Understanding Relapse and the Impact of Social Networks and Geographic Settings During Treatment for Alcohol-Related Problems

项目摘要 接受酒精治疗的人的社会、地理和环境背景会影响他们的 酗酒和复发的风险。这项研究探索了新的方法来评估个体 因酒精相关问题进入门诊治疗在社会网络和环境中相互作用 环境以及这些环境对复发和治疗参与度的影响。尽管美国经济增长 尽管在公共卫生研究中使用了技术，但公共卫生仍然远远落后于其他领域(如市场营销) 在使用社交技术方面。智能手机技术可以让我们开发出与 精确的健康，可以评估实时的社会和地理因素造成的酒精使用和复发。这 项目将使用两种主要方法来检查与复发相关的地理和社会风险：活动 空间评估和情景感知体验采样。使用活动空间评估(a 评估人们去哪里、和谁一起去以及他们在这些地点做什么的方法)我们将学习 个人在哪里消磨时间，与谁一起从事危险行为。具有情景感知体验 抽样，一种基于背景因素(例如GPS)一天多次评估参与者的技术 位置)，我们可以捕捉到真实世界和背景对行为的影响，因为 尽可能地表现出自己的行为。换句话说，我们可以捕捉行为、社交互动和地理环境 实时和真实世界的设置，并评估这些交互作用如何影响或加速复发。我们会 从佐治亚州东北部和康涅狄格州纽黑文的药物使用治疗机构招募400名成年人 对与酒精有关的问题进行正式治疗。在基线上，所有参与者都将完成一个社交网络 评估和活动空间评估。这些评估将用于指导实时环境- 对社会和区位环境的人际机制的感知体验样本。此外， 参与者将完成为期12个月的酒精使用和其他相关行为的访谈，这是 将通过酒精测试进一步确认。我们预计将使用这项研究的结果来向 开发基于手机的复吸预防干预措施，利用社会网络和地理位置 为完成酒精相关问题治疗的成年人触发了康复支持工具。

Project Summary The social, geographic, and environmental context of a person in treatment for alcohol use can impact their risk of using alcohol and experiencing relapse. This study explores novel methods to assess how individuals entering outpatient treatment for alcohol-related problems interact within social networks and environmental contexts and the impact these contexts have on relapse and treatment engagement. Despite increases in the use of technology in public health research, public health remains woefully behind other fields (e.g., marketing) in using social technologies. Smartphone technologies can allow us to develop methods consistent with precision health that can assess real-time social and geographic contributors to alcohol use and relapse. This project will use two primary methods for examining geographic and social risks related to relapse: activity space assessments and context-aware experience sampling. With the use of activity space assessments (a method that assesses where people go, who they go with, and what they do at the locations) we will learn where individuals spend time and with whom they engage in risky behaviors. With context aware experience sampling, a technique that assesses participants multiple times a day based on contextual factors (e.g., GPS location), we can capture real-world and contextual influences on behavior as close to the occurrence of the behavior as possible. In other words, we can capture behavior, social interactions, and geographic context in real time and real world settings and assess how these interactions influence or accelerate relapse. We will recruit 400 adults from substance use treatment facilities in Northeast Georgia and New Haven, CT as they enter formal treatment for alcohol-related problems. At baseline, all participants will complete a social network assessment and an activity space assessment. These assessments will be used to guide the real-time context- aware experience sampling of interpersonal mechanisms of social and location environment. Further, participants will complete interviews about their alcohol use and other related behaviors for 12 months, which will further be confirmed through alcohol testing. We anticipate using findings from this research to inform the development of a cell-phone-based relapse prevention intervention with social network and geographic- triggered recovery support tools for adults completing treatment for alcohol-related problems.