Use of Ecological Momentary Assessments to Evaluate Drinking in Native Women

使用生态瞬时评估来评估土著妇女的饮酒情况

• 批准号: 10730797
• 负责人: Jessica D Hanson
• 金额: $ 38.11万
• 依托单位: UNIVERSITY OF MINNESOTA DULUTH
• 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 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10730797
• 关键词: Adult; Affect; Alcohol consumption; Alcohols; American Indians; Back; Behavior; COVID-19 pandemic; Cellular Phone; Communication; Communities; Data; Data Collection; Data Reporting; Data Set; Ecological momentary assessment; Environment; Ethnic Population; Exhibits; Faculty; Female; Female of child bearing age; Fetal Alcohol Exposure; General Population; Goals; Health; Home; Indian reservation; Individual; Information Dissemination; Intervention; Knowledge; Learning; Measures; Medical; Methodology; Methods; Moods; Participant; Pattern; Persons; Phase; Population; Prevention; Process; Public Health; Public Health Students; Research Assistant; Research Project Grants; Restaurants; Risk Factors; Rural; Rural Community; Sampling; Social Environment; Social support; Students; Surveys; System; Techniques; Technology; Time; Tribes; United States; Woman; Work; acceptability and feasibility; alcohol abstinence; alcohol consumption during pregnancy; behavior influence; binge drinking; community engaged research; community engagement; dissemination strategy; drinking; drinking behavior; experience; health communication; high risk drinking; improved; men; novel; program dissemination; protective factors; racial population; research data dissemination; student participation; study population; success; tool; tribal community; undergraduate research; undergraduate student

PROJECT SUMMARY Reducing alcohol consumption to below bingeing levels is a focus of Healthy People 2030, which sets data- driven national objectives to improve health in the United States. Risky drinking is especially concerning for women as they are more likely to develop medical problems because of their drinking when compared to men. In tribal communities, American Indian women who drink tend to do so at risky levels, and drinking is typically done with groups of people in a home setting. However, more data on the situational context is necessary to better understand the social context of drinking patterns in this population and to subsequently inform interventions to reduce risky drinking in American Indian women of childbearing age. One way to collect more timely and accurate alcohol data is through ecological momentary assessment (EMA). Using widely available technology such as smartphones, EMA involves repeated sampling of subjects' current behaviors and experiences in real time and in subjects' natural environments, which minimizes recall bias, maximizes ecological validity, and allows study of micro-processes that influence behavior in real-world contexts. Therefore, we will build on the success of a proof-of-concept project led by this team that shows EMA with American Indian women is both feasible and acceptable, and we will use EMA to better understand the drinking contexts, patterns, and risk factors with this population. There are three iterative phases to the project: 1) formative, community-engaged work to validate the measures within the EMA data capture system; 2) use of EMA to elucidate alcohol use in American Indian women of childbearing age, such as drinking style, risky times/days of drinking, mood and affect prior to and during drinking, and the social context in which drinking occurs; and 3) the dissemination of results to tribal communities using community engagement principles combined with health communication techniques. The synergistic impact of this project lies in the knowledge gained from the EMA research project to better understand alcohol consumption with American Indian women of childbearing age, as well as learn more about predictors of non-drinking days. This tool could also potentially be used within alcohol-exposed pregnancy intervention and prevention work and as a way to build social support. As well, the project will impact the undergraduate research environment of the lead institution by providing student-centered experiences such as opportunities to be involved as individual undergraduate student research assistants and also within the classroom by focusing our project dissemination efforts on student engagement in the research dissemination process.

项目总结 将酒精摄入量降低到暴饮暴食以下是2030年健康人的重点，它设定了数据- 推动国家目标，改善美国的健康状况。危险饮酒尤其令人担忧 与男性相比，女性因饮酒而更容易出现健康问题。 在部落社区，饮酒的美国印第安人女性往往在危险的水平上饮酒，而饮酒通常是 在家中与一群人一起完成。然而，更多关于情景背景的数据是必要的 更好地了解该人群饮酒模式的社会背景，并随后告知 减少美国印度育龄妇女危险饮酒的干预措施。收集更多信息的一种方法 及时准确的酒精数据是通过生态瞬时评估(EMA)获得的。使用广泛可用的 智能手机等技术，EMA涉及对受试者当前行为和 实时和在受试者的自然环境中的体验，最大限度地减少了回忆偏差，最大化了生态 有效性，并允许研究在现实世界环境中影响行为的微观过程。因此，我们将 建立在该团队领导的概念验证项目的成功基础上，该项目展示了EMA与美国印第安人妇女 是可行和可接受的，我们将使用EMA来更好地理解饮酒环境、模式和 这一人群的风险因素。项目有三个迭代阶段：1)形成阶段，社区参与 努力验证EMA数据捕获系统内的措施；2)使用EMA来阐明酒精在 美国印第安人育龄妇女，如饮酒方式、危险饮酒时间/天数、情绪和情绪 饮酒前和饮酒期间，以及饮酒发生的社会背景；以及3)结果的传播 将社区参与原则与卫生传播技术相结合，向部落社区提供服务。 这个项目的协同影响在于从环境管理协会研究项目中获得的知识，以更好地 了解美国印度育龄妇女的饮酒情况，并了解更多关于 不饮酒天数的预测者。这一工具也可能用于酒精暴露的怀孕。 干预和预防工作，并作为建立社会支持的一种方式。此外，该项目将影响 领先院校的本科生研究环境，提供以学生为中心的体验，如 作为个人本科生研究助理参与的机会，以及 通过将我们的项目传播努力集中在学生参与研究传播上 进程。