ENHANCING BRIEF INTERVENTION OF PRIMARY CARE PHYSICIANS

交互式语音应答(IVR)是一种基于计算机的电话技术 这允许受试者对录制的语音进行回复 问题。呼叫者使用电话输入简短的数字答案 触摸板。在一系列研究中，我们一直使用IVR作为一种 一种报告装置，用于检查酒精消费的演变情况 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作为治疗工具以增强 医生对酗酒者和问题饮酒者的短暂酒精干预。 方法：在经过医生短暂的酒精干预后 参与初级保健诊所，同意患者满足我们的 选择标准将随机分配到四个研究组中的一个。这个 其中前三项是：1)仅限短暂干预；ii)短暂 干预加上受试者对IVR的日常通话；以及iii)简要 干预加上日常IVR通话，并定期反馈IVR 通过医生将消费数据发送给患者。第四组将 接受与III组相同的治疗，但IV组的对象将 获得经济奖励，以帮助确保高IVR呼叫合规性 费率。目标：我们将评估：1)使用IVR作为 对初级保健患者的干预，包括呼叫遵从率 以及消费报告的有效性，以及2)无论是带有或 在没有患者反馈的情况下，增强了短暂酒精的效果 由医生进行干预。我们的长远目标是发展 专门设计的干预措施，旨在利用 IVR系统的优势。对公众健康的影响 对酗酒和酗酒问题进行有效、低成本的干预 可远程访问，适用于初级保健和医疗保健组织 环境是相当重要的。

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.