CBT by Phone to Promote Use of Alcohol Related Care and Reduce Drinking

通过电话进行 CBT，以促进使用酒精相关护理并减少饮酒

• 批准号: 10430307
• 负责人: KENNETH R CONNER
• 金额: $ 12.06万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10430307
• 关键词: Address; Adult; Advertisements; Age; Alcohol consumption; Alcohols; Behavior; Behavior Therapy; Caring; Clinical Treatment; Cognitive Therapy; Communities; Equation; Evidence based treatment; Feedback; Frequencies; Funding; Individual; Internet; Intervention; Lead; Measures; Mediating; Mediator of activation protein; Medical; Methods; Modeling; Motivation; National Institute on Alcohol Abuse and Alcoholism; Outcome; Participant; Planning Theory; Randomized; Randomized Controlled Trials; Recording of previous events; Recovery; Research; Sampling; Screening Result; Self Administration; Structure; Telephone; Testing; Treatment Efficacy; Work; alcohol abuse therapy; alcohol use disorder; base; brief alcohol intervention; brief intervention; comparison intervention; design; drinking; efficacy testing; efficacy trial; evidence base; experience; follow-up; improved; improved outcome; innovation; intervention effect; medical specialties; mobile application; optimism; recruit; response; screening, brief intervention, referral, and treatment; treatment research; treatment services; volunteer

Abstract Numerous evidence based treatments for alcohol use disorder (AUD) have been developed, and research shows that individuals who obtain alcohol specialty care have improved drinking outcomes and are more likely to recover, yet a small percentage of individuals with AUD obtain treatment. Use of Screening, Brief Intervention, and Referral to Treatment (SBIRT) interventions is a potential strategy to increase treatment seeking, yet there is little evidence that these interventions increase participation in alcohol-related care and a lack of evidence that such care serves as a mechanism for improved drinking outcomes. The current randomized controlled trial (RCT) of a one session intervention delivered by telephone seeks to address these gaps in evidence. The specific aims are to show that research volunteers ages 18 and older with AUD who are assigned to the intervention compared to an information control condition are more likely to initiate alcohol specialty care (aim 1), have decreased frequency of alcohol use (as measured by percent days abstinent) and intensity of alcohol use (as measured by drinks per drinking day) (aim 2), and that treatment engagement serves as a mediator of the improved drinking outcomes (aim 3). Innovations include the use of an SBIRT intervention based on the theory of planned behavior and cognitive behavioral treatment principles and that the intervention was developed for phone administration from the onset and was explicitly designed to promote treatment engagement. The project is in response to PA-15-299, Alcohol Use Disorders: Behavioral Treatment, Services, and Recovery Research. It builds on a smaller efficacy trial that showed that the intervention leads to increased engagement in alcohol-related care (Stecker et al., 2012) and extends that study in several ways including through the use of a priori tests to determine efficacy of the intervention to improve drinking outcomes and that treatment engagement serves as a mediator of the improved outcomes.

抽象的 已经开发了许多基于证据的酒精使用障碍治疗（AUD），并进行研究 表明，获得酒精专业护理的个人有改善的饮酒结果，并且更有可能 为了恢复，但有一小部分AUD的人获得治疗。筛查的使用，简短 干预措施，转诊到治疗（SBIRT）干预措施是增加治疗的潜在策略 寻求，但几乎没有证据表明这些干预措施增加了参与与酒精有关的护理和 缺乏证据表明这种护理是改善饮酒结果的机制。电流 通过电话提供的一次会话干预措施的随机对照试验（RCT）寻求解决这些问题 证据差距。具体的目的是表明，与AUD的研究志愿者是18岁以上的志愿者 与信息控制条件相比，分配给干预措施的可能更有可能引发酒精 专业护理（AIM 1），饮酒的频率降低（以日戒为百分比衡量）和 使用酒精的强度（按每天喝酒来衡量）（AIM 2）和该治疗参与度 充当改善饮酒结果的调解人（AIM 3）。创新包括使用Sbirt 基于计划行为和认知行为治疗原则的理论的干预措施，并 从一开始就开发了用于电话管理的干预措施，并明确设计以促进 治疗参与。该项目是对PA-15-299的回应，酒精使用障碍：行为 治疗，服务和恢复研究。它建立在较小的效力试验的基础上，表明 干预导致增加与酒精相关护理的参与度（Stecker等，2012），并扩展了这一点 以几种方式进行研究，包括通过使用先验测试来确定干预措施的功效 改善饮酒效果，治疗参与度是改善结果的调解人。