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.

项目摘要 急性酒精使用和近端中毒增加了大学生亲密伴侣的可能性 暴力（IPV）的实施强调了在关键时期检测和干预与酒精相关的IPV的必要性。 饮酒时期有问题的是，回顾性自我报告的酒精使用是唯一的方法， 评估大学生在自然环境中与IPV犯罪有关的酒精使用情况（例如，生态 瞬时评估[EMA]）。大学生自我报告的酒精使用低估了他们的呼吸酒精 内容（BrAC）高达54%，充满了局限性;研究人员的能力，提供和评估 急需的非卧床酒精相关IPV干预（例如，及时干预）受到阻碍， 不准确的酒精评估。移动的呼气测醉器技术的最新进展使调查人员能够 远程和客观地评估大学生的酒精使用和中毒的自然设置。当 移动的呼气测醉器与IPV的EMA配合使用，为加强酒精相关的IPV提供了一种新方法 监测;没有研究使用便携式呼气测醉器远程评估与IPV相关的酒精使用。作为 这是加强与酒精相关的远程IPV干预的关键第一步，总体目标是 这项拟议的研究是为了确定使用智能手机连接的便携式呼气测醉器的可行性， 与基于智能手机的EMA结合，以捕捉与酒精相关的IPV事件和背景， 最近有过IPV病史的酗酒大学生 我们将利用我们团队建立的远程酒精监测和EMA程序来实现三个目标： 第一个目的是检查使用便携式呼气测醉器与EMA配对的可行性和可接受性， 在大量饮酒、有攻击性的大学生中调查BrAC和IPV之间的关系 学生第二个目的是确定呼吸测醉器衍生的BrAC是否是不同形式的更强的预测因子。 IPV的犯罪比自我报告的酒精使用，以及这些是否存在性别差异 协会.我们的探索性目标是检查上下文（例如，在哪里，什么时候，和谁一起喝酒） 发生了哪些与酒精相关的IPV事件，这将有助于在未来与酒精相关的IPV中优化EMA交付 问题研究在连续30天内，100名有IPV犯罪史的酗酒大学生将 使用智能手机完成每天5次（上午1次，晚上4次）IPV和饮酒环境的自我报告; 智能手机将提示4个晚上BrAC提交到智能手机连接的便携式呼气测醉器（加上事件- 触发报告），以提供最严格，准确和生态有效的评估酒精相关的 IPV至今结果将提供EMA+可行性数据，以告知未来使用EMA+的R 01， 夫妇确定内部/人际和上下文的前因大学酒精相关的IPV。符合 根据NIAAA的优先事项，拟议的研究将加强追踪大学中与酒精有关的IPV的方法 这是加强与酒精相关的IPV干预措施的重要第一步。