Interactive voice response technology can deliver alcohol screening and brief intervention in primary care.
Interactive voice response technology can deliver alcohol screening and brief intervention in primary care.
复制标题
交互式语音应答技术可以在初级保健中提供酒精筛查和简短干预。
DOI：
10.1007/s11606-009-1233-0
复制
发表时间：
2010
影响因子：
5.7
通讯作者：
Helzer,JohnE
中科院分区：
文献类型：
--
作者：
Rose,GailL;MacLean,CharlesD;Skelly,Joan;Badger,GaryJ;Ferraro,TonyaA;Helzer,JohnE
酒精筛查和简短干预（BI）是一种有效的初级保健预防服务，但实施率很低。使用交互式语音应答（IVR）自动化BI可能是一种有效的方法，以扩大患者对所需信息和建议的访问。（2）评估问题;（3）建议并协助变更;（4）跟进以获得持续支持。测量使用率、呼叫持续时间和患者对IVR-BI的有用性、舒适性和诚实性的主观报告。前后评估改变动机和酒精消耗的变化，如通过时间轴Follow Back测量的。主观反应通常是积极或中性的。大约40%的受试者表示IVR-BI促使他们改变。大约一半的患者在访问时与他们的提供者讨论了饮酒问题。这些人往往是酗酒者，对饮酒有更大的担忧。报告提供者提供BI并致电IVR-BI的患者认可IVR-BI更舒适和诚实。平均而言，减少25%的酒精使用后，两周的诊所visit. CONCLUSIONSSUsing IVR技术，以提供BI在初级保健环境是可行的，数据表明在一个更大的试验的疗效潜力。
BACKGROUNDAlcohol screening and brief intervention (BI) is an effective primary care preventive service, but implementation rates are low. Automating BI using interactive voice response (IVR) may be an efficient way to expand patient access to needed information and advice.OBJECTIVETo develop IVR-based BI and pilot test it for feasibility and acceptability.DESIGNSingle-group pre-post feasibility study.PARTICIPANTSPrimary care patients presenting for an office visit.INTERVENTIONSIVR-BI structured to correspond to the provider BI method recommended by NIAAA: (1) Ask about use; (2) Assess problems; (3) Advise and Assist for change, and (4) Follow up for continued support. Advice was tailored to patient readiness and preferences.MEASUREMENTSUtilization rate, call duration, and patients’ subjective reports of usefulness, comfort and honesty with the IVR-BI. Pre-post evaluation of motivation to change and change in alcohol consumption as measured by Timeline Follow Back.RESULTSCall duration ranged from 3–7 minutes. Subjective reactions were generally positive or neutral. About 40% of subjects indicated IVR-BI had motivated them to change. About half of the patients had discussed drinking with their provider at the visit. These tended to be heavier drinkers with greater concerns about drinking. Patients who reported a provider-delivered BI and called the IVR-BI endorsed greater comfort and honesty with the IVR-BI. On average, a 25% reduction in alcohol use was reported two weeks after the clinic visit.CONCLUSIONSUsing IVR technology to deliver BI in a primary care setting is feasible and data suggest potential for efficacy in a larger trial.