ENHANCING BRIEF INTERVENTION OF PRIMARY CARE PHYSICIANS

加强初级保健医生的短暂干预

• 批准号: 6168693
• 负责人: JOHN E HELZER
• 金额: $ 47.11万
• 依托单位: UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
• 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 2004-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6168693
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse therapy; behavioral /social science research tag; blood tests; clinical research; computer assisted patient care; human subject; human therapy evaluation; interview; longitudinal human study; patient monitoring device; primary care physician; saliva; telecommunications; telemedicine; therapy compliance

Interactive Voice Response (IVR) is a computer-based telephone technique that allows subjects to respond to a recorded voice asking scripted questions. The caller inputs brief, numeric answers using the telephone touch pad. In a series of studies, we have been using the IVR as a reporting device to examine the evolution of alcohol consumption over time and its relation to alcohol problems. In this study we propose to test IVR in a primary care practice as treatment tool to enhance physicians' brief alcohol interventions with heavy and problem drinkers. Method: After brief alcohol intervention by their physician in participating primary care clinics, consenting patients meeting our selection criteria will be randomized to one of four study groups. The first three of these are: 1) brief intervention only; II) brief intervention plus daily calls by the subject to the IVR; and III) brief intervention plus daily IVR calls with periodic feedback of IVR consumption data to the patient via the physician. Group IV will receive the same treatment as Group III, but subjects in Group IV will receive a financial incentive to help ensure a high IVR call compliance rate. Goals: We will assess: 1) the feasibility of using IVR as an intervention in primary care patients including call compliance rates and the validity of consumption reports, and 2) whether an IVR, with or without patient feedback, enhances the effect of brief alcohol intervention by a physician. Our long-term objective is to develop interventions specifically designed to capitalize on the unique advantages of an IVR system. The public health implications of effective, low cost interventions for heavy and problem drinking that can be accessed remotely and are applicable in primary care and HMO settings are considerable.

交互式语音应答（IVR）是一种基于计算机的电话技术 它允许实验对象回应一个录制的声音， 问题. 呼叫者使用电话输入简短的数字回答 触摸板。 在一系列的研究中，我们一直在使用IVR作为一个 报告装置，以检查酒精消费的演变， 时间及其与酒精问题的关系。 在这项研究中，我们建议 在初级保健实践中测试IVR作为治疗工具， 医生对重度饮酒者和有问题的饮酒者进行短暂的酒精干预。 方法：在医生进行短暂的酒精干预后， 参与的初级保健诊所，同意的患者， 选择标准将随机分配到四个研究组之一。 的 其中前三项是：1）仅作简短发言; 2）简短发言 干预加上受试者对IVR的日常呼叫;以及III）简报 干预加每日IVR电话，并定期反馈IVR 消费数据通过医生提供给患者。 第四组将 接受与第III组相同的治疗，但第IV组的受试者将 获得财务奖励，以帮助确保IVR呼叫的高合规性 率 目标：我们将评估：1）使用IVR作为 对初级保健患者的干预，包括呼叫依从率 和消费报告的有效性，以及2）是否IVR，或 没有病人的反馈， 医生的干预。 我们的长远目标是发展 专门设计的干预措施， IVR系统的优势 公共卫生影响 有效、低成本的干预措施， 可远程访问，适用于初级保健和HMO 设置相当可观。