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一项针对女同性恋、双性恋和酷儿身份认同女性的游戏化、受社交媒体启发的基于网络的个性化规范性反馈酒精干预:混合试验方案。

A Gamified, Social Media-Inspired, Web-Based Personalized Normative Feedback Alcohol Intervention for Lesbian, Bisexual, and Queer-Identified Women: Protocol for a Hybrid Trial.

作者信息

Boyle Sarah C, LaBrie Joseph W

机构信息

HeadsUp Labs, Department of Psychology, Loyola Marymount University, Los Angeles, CA, United States.

出版信息

JMIR Res Protoc. 2021 Apr 16;10(4):e24647. doi: 10.2196/24647.

Abstract

BACKGROUND

Sexual minority women are more likely to drink alcohol, engage in heavy drinking, and experience alcohol-related problems than heterosexual women. However, culturally tailored interventions for this population have been slow to emerge.

OBJECTIVE

This type 1 effectiveness-implementation trial examines the feasibility and efficacy of a gamified, culturally tailored, personalized normative feedback (PNF) alcohol intervention for sexual minority women who psychologically identify as lesbian, bisexual, or queer (LBQ).

METHODS

The core components of a PNF intervention were delivered within LezParlay, a fun, social media-inspired, digital competition designed to challenge negative stereotypes about LBQ women and increase visibility. The competition was advertised on the web through social media platforms and collaboration with LBQ community organizations. After 2 rounds of play by a large cohort of LBQ women, a subsample of 500 drinkers already taking part in the competition were invited to participate in the evaluation study. Study participants were randomized to receive 1 of 3 unique sequences of PNF (ie, alcohol and stigma coping, alcohol and control, or control topics only) over 2 intervention rounds. Randomization was fully automated by the web app, and both researchers and participants were blinded.

RESULTS

Analyses will evaluate whether PNF on alcohol use reduces participants' drinking and negative consequences at 2 and 4 months postintervention; examine whether providing PNF on stigma-coping behaviors, in addition to alcohol use, further reduces alcohol use and consequences beyond PNF on alcohol alone; identify mediators and moderators of intervention efficacy; and examine broader LezParlay app engagement, acceptability, and perceived benefits.

CONCLUSIONS

This incognito intervention approach is uniquely oriented toward engaging and preventing alcohol-related risks among community populations of LBQ women who may view their heavy drinking as normative and not in need of change because of the visibility of alcohol use in sexual minority community spaces. Thus, this intervention strategy diverges from, and is intended to complement, more intensive programs being developed to meet the needs of LBQ women already motivated to reduce their consumption.

TRIAL REGISTRATION

ClinicalTrials.gov NCT03884478; https://clinicaltrials.gov/ct2/show/NCT03884478.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/24647.

摘要

背景

与异性恋女性相比,性少数群体女性更有可能饮酒、酗酒,并出现与酒精相关的问题。然而,针对这一群体的文化适应性干预措施出现得较为缓慢。

目的

这项1型有效性-实施试验考察了一种游戏化、文化适应性、个性化规范反馈(PNF)酒精干预措施对心理上认同自己为女同性恋、双性恋或酷儿(LBQ)的性少数群体女性的可行性和有效性。

方法

PNF干预的核心组成部分在LezParlay中实施,这是一个有趣的、受社交媒体启发的数字竞赛,旨在挑战对LBQ女性的负面刻板印象并提高其可见度。该竞赛通过社交媒体平台在网络上进行宣传,并与LBQ社区组织合作。在一大群LBQ女性进行两轮比赛后,邀请已经参与比赛的500名饮酒者子样本参加评估研究。研究参与者被随机分配在两轮干预中接受3种独特的PNF序列之一(即酒精与应对污名、酒精与控制或仅控制主题)。随机化由网络应用程序完全自动化,研究人员和参与者均不知情。

结果

分析将评估关于酒精使用的PNF是否会在干预后2个月和4个月减少参与者的饮酒量和负面后果;研究除了酒精使用外,提供关于应对污名行为的PNF是否会比仅关于酒精的PNF进一步减少酒精使用和后果;确定干预效果的中介因素和调节因素;并考察LezParlay应用程序更广泛的参与度、可接受性和感知益处。

结论

这种匿名干预方法独特地旨在吸引可能将大量饮酒视为常态且因性少数群体社区空间中酒精使用的可见性而认为无需改变的LBQ女性社区人群,并预防与酒精相关的风险。因此,这种干预策略与为满足已经有动机减少饮酒量的LBQ女性需求而正在开发的更强化项目不同,旨在起到补充作用。

试验注册

ClinicalTrials.gov NCT03884478;https://clinicaltrials.gov/ct2/show/NCT03884478。

国际注册报告识别码(IRRID):DERR1-10.2196/24647。

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