A Mobile-Delivered Personalized Feedback Intervention for Black Individuals who Engage in Hazardous Drinking

项目总结/摘要 黑人是美国第二大少数种族群体， 健康差距，特别是危险饮酒和同时发生的焦虑加剧。合作伙伴- 这些风险因素的发生导致黑人的身体/心理健康结果更差 个体到目前为止，很少有干预措施针对高度焦虑的危险饮酒， 黑人。目前的第一阶段STTR项目直接与已发布的NIAAA SBIR/STTR保持一致 研究兴趣，包括开发“移动终端应用程序.. 可及性，以及对AUD和共病的行为干预的使用”和“ 少数群体的健康状况和健康差距，以及农村、偏远地区和 资源不足的社区”。目前的提案的最终目标是改进战略， 预防酒精滥用、酒精使用障碍和“高危”人群中酒精相关后果 对于这些条件。此外，它还通过重点关注NIAAA支持的研究， 美国第二大少数种族群体，他们在危险饮酒方面表现出差异。我们 旨在通过提供数字化的医疗服务，消除获得治疗的障碍和费用， 智能手机形式的治疗产品，提供个性化的简短干预，旨在 解决危险饮酒和相关的焦虑升高。我们将使用迭代方法， 专家输入和焦点小组（N = 15）的黑人个人谁从事危险饮酒与升高 焦虑告知原型的设计和功能。然后，我们将评估程序导航， 在从事危险饮酒的黑人个体中对移动的应用程序进行可用性测试， 提高焦虑（N = 5），并准备最终原型。最终的原型，我们将评估的可行性， 可接受性，以及移动的应用程序在从事危险饮酒的黑人个体中的影响， 焦虑症状加重（N = 50）。低成本应用程序将解决阻止交付的基础设施障碍 这样的干预。这项研究代表了翻译大景观的重要和关键的一步 基础研究，以更有效的战略，减少在服务不足的人口危险饮酒， 生物行为合并症。我们预期有强有力的证据表明， 移动的应用程序将支持进行第二阶段的开发和评估。该项目填补了一个关键的 利基，是基于一个理论丰富和经验衍生的干预，是实际的，足以借给自己 到整个黑人社区的移动的交付。我们坚信，这次干预将提供一个有希望的 这是一个有利可图的方法，以解决服务不足的人口中与酒精/焦虑有关的差距。

PROJECT SUMMARY/ABSTRACT Black persons are the second largest racial minority group in the United States (US) and experience striking health disparities, particularly in terms of hazardous drinking and co-occurring elevated anxiety. The co- occurrence of these risk factors contributes to worse physical/mental health outcomes among Black individuals. Few interventions to date have targeted hazardous drinking in the context of high anxiety among Black persons. The current Phase I STTR project directly aligns with the published NIAAA SBIR/STTR Research Interests, including developing “Mobile device applications … to improve the effectiveness, accessibility, and use of behavioral interventions for AUD and co-occurring disorders” and “Solutions for minority health and health disparities with capabilities of reaching persons in rural, remote, and under- resourced/under-served communities.” The current proposal has the end goal of improving strategies to prevent alcohol misuse, alcohol use disorder, and alcohol-related consequences among an ‘at-risk’ population for these conditions. In addition, it enhances the public health impact of NIAAA-supported research by focusing on the second largest racial minority group in the US who demonstrate disparities in hazardous drinking. We aim to remove barriers of treatment access and cost and increase treatment appeal by offering a digital therapeutic product in the form of a smartphone-delivered, personalized, brief intervention, designed to address hazardous drinking and associated elevated anxiety. We will utilize and iterative approach using expert input and focus groups (N = 15) of Black individuals who engage in hazardous drinking with elevated anxiety to inform the design and functionality of the prototype. We will then assess program navigation and conduct usability testing of the mobile app among Black individuals who engage in hazardous drinking with elevated anxiety (N = 5) and prepare the final prototype. With the final prototype we will evaluate the feasibility, acceptability, and effects of the mobile app among Black individuals who engage in hazardous drinking with elevated anxiety symptoms (N = 50). The low-cost app will address infrastructure barriers that prevent delivery of such interventions. This study represents an important and pivotal step in the larger landscape of translating basic research to more efficacious strategies for reducing hazardous drinking in underserved populations with biobehavioral comorbidities. We anticipate robust evidence for the feasibility, acceptability, and clinical utility of the mobile app that will support proceeding to Phase II development and evaluation. The project fills a crucial niche, is based on a theoretically rich and empirically derived intervention, and is practical enough to lend itself to mobile delivery throughout the Black community. We strongly believe this intervention will offer a promising and profitable approach to address alcohol/anxiety-related disparities among an underserved population.