社交媒体干预和基线物质使用的适度:二次数据分析
Devin C Tomlinson1, Erin E Bonar2, Autumn Rae Florimbio1
1Addiction Center, Department of Psychiatry, University of Michigan, North Campus Research Complex, 2800 Plymouth Rd. Building 16, Ann Arbor, MI, USA.
社交媒体干预加上激励措施在青少年和新兴成年人中减少了物质使用,在3个月的基线使用率更高. 这凸显了对处于危险的年轻人提供激励措施的短期好处.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 药物使用是一个主要的公共卫生问题,特别影响青少年和新兴成年人 (EA).
- 社交媒体干预措施显示出解决这些人群中风险饮酒问题的前景.
- 了解适度干预有效性的因素对于优化治疗至关重要.
研究的目的:
- 评估基线物质使用对社交媒体提供的干预措施结果的缓解效应.
- 将社交媒体干预 (SMI) 与SMI加激励 (SMI+I) 的有效性与对照组进行比较.
- 分析3个月,6个月和12个月的随访期间的干预效应.
主要方法:
- 一项随机对照试验的二次数据分析,涉及955名青少年和EA (16-24岁).
- 参与者被随机分配到SMI,SMI+I或对照条件中.
- 负二项回归模型评估了基线物质使用和干预条件对物质使用结果的相互作用.
主要成果:
- 3个月后SMI+I条件显示与基线物质使用的显著相互作用 (p=0.009).
- 与对照组相比,在SMI+I组的3个月内,更高的基线物质使用与较低的物质使用有关.
- 在6个月或12个月后,也没有发现有意义的相互作用,也没有发现仅SMI条件.
结论:
- 带有额外激励的社交媒体干预措施可以在短期内减少对基线药物使用较高的个体的物质使用.
- 激励措施似乎提高了对处于风险的新兴成年人进行干预的有效性.
- 未来的研究应该探索子组特征,以更有效地定制对物质使用的干预措施.
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