BRIEF ALCOHOL INTERVENTION USING SOCIAL NETWORK SUPPORT

很大一部分成年人酗酒，因此面临各种问题的风险，如机动车事故、伤害、医疗疾病、工作困难和家庭功能障碍。在过去的二十年里，简短的干预被证明在减少酗酒方面是有希望的。本R21应用程序的目的是研究增强简短干预的有效性的方法。酒精中毒治疗的最新进展强调了利用重度饮酒者的社会网络来提高饮酒结果的重要性。然而，很少有研究表明，让配偶/重要的另一个人参与到一个基于动机的短暂干预中，可能会改善酗酒问题的结果。这个程序化的治疗结果研究的长期目标是加强对成年重度饮酒者的短期干预。本治疗发展建议的具体目标是：1)制定一份治疗手册，用于进行简短的配偶/重要他人动机访谈（SIMI）；2)在初级保健机构对10名患者进行试点测试并完善治疗手册；3)通过比较受试者在SIMI和评估控制（AC）条件下3个月的酒精使用和酒精相关负面后果，收集评估数据。我们建议通过包括配偶/重要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来补充动机性访谈，这是一种在减少大量饮酒方面取得成功的简短干预。加强对重度饮酒成人的短期动机干预的有效性，为避免这一人群中慢性酒精问题和酒精相关负面后果的发展提供了一种手段。

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.