Examining the Ecological Validity of the Prototype Willingness Model for Adolescent and Young Adult Alcohol Use
Examining the Ecological Validity of the Prototype Willingness Model for Adolescent and Young Adult Alcohol Use
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DOI：
10.1037/adb0000533
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发表时间：
2020-03-01
影响因子：
3.4
通讯作者：
Lee, Christine M.
中科院分区：
文献类型：
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作者：
Lewis, Melissa A.;Litt, Dana M.;Lee, Christine M.
本研究是原型意愿模型（PWM）的第一个生态有效的日常水平测试，该模型先前使用假设场景进行了测试，以调查社会反应和参与健康风险行为的合理途径。本研究的目的是检查是否天与提高酒精有利PWM认知也与更大的意图和意愿喝酒，增加饮酒行为的那一天。参与者包括15-25奥尔兹的青少年（N = 124; 57.3%女性; M-年龄= 18.7; SD = 2.87），他们是关于饮酒认知（包括意愿、意图、感知的脆弱性、社会规范、原型可接受性）和酒精使用的生态瞬时评估研究的一部分，在3周内报告。分析解释了数据的多层次结构和各种结局分布。研究结果通过使用实时、真实世界的日常数据来支持和推进PWM，这些数据捕捉了几天内PWM认知的人内变化，并显示了青少年和年轻人中PWM认知与酒精使用和负面后果之间的日常水平关联，从而支持了社会反应和推理路径日常水平。目前的结果可以通过精确地告知技术的使用来改善干预措施，以便在青少年和年轻人处于最高风险的时刻（即，比平时PMW酒精认知更高的天数）。
The present study is the first ecologically valid, daily level test of the prototype willingness model (PWM), a model previously tested with hypothetical scenarios to investigate the social reaction and reasoned pathways toward engaging in health-risk behavior. The purpose of the present study is to examine whether days with elevated alcohol-favorable PWM cognitions are also associated with greater intentions and willingness to drink and increased drinking behavior on that day. Participants included 15-25-year- olds (N = 124; 57.3% female; M-age = 18.7; SD = 2.87) who were part of an ecological momentary assessment study on drinking cognitions (including willingness, intentions, perceived vulnerability, social norms, prototype favorability) and alcohol use, reported across 3 weeks. Analyses accounted for the multilevel structure of the data and the various outcome distributions. Findings supported and advanced the PWM by using real-time, real-world daily data that captured within-person variation of PWM cognitions across days and showed daily level associations between PWM cognitions and alcohol use and negative consequences among adolescents and young adults, thus supporting the social reaction and reasoned pathways at the daily level. Current results may improve interventions by precisely informing the use of technology to bring interventions to adolescents and young adults in moments when they are at highest risk (i.e., days with higher than usual PMW alcohol cognitions).