Iterative intervention development for high-risk teen alcohol use: A multi-method, multi-level examination of engagement in substance-free activities and high-risk alcohol and substance use

7.项目摘要/摘要 青少年饮酒与有限的学习成绩，职业抱负，最终 成人角色的获得，以及较少参与无物质活动。拟议的项目旨在 设计一种针对青少年的发展量身定做的物质使用干预 每日日记研究、焦点小组和干预改进的治疗发展过程 学习。对大学生的简短药物使用干预得到了加强，使用了一种行为 经济补编(无物质活动会议；SFAS)。SFAS行为经济学 干预旨在提高学业和职业目标延迟的显着性，增加参与度 在与物质无关的活动中，提高短期和长期目标在这方面的重要性 现有的酒精和其他物质的使用情况。然而，关于高中生是如何 花费他们的时间，他们从事哪些他们认为有吸引力和可接受的无物质活动， 以及他们的目标如何影响物质使用。利用阶段性模型的指导方针进行干预 开发，这项研究将包括一种迭代治疗开发方法，以检查一种新的 针对高中生的SFAS干预。具体目标如下：(1)使用事件级日报 描述高中生如何利用时间与物质使用有关的日记方法 和目标，具体审查无物质活动和物质使用的时间优先顺序 (2)定性评价高中生的无物质活动；(3)考察高中生的 高中生自评问卷的可行性与可接受性研究。 Aim 1和Aim 2的病因学调查结果将为修改后的设计提供参考 行为-经济干预是为适应青少年人口而量身定做的。这 该项目被视为初步的治疗发展研究，将为预防和治疗的研究提供信息 青少年药物使用的干预方法和可能导致更大规模的随机临床 审判。申请者将接受以下方面的培训：(1)青少年的病因、预防和治疗 物质使用，(2)发育背景下的青少年物质使用，以及(3)高级 统计方法。拟议的研究和相关培训活动将为 申请人的研究计划旨在建立有效的、了解发展情况的 针对青少年的物质使用干预。

7. Project Summary/Abstract Adolescent alcohol use is associated with limited academic performance, career aspirations, eventual adult role attainment, and less engagement in substance-free activities. The proposed project aims to design a developmentally tailored substance use intervention for adolescents using an iterative treatment development process of a daily diary study, focus groups, and an intervention refinement study. Brief substance use interventions for college students have been enhanced using a behavioral economic supplement (Substance-Free Activity Session; SFAS). The SFAS behavioral economic intervention aims to increase the salience of delayed academic and career goals, increase engagement in substance-free activities, and increase the salience of both short and long-term goals in the context of existing alcohol and other substance use. However, less is known about how high school students spend their time, what substance-free activities they engage in and view as attractive and acceptable, and how their goals impact substance use. Utilizing the guidelines of a stage model for intervention development, the study will consist of an iterative treatment development approach to examine a novel SFAS intervention for high school students. The specific aims are as follow: (1) Use event-level daily diary methods to characterize how high school students spend their time in relation to substance use and goals, specifically examining temporal precedence of substance-free activities and substance use (2) Qualitatively assess substance-free activities among high school students, and (3) Examine the feasibility and acceptability of the SFAS for high school students with an intervention refinement study. Findings from the etiologic investigation of Aim 1 and Aim 2 will inform the design of the modified behavioral-economic intervention that is developmentally tailored to suit an adolescent population. This project is viewed as an initial treatment development study that will inform research on prevention and intervention approaches for adolescent substance use and may lead to a larger randomized clinical trial. The applicant will receive training in: (1) the etiology, prevention, and treatment of adolescent substance use, (2) adolescent substance use within a developmental context, and (3) advanced statistical methods. The proposed research and related training activities will provide a foundation for the applicant's program of research toward the establishment of effective, developmentally informed substance use intervention for adolescents.