A social media intervention for high-intensity drinking among emerging adults: a pilot randomized controlled trial.

IF 2.1 4区 医学 Q3 SUBSTANCE ABUSE
Erin E Bonar, Chiu Y Tan, Anne C Fernandez, Jason E Goldstick, Lyndsay Chapman, Autumn R Florimbio, Maureen A Walton
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引用次数: 0

Abstract

Aims: High-intensity drinking (HID) is a pattern of risky drinking defined as at least 8 drinks (for women) or 10 drinks (for men) in a single episode. Individuals engaged in HID may be at greater risk for consequences, necessitating tailored interventions. Herein, we report the feasibility and acceptability of a social media-delivered 8-week intervention for emerging adults with recent HID.

Methods: Using social media advertising, we recruited 102 emerging adults who reported past-month HID. Average age was 20.0 year-olds (SD = 2.0); 51.0% were male. Most identified as White (64.7%; 14.7% Black/African American, 13.7% multiracial) and 26.5% identified as Hispanic/Latinx. Participants were randomized to an 8-week intervention delivered via Snapchat by health coaches (N = 50) or to a control condition (psychoeducational website referral; N = 52). Follow-ups occurred at 2 and 4 months post-baseline.

Results: The intervention was acceptable (85.1% liked it/liked it a lot) and there were high follow-up rates. Participants rated coaches as supportive (91.5%) and respectful (93.6%). Descriptively, helpfulness ratings were higher for non-alcohol-related content (e.g. stress; 59.6% very/extremely helpful) than alcohol-related content (40.4% very/extremely helpful). Regarding engagement, 86.0% engaged approximately weekly and 59.6% indicated they saved intervention snaps. Descriptive data showed reductions over time in several measures of alcohol consumption and consequences as well as cannabis-impaired driving and mental health symptoms.

Conclusions: This 8-week social media intervention for HID was feasible and acceptable among emerging adults, supporting the benefit of future testing in a fully powered trial.

针对新兴成年人高强度饮酒的社交媒体干预:随机对照试验。
目的:高强度饮酒(HID)是一种危险饮酒模式,其定义是一次至少饮 8 杯酒(女性)或 10 杯酒(男性)。高强度饮酒者可能面临更大的后果风险,因此有必要采取有针对性的干预措施。在此,我们报告了针对近期发生过酗酒行为的新兴成年人,由社交媒体提供的为期 8 周的干预措施的可行性和可接受性:通过社交媒体广告,我们招募了 102 名报告在过去一个月中出现过 HID 的新兴成年人。平均年龄为 20.0 岁(SD = 2.0);51.0% 为男性。大多数人被认定为白人(64.7%;14.7%为黑人/非裔美国人,13.7%为多种族),26.5%被认定为西班牙裔/拉丁裔。参与者被随机分配到由健康教练通过 Snapchat 提供的为期 8 周的干预(50 人)或对照组(心理教育网站转介;52 人)。基线后2个月和4个月进行随访:干预效果可以接受(85.1%的人喜欢/非常喜欢),随访率也很高。参与者对教练的评价是支持(91.5%)和尊重(93.6%)。从描述性角度来看,与酒精无关的内容(如压力;59.6% 非常/非常有帮助)比与酒精有关的内容(40.4% 非常/非常有帮助)更有帮助。关于参与度,86.0% 的人大约每周参与一次,59.6% 的人表示他们保存了干预快照。描述性数据显示,随着时间的推移,酒精消费和后果以及大麻损害驾驶和心理健康症状的几项指标都有所下降:这项为期 8 周的社交媒体干预措施在新兴成年人中是可行的,也是可以接受的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Alcohol and alcoholism
Alcohol and alcoholism 医学-药物滥用
CiteScore
4.70
自引率
3.60%
发文量
62
审稿时长
4-8 weeks
期刊介绍: About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.
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