; overdose death; post intervention; prevent; programs; psychologic; recruit; sexual assault; smoking cessation; social; substance use; text messaging intervention; treatment effect; underage drinking; universal prevention; young adult

Episodic heavy or binge drinking and the associated health and social consequences are substantial public health concerns, with a high prevalence among young adults. This is particularly true among US military personnel. While alcohol consumption in the US military is very high and normative, there is zero tolerance for getting in legal trouble while drinking, and Airmen who do get in alcohol-related legal trouble (e.g., DUI, sexual assault) typically receive what is called an Alcohol Related Incident (ARI). In other populations, Brief Alcohol Interventions (BAIs) for alcohol misuse have been validated as efficacious with robust evidence for mostly college young adults who report episodic heavy drinking. Many BAI studies have targeted young adults who drink hazardously; these individuals are generally not interested in abstaining from alcohol, but are often willing to decrease the amount they drink or change the manner in which they drink in order to reduce harmful consequences. We have previously published1 the results of a BAI group- based intervention that has been shown to reduce ARIs universally (not in just high risk drinkers) in over 150,000 on average by 16%. Since we began in 2010, the BAI has been disseminated to most Airmen in Technical (Advanced) Training in the USAF. However, it is clear that additional research is needed to enhance the efficacy of our BAI intervention and to reduce the risk associated with problem drinking behavior. One such strategy that could improve health promotion outcomes is well timed and tailored automated text messages. Building on our preliminary study where text messages reduced driving after drinking as well as total drinks consumed before driving (See Previous Work), text messaging may be highly effective as the precise time that Airmen gain access to alcohol (when they are allowed off base for the first time) is known and is the same time for all Airmen. One of the challenges to conducting alcohol research in the military is the lack of privileged communication. As a result, it is difficult to obtain valid self-reports due to a tendency to deny or minimize use. Fortunately, we have recently validated a method developed by our research team for collecting anonymous data over time. We propose to conduct what is the first study in the military, as well as the first large scale, adequately powered trial, where intervention effects will be tracked out to a one year follow-up. Our findings would have strong implications for conducting research in both civilian and military populations. Thus, we propose the following Specific Aims: (1) We will randomize approximately 3000 Airmen to either the currently administered group BAI versus the BAI + Interactive Counselor Facilitated Text messages timed to occur before, during, and after Airmen have access to alcohol; and (2) To evaluate the efficacy of the intervention at a 3-, 6-, 9- and 12-month follow-up using repeated anonymous surveys with unique identifiers allowing us to match up surveys while simultaneously maintaining anonymity.

情节性的大量或暴饮暴食以及相关的健康和社会后果是实质性的公共卫生问题，年轻人的患病率很高。在美国军事人员中尤其如此。尽管美国军方的饮酒量很高且规范性，但饮酒时遇到法律麻烦的容忍度为零，而确实会遇到与酒精有关的法律麻烦（例如，DUI，性侵犯）的飞行员通常会收到所谓的酒精与酒精有关的事件（ARI）。在其他人群中，滥用酗酒的简短饮酒干预措施已被证实是有效的，对于大多数大学年轻人报告了情节性大量饮酒的年轻人，有强有力的证据。许多BAI研究都针对危险饮酒的年轻人。这些人通常对戒酒不感兴趣，但通常愿意减少他们喝的量或更改饮酒方式以减少有害后果。我们以前已经发布了1个基于BAI组的干预措施的结果，该结果已被证明可以普遍减少ARIS（不仅仅是高风险饮酒者），平均150,000多个。自2010年开始以来，BAI已在美国空军的技术（高级）培训中传播给大多数飞行员。但是，很明显，需要进行其他研究来增强我们的BAI干预的功效，并降低与问题饮酒行为相关的风险。一种可以改善健康促进成果的策略是定时且量身定制的自动化短信。在我们的初步研究的基础上，在饮酒后，短信减少了驾驶以及开车前消耗的饮料（请参阅以前的工作），文本消息传递可能是非常有效的，因为空军者获得酒精的准确时间（首次允许他们从基地允许酒精时），并且是所有飞行员的同一时间。在军队中进行酒精研究的挑战之一是缺乏特权交流。结果，由于倾向于拒绝或最小化使用的趋势，很难获得有效的自我报告。幸运的是，我们最近验证了我们的研究团队开发的一种方法，该方法随着时间的推移收集匿名数据。我们建议进行军事中的第一项研究，以及第一个大规模的，充分的动力试验，在该试验中，干预效果将被追踪到一年的随访。我们的发现将对对平民和军事人口进行研究具有很大的影响。因此，我们提出以下具体目的：（1）我们将将约3000名飞行员随机地与当前管理的Bai组相比Bai + Interactive辅导员促进了在飞行员可以使用酒精之前发生的时机； （2）使用重复的匿名调查具有带有唯一标识符的重复匿名调查，以3、6、9和12个月的随访评估干预措施的疗效，从而使我们能够匹配调查，同时维持匿名性。

项目成果

Developing a Text Messaging Intervention to Prevent Binge and Heavy Drinking in a Military Population: Mixed Methods Development Study.

开发短信干预措施以防止军人暴饮暴食：混合方法开发研究。

• DOI: 10.2196/55041
• 发表时间: 2024
• 期刊: JMIR formative research
• 影响因子: 2.2
• 作者: Aycock,ChaseA;Mallawaarachchi,Indika;Wang,Xin-Qun;Cassidy,DanielG;Ellis,JordanM;Klesges,RobertC;Talcott,GWayne;Wiseman,Kara
• 通讯作者: Wiseman,Kara