ENVIRONMENTAL TREATMENT OF ALCOHOL ABUSERS

酗酒者的环境处理

• 批准号: 3109978
• 负责人: RICHARD LONGABAUGH
• 金额: $ 19.82万
• 依托单位: BUTLER HOSPITAL (PROVIDENCE, RI)
• 依托单位国家: 美国
• 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/3109978
• 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

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 有效且高效的酒精治疗干预措施 施虐者。 我们的工作假设是匹配假设是 必要：不同特征的患者会有反应 不同的治疗干预措施有所差异。 我们的方法 解决这个问题的方法是开发一个理论公式 对结果进行预测：五个变量是 确定。 这些是酒精依赖、心理健康、 社会投资、对酒精健康的社会环境支持 以及对心理健康的社会环境支持。 这 理论包括有关条件集的假设 哪些具体治疗干预措施将有所不同 有效的。 三种门诊治疗干预措施是 定义：（1）个人关注，社会学习理论方法 帮助酗酒者学习如何实现和维持 节制; (2)加强社会支持、干预 其中包括将重要的其他人纳入 患者的治疗方案； (3) 加强职业教育 角色，一种增加个人关注和 加强社会支持。 测试理论和差异有效性 干预措施中，患者被随机分配接受三种治疗 状况。 他们接受了多达 20 次门诊治疗 为期一年的课程，并作为研究对象跟踪了 18 治疗开始后几个月。 访谈及综合 对他们的酒精、身体、心理、 社会和职业健康。 治疗和改变 还测量了预后变量，以测试 理论公式的拟合优度。 本申请的目的是为了具有竞争力 补充和更新是为了允许完成一年并且 十八个月的跟踪评估和相关数据 分析。