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

摘要 许多基于证据的治疗酒精使用障碍(AUD)的方法已经开发出来，研究 表明接受酒精特殊护理的人饮酒结果有所改善，而且更有可能 为了恢复，但有一小部分澳门氏症患者获得了治疗。筛选的使用，简要 干预和转诊治疗(SBIRT)干预是增加治疗的潜在战略 然而，几乎没有证据表明这些干预措施增加了酒精相关护理的参与率和 缺乏证据表明这种护理是改善饮酒结果的一种机制。海流 电话提供的一次干预的随机对照试验(RCT)试图解决这些问题 证据上的空白。具体目的是表明18岁及以上患有澳门氏症的研究志愿者 与信息控制条件相比，被分配到干预的人更有可能引发酒精 特殊护理(目标1)减少了饮酒频率(以戒酒天数百分比衡量)和 酒精使用强度(以每天饮酒量衡量)(目标2)，以及治疗参与度 作为改善饮酒结果的中介者(目标3)。创新包括使用SBIRT 基于计划行为理论和认知行为治疗原则的干预 干预措施从一开始就是为电话管理而开发的，并明确地旨在促进 治疗约定。该项目是为了响应PA-15-299，酒精使用障碍：行为 治疗、服务和康复研究。它建立在一个较小的疗效试验的基础上，该试验表明 干预导致对酒精相关护理的参与度增加(Stecker等人，2012)，并延长了这一时间 通过几种方法进行研究，包括通过使用先验测试来确定干预的有效性 改善饮酒结果，治疗参与度是改善结果的调解人。

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.