TREATING ALCOHOL PROBLEMS WITH SELF HELP MATERIALS

使用自助材料解决酒精问题

• 批准号: 2840280
• 负责人: JOHN A CUNNINGHAM
• 金额: $ 4.96万
• 依托单位: CENTRE FOR ADDICTION AND MENTAL HEALTH
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-06-01 至 2001-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2840280
• 关键词: adult human (21+); alcoholic beverage consumption; alcoholism /alcohol abuse therapy; behavior therapy; behavioral /social science research tag; books; clinical research; clinical trials; combination therapy; human subject; human therapy evaluation; longitudinal human study; motivation; outcomes research; population survey; self help; statistics /biometry

Although many problem drinkers do not seek formal treatment, many are interested in self-help interventions. Because self-help interventions circumvent some of the barriers associated with traditional treatment services, they may help individuals who are not willing to access more intensive treatment reduce the harm associated with their drinking. As well, because self-help materials are relatively inexpensive, they may be distributed widely. As a result, self-help materials could have a significant impact on the harm associated with problem drinking. The major objective of this project is to evaluate the impact of self-help interventions within a general population context. Efficacy trials have demonstrated that two types of interventions may help problem drinkers resolve their drinking concerns without formal treatment: self-help books that guide the problem drinker through the change process and personalized assessment feedback interventions designed to increase the individual's motivation for change. The proposed research will use an experimental trial to assess the effectiveness of self-help books and personalized assessment-feedback interventions, both separately and in combination with each other. Participants will be recruited through a general population survey conducted at the Addiction Research Foundation (N = 132 after attrition) and will be randomly assigned to one of four cells - no intervention control group, personalized feedback only, self-help book only, both personalized feedback and self-help book. The effectiveness of the self-help interventions in helping problem drinkers' resolve their drinking problems will then be examined both independently and in conjunction with each other. Respondents will be followed up in six months time and differences in drinking status will be compared between experimental conditions using Analyses of Covariance with baseline drinking as the covariate. It is hypothesized that respondents receiving either one of the interventions will reduce their drinking significantly more than respondents in the no intervention condition. Further, respondents who receive both interventions should display greater drinking reductions as compared to respondents who receive just one intervention. Because respondents will be recruited from a representative sample of the general population into a randomized trial with a no-intervention control group, this research design will maximize both external and internal validity in examining the effectiveness of self-help interventions.

尽管许多饮酒者不寻求正式治疗，但许多人对自助干预措施感兴趣。 由于自助干预措施规避了与传统治疗服务相关的一些障碍，因此它们可能会帮助不愿意获得更密集治疗的个人减少与饮酒相关的危害。 同样，由于自助材料相对便宜，因此它们可能会被广泛分布。 结果，自助材料可能会对与饮酒有关的危害产生重大影响。该项目的主要目的是评估自助干预措施在一般人群环境中的影响。功效试验表明，两种干预措施可能有助于饮酒者在没有正式治疗的情况下解决饮酒问题：自助书籍，这些书籍通过变更过程和个性化评估反馈干预措施指导问题饮酒者，旨在增加个人的变化动机。 拟议的研究将使用实验试验来评估自助书籍的有效性和个性化的评估反馈干预措施，并彼此组合。 参与者将通过在成瘾研究基金会进行的一般人群调查（损耗后的n = 132）进行招募，并将随机分配给四个细胞之一 - 没有干预对照组，仅个性化反馈，仅是自助书籍，既个性化反馈和自助书籍。 然后，自助干预措施在帮助饮酒者解决饮酒问题方面的有效性将被独立和彼此共同检查。 将在六个月的时间内随访受访者，并使用基线饮酒作为协变量的协方差分析在实验条件之间进行饮酒状态差异。 假设接受任何一种干预措施的受访者将大大减少饮酒量，而不是在没有干预条件下的受访者。 此外，与仅接受一项干预的受访者相比，接受这两种干预措施的受访者应显示更大的饮酒。 由于受访者将从一般人群的代表性样本中招募到一个无干预对照组的随机试验中，因此该研究设计将在检查自助干预措施的有效性方面最大程度地提高外部和内部有效性。