COMPUTER ALGORITHMS FOR ALCOHOL DISORDERS IN THE ELDERLY

针对老年人酒精障碍的计算机算法

• 批准号: 2790134
• 负责人: Arlene Fink
• 金额: $ 10.03万
• 依托单位: ARLENE FINK ASSOCIATES
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-05-01 至 2000-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2790134
• 关键词: alcoholism /alcohol abuse; biomedical automation; computer assisted diagnosis; computer program /software; computer system design /evaluation; diagnosis design /evaluation; disease /disorder proneness /risk; drug adverse effect; geriatrics; health surveys; human old age (65+); human subject; pathologic process; questionnaires

Alcohol use in the elderly causes or exacerbates common medical and psychosocial conditions including heart disease, stroke, falls and depression. We propose to develop and test a computerized system to diagnose presence of and risks for alcohol related conditions in the elderly. The computerized system (CARPS) will consist of (1) a machine-readable questionnaire (the Alcohol-Related Problems Survey: ARPS); (2) algorithms based on 398 indications of harmful hazardous, and non hazardous drinking selected by a national panel of Experts and tested in 700 persons; (3) computer software linking ARPS' results to appropriate algorithms; and (4) reports for study participants and providers. Focus groups of participants and experts in geriatrics will design report forms. We will test CARPS in a health setting. CARPS will be the only available automated system for the elderly that uses clinically meaningful, evidence- based algorithms. It will be useful in health and social senior settings and to managed care organizations concerned with identifying preventable and treatable health problems. The program generating CARPS reports will interface with other via an ASCII file format, so the product can also be used for quality improvement and research as well as for clinical care. Phase 2 will test CARPS' impact on alcohol-related behaviors and health services utilization. PROPOSED COMMERCIAL APPLICATION: CARPS can be used in health settings where the concern is to efficiently diagnose alcohol use disorders in the elderly. These include physicians' offices and medical clinics, senior centers, continuing care communities, psychiatric in-patient and out-patient settings, social work settings, home health care contexts, and emergency departments. Managed care organizations and health insurers are particularly concerned with efficiency and will find the product beneficial. CARPS can also be used to quality improvement activities and research as well as in clinical care.

老年人饮酒会导致或加剧常见的医疗和社会心理状况，包括心脏病、中风、跌倒和抑郁症。我们建议开发和测试一个计算机系统来诊断老年人酒精相关疾病的存在和风险。计算机化系统（CARPS）将包括(1)一份机器可读的问卷（酒精相关问题调查：ARPS）；(2)基于398种有害、危险和非危险饮酒指征的算法，这些指征由国家专家小组选出，并在700人身上进行了测试；(3)将ARPS的结果与适当的算法连接起来的计算机软件；(4)研究参与者和提供者的报告。参与者焦点小组和老年病学专家将设计报告表格。我们将在健康环境中测试CARPS。CARPS将是唯一可用的自动化系统，为老年人使用临床有意义的，基于证据的算法。它将在卫生和社会高级环境中以及对关注确定可预防和可治疗的健康问题的管理保健组织有用。生成CARPS报告的程序将通过ASCII文件格式与其他程序接口，因此该产品也可用于质量改进和研究以及临床护理。第二阶段将测试CARPS对酒精相关行为和卫生服务利用的影响。建议的商业应用：CARPS可用于健康机构，其关注的是有效地诊断老年人的酒精使用障碍。这些包括医生办公室和医疗诊所、老年中心、持续护理社区、精神科住院和门诊环境、社会工作环境、家庭卫生保健环境和急诊科。管理护理组织和健康保险公司特别关注效率，并将发现该产品有益。CARPS也可用于质量改进活动和研究以及临床护理。