Evaluation of an Interactive Mobile Phone-Based Brief Intervention to Reduce Substance-Impaired Driving among Emerging Adults

基于交互式手机的简短干预减少新兴成年人药物驾驶的评估

• 批准号: 10358917
• 负责人: Jenni Teeters
• 金额: $ 41.71万
• 依托单位: WESTERN KENTUCKY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10358917
• 关键词: Age; Alcohol consumption; Alcohols; Automobile Driving; Behavior; Belief; Cannabis; Car Phone; Cessation of life; Cognition; Cognitive; Communities; Dangerousness; Drunk driving; Effectiveness of Interventions; Electronic Mail; Elements; Evaluation; Expectancy; Feedback; Female; Goals; High Prevalence; Impairment; Individual; Intervention; Literature; Measures; Mediating; Mediator of activation protein; Meta-Analysis; Minority Recruitment; Modeling; Outcome; Participant; Perception; Persons; Population; Populations at Risk; Public Health; Questionnaires; Randomized; Randomized Clinical Trials; Reporting; Research; Research Personnel; Risk; Risk Behaviors; Sampling; Series; Southeastern United States; Technology; Telephone; Testing; Text; Text Messaging; Therapeutic; Time; Traffic accidents; Training; Universities; age group; base; brief intervention; community center; cost effective; driving behavior; efficacy evaluation; emerging adult; follow-up; high risk population; impaired driving performance; improved; improved outcome; innovation; intervention effect; live text; marijuana use; marijuana user; meetings; mobile computing; motivational enhancement therapy; peer; pilot trial; post intervention; prevention service; public health relevance; recruit; reduced alcohol use; response; substance use; substance user; treatment services; university student

PROJECT SUMMARY/ABSTRACT Driving after cannabis use (DACU) and driving after simultaneous alcohol and cannabis use represent significant public health concerns. Rates of substance-impaired driving remain especially high among emerging adults, and traffic accidents remain the leading cause of substance-related death among this population. Brief Interventions (BIs) have been shown to reduce alcohol and cannabis use in emerging adults, but to date no study has selected emerging adults on the basis of recent DACU and evaluated the efficacy of a mobile-based substance-impaired driving BI. The present study will be the first to examine whether a mobile phone-based substance-impaired driving BI, including interactive text-messaging, significantly decreases DACU among emerging adult substance users compared to personalized feedback only. Research participants will be 160 emerging adults (ages 18-25) who endorse driving after cannabis use and/or simultaneous cannabis and alcohol use at least three times in the past 3 months. After completing baseline measures, participants will be randomly assigned to receive either: a) substance-impaired driving personalized feedback or b) a substance-impaired driving personalized feedback intervention plus interactive text messages. Participants will complete comprehensive follow-ups 3- and 6-months post-intervention. Repeated measures mixed modeling analyses will be used to determine whether the intervention significantly reduces DACU over time. The project has two specific aims: 1) to evaluate a mobile phone-based substance-impaired driving intervention in a randomized clinical trial, and 2) to determine whether cognitive factors identified in previous research (e.g. perceived dangerousness and consequences, peer norms, expectancies) mediate intervention outcomes. This study is innovative because it utilizes cutting-edge technology to deliver the entire intervention, enabling the study to reach a large number of emerging adults in a short time period in a cost-effective manner. The study is significant because it will contribute substantially to the substance-impaired driving literature by identifying an intervention that can decrease substance-impaired driving among this high-risk population. Additionally, this study will add to the rapidly growing technology-based intervention literature by including mobile-based assessment, personalized feedback, and interactive text-messaging.

项目总结/摘要 使用大麻后驾驶（DACU）和同时使用酒精和大麻后驾驶 重大公共卫生问题。物质受损驾驶的比率仍然特别高， 新生儿和交通事故仍然是与药物有关的死亡的主要原因， 人口短期干预（BI）已被证明可以减少新兴成年人的酒精和大麻使用， 但迄今为止，还没有研究根据最近的DACU选择新兴成人，并评估 基于移动的物质受损驾驶BI。本研究将是第一个研究是否一个移动的 基于电话的物质损害驾驶BI，包括交互式短信，显着减少 DACU在新兴的成人物质使用者相比，个性化的反馈。研究参与者 将有160名新兴成年人（18-25岁）在使用大麻后和/或同时使用大麻后驾驶 在过去三个月内至少使用三次大麻和酒精。在完成基线测量后， 参与者将被随机分配接受：a）物质受损驾驶的个性化反馈 或B）物质受损驾驶个性化反馈干预加交互式文本消息。 参与者将在干预后3个月和6个月完成全面随访。重复测量 混合模型分析将用于确定干预是否显著降低DACU， 时间该项目有两个具体目标：1）评估一个基于移动的手机的物质受损驾驶 干预随机临床试验，2）以确定是否认知因素确定在以前的 研究（例如，感知的责任和后果，同伴规范，期望）介导干预 结果。这项研究是创新的，因为它利用尖端技术来提供整个干预， 使这项研究能够在短时间内以成本效益高的方式接触到大量新兴的成年人， 方式这项研究意义重大，因为它将大大有助于物质受损的驾驶 文献，确定一种干预措施，可以减少物质受损的驾驶在这一高风险 人口此外，这项研究将通过以下方式增加快速增长的基于技术的干预文献： 包括基于移动的评估、个性化反馈和交互式短信。