Category: Addictive Behaviors
Hayley Treloar Padovano, Ph.D. (she/her/hers)
Assistant Professor
Alpert Medical School of Brown University
Providence, Rhode Island
Nehal Vadhan, Ph.D. (he/him/his)
Northwell Health Zucker Hillside Hospital
Glen Oaks, New York
Joseph Glass, Ph.D., LICSW
Kaiser Permanente Washington Health Research Institute
Seattle, Washington
Alexis Kuerbis, Ph.D., LCSW (she/her/hers)
Hunter College, City University of New York
Astoria, New York
Frederick Muench, Ph.D. (he/him/his)
Unregret Foundation
Hastings on Hudson, New York
Svetlana Levak, Ph.D. (she/her/hers)
Northwell Health Zucker Hillside Hospital
Glen Oaks, New York
Nehal Vadhan, Ph.D. (he/him/his)
Northwell Health Zucker Hillside Hospital
Glen Oaks, New York
Tailored and/or adaptive psychological approaches are considered the aspirational gold standard for moderation of heavy alcohol use (Bendtsen et al., 2021). Further, many contemporary approaches incorporate remote assessment and intervention that can be clinician-delivered or digital/automated (e.g., Morgenstern et al., 2021). Interventions incorporating technology-assisted characteristics have demonstrated efficacy in a growing number of NIH-funded clinical research trials (cite), and clinically- and commercially-developed versions are now widely offered to the public. However, the methodologies between these different applications may differ, and the effectiveness of the direct-to-consumer interventions have largely remained unexamined. This translational symposium bridges clinical to population research and addresses dissemination and/or implementation of interventions that improve access to evidence-based care through technological advances. We describe the methodologies and outcomes of four technology-assisted and adaptive interventions aimed at adults.
1) Two NIAAA-funded randomized clinical trials that employed nationwide recruitment, one which was hybrid (in-person and remote; n=153) and incorporated digital and clinician assessment, adaptive clinician interventions and ecological momentary assessment, and the other which was fully remote (n=731), and consisted of daily digital assessment (i.e., drink-tracking), text-messaging intervention (automated, tailored and/or adaptive), and digital assessment follow-up. 2) A fully remote but hybrid (digital and clinician) assessment and intervention (including daily digital drink tracking) with that was developed and implemented for a medical center employee (n=199) wellness program. 3) A peer-developed (via private startup), fully remote and digital intervention offered directly to the public (n > 45,000) that included automated digital assessment (including daily drink-tracking) and hybrid (automated and peer-based) digital messaging. Differences and similarities in the approaches and outcomes, as well as future directions, will be discussed.