Brief Personalized Feedback Intervention for Latinx Hazardous Drinkers: A Community-Based Intervention

项目总结/摘要 尽管是美国最大和增长最快的人口统计数据之一，拉丁裔人 经历了惊人的健康差距，特别是在危险饮酒和同时发生的高 焦虑这些风险因素的共同出现导致了更差的身体/心理健康结果， 拉丁人。迄今为止，很少有干预措施针对高度焦虑背景下的危险饮酒 拉丁人之间。目前的第一阶段STTR项目直接与已发布的NIAAA SBIR/STTR保持一致 研究课题1，包括开发“移动终端应用.. 可及性，以及对AUD和共病的行为干预的使用”和“ 少数群体健康和健康差距，无法惠及农村、偏远和贫困人口 资源不足的社区”。目前的提案的最终目标是改进战略， 预防酒精滥用、酒精使用障碍和“高危”人群中酒精相关后果 对于这些条件。此外，它还通过重点关注NIAAA支持的研究， 美国增长最快、规模最大的人口统计数据之一， 喝酒我们的目标是消除治疗机会和费用的障碍，并通过提供 数字治疗产品，以智能手机的形式提供，个性化，简短的干预， Aliento，旨在解决危险饮酒和相关的焦虑升高。我们将利用和迭代 方法使用专家输入和焦点小组（N = 21）的拉丁危险饮酒者与焦虑升高， 为原型的设计和功能提供信息。然后，我们将评估计划导航和行为 Aliento在焦虑程度升高的Latinx危险饮酒者（N = 5）中的可用性测试，并准备最终的 样机通过最终原型，我们将评估Aliento的可行性、可接受性和效果， 焦虑症状升高的拉丁裔危险饮酒者（N = 50），从联邦合格健康中心招募 中心（NHC）。这款低成本的应用程序将解决阻止提供此类干预措施的基础设施障碍 在护理点设置中（即，社区卫生中心），并将提供西班牙语，以减少语言 隔栏.这项研究代表了翻译基础知识的更大景观中重要和关键的一步 研究更有效的策略，以减少服务不足人群的危险饮酒， 生物行为合并症。我们预期有强有力的证据表明， Aliento移动的应用程序将支持进行第二阶段的开发和评估。Aliento填补了 当地社区卫生中心管理人员和临床医生的要求证明， 基于丰富的理论和经验得出的干预，并且足够实用，可以适用于移动的 在社区卫生中心提供服务。我们坚信，这种干预将提供一个有前途的和有利可图的 解决服务不足人群中与酒精/焦虑相关的差异的方法。

PROJECT SUMMARY/ABSTRACT Despite being one of the largest and fastest-growing demographics in the United States (US), Latinx persons experience striking health disparities, particularly in terms of hazardous drinking and co-occurring elevated anxiety. The co-occurrence of these risk factors contributes to worse physical/mental health outcomes among Latinx individuals. Few interventions to date have targeted hazardous drinking in the context of high anxiety among Latinx persons. The current Phase I STTR project directly aligns with the published NIAAA SBIR/STTR Research Interests1, including developing “Mobile device applications … to improve the effectiveness, accessibility, and use of behavioral interventions for AUD and co-occurring disorders” and “Solutions for minority health and health disparities with capabilities of reaching persons in rural, remote, and under- resourced/under-served communities.” The current proposal has the end goal of improving strategies to prevent alcohol misuse, alcohol use disorder, and alcohol-related consequences among an ‘at-risk’ population for these conditions. In addition, it enhances the public health impact of NIAAA-supported research by focusing on one of the fastest-growing and largest demographics in the US who demonstrate disparities in hazardous drinking. We aim to remove barriers of treatment access and cost and increase treatment appeal by offering a digital therapeutic product in the form of a smartphone-delivered, personalized, brief intervention named Aliento, designed to address hazardous drinking and associated elevated anxiety. We will utilize and iterative approach using expert input and focus groups (N = 21) of Latinx hazardous drinkers with elevated anxiety to inform the design and functionality of the prototype. We will then assess program navigation and conduct usability testing of Aliento among Latinx hazardous drinkers with elevated anxiety (N = 5) and prepare the final prototype. With the final prototype we will evaluate the feasibility, acceptability, and effects of Aliento among Latinx hazardous drinkers with elevated anxiety symptoms (N = 50) recruited from a Federally Qualified Health Center (FQHC). The low-cost app will address infrastructure barriers that prevent delivery of such interventions in point-of-care settings (i.e., community health centers) and will be delivered in Spanish to reduce language barriers. This study represents an important and pivotal step in the larger landscape of translating basic research to more efficacious strategies for reducing hazardous drinking in underserved populations with biobehavioral comorbidities. We anticipate robust evidence for the feasibility, acceptability, and clinical utility of the Aliento mobile app that will support proceeding to Phase II development and evaluation. Aliento fills a crucial niche as evidenced by requests from local community health center administrators and clinicians, is based on a theoretically rich and empirically derived intervention and is practical enough to lend itself to mobile delivery in community health centers. We strongly believe this intervention will offer a promising and profitable approach to address alcohol/anxiety-related disparities among an underserved population.