A Mobile Alcohol Misuse Prevention Program

移动酒精滥用预防计划

• 批准号: 9140645
• 负责人: Diane K. Deitz
• 金额: $ 16.46万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-06-01 至 2017-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9140645
• 关键词: Address; Adult; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Android; Automobile Driving; Behavior; Benchmarking; Canada; Cellular Phone; Client; Cognitive; Communication; Development; Diagnosis; Disease; Effectiveness; Elements; Employee; Exercise; Focus Groups; Goals; Health; Health Promotion; Health behavior change; Heavy Drinking; Individual; International; Internet; Intervention; Life; Link; Mainstreaming; Marketing; Measures; Modeling; Monitor; Online Systems; Participant; Personal Satisfaction; Phase; Preparation; Prevention; Prevention program; Preventive Intervention; Productivity; Program Effectiveness; Randomized; Randomized Controlled Trials; Recruitment Activity; Reporting; Risk; Safety; Sampling; Series; Substance abuse problem; Testing; Text; United States; Weight maintenance regimen; Wellness Program; Work; Workplace; alcohol misuse; alcohol misuse prevention; alcohol use disorder; base; binge drinking; cost; design; drinking; driving under influence; experience; handheld mobile device; high risk drinking; improved; innovation; meetings; nutrition; preference; problem drinker; programs; prototype; public health relevance; reduced alcohol use; social; social stigma; stress management; substance abuse prevention; substance misuse; substance misuse prevention; therapy design; tool; university student; usability; web site

 DESCRIPTION (provided by applicant): Nearly 87% of adults report drinking alcohol at some point in their life and over 70% report drinking in the past year. More importantly, nearly 25% report past month binge drinking, close to 7% report heavy drinking, and 29 million people report driving under the influence of alcohol. While significant numbers of adults report past month risky drinking, 90% of those who drink too much do not meet the criteria for alcohol dependence. Alcohol misuse contributes significantly to myriad health and safety risks, and annually costs the United States $223.5 billion, with the vast majority of those costs borne by employers. Several Internet-based interventions designed to address excessive drinking have now been developed, and a variety of studies have demonstrated the efficacy of these approaches. However, because virtually all of the online alcohol misuse prevention programs developed to date highlight alcohol misuse at the outset, their reach is limited to the self-identified problem drinkers and fail to provide the larger mainstream of drinking adults with prevention messages and materials. These mainstream drinkers are unlikely to engage with a program focusing solely on alcohol misuse because of the significant stigma associated with alcohol abuse disorder. Building on ISA's extensive experience in the development and test of substance misuse prevention and health promotion interventions (including previously developed and tested video and web-based interventions which circumvent the stigma associated with substance misuse by imbedding the intervention into widely accepted health promotion), the proposed project will develop and test an innovative mobile web-based alcohol misuse prevention program imbedded within a larger web-based workplace wellness program, suitable for access on virtually any smartphone (IOS or Android). The wellness program will include stress management, exercise, nutrition/weight management, and alcohol misuse prevention. Upon entering the wellness program, users will complete an assessment of their health practices and status (including drinking practices), which will tailor the wellness program to their particular needs and preferences. Phase I will involve focus groups and the development, usability and feasibility testing of the prototype, along with specific milestones tha must be met before moving to Phase II. Phase II will involve the full development of the mobile website and tools designed for users to access "in-the-moment" to help them change their behavior, followed by a randomized controlled trial with working adults to test the program effectiveness. Chestnut Global Partners, an international company specializing in workplace wellness and substance abuse prevention, has enthusiastically agreed to collaborate on the project to recruit workplaces and employees from among their client companies and to work with ISA's Center for Workforce Health to market the completed program.

 描述（由申请人提供）：近 87% 的成年人表示曾在其一生中的某个阶段饮酒过，超过 70% 的成年人表示在过去一年中饮酒过。更重要的是，近 25% 的人报告上个月酗酒，近 7% 的人报告酗酒，2900 万人报告酒后驾车。虽然大量成年人报告过去一个月存在饮酒风险，但 90% 饮酒过量的人不符合酒精依赖标准。酒精滥用会导致无数的健康和安全风险，每年给美国造成 2235 亿美元的损失，其中绝大多数由雇主承担。目前已经开发出几种旨在解决过度饮酒问题的基于互联网的干预措施，并且各种研究已经证明了这些方法的有效性。然而，由于迄今为止开发的几乎所有在线酒精滥用预防计划从一开始就强调了酒精滥用，因此它们的覆盖范围仅限于自我认定的问题饮酒者，并且未能为更广泛的主流饮酒成年人提供预防信息和材料。这些主流饮酒者不太可能参与仅针对酒精滥用的计划，因为与酒精滥用障碍相关的显着耻辱。基于 ISA 在开发和测试药物滥用预防和健康促进干预措施方面的丰富经验（包括之前开发和测试的视频和基于网络的干预措施，通过将干预措施嵌入广泛接受的健康促进中来规避与药物滥用相关的耻辱），拟议项目将开发和测试一个创新的基于移动网络的酒精滥用预防计划，该计划嵌入在更大的基于网络的工作场所健康计划中，几乎适合在任何智能手机上访问 （IOS 或 Android）。健康计划将包括压力管理、锻炼、营养/体重管理和酒精滥用预防。进入健康计划后，用户将完成对其健康习惯和状态（包括饮酒习惯）的评估，这将根据他们的特定需求和偏好定制健康计划。第一阶段将涉及焦点小组以及原型的开发、可用性和可行性测试，以及进入第二阶段之前必须满足的具体里程碑。第二阶段将涉及全面开发移动网站和工具，旨在让用户“即时”访问以帮助他们改变行为，然后对在职成年人进行随机对照试验，以测试该计划的有效性。 Chestnut Global Partners 是一家专门从事工作场所健康和药物滥用预防的国际公司，它热情地同意在该项目上进行合作，从其客户公司中招募工作场所和员工，并与 ISA 劳动力健康中心合作推广已完成的项目。