BRIEF INTERVENTION FOR PROBLEM DRINKERS--DAILY PROCESS ANALYSIS

对有问题饮酒者的简要干预——日常过程分析

• 批准号: 6309845
• 负责人: HOWARD TENNEN
• 金额: $ 1.91万
• 依托单位: UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-12-01 至 2000-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6309845
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse prevention; alcoholism /alcohol abuse therapy; behavior therapy; clinical research; coping; cues; functional ability; human subject; motivation

Problem drinkers are at risk for, or have already experienced negative consequences associated with drinking. There are estimated to be four times as many problem drinkers as there are alcoholics, and the majority of personal, family, and societal costs of excessive alcohol consumption appear to be associated with episodes of heavy drinking among this group of non-dependent problem drinkers. The proposed project evaluates and compares the efficacy of two brief intervention strategies and compares the mechanisms associated with changes in consumption for each intervention. Applying an intensive daily process methodology before and after brief intervention, this study evaluates prospectively changes in the temporal associations among emotions, social situations, coping efforts and drinking as a function of the type of intervention offered. Using a palm-top computer, 120 non-dependent problem drinkers monitor these hypothesized drinking cues for three weeks. They are then randomly assigned to one of three groups: (1) brief (three-week) intervention based on a Coping Skills model, which specifically identifies alternative ways of responding to high risk emotional cues and social situations associated with problem drinking; (2) brief (three-week) Motivational Intervention which explores readiness to change problem drinking; or (3) Waiting List Control. After the brief intervention or three weeks on the waiting list, the three-week daily process assessment is repeated. The two active treatment groups are followed-up six months later. This is the first study using daily process methods to examine the mechanisms of behavior change associated with brief interventions for problem drinkers.

饮酒者面临或已经遇到与饮酒有关的负面后果。 据估计，饮酒者的饮酒者是酗酒者的四倍，并且大多数个人，家庭和社会费用过度饮酒似乎与这组非依赖性问题饮酒者的大量饮酒发作有关。 拟议的项目评估并比较了两种简短干预策略的功效，并比较了与每种干预措施的消费变化相关的机制。 本研究在短暂干预之前和之后采用密集的日常过程方法，对情绪，社交状况，应对工作和饮酒的时间关联的前瞻性变化与提供的干预类型的关系。 使用棕榈型计算机，有120名非依赖性问题饮用者监视了这些假设的饮酒线索三个星期。 然后将它们随机分配给三组之一：（1）基于应对技能模型的简短（三周）干预，该模型特别识别了对高风险情绪提示和与饮酒问题有关的高风险情感线索和社交情况的替代方法； （2）简短（三周）的动机干预，探讨了准备改变问题的准备；或（3）等待列表控制。 在短暂的干预或候补名单上进行三周后，重复进行三周的每日过程评估。 六个月后，这两个主动治疗组进行了随访。 这是使用日常过程方法的第一个研究，以检查与问题饮用者的简短干预措施相关的行为变化机制。