An mHealth Approach to Decreasing Opioid Abuse and Other Diseases of Despair in Rural Populations

减少农村人口阿片类药物滥用和其他绝望疾病的移动医疗方法

• 批准号: 10761061
• 负责人: Diane K. Deitz
• 金额: $ 27.48万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-15 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10761061
• 关键词: Adult; Age; Alcohol abuse; Alcohol consumption; American; Anxiety; Appalachian Region; Benchmarking; Canada; Caring; Cellular Phone; Cessation of life; Characteristics; Chronic; Communities; Coping Skills; Country; Custom; Development; Dimensions; Disease; Effectiveness; Emotions; Epidemic; Face; Feedback; Fentanyl; Focus Groups; Generations; Goals; Health; Health Promotion; Heart Diseases; Individual; Informal Social Control; Injury; Intervention; Interview; Malignant Neoplasms; Mental Depression; Mental disorders; Monitor; Moods; Morbidity - disease rate; Narration; New England; Occupations; Online Systems; Opioid; Pain; Pain management; Participant; Phase; Population; Prevention; Prevention program; Public Health; Risk; Rural; Rural Community; Rural Population; Sampling; Self Management; Series; Service provision; Shapes; Small Business Innovation Research Grant; Stress; Structure; Substance abuse problem; Tablets; Techniques; Technology; Testing; Text Messaging; Wellness Program; Workplace; addiction; alcohol prevention; coping; design; experience; feasibility testing; handheld mobile device; health disparity; high school; illicit drug use; improved; insight; mHealth; meetings; mortality; multimodality; negative affect; negative mood; opioid abuse; opioid misuse; opioid mortality; opioid use; overdose death; pain self-management; pilot test; prescription opioid misuse; preventive intervention; programs; prototype; psychological distress; recruit; rural America; rural Americans; rural area; skills; social stigma; stem; substance abuse prevention; substance use; tool; urban area; usability; web-based intervention

Project Summary/Abstract Rural Americans face numerous health disparities compared to their urban counterparts and are more likely to die from chronic health conditions, including substance abuse. Indeed, opioid-related mortality is highest in certain rural areas of the U.S., including Appalachia, New England, and the mountain west. A number of studies looking at morbidity and mortality provide insight into the health problems afflicting less educated, rural populations.6-9,14-15 Lack of high school diploma, mental illness, alcohol use, and illicit drug use were all substantially higher in the population of decedents, and individuals suffering from these problems are at heightened risk for opioid misuse.22-29 The purpose of this project is to develop a mobile-based opioid prevention program for rural-based blue-collar workers that provides robust preventive interventions aimed at reduction in alcohol consumption, management of negative mood states including anxiety and depression, and non-pharmacologic approaches to managing pain. The program aims to fill an important gap in service provision to rural adults at risk for opioid misuse. The program will capitalize on technologies available in rural communities – namely mobile health – and will be media rich, including a program ‘coach’ and videos of individuals that users can relate to describing their experiences dealing with pain, substance use difficulties, stress and mood issues - and the impact of these issues on their lives. Similar to other health promotion and substance abuse prevention programs developed by our group, the program will be highly individualized - tailored by user characteristics and experiences, directing users to management of difficult moods, techniques in the self-management of pain, and avoidance of abusing alcohol and other substances, including opioids. In Phase I, with crucial input from two focus groups and our expert consultants, ISA staff will develop and pilot test a mobile opioid misuse prevention program embedded within a larger health promotion program. Pre-development focus groups will be conducted with individuals who will be recruited to help shape the structure and content of the program. ISA staff and the Redmon Group will develop the prototype program, fully developing the Introduction, and extensive sections of My Health Profile, Understanding and Managing Moods, and Taking Care of Yourself – Never Give Up! for Phase I. Following development and expert review of the prototype program, 20 end users will be asked to pilot test the program, including a usability test, quantitative rating of the program, and interview about their experience using the program. To advance to Phase II, there must be an 80% error-free rate and quantitative ratings must be 4 or higher for all items.

项目摘要/摘要 与城市同行相比，农村美国人面临许多健康差异 可能死于慢性健康状况，包括滥用药物。确实，阿片类药物相关的死亡率是 在美国某些粗糙地区，包括阿巴拉契亚，新英格兰和山区。一个 研究发病率和死亡率的研究数量提供了对少遭受的健康问题的见解 受过教育的人群。6-9,14-15缺乏高中文凭，精神疾病，饮酒和非法吸毒 在决定人群中，所有问题的人数都大大较高，并且遇到这些问题的人是 滥用阿片类药物的风险。22-29 该项目的目的是制定基于移动的阿片类药物预防计划 提供旨在减少酒精消耗的强大预防干预措施的蓝领工人， 管理负面情绪状态，包括焦虑和抑郁以及非药物方法 控制疼痛。该计划旨在填补对有卵子风险的粗糙成年人的重要差距 滥用。该计划将利用农村社区可用的技术（即移动健康 - 并且将是媒体富有 他们处理疼痛，吸毒难度，压力和情绪问题的经历 - 以及 这些关于他们生活的问题。类似于其他健康促进和预防药物滥用计划 该程序由我们的小组开发，将是高度个性化的 - 由用户特征和 经验，指导用户管理困难的情绪，痛苦自我管理方面的技术以及 避免滥用酒精和其他物质，包括阿片类药物。 在第一阶段，有两个焦点小组的关键投入和我们的专家顾问，ISA员工将发展 试点测试一项移动阿片类药物预防计划嵌入了更大的健康促进计划中。 将与将被招募以帮助塑造的个人进行发展前焦点小组 程序的结构和内容。 ISA员工和Redmon Group将开发原型计划， 充分开发我的健康状况，理解和管理的介绍和广泛的部分 心情，照顾好自己 - 永不放弃！对于第一阶段的开发和专家审查 在原型程序中，将要求20名最终用户试用该程序，包括可用性测试， 该计划的定量评级，并采访了他们使用该计划的经验。前进 II阶段，所有项目必须有80％的无误差率，定量评级必须为4或更高。