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用于减少寻求治疗的青少年中酒精和大麻同时使用情况的趋近偏向矫正:一项随机对照试验方案

Approach Bias Modification for reducing Co-Occurring Alcohol and cannabis use among treatment-seeking Adolescents: Protocol of a randomized controlled trial.

作者信息

Hahn Austin M, Corcoran Erin, Danielson Carla Kmett

机构信息

Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.

出版信息

Contemp Clin Trials Commun. 2025 Jan 25;44:101435. doi: 10.1016/j.conctc.2025.101435. eCollection 2025 Apr.


DOI:10.1016/j.conctc.2025.101435
PMID:39944963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11814518/
Abstract

Alcohol and cannabis are the first and second most used substances among adolescents. Adolescence is a period of considerable development, making the adolescent brain particularly vulnerable to negative effects of alcohol and cannabis use. Developing and testing interventions that target both alcohol and cannabis use during adolescence are vital to decreasing costly consequences. Biases in cognitive processing of drug-related stimuli play an important role in the development and maintenance of problematic substance use. The Approach-Avoidance Task (AAT) is a computerized program, effective in assessing implicit approach biases for both alcohol and cannabis, in which participants make approach or avoidance movements in response to an irrelevant feature of an image presented on a screen (e.g., push when in portrait, pull when in landscape). A modified version of the AAT is also used as an approach bias modification (ApBM) intervention, to retrain participants' implicit biases toward or away from stimuli by presenting the target stimuli predominantly in one format (e.g., push or pull). Despite research demonstrating the effectiveness of AAT interventions to reduce problematic alcohol and cannabis use, there is a dearth of research examining this intervention among adolescents. This protocol paper describes a NIDA-funded randomized control trial (RCT) to evaluate an integrated mobile ApBM intervention to target co-occurring alcohol and cannabis use among treatment-seeking adolescents. Outcomes will be measured from pre-treatment through a three-month follow-up. The sampling procedures, assessment protocol, description of the intervention, and planned statistical approaches to evaluating outcomes are detailed. Clinical and research implications of this work are also discussed.

摘要

酒精和大麻是青少年中使用最为频繁的第一和第二大物质。青春期是一个经历显著发育的时期,这使得青少年大脑特别容易受到酒精和大麻使用所带来的负面影响。研发并测试针对青少年时期酒精和大麻使用的干预措施对于减少高昂的后果至关重要。对与毒品相关刺激的认知加工偏差在问题性物质使用的发展和维持中起着重要作用。趋近-回避任务(AAT)是一个计算机化程序,在评估对酒精和大麻的内隐趋近偏差方面很有效,参与者根据屏幕上呈现图像的无关特征做出趋近或回避动作(例如,纵向时按,横向时拉)。AAT的一个修改版本也被用作一种趋近偏差修正(ApBM)干预措施,通过主要以一种形式(例如,按或拉)呈现目标刺激来重新训练参与者对刺激的内隐偏差。尽管有研究表明AAT干预措施在减少问题性酒精和大麻使用方面有效,但在青少年中研究这种干预措施的却很少。本方案文件描述了一项由美国国家药物滥用研究所资助的随机对照试验(RCT),以评估一种综合移动ApBM干预措施,针对寻求治疗的青少年中同时存在的酒精和大麻使用问题。结果将在治疗前到三个月的随访期间进行测量。详细介绍了抽样程序、评估方案、干预措施描述以及评估结果的计划统计方法。还讨论了这项工作的临床和研究意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e855/11814518/e349602164f6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e855/11814518/7686867c6490/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e855/11814518/e349602164f6/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e855/11814518/7686867c6490/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e855/11814518/e349602164f6/gr2.jpg

相似文献

[1]
Approach Bias Modification for reducing Co-Occurring Alcohol and cannabis use among treatment-seeking Adolescents: Protocol of a randomized controlled trial.

Contemp Clin Trials Commun. 2025-1-25

[2]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Approach-Bias Retraining and Other Training Interventions as Add-On in the Treatment of AUD Patients.

Curr Top Behav Neurosci. 2023-5-24

[2]
A Personalized Approach Bias Modification Smartphone App ("SWiPE") to Reduce Alcohol Use: Open-Label Feasibility, Acceptability, and Preliminary Effectiveness Study.

JMIR Mhealth Uhealth. 2021-12-10

[3]
Personalized Approach Bias Modification Smartphone App ("SWIPE") to Reduce Alcohol Use Among People Drinking at Hazardous or Harmful Levels: Protocol for an Open-Label Feasibility Study.

JMIR Res Protoc. 2020-8-14

[4]
Can cognitive bias modification simultaneously target two behaviors? Approach bias retraining for alcohol and condom use.

Clin Psychol Sci. 2019-9

[5]
Retraining automatic action tendencies for smoking using mobile phone-based approach-avoidance bias training: A study protocol for a randomized controlled study.

Trials. 2019-12-12

[6]
Adolescent Substance Use Disorder Treatment: an Update on Evidence-Based Strategies.

Curr Psychiatry Rep. 2019-9-14

[7]
Cognitive Bias Modification for Behavior Change in Alcohol and Smoking Addiction: Bayesian Meta-Analysis of Individual Participant Data.

Neuropsychol Rev. 2019-1-14

[8]
Relapse prevention in abstinent alcoholics by cognitive bias modification: Clinical effects of combining approach bias modification and attention bias modification.

J Consult Clin Psychol. 2018-12

[9]
Mobile Phone Cognitive Bias Modification Research Platform for Substance Use Disorders: Protocol for a Feasibility Study.

JMIR Res Protoc. 2018-6-12

[10]
What's in a Trial? On the Importance of Distinguishing Between Experimental Lab Studies and Randomized Controlled Trials: The Case of Cognitive Bias Modification and Alcohol Use Disorders.

J Stud Alcohol Drugs. 2018-5

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