Exercise as Alcohol Use Disorders Intervention for Non-Treatment Seeking Adults

运动作为不寻求治疗的成年人的酒精使用障碍干预措施

• 批准号: 8064493
• 负责人: Jeremiah Weinstock
• 金额: $ 3.75万
• 依托单位: SAINT LOUIS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-25 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8064493
• 关键词: Address; Adherence; Adult; Advertisements; Aftercare; Alcohol consumption; American; Anxiety; Applications Grants; Appointment; Award; Behavior; Behavior Therapy; Body Composition; Cardiovascular system; Client; Communities; Connecticut; Counseling; Data Collection; Dependence; Disease; Equipment; Exercise; Faculty; Frequencies; Funding; Future; Grant; Health; Health Benefit; Health Professional; Heavy Drinking; Incentives; Individual; Individual Differences; Intervention; Investigation; Letters; Measures; Mediating; Mental Health; Methods; Moods; Motivation; Outcome; Outcome Measure; Participant; Patient Self-Report; Pharmacological Treatment; Physical Fitness; Physical activity; Pilot Projects; Prize; Psyche structure; Randomized; Records; Recruitment Activity; Research; Saints; Sample Size; Self Efficacy; Severities; Social support; Staging; Stigmata; Testing; Universities; alcohol use disorder; contingency management; drinking; emotion regulation; fitness; help-seeking behavior; improved; indexing; innovation; meetings; motivational enhancement therapy; motivational intervention; muscle strength; novel; payment; physical conditioning; primary outcome; public health relevance; reinforcer; secondary outcome; sedentary; social stigma

DESCRIPTION (provided by applicant): About 26 million Americans (8.5%) meet criteria for an alcohol use disorder (AUD; i.e., abuse or dependence), and most with an AUD will not ever seek help. A variety of reasons exist for not seeking help, with stigma and desire to handle the problem on one's own being primary among them. Therefore, offering interventions for AUD that do not stigmatize or require an individual to see a mental health professional may increase the utility and acceptability of AUD interventions and ultimately increase the number of individuals effectively treated. This pilot study evaluates exercise as an AUD intervention. Exercise has been proposed as a potential treatment for AUD due to its numerous mental and physical health benefits. SOAR funds will augment existing pilot and start-up funds and enable an additional thirty sedentary non-treatment seeking AUD individuals to be recruited from the community via advertisements. Participants will be given a four month YMCA gym membership and will be randomized to one of two conditions: (1) assessment only (AO), or (2) a combination of two motivational enhancement therapy (MET) sessions focused on increasing exercise spaced two months apart and four months of weekly contingency management (CM) for adhering to specific exercise activities. MET is a client-centered, directive method of enhancing intrinsic motivation to change by exploring and resolving ambivalence, and CM is a behavioral treatment offering individuals tangible reinforcers such as prizes for completion of specific target behaviors. Assessments of all participants will take place at baseline, 2-months (mid-treatment), and 4-months (post- treatment) with primary outcome measures being indices of alcohol use and engagement in exercise. Secondary outcomes include health-related physical fitness (e.g., tests of body composition, cardiovascular endurance, and muscle strength). We hypothesize that MET+CM will show increased levels of exercise and physical fitness and reductions in alcohol use in comparison to AO. Results from this pilot study will guide future investigations of exercise as a method for intervening with non-treatment seeking AUD individuals. PUBLIC HEALTH RELEVANCE: Alcohol use disorders are common and few individuals with the disorder ever seek help. This study proposes to intervene in a novel way - exercise, as it has many mental and physical health benefits and is an activity that is incompatible with simultaneous alcohol use. If effective, this non-stigmatizing intervention may increase the utility and acceptability of interventions for alcohol use disorders and ultimately increase the number of individuals effectively treated.

描述（由申请人提供）：大约 2600 万美国人 (8.5%) 符合酒精使用障碍（AUD；即滥用或依赖）标准，大多数患有 AUD 的人不会寻求帮助。不寻求帮助的原因有多种，其中最主要的是耻辱和希望自己解决问题。因此，提供不侮辱或不要求个人去看心理健康专业人员的 AUD 干预措施可能会提高 AUD 干预措施的实用性和可接受性，并最终增加有效治疗的个人数量。这项试点研究将运动作为 AUD 干预措施进行评估。运动因其对精神和身体健康的众多益处而被提议作为 AUD 的潜在治疗方法。 SOAR 资金将增加现有的试点和启动资金，并通过广告从社区招募另外 30 名久坐的非治疗寻求 AUD 的个人。参与者将获得为期四个月的 YMCA 健身房会员资格，并将被随机分配到以下两种条件之一：(1) 仅评估 (AO)，或 (2) 两次动机增强治疗 (MET) 课程的组合，重点是增加间隔两个月的锻炼量，以及为期四个月的每周应急管理 (CM)，以坚持特定的锻炼活动。 MET 是一种以客户为中心的指导方法，通过探索和解决矛盾心理来增强改变的内在动机，而 CM 是一种行为治疗，为个人提供有形的强化物，例如完成特定目标行为的奖励。所有参与者的评估将在基线、2 个月（治疗中期）和 4 个月（治疗后）进行，主要结果指标是饮酒和运动参与指数。次要结果包括与健康相关的身体素质（例如身体成分、心血管耐力和肌肉力量的测试）。我们假设与 AO 相比，MET+CM 将显示出运动水平和身体健康水平的提高以及饮酒量的减少。这项试点研究的结果将指导未来对运动作为干预未寻求治疗的 AUD 个体的方法的研究。 公共卫生相关性：酒精使用障碍很常见，很少有患有这种疾病的人寻求帮助。这项研究建议以一种新颖的方式进行干预——锻炼，因为它对精神和身体健康有许多好处，而且是一种与同时饮酒不相容的活动。如果有效，这种非污名化干预措施可能会提高酒精使用障碍干预措施的效用和可接受性，并最终增加有效治疗的人数。