Physical context of alcohol use and craving : an ema exploratory study
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While environmental and physical contextual factors play an important role in alcohol use, our measurement of the physical context of use, even when using ecological momentary assessments (EMA), has been limited. Physical context of alcohol use also plays a key role in alcohol craving, as it can be triggered by external, contextual cues. While EMA research has examined drinking locations at the event level by using categories of drinking locations, there is considerable variability on the attributes of drinking locations. The aim of this exploratory study was to better assess the physical context of alcohol use through the use EMA and GPS coordinates, investigating whether specific locations are associated with increased drinking and craving for alcohol. Our results indicated significant differences in both alcohol consumption and craving between home, friend's houses, and on-premises drinking locations. We also observed significant differences in alcohol consumption and craving between different on-premise locations. These findings offer a proof of concept for developing an empirical method to identify high-risk drinking locations. Ultimately, this line of research holds potential for developing targeted intervention strategies by utilizing mobile and geospatial technology to identify and mitigate risks associated with specific drinking environments.
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M.A.