A Mobile-Delivered Personalized Feedback Intervention for Black Individuals who Engage in Hazardous Drinking

项目摘要/摘要 黑人是美国第二大少数族裔群体，深受其害 健康差距，特别是在危险饮酒和共同出现的焦虑加剧方面。联席- 这些危险因素的出现会导致黑人的身体/心理健康状况变差 个人。到目前为止，在人们高度焦虑的情况下，很少有干预措施针对危险饮酒 黑人。目前的第一阶段STTR项目直接与已公布的NIAAA SBIR/STTR保持一致 研究兴趣，包括开发“移动设备应用程序…”为了提高有效性， AUD和共发病障碍的行为干预的可及性和使用“和”解决方案 少数群体健康和健康差距，有能力惠及农村、偏远和以下地区的人-- 资源丰富/服务不足的社区。目前的提议的最终目标是改进战略，以 在高危人群中预防酒精滥用、酒精使用障碍和与酒精相关的后果 在这些情况下。此外，它还加强了NIAAA支持的研究对公共健康的影响 关于美国第二大少数族裔群体，他们在危险饮酒方面表现出差异。我们 旨在消除治疗获取和成本的障碍，并通过提供数字服务来增加治疗吸引力 智能手机形式的治疗性产品，提供个性化的简短干预，旨在 解决危险饮酒和相关的焦虑加剧问题。我们将利用和迭代方法使用 黑人从事危险饮酒的专家意见和焦点小组(N=15) 急于告知原型的设计和功能。然后，我们将评估计划导航和 在从事危险饮酒的黑人个人中进行移动应用程序的可用性测试 提高焦虑(N=5)，并准备最终原型。有了最终的原型，我们将评估可行性， 移动应用程序在从事危险饮酒的黑人个人中的接受度和影响 焦虑症状加重(N=50)。这款低成本的应用程序将解决阻碍交付的基础设施障碍 这种干预的可能性很大。这项研究在翻译的大格局中迈出了重要而关键的一步 为更有效地减少服务不足人群中的危险饮酒而进行的基础研究 生物行为合并症。我们期望有强有力的证据证明该疗法的可行性、可接受性和临床实用性。 将支持进入第二阶段开发和评估的移动应用程序。该项目填补了一个至关重要的 利基市场，是基于理论上丰富和经验派生的干预，并且足够实际，可以借给自己 到整个黑人社区的移动递送。我们坚信，这一干预措施将提供一个有希望的 和有利可图的方法，以解决服务不足人群中与酒精/焦虑有关的差距。

PROJECT SUMMARY/ABSTRACT Black persons are the second largest racial minority group in the United States (US) and 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 Black individuals. Few interventions to date have targeted hazardous drinking in the context of high anxiety among Black persons. The current Phase I STTR project directly aligns with the published NIAAA SBIR/STTR Research Interests, 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 the second largest racial minority group 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, designed to address hazardous drinking and associated elevated anxiety. We will utilize and iterative approach using expert input and focus groups (N = 15) of Black individuals who engage in hazardous drinking with elevated anxiety to inform the design and functionality of the prototype. We will then assess program navigation and conduct usability testing of the mobile app among Black individuals who engage in hazardous drinking with elevated anxiety (N = 5) and prepare the final prototype. With the final prototype we will evaluate the feasibility, acceptability, and effects of the mobile app among Black individuals who engage in hazardous drinking with elevated anxiety symptoms (N = 50). The low-cost app will address infrastructure barriers that prevent delivery of such interventions. 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 mobile app that will support proceeding to Phase II development and evaluation. The project fills a crucial niche, is based on a theoretically rich and empirically derived intervention, and is practical enough to lend itself to mobile delivery throughout the Black community. We strongly believe this intervention will offer a promising and profitable approach to address alcohol/anxiety-related disparities among an underserved population.