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.

抽象的 在美国的所有年龄群中，新兴的成年人的酒精使用率最高 大约有三分之一（32％）进行暴饮暴食（在两个小时内女性/男性4至5杯）。而拉丁文 与非Latinx白色同行相比，新兴成年人报告的大量酒精使用率较低， 喝酒的拉丁裔有更大的风险过渡到药物使用障碍并体验更严重的 负面后果。相对于其他种族/族裔群体，参与的拉丁裔新兴成年人 有问题的饮酒是（a）寻求治疗的可能性较小，并且（b）获得创新和 可访问的健康促进资源，加剧健康不平等。越来越多的证据支持公用事业 基于正念的干预措施（MBI），用于减少有问题的饮酒并促进可持续性 健康的生活方式。但是，对解决酒精使用问题的MBI的研究受（1）最小的限制 种族/族裔少数民族代表和（2）较低的计划依从性和保留率。长期目标 这项研究是通过文化和 针对自我调节过程的基于发展的基于正念的干预计划。这 研究的主要目的是双重的。主要目标1-使用基于社区的参与性研究 （CBPR）由行为健康干预措施的文化适应的五个阶段指导的方法 基于正念的压力减轻（MBSR-L）的文化和发展适当的适应 拉丁裔新兴成年人（18-25岁）在前30天内报告了2个或更多的bbinge饮酒事件。 研究的这些形成阶段将包括专家咨询小组审查，主要线人访谈 （n = 15），焦点组（n = 30）和试点试验（n = 10; 8周，每周适应为每周一个小时的MBSR会话）。 将分析形成性数据以获取有关结构，持续时间，可接受性和文化的信息 适当性和进一步的干预方案。主要目标2 - 进行文化 适应试验，以评估适应性MBSR-L干预措施的可接受性和可行性 报告2或以上的Bbinge饮酒情节的拉丁裔未成年成年人的社区样本（n = 120） 在前30天内。参与者将被随机分配到MBSR-L条件（8周的1小时调整） MBSR-L会议）或仅评估控制条件。次要目标2.1-检查初始证据 MBSR-L干预的效率。我们假设相对于控制参与者 条件，MBSR-L条件的参与者将报告：（a）狂饮频率的降低较大 每个饮酒场合的饮料发作和数量，以及（b）对推定机制的更大影响 变化（例如，减轻压力，更大的自我调节和增强的幸福感）。拟议的研究有 通过促进减少滥用酒精的努力的贡献，对公共卫生的影响很大 拉丁裔新兴成年人之间的差异和差异，否则不寻求治疗。