BRIEF ALCOHOL INTERVENTION USING SOCIAL NETWORK SUPPORT

利用社交网络支持进行简短的酒精干预

• 批准号: 2884529
• 负责人: ARUNA GOGINENI
• 金额: $ 10.68万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-07-01 至 2001-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2884529
• 关键词: adult human (21+); alcoholic beverage consumption; alcoholism /alcohol abuse therapy; behavior therapy; behavioral /social science research tag; breath tests; clinical research; data collection; handbook; human subject; human therapy evaluation; interview; longitudinal human study; motivation; outcomes research; social support network; spouses; substance abuse related behavior

A significant proportion of adults drink heavily and consequently are at risk for a variety of problems such as motor vehicle accidents, injuries, medical illnesses, work difficulties, and family dysfunction. In the past two decades, brief interventions have proven to be promising in reducing heavy drinking. The objective of this R21 application is to investigate ways of augmenting the effectiveness of brief interventions. Recent developments in treatments for alcoholism underscore the primacy of utilizing the social networks of heavy drinkers for enhancing drinking outcomes. However, few studies have examined the likelihood that involving the spouse/significant other in a brief motivation-based intervention with an individual heavy drinker may improve problem drinking outcomes. The long-term objective of this programmatic body of treatment outcome research is to enhance brief interventions for adult heavy drinkers. The specific aims of this treatment development proposal are to: 1) develop a treatment manual for conducting a brief Spouse/Significant Other Involved Motivational Interview (SIMI); 2) pilot test and refine the treatment manual on 10 patients in a primary care setting; and 3) collect assessed by comparing subjects in the SIMI and Assessment Control (AC) conditions on alcohol use and alcohol-related negative consequences at 3-months. We propose to supplement Motivational Interviewing, a brief intervention with demonstrated success in reducing heavy drinking, by including a spouse/significant other as a way of capitalizing on the potential effect of social support on drinking outcomes. Enhancing the efficacy of brief motivation-based interventions with heavy drinking adults provides a means to circumvent the development of chronic alcohol problems and alcohol-related negative consequences among this population.

很大一部分成年人酗酒，因此面临各种问题的风险，例如机动车事故、受伤、疾病、工作困难和家庭功能障碍。在过去的二十年里，事实证明，简短的干预措施在减少酗酒方面很有希望。此 R21 应用程序的目的是研究增强短期干预效果的方法。酗酒治疗的最新进展强调了利用酗酒者的社交网络来改善饮酒结果的首要作用。然而，很少有研究探讨让配偶/重要的其他人对酗酒者进行简短的基于动机的干预可能会改善酗酒问题的结果。该治疗结果研究的长期目标是加强对成年酗酒者的短期干预。该治疗开发提案的具体目标是： 1) 制定治疗手册，用于进行简短的配偶/重要其他相关动机访谈 (SIMI)； 2) 对初级保健机构的 10 名患者进行试点测试并完善治疗手册； 3) 通过比较 SIMI 和评估控制 (AC) 条件下的受试者在 3 个月时的饮酒情况和与酒精相关的负面后果来收集评估结果。我们建议对动机访谈进行补充，这是一种简短的干预措施，在减少酗酒方面已取得了成功，其中包括配偶/重要的其他人，作为利用社会支持对饮酒结果的潜在影响的一种方式。提高对酗酒成年人进行基于动机的简短干预措施的有效性，为避免该人群出现慢性酒精问题和与酒精相关的负面后果提供了一种手段。