Pilot test of an mHealth Intervention for Reducing Alcohol Use among Rural Adolescent and Young Adult Cancer Survivors

减少农村青少年和年轻成年癌症幸存者饮酒的移动医疗干预试点试验

• 批准号: 10273171
• 负责人: Carolyn Lauckner
• 金额: $ 37.87万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-14 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10273171
• 关键词: AIDS/HIV problem; Address; Adherence; Adolescent and Young Adult; Advocate; Aftercare; Alcohol consumption; Alcohols; Area; Behavior; Bluetooth; Cancer Center; Cancer Survivor; Cancer Survivorship; Caring; Cellular Phone; Clinic; Clinical Trials; Communities; Counseling; Country; Data; Development; Diagnosis; Education; Enrollment; Evidence based intervention; Frequencies; Health; Health Promotion; High Prevalence; Incidence; Intervention; Intervention Trial; Interview; Kentucky; Literature; Malignant Neoplasms; Mental Health; Meta-Analysis; Monitor; Moods; Oncology; Outcome; Ownership; Persons; Physical activity; Population; Primary Health Care; Procedures; Provider; Randomized Controlled Trials; Reporting; Research; Research Personnel; Risk; Risk Behaviors; Risk Factors; Rural; Sampling; Services; Sleep; Structure; Surveys; Survivors; Technology; Telephone; Testing; Transportation; Travel; United States; Veterans; Visit; Youth; acceptability and feasibility; aged; alcohol behavior; alcohol intervention; alcohol monitoring; barrier to care; base; binge drinker; binge drinking; cancer recurrence; cancer risk; comorbidity; comparison group; digital; digital health; drinking; efficacy testing; experience; feasibility testing; follow-up; health literacy; improved outcome; informant; innovation; literacy; mHealth; mortality; motivational enhancement therapy; nutrition; peer; physical conditioning; pilot trial; psychologic; reduced alcohol use; rural area; rural dwellers; social stigma; substance use; survivorship; tool; underage drinking

ABSTRACT Adolescent and young adult (AYA) survivors of cancer have poorer health than their peers who have not been diagnosed with cancer and are more likely to die from non-cancer related causes. Researchers have called for health promotion interventions to improve outcomes and reduce risk behaviors among this population; however, one key risk factor—alcohol consumption—has been largely unstudied. Most AYA survivors are current drinkers, and over a third report engaging in binge drinking. Survivors living in rural areas may be even more at risk, as they have limited access to health and psychological care and many youth in these areas report more frequent alcohol consumption than their urban counterparts. Given that alcohol use is associated with increased risk of cancer recurrence, poorer survival, and other comorbidities, it is important to explore interventions for reducing this behavior among rural AYA survivors. The proposed research will test a mobile health (mHealth) intervention for reducing alcohol use, called TRAC: Tracking and Reducing Alcohol Consumption. This intervention, which is currently being implemented among a sample of people living with HIV/AIDS, is based on principles of motivational interviewing. It utilizes weekly phone conversations with an interventionist over an 8-week period and twice-daily self-monitoring of alcohol consumption using mobile surveys and Bluetooth breathalyzers. The intervention has strong potential for acceptability among rural AYAs given this populations’ high digital literacy, and will also reduce barriers to care experienced by those in rural areas, who often have to travel long distances to see providers in-person. Through key informant interviews, the TRAC intervention will be adapted and refined for rural AYA survivors. Then, it will be tested through a pilot randomized controlled trial with a monitoring and education comparison group. This pilot trial will assess intervention retention, adherence, and acceptability, and provide preliminary data regarding impact on alcohol use. Overall, the proposed research will yield valuable feasibility data to inform a definitive randomized controlled trial of this intervention to test efficacy among a larger sample of rural AYA survivors. If TRAC is shown to be successful in this population, it could be implemented in rural cancer clinics across the country and reduce risky alcohol consumption among the over 2 million AYAs in the United States.

抽象的 青少年和年轻人（aya）的癌症生存状况比从未去过的同龄人的健康状况差 被诊断出患有癌症，更有可能死于与非癌症相关的原因。研究人员呼吁 健康促进干预措施以改善预后并减少该人群中的风险行为； 但是，一个关键的危险因素（酒精消费量）在很大程度上没有被研究。大多数AYA存活是 目前的饮酒者，以及第三份报告进行暴饮暴食。居住在农村地区的幸存者甚至可能是 由于他们获得健康和心理护理的机会有限，并且在这些领域的许多年轻人，因此他们的风险更大 与城市同行相比，报告饮酒频率更高。鉴于酒精使用是相关的 随着癌症复发，生存率较差和其他合并症的风险增加，探索很重要 减少农村AYA生存的这种行为的干预措施。拟议的研究将测试手机 健康（MHealth）减少酒精使用的干预措施，称为TRAC：跟踪和减少酒精 消耗。这种干预措施目前正在居住的人群中实施 艾滋病毒/艾滋病基于动机访谈的原则。它使用每周的电话交谈 干预主义者在为期8周的时间内，每天两次使用移动设备自我监控饮酒 调查和蓝牙braathalyzer。干预措施在农村AYA中具有强大的可接受潜力 鉴于该人群的高数字素养，还将减少农村地区经历的护理障碍 经常不得不长途跋涉才能看到提供者的地区。通过关键的线人访谈， TRAC干预措施将进行调整和精制，以实现粗糙的AYA存活。然后，将通过飞行员进行测试 随机对照试验与监测和教育比较组。该试点审判将评估 保留干预，依从性和可接受性，并提供有关对酒精影响的初步数据 使用。总体而言，拟议的研究将产生有价值的可行性数据，以告知确切的随机数据 该干预措施的对照试验，以测试较大的粗糙AYA存活样本中的效率。如果Trac是 证明在这个人群中取得了成功，可以在全国各地的农村癌症诊所实施 并减少美国超过200万AYA的风险饮酒。