Development of a Personalized Feedback Intervention Targeting Pain-Related Anxiety for Adults Reporting Hazardous Drinking and Chronic Pain : A Randomized Controlled Trial

OBJECTIVE: Among individuals with chronic pain, the rate of hazardous alcohol use is elevated compared to the general population. Yet, hazardous drinkers with chronic pain remain an underserved group. There is a need to develop and test alternative and complementary interventions to reduce hazardous alcohol use among this high-risk segment of the general population; targeting pain-related anxiety, a candidate mechanism, is one theoretically-informed route.

METHOD: Our approach followed a staged model (1a/1b) to develop and test a novel personalized feedback intervention (PFI). Phase 1A collected qualitative feedback from (N = 9; 77.8% female, Mage = 33.86, SD = 8.75) participants to refine intervention content and evaluate treatment acceptability and feasibility. For phase 1B, individuals (N=118; 57.3% male, Mage = 35.24, SD = 11.90) participated in a pilot randomized clinical trial for our novel PFI compared to a health information control condition on alcohol use, intention/motivation to reduce drinking, pain-related anxiety, and expectancies for alcohol analgesia/pain coping for hazardous drinkers with chronic pain.

RESULTS: Phase 1a results provided support for the feasibility of using a PFI to target pain-related anxiety, and results from Phase 1b indicated that participants reduced drinking and primary outcomes changed in the expected directions, but there were no differential effects of the intervention.

CONCLUSIONS: The current data provide preliminary evidence for the utility of computer-based brief interventions to encourage behavior change. However, further refinement of the intervention to target pain-related anxiety is warranted.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Journal of studies on alcohol and drugs - (2024) vom: 15. Apr.

Sprache:

Englisch

Beteiligte Personen:

Rogers, Andrew H [VerfasserIn]
Neighbors, Clayton [VerfasserIn]
Derrick, Jaye L [VerfasserIn]
Zvolensky, Michael J [VerfasserIn]

Links:

Volltext

Themen:

Chronic pain
Hazardous alcohol use
Intervention
Journal Article
Pain-related anxiety
RCT

Anmerkungen:

Date Revised 15.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.15288/jsad.23-00359

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371086418