Integrating Remote Breath Alcohol Monitoring into Ecological Momentary Assessment of Alcohol-Related Intimate Partner Violence among Young Adult Drinkers

将远程呼吸酒精监测纳入年轻成年饮酒者中与酒精相关的亲密伴侣暴力的生态瞬时评估

• 批准号: 10810620
• 负责人: Meagan Jacquelyn Brem
• 金额: $ 20.45万
• 依托单位: VIRGINIA POLYTECHNIC INST AND ST UNIV
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-20 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10810620
• 关键词: Acute; Address; Adverse event; Age; Alcohol consumption; Alcoholic Beverages; Alcoholic Intoxication; Alcohols; Blood alcohol level measurement; Cellular Phone; Consumption; Couples; Data; Data Collection; Ecological momentary assessment; Environment; Event; Future; Gender; Goals; Heavy Drinking; Intervention; Intoxication; Juice; Laboratories; Limb structure; Link; Methods; Monitor; National Institute on Alcohol Abuse and Alcoholism; Notification; Participant; Patient Self-Report; Population; Predisposition; Procedures; Process; Reaction; Recording of previous events; Reporting; Research; Research Personnel; Research Support; Risk; Sampling; Technology; Testing; Time; Woman; acceptability and feasibility; adaptive intervention; alcohol content; alcohol monitoring; assessment application; college; college drinking; diaries; distilled alcoholic beverage; drinking; experience; gender difference; heavy drinking college student; intimate partner violence; men; novel; novel strategies; portability; psychologic; remote assessment; remote delivery; sexual aggression; undergraduate student; university student; violence perpetration; young adult

Project Summary Acute alcohol use and intoxication proximally increase the likelihood of college students’ intimate partner violence (IPV) perpetration underscoring the need to detect and intervene with alcohol-related IPV during critical drinking periods. Problematically, retrospective self-reported alcohol use has been the only method used to assess college students’ alcohol use in relation to IPV perpetration in their natural environment (e.g., ecological momentary assessment [EMA]). College students’ self-reported alcohol use underestimates their breath alcohol content (BrAC) by as much as 54% and is fraught with limitations; investigators’ ability to deliver and evaluate crucially-needed ambulatory alcohol-related IPV interventions (e.g., just-in-time interventions) is hindered by inaccurate alcohol assessment. Recent advancements in mobile breathalyzer technology allow investigators to remotely and objectively assess undergraduates’ alcohol use and intoxication in naturalistic settings. When paired with EMA of IPV, mobile breathalyzers offer a novel approach to strengthening alcohol-related IPV monitoring; no study has used portable breathalyzers to remotely assess alcohol use in relation to IPV. As a critical first step toward enhancing remotely-delivered alcohol-related IPV interventions, the overall objective of the proposed study is to determine the feasibility of using smartphone-linked, portable breathalyzers in conjunction with smartphone-based EMA to capture alcohol-related IPV episodes and contexts among heavy drinking college students with a recent IPV history. We will leverage our team’s established remote alcohol monitoring and EMA procedures to address three aims: The first aim is to examine the feasibility and acceptability of using portable breathalyzers paired with EMA to investigate the association between BrAC and IPV among heavy drinking, previously-aggressive college students. The second aim is to determine if breathalyzer-derived BrAC is a stronger predictor of different forms of IPV perpetration than is self-reported alcohol use, and whether there are gender differences in these associations. Our exploratory aim is to examine contexts (e.g., where, when, and with whom one drinks) in which alcohol-related IPV events occur, which will help optimize EMA delivery in future alcohol-related IPV studies. Across 30 consecutive days, 100 heavy drinking college students with an IPV perpetration history will use smartphones to complete 5 daily (1 morning, 4 evening) self-reports of IPV and drinking context; smartphones will prompt 4 evening BrAC submissions to a smartphone-linked portable breathalyzer (plus event- triggered reports) to provide the most rigorous, accurate, and ecologically-valid assessment of alcohol-related IPV to date. Results will provide EMA+ feasibility data to inform a future R01 using EMA+ with a large sample of couples to identify intra/interpersonal and contextual antecedents of college alcohol-related IPV. Consistent with the NIAAA’s priorities, the proposed study will enhance methods of tracking alcohol-related IPV in college students’ natural settings and is an essential first step toward strengthening alcohol-related IPV interventions.

项目概要 急性饮酒和中毒会增加大学生成为亲密伴侣的可能性 暴力（IPV）犯罪强调需要在关键时期发现和干预与酒精相关的 IPV 饮酒期。有问题的是，回顾性自我报告饮酒情况是唯一用于确定饮酒情况的方法。 评估大学生的饮酒情况与其自然环境（例如生态环境）中 IPV 发生的关系 临时评估[EMA]）。大学生自我报告的饮酒量低估了他们的呼气酒精含量 含量 (BrAC) 高达 54%，并且充满局限性；调查人员提供和评估的能力 迫切需要的与酒精相关的 IPV 流动干预措施（例如，及时干预措施）受到以下因素的阻碍： 酒精评估不准确。移动呼吸分析仪技术的最新进展使研究人员能够 远程客观地评估本科生在自然环境中的饮酒和中毒情况。什么时候 移动呼气分析仪与 IPV EMA 相结合，提供了一种加强酒精相关 IPV 的新方法 监控；尚无研究使用便携式呼气分析仪来远程评估酒精使用与 IPV 的关系。作为一个 加强远程酒精相关 IPV 干预措施的关键第一步，总体目标 拟议的研究旨在确定在以下环境中使用与智能手机连接的便携式呼吸分析仪的可行性 与基于智能手机的 EMA 结合，捕捉与酒精相关的 IPV 事件和重度酗酒者的背景 最近有 IPV 历史的饮酒大学生。 我们将利用我们团队已建立的远程酒精监测和 EMA 程序来实现三个目标： 第一个目标是检查使用便携式呼吸分析仪与 EMA 配合使用的可行性和可接受性 调查酗酒、以前有攻击性的大学生中 BrAC 和 IPV 之间的关联 学生。第二个目标是确定呼吸分析仪衍生的 BrAC 是否是不同形式的更强预测因子 IPV 实施率与自我报告的饮酒率相比，以及这些方面是否存在性别差异 协会。我们的探索性目标是检查情境（例如，在哪里、何时以及与谁一起喝酒） 发生了哪些与酒精相关的 IPV 事件，这将有助于优化未来酒精相关 IPV 中的 EMA 交付 研究。连续 30 天，100 名有 IPV 犯罪历史的酗酒大学生将被 使用智能手机每天完成 5 份（早上 1 份，晚上 4 份）IPV 和饮酒情况自我报告； 智能手机将提示 4 晚 BrAC 提交给智能手机连接的便携式呼吸分析仪（加上事件- 触发报告）提供对酒精相关的最严格、准确和生态有效的评估 迄今为止的IPV。结果将提供 EMA+ 可行性数据，为未来使用 EMA+ 的 R01 提供大量样本 夫妇识别大学酒精相关 IPV 的内部/人际和背景前因。符合 NIAAA 的优先事项，拟议的研究将增强大学中与酒精相关的 IPV 追踪方法 学生的自然环境，是加强与酒精相关的 IPV 干预措施的重要第一步。