Reducing Substance Use with Implementation Intentions: A Treatment for Health Risk Behaviors

dc.contributor.authorMoody, Laraen
dc.contributor.committeechairBickel, Warren K.en
dc.contributor.committeememberStephens, Robert S.en
dc.contributor.committeememberFranck, Christopher T.en
dc.contributor.committeememberClum, George A.en
dc.contributor.departmentPsychologyen
dc.date.accessioned2018-10-27T06:01:00Zen
dc.date.available2018-10-27T06:01:00Zen
dc.date.issued2017-05-04en
dc.description.abstractMaladaptive habits, such as substance use, that are highly ingrained and automatized behaviors with negative long-term health consequences need effective interventions to promote change towards more healthful behaviors. Implementation intentions, the structured linking of critical situations and alternative, healthier responses, have been shown to improve health-benefiting behaviors such as eating more fruits and vegetables and being more physically active (Sheeran, Milne, Webb, and Gollwitzer, 2005). Here, a laboratory analogue for smoking relapse and a pilot clinical trial of alcohol use are assessed using implementation intention interventions to reduce these health risk behaviors. In Study 1, heavy smokers completed a smoking resistance task that is a candidate analogue for smoking relapse. Participants were exposed to an in-laboratory implementation intention and/or monetary incentive condition during each of four experimental sessions. The combined implementation intention and monetary incentive condition resulted in the greatest delay to smoking initiation. In Study 2, individuals with alcohol use disorder completed an active or control implementation intention treatment condition. Remotely, both treatment groups received a daily ecological momentary intervention, thrice daily biologic breath alcohol ecological momentary assessments, and once daily self-report ecological momentary assessment of alcohol consumption during the intervention period. The active implementation intention group was associated with a greater reduction in alcohol consumption compared to the control group. Together, these studies provide experimental and initial clinical evidence for implementation intentions, in conjunction with other effective treatments (Study 1) and technological advancements (Study 2), to intervene on and reduce substance use. This project is the first to use implementation intentions in a laboratory evaluation of smoking resistance and in an initial clinical trial to reduce alcohol consumption in a naturalistic community sample using both ecological momentary assessments and ecological momentary interventions.en
dc.description.degreePh. D.en
dc.format.mediumETDen
dc.identifier.othervt_gsexam:11607en
dc.identifier.urihttp://hdl.handle.net/10919/85569en
dc.publisherVirginia Techen
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectImplementation Intentionsen
dc.subjectSubstance Useen
dc.subjectAlcohol Useen
dc.subjectTobacco Useen
dc.titleReducing Substance Use with Implementation Intentions: A Treatment for Health Risk Behaviorsen
dc.typeDissertationen
thesis.degree.disciplinePsychologyen
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen
thesis.degree.leveldoctoralen
thesis.degree.namePh. D.en

Files

Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Moody_L_D_2017.pdf
Size:
6.11 MB
Format:
Adobe Portable Document Format