Optimizing mobile behavioral economic interventions for rural risky drinkers

项目摘要/摘要 考夫林博士的目标是将自己确立为一名独立的临床研究人员，拥有系统的 一系列研究的重点是通过制定明确、高效的行为来减少健康差距 针对高风险饮酒者的经济移动健康干预。申请者有一个多方面的和富有成效的 行为经济学和临床心理学背景，F31和T32资金来自NIAAA 2014年。K23的总体目标是支持考夫林博士追求培训和研究经验，以 将移动干预开发方法与行为经济学相结合，以解决 服务不足的人群。职业发展计划：考夫林博士的职业发展计划建立在她的基础上 临床心理学培训和成瘾研究经验，填补了她在专业发展方面的空白 建立知识库、技能和专业协作，成为移动领域的领导者 对农村人群的酒精使用干预。她的全面培训计划包括参加 科学会议，方法研讨会，课程作业，以及来自该领域领导者的指导。 Frederic Blow和Inbal Nahum-Shani，以及一支贡献者团队。这些活动将会发展她 专长：1)对农村危险饮酒者进行早期酒精使用干预，2)流动收集和分析 密集的纵向每日水平数据，为干预提供信息，以及3)准备、优化和评估 移动多组分干预措施。这些培训经验与拟议的研究目标相结合 总体目标是提高酒精行为干预的有效性、效率和公平性 滥用，与NIAAA的使命和战略计划一致。研究计划：考夫林博士将使用技能 在多阶段优化的指导下，通过她的补充研究计划中的培训活动获得 战略(MOST)框架，以开发可移动的多成分行为干预以减少酒精 在农村危险饮酒者中使用。她将提炼两个有前景的干预组件，基于行为 在3波现场测试之前，对远程、基于短信的交付上瘾的经济理论 干预部分和重点测试访谈，以纳入来自农村高风险地区的迭代最终用户反馈 饮酒者(N=15)，从初级保健中心招募(目标1)。在相同的总体中，并使用随机阶乘 试验，目标2将通过评估可接受性和技术可行性来确保干预准备 干预组件单独和组合(N=75)，以及候选对象的初步评估 改变的行为经济学机制。与社会变革管理计划框架一致，目标2成果将 通知后续R01提交，以优化经济知情的移动行为(MBE) 对农村危险饮酒者的干预。从长远来看，这项研究的数据将从战略上指导人们的行为 改变直接针对行为经济结构和酒精使用结果的干预措施 在获得保健方面存在严重健康差距的人口。

PROJECT SUMMARY/ABSTRACT Candidate: Dr. Coughlin’s goal is to establish herself as an independent clinical researcher with a systematic line of research focused on reducing health disparities by developing well-specified, highly effective behavioral economic mobile health interventions for risky alcohol users. The applicant has a multifaceted and productive background in behavioral economics and clinical psychology, with F31 and T32 funding from NIAAA since 2014. The overall goal of this K23 is to support Dr. Coughlin in pursuing training and research experiences to integrate mobile intervention development methods with behavioral economics to address risky alcohol use in underserved populations. Career Development Plan: Dr. Coughlin’s career development plan builds on her clinical psychology training and addiction research experience, filling gaps in her professional development to establish the knowledge base, skills, and professional collaborations to become a leader in the field of mobile alcohol use interventions for rural populations. Her comprehensive training plan involves participation in scientific conferences, methods workshops, coursework, and mentorship from leaders in the field, Drs. Frederic Blow and Inbal Nahum-Shani, along with a team of contributors. These activities will develop her expertise in: 1) early alcohol use interventions for rural risky drinkers, 2) mobile collection and analysis of intensive longitudinal daily-level data to inform interventions, and 3) preparation, optimization, and evaluation of mobile multicomponent interventions. These training experiences interface with the proposed research aims with the overall goal of improving the effectiveness, efficiency, and equity of behavioral interventions for alcohol misuse, consistent with the NIAAA’s mission and strategic plans. Research Plan: Dr. Coughlin will use skills gained through training activities in her complementary research plan, guided by the Multiphase Optimization Strategy (MOST) framework, to develop a mobile multicomponent behavioral intervention to reduce alcohol use in rural risky drinkers. She will refine two promising intervention components based on behavioral economic theories of addiction for remote, text message-based delivery prior to 3-waves of field testing of the intervention components and focus testing interviews to incorporate iterative end-user feedback from rural risky drinkers (N=15) recruited from primary care (Aim 1). In the same population and using a randomized factorial trial, Aim 2 will ensure intervention preparation through assessment of acceptability and technical feasibility of the intervention components alone and in combination (N=75), along with preliminary evaluation of candidate behavioral economic mechanisms of change. Consistent with the MOST framework, Aim 2 outcomes will inform a subsequent R01 submission to optimize the mobile behavioral economically informed (mBE) intervention in rural risky drinkers. Over the long-term, data from this study will strategically inform behavior change interventions that directly target behavioral economic constructs and alcohol use outcomes in a population with significant health disparities in access to care.