SECONDARY PREVENTION OF ALCOHOL PROBLEMS IN RURAL AREAS

农村地区酒精问题的二级预防

• 批准号: 2769238
• 负责人: GERARD J CONNORS
• 金额: $ 33.86万
• 依托单位: RESEARCH INSTITUTE ON ADDICTIONS
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-25 至 2001-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2769238
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse prevention; alcoholism /alcohol abuse therapy; behavioral /social science research tag; clinical research; human subject; human therapy evaluation; psychotherapy; rural area; telecommunications

APPLICANT'S ABSTRACT: Problem drinking in rural areas is an important health services issue facing the alcoholism treatment field, not only because of the potential for such drinking to create life-functioning problems but also because fewer treatment services are available in rural areas. Accordingly, this research has three primary objectives: (1) To evaluate three secondary prevention drinking reduction interventions for problem drinking rural men and women: bibliotherapy (BT) alone, BT with a telephone motivational interview, or BT with a telephone motivational interview and 6 telephone therapy sessions. The self-help manual focuses on awareness of drinking behavior, danger signals regarding problem drinking situations, and strategies for reducing drinking. Primary outcomes assessed are alcohol/drug use; alcohol-related behaviors/cognitions; and psychological and interpersonal functioning. (2) To study the processes of change involved in these interventions. Three variable domains will be studied: alcohol cognitions, person variables, and drinking reduction skills. These domains and changes in them will be examined as potential mediators of change. (3) To assess effects of gender, which will be an independent variable examined both as a main effect and in interaction with treatment condition with regard to treatment outcome. This project will be the first to evaluate these interventions in rural areas. In addition to investigating treatment outcome, an important aim is to further our understanding of treatment mediators. This endeavor overall is consistent with the long-term goal of identifying interventions which can be efficiently and effectively delivered to subgroups of problem drinkers, in this case rural men and women. As such, the findings will have direct relevance to the administration of health services to persons with alcohol use problems.

申请者摘要：农村地区的饮酒问题是一个重要的问题 酒精中毒治疗领域面临的卫生服务问题，不仅是 因为这样的饮酒有可能创造出生命功能 问题，但也是因为农村地区提供的治疗服务较少 区域。因此，本研究有三个主要目的：(1) 对以下三种二级预防戒酒干预措施进行评估 农村男女饮酒问题：单独接受阅读疗法(BT)，BT与 电话励志面试，或BT与电话励志 访谈和6次电话治疗。自助手册侧重于 对饮酒行为的认识，关于问题饮酒的危险信号 情况，以及减少饮酒的策略。评估的主要结果 是否酗酒/吸毒；与酒精有关的行为/认知；以及 心理和人际功能。(2)研究过程 这些干预措施所涉及的变化。三个可变区将是 研究：酒精认知、个人变量和饮酒减少 技能。这些域和其中的更改将被视为潜在的 变革的调解人。(3)评估性别的影响，这将是一个 自变量作为主效应和交互作用被考察 治疗情况与治疗结果有关。这个项目将是 第一个对农村地区的这些干预措施进行评估。除了……之外 调查治疗结果，一个重要的目标是促进我们的 对治疗调解人的理解。这一努力总体上是一致的。 其长期目标是确定哪些干预措施可以 高效、有效地提供给问题饮酒者的亚群，在 这种情况下，农村男人和女人。因此，这些发现将直接 与向酗酒者提供保健服务的管理有关 使用问题。