Alison M Haney, Olivia M Warner, Sara D McMullin, Courtney A Motschman, Timothy J Trull, Denis M McCarthy
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引用次数: 0
Abstract
Objective: Despite significant individual and societal risk, alcohol-impaired driving (AID) remains prevalent in the United States. Our aim was to determine whether breathalyzer-cued warning messages administered via mobile devices in the natural drinking environment could influence real-world AID cognitions and behaviors.
Method: One hundred twenty young adults (53% women; mean age = 24.7) completed 6 weeks of ecological momentary assessment (EMA) and provided breathalyzer samples using a BACtrack Mobile Pro linked to their mobile device. On mornings after drinking episodes, participants reported their driving activities from the previous evening (787 episodes). Participants were randomly assigned to receive warning messages if they reached a breath alcohol concentration (BrAC) ≥ .05, or no messages. Participants in the warnings condition reported their willingness to drive and perceived danger of driving at EMA prompts (1,541 reports).
Results: We observed a significant effect of condition, such that the association between cumulative AID engagement and driving after reaching a BrAC of .05 was dampened among individuals in the warnings condition, compared to those in the no warnings condition. Receiving a warning message was associated with increased momentary perceived danger of driving and decreased willingness to drive.
Conclusions: We found that BrAC-cued warning messages reduced the probability of AID and willingness to drive while impaired, and increased the perceived danger of driving after drinking. These results serve as proof-of-concept for the use of mobile technology to deliver an adaptive just-in-time intervention to reduce the probability of AID. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
目标：尽管存在重大的个人和社会风险，但酒精障碍驾驶（AID）在美国仍然很普遍。我们的目的是确定在自然饮酒环境中通过移动设备管理的酒精测试仪提示的警告信息是否会影响现实世界中的AID认知和行为。方法：120名年轻人（53%为女性；平均年龄=24.7）完成了6周的生态瞬时评估（EMA），并使用连接到其移动设备的BACtrack Mobile Pro提供了酒精测试仪样本。在饮酒后的早晨，参与者报告了前一天晚上的驾驶活动（787次）。参与者被随机分配，如果他们达到呼气酒精浓度（BrAC）≥0.05，或者没有收到警告信息。处于警告条件下的参与者报告了他们在EMA提示下的驾驶意愿和感知到的驾驶危险（1541份报告）。结果：我们观察到了条件的显著影响，因此在处于警告条件的个体中，累积AID参与与达到0.05的BrAC后的驾驶之间的关联减弱，与无警告条件下的那些相比。收到警告信息与瞬间感知到的驾驶危险增加和驾驶意愿下降有关。结论：我们发现，BrAC提示的警告信息降低了AID的概率和在受损时驾驶的意愿，并增加了酒后驾驶的感知危险。这些结果证明了使用移动技术提供自适应实时干预以降低AID概率的概念。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。
期刊介绍：
Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
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