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ENVIRONMENTAL TREATMENT OF ALCOHOL ABUSERS

酗酒者的环境处理

基本信息

批准号：
3109981
负责人：
RICHARD LONGABAUGH
金额：
$ 1.08万
依托单位：
BUTLER HOSPITAL (PROVIDENCE, RI)
依托单位国家：
美国
项目类别：
财政年份：
1985
资助国家：
美国
起止时间：
1985-04-01 至 1990-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/3109981
关键词：
alcoholism /alcohol abuse prevention alcoholism /alcohol abuse therapy health care service evaluation human subject mental health counseling performance prognosis psychometrics psychosocial rehabilitation psychosocial service social support network vocational guidance

项目摘要

The long range goal of our research is to determine the most effective and efficient treatment interventions for alcohol abusers. Our working assumption is that a matching hypothesis is necessary: Patients with different characteristics will response differentially to different treatment interventions. Our approach to the problem has been to develop a theoretical formulation for making prognoses concerning outcome: Five variables are identified. These are alcohol dependence, psychological health, social investment, social environmental support for alchol health and social environmental support for psychological health. The theory includes hypotheses concerning the set of conditions under which specific treatment interventions will be differentially effective. Three outpatient treatment interventions are defined: (1) individual focus, a social learning theory appraoch to helping alcohol abusers to learn how to achieve and maintain abstinence; (2) enhancement of social support, an intervention which includes incorporation of significant others into the patients' treatment programs; and (3) enhancement of vocational role, an intervention which is added to individual focus and enhancement of social support. To test the theory and the differential effectiveness of the interventions, patients are randomly assigned to three treatment conditions. They are treated for up to 20 outpatient sessions over the course of a year and are followed as research subjects for 18 months after treatment initiation. Interviews and comprehensive measurements are made of their alcohol, physical, psychological, social and vocational health. Treatment and changes in prognostic variables are also measured, in order to test the goodness of fit of the theoretical formulation. The purpose of the present application for a competitive supplement and renewal is to permit completion of one year and eighteen month follow-up assessments, and attendant data analyses.

我们研究的长期目标是确定最有效和高效的酒精治疗干预措施施虐者。我们的工作假设是匹配的假设是必要：不同特征的患者会有反应不同的治疗干预措施。我们的方法解决这个问题的方法是发展出一个理论公式对结果做出预测：五个变量是确认身份。这些是酒精依赖，心理健康，为酒精健康提供社会投资、社会环境支持以及社会环境对心理健康的支持。这个理论包括关于以下条件集的假设哪些具体的治疗干预措施将有所不同有效。三种门诊治疗干预措施是定义：(1)个体关注，一种社会学习理论帮助酗酒者学会如何达到和保持禁欲；(2)加强社会支持，一种干预其中包括将重要的其他人纳入患者的治疗方案；(3)加强职业培训角色，这是一种添加到个人关注点和增强社会支持。为了测试理论和区分有效性，干预措施，患者被随机分配到三个治疗组条件。他们接受了多达20次的门诊治疗一年的课程，并作为研究对象跟踪18年治疗开始后几个月。采访和综合测量他们的酒精，生理，心理，社会和职业健康。治疗和改变预测变量也被测量，以测试理论公式的拟合度。本申请的目的是为了一项竞争性的补充和续期是允许完成一年和 18个月的随访评估，以及相关数据分析。