Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Oct 5, 2023
Date Accepted: Aug 8, 2024
The Role of Daily Affect, Rumination and Movement Patterns for Early Alcohol Use in Healthy Adolescents - an Ecological Momentary Assessment Approach into Environmental Triggers: Exploratory Study
ABSTRACT
Background:
Adolescence is a period of heightened risk for the development of risky alcohol use. This might be triggered by social and environmental factors in daily life, which may form behavioral risk patterns already early and at lower levels of alcohol use.
Objective:
We aimed to delineate factors associated with early alcohol use and movement relevant information on alcohol use.
Methods:
65 healthy adolescents (33 male, 29 14-year-olds, 36 16-year-olds) were assessed with mobile-based ecological momentary assessments on mood, craving, rumination and social contacts (6 prompts/day), type of day (weekdays/-ends), and using geospatial measures (specifically roaming entropy and number and type of trigger points met) over 14 days.
Results:
Generalized linear multilevel models revealed higher positive affect, craving and movement radius (roaming entropy), but not social contacts or trigger points, to be positively associated with alcohol use on that day. Alcohol use also varied dependent on type of day (weekends) and age.
Conclusions:
Our results confirm previously known factors of affect and craving as well as weekend and age as relevant for very early and low levels of alcohol use. We highlight exploratory environmental movement behavior (roaming entropy) as an additional, significant factor that might pave the way into potential risky alcohol use patterns, in close interaction with known risk factors.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.