A Mobile-Based Intervention to Address Heavy Drinking and Binge Eating in College Students
基于移动设备的干预措施解决大学生酗酒和暴饮暴食问题
基本信息
- 批准号:10575275
- 负责人:
- 金额:$ 23.78万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-05-01 至 2026-04-30
- 项目状态:未结题
- 来源:
- 关键词:AddressAdolescenceAdultAffectAlcohol consumptionAmericanAnxietyBehaviorBehavioralBinge EatingBinge eating disorderBulimiaCellular PhoneCessation of lifeCognitiveConsumptionCounselingCoupledDataDevelopmentDiagnosisDiagnosticDiseaseEating BehaviorEating DisordersEducationEvidence based interventionEvidence based practiceEvidence based treatmentFeedbackFemaleFocus GroupsFoodFrequenciesHarm ReductionHealthy EatingHeavy DrinkingImpairmentImpulsivityIncidenceIndividualInjuryInterventionLinkMedicalMemoryMental DepressionMethodsMorbidity - disease rateMotivationNeurobiologyObesityOutcomePatternPersonsPhasePhenotypePopulationPrevalencePreventionPrevention approachProceduresPublic HealthRandomizedRandomized, Controlled TrialsReportingResistanceResourcesRewardsRiskSeveritiesSocial FunctioningStudentsSymptomsTestingTimeTreatment EfficacyTreatment outcomeacceptability and feasibilityalcohol measurementalcohol poisoningalcohol related consequencesalcohol use disorderbehavior changebehavioral health interventionbinge drinkingbinge type behaviorcare seekingcollegeconventional therapydesigndiagnostic strategydiagnostic valuedrinkingdrinking behaviorefficacy evaluationemotion regulationevidence baseexperiencefightingfood restrictionheavy drinking college studenthigh intensity drinkinghigh risk sexual behaviorinnovationintervention effectintervention refinementmalemortalitynegative affectpersonalized approachpersonalized interventionphysical conditioningpilot testpost interventionpreventpreventable deathpreventive interventionprogramsrecruitscreeningsecondary outcomesexsexual assaultskillssocietal costsuniversity studentyoung adult
项目摘要
Project Summary/Abstract
More than 52 million American adults report binge drinking in the past month. Binge drinking is intricately
linked to, and exponentially increases the risk for, the development of an alcohol use disorder - a pernicious
illness linked to severe medical and psychiatric morbidity, elevated mortality, and a resistance to conventional
treatments. In tandem, up to 43 million Americans engage in episodes of binge eating, characterized by the
consumption of a large amount of food coupled with a loss of control. Binge eating is inherently linked to the
development of binge eating disorder, the most prevalent eating disorder phenotype, and obesity, which is
among the leading causes of global preventable death. Crucially, binge drinking and binge eating frequently
co-occur, with robust data illustrating a bidirectional antagonistic effect of one binge type behavior upon the
severity and frequency of the other, indicative of shared underlying mechanisms. Although the shared
mechanisms underpinning both binge drinking and binge eating have been well-explicated, few treatments to
date have been developed to target these transdiagnostic maintaining factors. Addressing these mechanisms
early through the use of accessible prevention approaches has important public health implications for
preventing the development of harmful and difficult-to-treat disorders. Importantly, the risk for both binge
drinking and binge eating are substantially elevated in young adults, and particularly among college students,
where paradoxically, rates of treatment seeking for these problematic behaviors are reliably low. Since both
alcohol use disorder and binge eating disorder most typically onset in late adolescence, precision methods to
target these symptomatic behaviors prior to their conversion to full threshold disorders, in the populations most
at-risk, is of critical importance. Moreover, and owing to the reliably low rates of treatment seeking in college
students, the development of precision approaches that are personalized and accessible on a large scale are
especially warranted. In this study, we propose to leverage our group’s experience in developing mobile
phone-based behavioral health interventions, to develop a mobile intervention to dually reduce co-occurring
binge drinking and binge eating by targeting their shared underlying mechanisms. This two-phase study will
first seek to develop and conduct a systematic beta test of the intervention, comprised of components of
evidence-based treatments vetted with experts, in 20 male and female college students who engage in binge
drinking and eating. Subsequently, we will pilot test the refined intervention in a randomized controlled trial of
300 college students who engage in both behaviors, and who will receive the intervention (N=150) or standard
receipt of resources (control; N=150), to ascertain intervention efficacy in reducing binge frequency and related
problems. Results will provide the first known data relating to a scalable and transdiagnostic approach to
reducing binge drinking and eating frequency in a population at heightened risk and limited treatment-seeking.
项目概要/摘要
超过 5200 万美国成年人在过去一个月内酗酒。酗酒是错综复杂的
与酒精使用障碍(一种有害的疾病)的发展相关,并成倍增加风险。
与严重的医疗和精神发病率、死亡率升高以及对传统疗法的抵抗力相关的疾病
治疗。与此同时,多达 4300 万美国人经历过暴饮暴食,其特点是
消耗大量食物并失去控制。暴饮暴食与
暴食症(最常见的饮食失调表型)和肥胖的发展,这是
是全球可预防死亡的主要原因之一。至关重要的是,经常暴饮暴食
同时发生,有可靠的数据说明一种暴饮暴食类型行为对
另一个的严重性和频率,表明共同的潜在机制。虽然共享的
暴饮暴食的机制已被充分阐明,但很少有治疗方法
已经制定了针对这些跨诊断维持因素的数据。解决这些机制
及早使用可行的预防方法对公共卫生具有重要意义
预防有害且难以治疗的疾病的发展。重要的是,两种暴饮暴食的风险
年轻人,尤其是大学生,酗酒和暴饮暴食的比例大幅上升,
矛盾的是,针对这些问题行为寻求治疗的比率确实很低。既然两者
酒精使用障碍和暴食症最常见于青春期后期,精确方法
在大多数人群中,在转化为完全阈值障碍之前针对这些症状行为
处于危险之中,至关重要。此外,由于在大学寻求治疗的比率确实很低
学生们,开发个性化且可大规模使用的精确方法是
特别有保证。在这项研究中,我们建议利用我们团队在开发移动设备方面的经验
基于电话的行为健康干预措施,开发移动干预措施以双重减少同时发生的情况
通过针对其共同的潜在机制来控制暴饮暴食。这项两阶段的研究将
首先寻求开发并进行系统的干预贝塔测试,其中包括以下组成部分:
专家对 20 名酗酒的男女大学生进行了循证治疗
喝酒和吃饭。随后,我们将在随机对照试验中对精细化干预进行试点测试
300 名从事这两种行为的大学生,并将接受干预(N=150)或标准
接收资源(对照;N=150),以确定干预措施在减少暴饮暴食频率和相关
问题。结果将提供与可扩展和跨诊断方法相关的第一个已知数据
减少高风险人群和有限寻求治疗人群的暴饮暴食频率。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Stuart B Murray其他文献
Disordered eating and the muscular ideal
- DOI:
10.1186/2050-2974-1-15 - 发表时间:
2013-04-25 - 期刊:
- 影响因子:4.500
- 作者:
Scott Griffiths;Stuart B Murray;Stephen Touyz - 通讯作者:
Stephen Touyz
Stuart B Murray的其他文献
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{{ truncateString('Stuart B Murray', 18)}}的其他基金
Fear Conditioning and Fear Extinction in Anorexia Nervosa
神经性厌食症的恐惧调节和恐惧消退
- 批准号:
9432408 - 财政年份:2017
- 资助金额:
$ 23.78万 - 项目类别:
Fear Conditioning and Fear Extinction in Anorexia Nervosa
神经性厌食症的恐惧调节和恐惧消退
- 批准号:
10228100 - 财政年份:2017
- 资助金额:
$ 23.78万 - 项目类别:
Fear Conditioning and Fear Extinction in Anorexia Nervosa
神经性厌食症的恐惧调节和恐惧消退
- 批准号:
9755507 - 财政年份:2017
- 资助金额:
$ 23.78万 - 项目类别:
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