PA-13-262: Implications of New Digital Media Use for Underage Drinking, Drinking-Related Behaviors, and Prevention Research (R01)

Part 1. Overview Information

Participating Organization(s)	National Institutes of Health (NIH)
Components of Participating Organizations	National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Funding Opportunity Title	Implications of New Digital Media Use for Underage Drinking, Drinking-Related Behaviors, and Prevention Research (R01)
Activity Code	R01 Research Project Grant
Announcement Type	New
Related Notices	NOT-OD-16-004 - NIH & AHRQ Announce Upcoming Changes to Policies, Instructions and Forms for 2016 Grant Applications (November 18, 2015) NOT-OD-16-006 - Simplification of the Vertebrate Animals Section of NIH Grant Applications and Contract Proposals (November 18, 2015) NOT-OD-16-011 - Implementing Rigor and Transparency in NIH & AHRQ Research Grant Applications (November 18, 2015) June 4, 2014 - Notice NOT-14-074 supersedes instructions in Section III.3 regarding applications that are essentially the same. August 21, 2013: Removed reference to ASSIST in section IV.3, since ASSIST is currently only available for multi-project applications.
Funding Opportunity Announcement (FOA) Number	PA-13-262
Companion Funding Opportunity	PA-13-263, R21 Exploratory/Developmental Grant
Number of Applications	See Section III. 3. Additional Information on Eligibility.
Catalog of Federal Domestic Assistance (CFDA) Number(s)	93.273
Funding Opportunity Purpose	This Funding Opportunity Announcement (FOA) encourages R01 research grant applications from institutions/organizations that propose to investigate whether, and how, heavy involvement in new digital media usage, particularly social media and social networking sites, may influence adolescent alcohol use and drinking patterns, as well as drinking-related problems. This FOA also encourages applications proposing to explore the ways in which new digital media may be utilized as platforms for preventive interventions aimed at underage drinking and related problems.

Key Dates

Posted Date	July 8, 2013
Open Date (Earliest Submission Date)	September 5, 2013
Letter of Intent Due Date(s)	Not Applicable
Application Due Date(s)	Standard dates apply, by 5:00 PM local time of applicant organization. Applicants are encouraged to apply early to allow adequate time to make any corrections to errors found in the application during the submission process by the due date.
AIDS Application Due Date(s)	Standard AIDS dates apply by 5:00 PM local time of applicant organization.
Scientific Merit Review	Standard dates apply
Advisory Council Review	Standard dates apply
Earliest Start Date	Standard dates apply
Expiration Date	September 8, 2016
Due Dates for E.O. 12372	Not Applicable

Required Application Instructions

It is critical that applicants follow the instructions in the SF424 (R&R) Application Guide, except where instructed to do otherwise (in this FOA or in a Notice from the NIH Guide for Grants and Contracts). Conformance to all requirements (both in the Application Guide and the FOA) is required and strictly enforced. Applicants must read and follow all application instructions in the Application Guide as well as any program-specific instructions noted in Section IV. When the program-specific instructions deviate from those in the Application Guide, follow the program-specific instructions. Applications that do not comply with these instructions may be delayed or not accepted for review.

Table of Contents

Part 1. Overview Information
Part 2. Full Text of the Announcement
Section I. Funding Opportunity Description
Section II. Award Information
Section III. Eligibility Information
Section IV. Application and Submission Information
Section V. Application Review Information
Section VI. Award Administration Information
Section VII. Agency Contacts
Section VIII. Other Information

Part 2. Full Text of Announcement

Section I. Funding Opportunity Description

Purpose

The use of new digital media including, e.g., the internet as well as the various forms of social media such as the status updating site Twitter, chat rooms, blogs, the video sharing site YouTube, the photo sharing site Flickr, instant messaging, and social networking sites (SNSs) has increased dramatically among adolescents over the past decade, with virtually no end in sight. Ninety-three percent (93%) of U.S. teenagers ages 12-17 report that they go online and 63% of teen internet users go online every day to download movies, music, and software as well as for e-mail, shopping, job searching, banking, game playing, gambling, checking sports scores, etc. On SNSs, users can develop a personal profile that is linked with others profiles to form a personal online network. Social networking sites allow users to share ideas, activities, events, and interests within their individual networks. College students indicate that SNSs fulfill several needs, including socializing, entertainment, self-status seeking, information, and to stay in touch with family members and friends. Among the more popular SNSs are MySpace, LinkedIn, Friendster, and Facebook, the latter having more than 600 million active users as of January, 2011. A mid-2009 study found that 73% of online American teenagers reported using SNSs, a significant increase from the previous year.

This FOA is intended to stimulate two lines of research into adolescent alcohol activities. One focus is motivated by recent reports (see below) suggesting that alcohol use increasingly is mentioned and visually displayed on many adolescents SNS profiles. While it should be noted that most surveys that track youthful drinking patterns generally have not shown recent upturns in drinking frequency in this age group, the fact that these SNS profiles are created and displayed by peers who the adolescent perceives to be similar to him/herself raise concerns about whether, and how, such pervasive references may be influencing adolescent alcohol use. Moreover, as the enormously popular SNS among adolescents, Facebook, was virtually unknown outside of a handful of elite East Coast colleges less than a decade ago, any impact of Facebook participation on youthful drinking in the U.S. may only become apparent in the years ahead. Finally, as support for formal recognition of the concept of Internet addiction within the spectrum of addictive disorders lately has been advanced and heavy SNS use might be regarded as a component of such behavior it should be noted that several recent studies have reported an association between Internet addiction and problematic alcohol use in samples of Taiwanese high school and college students. In the U.S., as well, some recent research (Epstein, 2011) has reported an association between hours per week spent on the computer and adolescent drinking, with self-reported lifetime drinkers in this study using the computer for social networking more frequently than never drinkers. Insofar as consistent evidence has found that higher alcohol consumption in late adolescence often continues into adulthood and may be associated with alcohol-related problems, it appears prudent to remain vigilant as to the possible effects of SNS and social media usage for adolescent drinking patterns so that appropriate prevention steps may be considered.

Social media-based interventions research with adolescent populations comprises the other line of research that this FOA is intended to stimulate. Regardless of the roles of social media and SNSs as possible contributors to adolescent drinking and drinking-related problems, it should be clear that as detailed below they offer an exciting platform for preventive interventions aimed at underage drinking and related problems.

Research Focus

1. Understanding social media-related underage drinking, drinking-related norms and expectancies, and drinking-related problems

Possible avenues through which underage drinking patterns may be influenced by SNS and social media usage were explored at a NIAAA-sponsored workshop that convened in September, 2010. Some of these mechanisms are described below:

Expansion of adolescent social networks

SNSs enable adolescents to develop and maintain contact with more people in far-flung locations than would otherwise be possible. In a recent study of 92 U.S. undergraduates (Pempek et al., 2009), young women reported an average of 401 Facebook friends and young men reported an average of 269 friends, compared to an average of only 150 offline friends. Insofar as some evidence suggests that social network phenomena may influence alcohol consumption, it is possible that the creation of a means for such extended exposure to individuals (and their behaviors) who one may know only casually offline if at all may play a role in altering SNS users drinking initiations and trajectories. In this regard, it should be noted that Ridout et al (2011) recently reported, in a sample of 163 college students, greater alcohol consumption by respondents who reported more Facebook friends, while Egan and Moreno (2011) found that an increase in number of Facebook friends was significantly associated with an increase in displayed alcohol references.

Alcohol advertising and marketing on SNSs and social media

Substantial alcohol marketing can be found on social media sites where it can be easily accessed by adolescents. Many alcohol companies have their own channels on YouTube and/or a Twitter page, and some post photos on Flickr containing images of partying behavior. Several Facebook features including Groups, Events, Applications, and Pages also can play a role in the dissemination of alcohol-related images on this site. A Group can be created by any user and may be formed around virtually any topic, and Group membership is displayed on the users profile. Group pages contain a wall for members comments, videos or photos. Alcohol-related groups on Facebook (e.g., I m not an alcoholic, I just like to drink") are created by users who wish to display their liking for drinking-related activity or a particular brand of alcohol. Events allow users, as well as companies, to advertise the time, date and location of a particular event e.g., concerts, sporting events, nightclubs, or keg parties that often are sponsored by brewers or distillers, advertise alcohol use, and can include descriptions of excessive drinking behavior. Applications are designed to allow SNS users to engage in interactive behavior, such as game playing and quiz taking (e.g., What sort of drunk are you? , What is your partying personality? ). Applications may advertise alcohol with specific brand names, photos, graphics, and links to brand websites. Facebook Pages represent a public personality, organization, brand or product. Users can become fans of Pages, and Pages may contain links to, for instance, the official website of a particular brand of alcohol, applications, photos of the product, a wall for comments extolling the virtues of the brand, and marketing messages from the company.

Clearly, SNSs offer an attractive venue for targeted marketing, including marketing of alcohol. Moreover, in the world of the Internet, there are a variety of ways in which showing one’s allegiance to a particular brand may become known to others in one’s social network. For instance, adolescents who indicate that they like a YouTube copy of a TV commercial advertising a particular brand of alcohol can send it to their personal profile page, and friends who subsequently visit this individuals' page may view the video and, if they so choose, copy it to their own page, thereby extending the viral transmission of the ad. Through such viral sharing of alcohol advertisements, the young social media user essentially endorses the product to an audience comprising his/her friends. This relatively low-cost form of advertising relies upon consumers to pass on favorable or compelling marketing and brand-related messages to others via e-mails, text messaging, online forums, suggested links to websites, and word of mouth, in addition to SNSs.

In summary, the alcohol industry’s presence on online social media is pervasive. Insofar as substantial research indicates that adolescents exposure to alcohol marketing as well as to alcohol cues in television advertising and music videos are associated with increased likelihood of initiating alcohol use, research that addresses the question of whether adolescents exposure to alcohol advertising on the Internet is similarly influential is urgently needed.

Creation of greater awareness of, and opportunities for, drinking

Being logged on to a SNS or to one of the new GPS location-based applications available on many cell phones may make it easier for adolescents to find a drinking party, to engage in pre-party activity, and/or to party longer (e.g., by finding out where the next party is and/or who else may be out drinking/partying at that particular time). SNSs also may be used in creating and advertising drinking events.

Display of images and text depicting alcohol use

Adolescents exposure to alcohol references, including descriptions of alcohol use experiences and photographs that depict alcohol use, is the apparent consequence of SNS involvement that has drawn the most attention from health researchers. Thus, in a recent sample of college undergraduates, one-third reported having posted a picture depicting substance use on a SNS (Morgan et al., 2010), while a recent content analysis of 225 college males Facebook profiles (Egan and Moreno, 2011) found that alcohol references were present in 85% of the profiles, with an average of 8.5 alcohol references per profile and increasing with undergraduate year. While it may questioned whether adolescents view such online drinking images as depicting real behavior or merely as adolescent poses, recent studies generally have found that adolescents typically interpret such references as representing actual use and acknowledge their potential influence on peer behavior.

Creation of adolescent drinking identities

Fruitful research might explore whether, taken together, the aforementioned potential outgrowths of SNS involvement may be playing a significant role in creating what McCreanor et al. (2008) have called intoxigenic social identities, created through discursive social practices that engage with and utilize pro-intoxication talk to create and maintain expectations, norms and behaviors around alcohol consumption . Indeed, some researchers have noted that, in the SNS environment, the portrayal of oneself as a drinker, especially as one able to consume significant amounts of alcohol, is considered by many young people to be a socially desirable component of one’s identity. Importantly, however, researchers recently have found that presentation of such an alcohol-related self-identity as operationalized by, for instance, number of photographs in college students photo essays chosen to describe their typical everyday environments, lifestyle, life tasks, or self-defining inner values

predicts alcohol use quantity and frequency as well as alcohol-related problem behaviors. Moreno et al (2012) found that undergraduate students at two US state universities who displayed references to intoxication or problem drinking on their Facebook profiles were more likely to meet clinical screening criteria for problem drinking and more likely to report experience of an alcohol-related injury in the past year than those students who did not display such references.

SNSs and adolescent drinking: consideration of mediators

Ideally, future research aimed at investigating whether and the degree to which SNS use may impact underage drinking patterns will also examine potential mediating and moderating mechanisms through which such impact occurs. Any list of potential mediators likely will include adolescent alcohol expectancies as well as salience of prevailing peer drinking norms. Friends use of alcohol and perceived peer norms have been found to be major predictors of drinking and alcohol consequences among adolescents and college students, as well as nonstudent emerging adults. Thus, frequent and/or continuous exposure to images of drinking behavior on SNSs might act to reinforce or clarify adolescents sense of prevailing drinking norms, and their perception of the kind of behavior that their peers approve of. Moreover, a selective sharing of information may occur, whereby information that seems inconsistent with what other people in the network seemingly want to hear is not shared.

Alcohol expectancies are beliefs regarding the positive or negative effects or consequences of alcohol use. As a potential shaper of alcohol expectancies, SNSs may be particularly powerful due to their regular presentation of a profusion of images and narratives depicting what are treated as relatively normal levels of alcohol use, all in a relatively public forum and often coupled with information about upcoming drinking opportunities. Perusal of any sample of fairly typical SNS posts suggests that underage drinking generally is not viewed as deviant behavior on such sites, that drinking on school nights is seemingly quite acceptable, and that getting wasted (including blackouts) is hardly a cause for concern indeed, reconstructing with others the full range of lost events following a bout of binge drinking seems mostly regarded as a fun activity.

Moreover, insofar as the posted images on SNSs undoubtedly are selected ones, they are more likely to convey positive images of drinking, thus making it more likely that perusal of SNS images will increase positive alcohol expectancies rather than negative ones. SNS postings and images might especially influence the alcohol expectancies of younger adolescents who, for instance, may be able to view an older sibling’s drinking behaviors on his/her Facebook page.

Suggested research topics

The growth in popularity of SNSs and the pervasive display of alcohol-related images on the most popular SNSs suggests a need for research into a variety of topics related to the understanding and epidemiology of SNS-related underage drinking, drinking-related norms and expectancies, and drinking-related problems. The following list is only meant to be suggestive:

Is the display of underage alcohol use on SNSs increasing over time, and are SNS communications concerning alcohol use increasing as a proportion of total communications?

Net of other influences, is exposure to depictions of alcohol use on SNSs associated with earlier onset of drinking or to increased likelihood of involvement in alcohol misuse or binge drinking?

What are the relatively most important aspects of SNSs and social media use in influencing alcohol-related risk behavior, and what are the characteristics of SNS users who are most likely to be vulnerable to pro-drinking messages as conveyed by each of these features?

Do SNS postings increase offline communications about alcohol, and are these associated with increased intentions to drink?

Are those adolescents whose online profile displays many images of alcohol use at elevated risk of being labeled by other network members as a heavy drinker or to have a drinking problem, and does this encourage their further substance use?

How might SNS communication promote 21st birthday celebrations that involve drinking, Spring Break drinking behaviors, and pre-partying drinking behavior?

To what extent can Facebook and Twitter be used to provide valid and reliable estimates and surveillance of alcohol use and alcohol-related problems?

Regardless of the role of social media and SNSs as contributors to adolescent drinking and drinking-related problems, it should be clear that they offer an exciting platform for preventive interventions aimed at underage drinking and related problems. These are discussed next.

2. Social media and SNSs in the prevention of underage drinking and related problems

The Internet increasingly is perused for health communication and utilized in health prevention efforts, and this extends to alcohol-related health communication and intervention. An array of interactive, Web-based treatment programs for people with alcohol problems have been devised, and a number of commercially available Web-based alcohol education and intervention programs that utilize a mix of educational, skills-based, and motivational strategies are available. That being said, the mounting of health interventions on SNSs is relatively new research territory, although one that is developing rapidly. It is clear that SNSs possess a number of features that would appear to make them particularly attractive in the conduct of preventive intervention research with adolescents. Chief among these is the fact that many maybe even most adolescents seem to truly enjoy spending time in these utilities, thus presumably eliminating or minimizing the common vexing issue of intervention recruitment. Moreover, rather than requiring participants to travel to the intervention site, the new mobile technologies enable the investigator to bring the intervention to the participant wherever the latter happens to be in physical space.

Suggested research topics

In general, SNS-based preventive interventions might usefully build upon any of the various primary and secondary prevention approaches long utilized in offline settings, such as peer-led, family-based, and community-wide prevention strategies. For instance:

subjects recruited on a SNS might be directed to a webinar, or network friends might be utilized in an interactive intervention

SNSs might play a role in parent support networks that address underage alcohol use

SNSs might play a role in enhancing community communication, strategizing, and activation aimed at reducing alcohol availability in the community local coalitions and health departments might use Twitter to promote health messages

smart phone applications might provide prevention or treatment advice

SNSs might play a role in promoting alcohol screening among college students

This list, not meant to be exhaustive, suggests the potential of social media-based interventions for prevention efforts aimed at underage drinking and related problems.

Section II. Award Information

Funding Instrument	Grant: A support mechanism providing money, property, or both to an eligible entity to carry out an approved project or activity.
Application Types Allowed	New Renewal Resubmission Revision The OER Glossary and the SF424 (R&R) Application Guide provide details on these application types.
Funds Available and Anticipated Number of Awards	The number of awards is contingent upon NIH appropriations and the submission of a sufficient number of meritorious applications.
Award Budget	Application budgets are not limited, but need to reflect the actual needs of the proposed project.
Award Project Period	The scope of the proposed project should determine the project period. The maximum project period is 5 years.

NIH grants policies as described in the NIH Grants Policy Statement will apply to the applications submitted and awards made in response to this FOA.

Section III. Eligibility Information

1. Eligible Applicants

Eligible Organizations

Higher Education Institutions

Public/State Controlled Institutions of Higher Education
Private Institutions of Higher Education

The following types of Higher Education Institutions are always encouraged to apply for NIH support as Public or Private Institutions of Higher Education:

Hispanic-serving Institutions
Historically Black Colleges and Universities (HBCUs)
Tribally Controlled Colleges and Universities (TCCUs)
Alaska Native and Native Hawaiian Serving Institutions
Asian American Native American Pacific Islander Serving Institutions (AANAPISIs)

Nonprofits Other Than Institutions of Higher Education

Nonprofits with 501(c)(3) IRS Status (Other than Institutions of Higher Education)
Nonprofits without 501(c)(3) IRS Status (Other than Institutions of Higher Education)

For-Profit Organizations

Small Businesses
For-Profit Organizations (Other than Small Businesses)

Governments

State Governments
County Governments
City or Township Governments
Special District Governments
Indian/Native American Tribal Governments (Federally Recognized)
Indian/Native American Tribal Governments (Other than Federally Recognized)
Eligible Agencies of the Federal Government
U.S. Territory or Possession

Other

Independent School Districts
Public Housing Authorities/Indian Housing Authorities
Native American Tribal Organizations (other than Federally recognized tribal governments)
Faith-based or Community-based Organizations
Regional Organizations
Non-domestic (non-U.S.) Entities (Foreign Institutions)

Foreign Institutions

Non-domestic (non-U.S.) Entities (Foreign Institutions) are eligible to apply.
Non-domestic (non-U.S.) components of U.S. Organizations are eligible to apply.

Foreign components, as defined in the NIH Grants Policy Statement, are allowed.

Required Registrations

Applicant Organizations

Applicant organizations must complete and maintain the following registrations as described in the SF 424 (R&R) Application Guide to be eligible to apply for or receive an award. All registrations must be completed prior to the application being submitted. Registration can take 6 weeks or more, so applicants should begin the registration process as soon as possible. The NIH Policy on Late Submission of Grant Applications states that failure to complete registrations in advance of a due date is not a valid reason for a late submission.

Dun and Bradstreet Universal Numbering System (DUNS) - All registrations require that applicants be issued a DUNS number. After obtaining a DUNS number, applicants can begin both SAM and eRA Commons registrations. The same DUNS number must be used for all registrations, as well as on the grant application.
System for Award Management (SAM) (formerly CCR) Applicants must complete and maintain an active registration, which requires renewal at least annually. The renewal process may require as much time as the initial registration. SAM registration includes the assignment of a Commercial and Government Entity (CAGE) Code for domestic organizations which have not already been assigned a CAGE Code.
NATO Commercial and Government Entity (NCAGE) Code Foreign organizations must obtain an NCAGE code (in lieu of a CAGE code) in order to register in SAM.
eRA Commons - Applicants must have an active DUNS number and SAM registration in order to complete the eRA Commons registration. Organizations can register with the eRA Commons as they are working through their SAM or Grants.gov registration. eRA Commons requires organizations to identify at least one Signing Official (SO) and at least one Program Director/Principal Investigator (PD/PI) account in order to submit an application.
Grants.gov Applicants must have an active DUNS number and SAM registration in order to complete the Grants.gov registration.

Program Directors/Principal Investigators (PD(s)/PI(s))

All PD(s)/PI(s) must have an eRA Commons account and should work with their organizational officials to either create a new account or to affiliate an existing account with the applicant organization’s eRA Commons account. If the PD/PI is also the organizational Signing Official, they must have two distinct eRA Commons accounts, one for each role. Obtaining an eRA Commons account can take up to 2 weeks.

Eligible Individuals (Program Director/Principal Investigator)

Any individual(s) with the skills, knowledge, and resources necessary to carry out the proposed research as the Program Director(s)/Principal Investigator(s) (PD(s)/PI(s)) is invited to work with his/her organization to develop an application for support. Individuals from underrepresented racial and ethnic groups as well as individuals with disabilities are always encouraged to apply for NIH support.

For institutions/organizations proposing multiple PDs/PIs, visit the Multiple Program Director/Principal Investigator Policy and submission details in the Senior/Key Person Profile (Expanded) Component of the SF424 (R&R) Application Guide.

2. Cost Sharing

This FOA does not require cost sharing as defined in the NIH Grants Policy Statement.

3. Additional Information on Eligibility

Number of Applications

Applicant organizations may submit more than one application, provided that each application is scientifically distinct.

NIH will not accept any application that is essentially the same as one already reviewed within the past thirty-seven months (as described in the NIH Grants Policy Statement), except for submission:

To an RFA of an application that was submitted previously as an investigator-initiated application but not paid;
Of an investigator-initiated application that was originally submitted to an RFA but not paid; or
Of an application with a changed grant activity code.

Section IV. Application and Submission Information

1. Requesting an Application Package

Applicants must download the SF424 (R&R) application package associated with this funding opportunity using the Apply for Grant Electronically button in this FOA or following the directions provided at Grants.gov.

2. Content and Form of Application Submission

It is critical that applicants follow the instructions in the SF424 (R&R) Application Guide, except where instructed in this funding opportunity announcement to do otherwise. Conformance to the requirements in the Application Guide is required and strictly enforced. Applications that are out of compliance with these instructions may be delayed or not accepted for review.

For information on Application Submission and Receipt, visit Frequently Asked Questions Application Guide, Electronic Submission of Grant Applications.

Page Limitations

All page limitations described in the SF424 Application Guide and the Table of Page Limits must be followed.

Required and Optional Components

The forms package associated with this FOA includes all applicable components, required and optional. Please note that some components marked optional in the application package are required for submission of applications for this FOA. Follow all instructions in the SF424 (R&R) Application Guide to ensure you complete all appropriate optional components.

SF424(R&R) Cover