Theory-based Social Media Intervention for Non-medical Use of Prescription Opioids in Young Adults
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Engagement
研究概览
简要总结
Brief Summary
The purposes of this study are to develop and implement a peer-led intervention program on Instagram for promoting prescription opioid use management and fostering psychosocial skills among young adults who engage in non-medical use of prescription opioids in the United State. The specific aims of the study include:
(1) To implement and test the feasibility of the 12-week peer-led intervention modules on Instagram among young adults who are randomly assigned to either receive the intervention (intervention group) or not receive the intervention (control group)
Participants who are assigned to the intervention group will be paired with a peer leader and attend to peer-guided interactive modules on Instagram over 12 weeks. They will complete an online survey at 1st week and 12th week, as well as brief evening surveys every two days during the intervention. The control group will not take part in intervention activities but will complete an online survey at 1st week and 12th week.
详细描述
Non-medical use of prescription opioids (NMUPO) is a timely and significant public health issue in the United States (US). Young adults are the key population vulnerable to NMUPO. Existing literature indicates that NMUPO in young adults is influenced by a robust array of psychosocial factors. Tailored interventions guided by a psychosocial theory, such as the information-motivation-behavioral skills (IMB) model, are urgently needed for addressing NMUPO in young adults. One innovative approach is to reach out to and deliver psychosocial interventions to young adults via social media technology, yet limited efforts have sought to develop such interventions for NMUPO among young adults. Thus the scientific objective of this study is to develop a peer-led social media intervention designed to reduce NMUPO among young adults. The objective of this study is to obtain intensive mentored training essential to improving the theoretical and practical expertise needed to develop innovative and implementable peer-led psychosocial interventions for NMUPO in high-risk populations. This study aims to develop a theory-based social media intervention and evaluate the feasibility, acceptability, usability, and preliminary efficacy on NMUPO reduction and psychosocial changes of the intervention through a 12-week pilot randomized controlled trial among 70 NMUPO engaging young adults (35 for intervention and 35 for control) via pre-test, 12-week ecological momentary assessment (during the intervention), and post-tests (12-month follow-ups). The intervention development will be informed by formative findings on psychosocial aspects of NMUPO in young adults. This project will contribute to future largescale and fully-powered psychosocial interventions for NMUPO among young adults or other high-risk populations using innovative technology that can address challenges in traditional substance use interventions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •aged 18-25 years
- •from the U.S.
- •can read and speak English
- •engage in non-medical use of prescription opioids in the past three months: taking prescription opioids without a doctor's prescription/taking more doses of prescription opioids than what a prescription allows/using prescription opioid for reasons other than a medical purpose
- •use Instagram three times a week or more in the past three months
排除标准
- •receiving substance use interventions in the past three months
- •are diagnosed with substance use disorders
- •are not proficient in English
研究组 & 干预措施
12-week peer-led intervention group on Instagram
Participants in the intervention group will receive 12-week peer-led intervention interactive modules on Instagram.
干预措施: Theory-based and peer-led intervention on Instagram (Behavioral)
Control group
Participants in the control group will not engage in any intervention activities.
结局指标
主要结局
Engagement
时间窗: Once in every two days for 12 weeks
Paradata (e.g., frequencies of shares, comments, likes, and posts) on particular intervention contents)
Dose
时间窗: Once in every two days for 12 weeks
Guided by dose operationalization for mHealth intervention, dose of intervention will be collected in three domains: (1)intervention actions (if viewing a post); (2) participant actions (if practicing a skill/completing an assignment); (3) behavioral target actions (if adopting skills outside of the intervention). This will be measured in the ecological momentary assessment surveys.
Non-medical use of prescription opioids
时间窗: Immediately at pre-intervention and 12-week post-intervention
Any behaviors to indicate (1) taking a prescription opioid without a prescription; (2) taking prescription opioids more doses than what a prescription allows; (3) using prescription opioids for reasons other than a medical purpose. The frequency of such behaviors in the past 30 days will be assessed using the Tobacco, Alcohol, Prescription medication, and other Substance use Tool (TAPS) tool.
Acceptability
时间窗: Once in every two days for 12 weeks
Likert items that rate how helpful the particular intervention module is (1 = not at all to 5 = extremely). This will be measured in the ecological momentary assessment surveys.
Feasibility of the intervention
时间窗: Immediately at 12-week post-intervention
Feasibility will be assessed via the post-intervention interviews in terms of the reactions to the contents, format, concepts, and visual presentation of modules.
Usability
时间窗: Once in every two days for 12 weeks
Usability will be measured using the Usefulness, Satisfaction, and Ease of use-Lite (USE-Lite) questionnaire which assesses perceived usefulness and satisfaction for specific intervention modules. This will be measured in the ecological momentary assessment surveys. The scale comprises a total of 15 items, with 8 items for usefulness and 7 for satisfaction. Items are rated on a 7-point scale (1=strong disagree to 7=strong agree). The sum score for each component will be generated, with a higher score indicating a greater level of usefulness (ranging from 8 to 56) or satisfaction (ranging from 7 to 49).
次要结局
- Risk perception(immediately at pre-intervention and 12-week post-intervention)
- Action self-efficacy and coping self-efficacy(immediately at pre-intervention and 12-week post-intervention)
- Non-medical use of prescription opioids knowledge(immediately at pre-intervention and 12-week post-intervention)
- Outcome expectancies(immediately at pre-intervention and 12-week post-intervention)
- Anxiety(immediately at pre-intervention and 12-week post-intervention)
- Other substance use(immediately at pre-intervention and 12-week post-intervention)
- Depression(immediately at pre-intervention and 12-week post-intervention)
- Resilience(immediately at pre-intervention and 12-week post-intervention)
研究者
Cheuk Chi Tam
Research Assistant Professor
University of South Carolina