Merrill Jennifer E, Gebru Nioud Mulugeta, Peterson Roselyn, López Gabriela, Lau-Barraco Cathy, Barnett Nancy P, Carey Kate B
Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island, USA.
Department of Psychology, Old Dominion University, Norfolk, Virginia, USA.
Alcohol Clin Exp Res (Hoboken). 2024 Oct;48(10):1951-1964. doi: 10.1111/acer.15424. Epub 2024 Sep 22.
Young adults drink heavily and experience negative alcohol consequences. To capitalize on mornings after drinking as an optimal time to intervene, we developed a novel, theory-based personalized feedback intervention (PFI) called Alcohol Feedback, Reflection, and Morning Evaluation (A-FRAME), to reduce heavy drinking. An initial prototype was refined via feedback from college students who drink heavily. The goal of the present study was to conduct an open trial to establish feasibility and acceptability of the refined PFI.
The refined PFI was delivered for 4 weeks to 18 heavy-drinking young adults (M = 22.61, 44% women, 66.7% White, 27.8% Black, 16.7% Asian, 5.6% Native American/Alaskan Indian, 22.2% Hispanic/Latino). Participants completed a goal-setting procedure, followed by 28 daily surveys. Surveys indicating prior-day drinking were followed by the option to view personalized feedback (e.g., goal attainment, blood alcohol concentration [BAC], peer norms, protective behaviors). Aggregated feedback was also delivered at the 14- and 28-day marks. Participants completed a post-test acceptability survey and individual interviews to inform further refinement.
The response rate to daily surveys was 93.8% and all participants completed study procedures, demonstrating feasibility. Daily feedback was reviewed about half (45.5%) of the time it was offered (i.e., following drinking days). Biweekly feedback was viewed 50% and 56% of the time at 14- and 28-day marks, respectively. Other benchmarks for acceptability were supported by survey and interview results.
Open trial results support the feasibility and acceptability of this theory-based intervention for heavy-drinking young adults. A planned randomized controlled trial will evaluate efficacy.
年轻人饮酒量大且会经历饮酒带来的负面后果。为了利用饮酒后的早晨这一最佳干预时机，我们开发了一种基于理论的新型个性化反馈干预措施（PFI），称为酒精反馈、反思与早晨评估（A - FRAME），以减少酗酒行为。最初的原型通过重度饮酒大学生的反馈进行了完善。本研究的目的是进行一项开放试验，以确定完善后的PFI的可行性和可接受性。
将完善后的PFI提供给18名重度饮酒的年轻人，为期4周（平均年龄M = 22.61岁，44%为女性，66.7%为白人，27.8%为黑人，16.7%为亚洲人，5.6%为美洲原住民/阿拉斯加印第安人，22.2%为西班牙裔/拉丁裔）。参与者完成了一个目标设定程序，随后进行了28天的每日调查。在表明前一天饮酒的调查后，参与者可以选择查看个性化反馈（例如，目标达成情况、血液酒精浓度[BAC]、同伴规范、保护行为）。在第14天和第28天还提供了综合反馈。参与者完成了一项测试后可接受性调查和个人访谈，以指导进一步完善。
每日调查的回复率为93.8%，所有参与者都完成了研究程序，证明了可行性。每日反馈在提供的时间里约有一半（45.5%）被查看（即在饮酒日后）。在第14天和第28天，双周反馈分别有50%和56%的时间被查看。调查和访谈结果支持了其他可接受性基准。
开放试验结果支持了这种基于理论的干预措施对重度饮酒年轻人的可行性和可接受性。一项计划中的随机对照试验将评估其疗效。
