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: 10706619
• 负责人: Laura Michelle Reid Marks
• 金额: $ 17.24万
• 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/10706619
• 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; 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; stress reduction; 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.

抽象的 美国黑人新兴成年大学生（BCM；18−29 岁）经历更多与酒精相关的健康 与同龄白人男性和黑人女性相比存在差异。然而，BCM 却犹豫是否参与 研究表明干预措施可以减轻大学生的压力和饮酒量。使用移动健康 针对 BCM 量身定制的（移动医疗）干预措施可能会解决这些不相称问题。因此，长期目标是 这项以患者为导向的研究职业发展奖 (K23) 旨在表彰劳拉·里德 (Laura Reid) 博士 马克斯作为独立临床科学家的研究计划，重点是减少与酒精相关的 黑人新兴成年人的健康差异。这一目标将通过为期5年的并行培训和 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 分阶段行为干预开发模型）； （二）技能培养 行为经济学理论，制定行为移动健康干预的参与策略； (3) 实施新的实验方法（即微观随机试验；MRT），以增加移动医疗 订婚; (4) 培养成功指导研究实验室和指导多元化实验室学生的技能。 培训目标将通过全面的培训计划来实现，其中包括：(1) 持续的个人培训 与导师（Naar、Murphy、Nahum-Shani 和 Li 博士）会面，学习他们在 T1 方面的综合专业知识 健康干预、行为经济学、移动医疗、MRT 研究设计和统计的翻译 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利用 ORBIT 模型第一阶段和第二阶段的项目 第三阶段的准备。为了实现目标 1（第一阶段），我们将在第 1−2 年分析收集的焦点小组数据 来自一家以白人为主的机构的 BCM 饮酒者，根据行为制定和完善策略 经济学（即情景未来思维、互惠）以增加正念应用的参与度 (app) 用于暴饮暴食和大量饮酒 BCM。为了实现第 2−4 年的目标 2（第一阶段和第二阶段），我们将使用 Pilot-MRT 测试目标 1 参与策略的可行性、可接受性和初步效果 在正念应用程序中狂饮 BCM（N = 40）。参与者将被随机分配到一名 三个条件（情景未来思维、互惠或无提示条件）。基线调查、生态 临时评估、paradata 和试点后 MRT 个人退出访谈将评估可行性， 可接受性，以及以基于文本的提示形式提供的参与策略的初步效果 智能手机可提高移动健康正念的参与度、减轻压力并最终减少酒精 BCM 中的消费。拟议的研究将为 Marks 博士首次提交 R01 提供试点数据 NIAAA，将于第 5 年提交。该提案与 NIH 研究职业发展的目标一致 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。