A Reinforced Mindfulness-Based Intervention to Reduce Problematic Drinking among Latinx Emerging Adults: Feasibility and Acceptability

减少拉丁裔新兴成年人饮酒问题的强化正念干预措施：可行性和可接受性

• 批准号: 10712154
• 负责人: Michelle Marie Hospital
• 金额: $ 37.21万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2028-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10712154
• 关键词: Abstinence; Address; Adherence; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohols; Attention; Communities; Criminal Justice; Data; Development; Discrimination; Disparity; Effectiveness; Ensure; Epidemiology; Ethnic Population; Female; Focus Groups; Foundations; Frequencies; Funding; Goals; Health; Health Promotion; Health behavior; Heavy Drinking; High Prevalence; High School Student; Hour; Informal Social Control; Intervention; Interview; Latinx; Latinx population; Liver Cirrhosis; Methods; Mindfulness Training; Minority Groups; National Institute on Alcohol Abuse and Alcoholism; Outcome; Participant; Personal Satisfaction; Population; Prevention; Process; Protocols documentation; Public Health; Randomized; Recommendation; Reporting; Research; Research Methodology; Resources; Risk; Sampling; Stress; Structure; Substance Use Disorder; Surface; System; Testing; Translations; Underrepresented Minority; United States; Work; Yoga; Youth; acceptability and feasibility; alcohol misuse; alcohol research; alcohol use disorder; attentional control; behavioral health intervention; binge drinking; cohort; college; community based participatory research; contingency management; disparity reduction; drinking; emerging adult; emotion regulation; ethnic minority; exercise intervention; experience; health disparity populations; health inequalities; healthy lifestyle; high risk; improved; informant; innovation; interest; intervention program; intervention refinement; male; mindfulness; mindfulness intervention; mindfulness-based stress reduction; minority health disparity; pilot trial; programs; racial minority; racial population; racism; reduced alcohol use; stress reduction; substance use treatment; treatment adherence

Abstract Among all age cohorts in the United States, emerging adults have the highest prevalence of alcohol use and about one-third (32%) engage in binge drinking (4 to 5 drinks in two hours females/males). While Latinx emerging adults report lower rates of heavy alcohol use compared to their non-Latinx White counterparts, Latinx who do drink are at greater risk for transitioning to substance use disorders and experience more severe negative consequences. Relative to other racial/ethnic groups, Latinx emerging adults who engage in problematic drinking are (a) less likely to seek treatment, and (b) have less access to innovative and accessible health promoting resources, exacerbating health inequities. Increasing evidence supports the utility of mindfulness-based interventions (MBIs) for reducing problematic alcohol use and promoting a sustainable healthy lifestyle. However, research on MBIs to address alcohol use problems is limited by (1) minimal racial/ethnic minority representation and (2) low rates of program adherence and retention. The long-term goal of this research is to decrease alcohol misuse among Latinx emerging adult drinkers through a culturally and developmentally adapted mindfulness-based intervention program targeting self-regulatory processes. The primary aims of the study are twofold. Primary Aim 1 - Use Community-Based Participatory Research (CBPR) methods guided by the five stages of cultural adaptations of behavioral health interventions to ensure a culturally and developmentally appropriate adaptation of mindfulness-based stress reduction (MBSR-L) for Latinx emerging adults (18-25 years-old) who report 2 or more binge drinking episodes in the prior 30 days. These formative stages of the research will include an expert advisory panel review, key informant interviews (n=15), focus groups (n=30) and a pilot trial (n=10; 8-weeks with weekly hour-long adapted MBSR sessions). Formative data will be analyzed to obtain information on structure, duration, acceptability, and cultural appropriateness and further refinement of intervention protocols. Primary Aim 2 – Conduct a Cultural Adaptation Trial to evaluate the acceptability and feasibility of the adapted MBSR-L intervention among a community sample (n=120) of Latinx underage emerging adults who report 2 or more binge drinking episodes in the prior 30 days. Participants will be randomly assigned to an MBSR-L condition (8 weekly 1-hour adapted MBSR-L sessions) or an assessment-only control condition. Secondary Aim 2.1 - Examine initial evidence of the efficacy of the MBSR-L intervention. We hypothesize that, relative to the participants in the control condition, participants in the MBSR-L condition will report: (a) greater reductions in frequency of binge drinking episodes and number of drinks per drinking occasion, and (b) greater impacts on putative mechanisms of change (e.g., reduced stress, greater self-regulation, and enhanced well-being). The proposed study has significant public health implications by contributing to translational efforts to reduce alcohol misuse and disparities among Latinx emerging adults who would otherwise not seek treatment.

摘要 在美国的所有年龄组中，新兴成年人的酒精使用率最高 大约三分之一（32%）的人酗酒（女性/男性在两小时内喝4到5杯）。虽然拉丁 新兴的成年人报告说，与非拉丁裔白色人相比， 饮酒的拉丁裔人转变为物质使用障碍的风险更大， 负面后果。相对于其他种族/族裔群体，拉丁裔新兴成年人谁从事 有问题的饮酒者（a）不太可能寻求治疗，（B）获得创新和 可获得的健康促进资源，加剧了卫生不平等。越来越多的证据表明， 基于正念的干预措施（MBIs），以减少有问题的酒精使用，并促进可持续的 良好的生活方式然而，关于MBIs解决酒精使用问题的研究受到以下限制：（1）最小 少数种族/民族代表性和（2）计划遵守率和保留率低。远景目标 这项研究的目的是通过一种文化上的， 发展适应正念为基础的干预计划，针对自我调节过程。的 这项研究的主要目的有两个。主要目标1 -使用基于社区的前瞻性研究 （CBPR）方法指导的五个阶段的文化适应行为健康干预，以确保 一个文化和发展上适当的适应正念为基础的减压（MBSR-L）， 拉丁裔新兴成年人（18-25岁），在过去30天内报告2次或2次以上酗酒事件。 这些研究的形成阶段将包括专家咨询小组的审查， （n=15），焦点小组（n=30）和试点试验（n=10; 8周，每周一小时的适应MBSR会议）。 将对形成性数据进行分析，以获得关于结构、持续时间、可接受性和文化的信息。 干预方案的适当性和进一步完善。第二步：培养文化 适应性试验，以评估适应MBSR-L干预措施的可接受性和可行性， 社区样本（n=120）报告2次或以上酗酒事件的拉丁裔未成年新兴成年人 在过去的30天里。参与者将被随机分配到MBSR-L条件下（8周，1小时适应 MBSR-L会话）或仅评估对照条件。第二目标2.1 ----检查以下方面的初步证据： MBSR-L干预的有效性。我们假设，相对于对照组的参与者， 条件下，MBSR-L条件下的参与者将报告：（a）更大程度地减少酗酒的频率 事件和每次饮酒的次数，和（B）对推定的机制的更大影响， 改变（例如，减少压力，更好的自我调节，增强幸福感）。拟议的研究已 通过促进减少酒精滥用的转化努力，对公共卫生产生重大影响 以及拉丁裔新兴成年人之间的差异，否则他们不会寻求治疗。