A HARM REDUCTION APPROACH FOR REDUCING DWI RECIDIVISM

减少酒后驾车再犯的危害减少方法

• 批准号: 6371593
• 负责人: THOMAS H NOCHAJSKI
• 金额: $ 59.39万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-29 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6371593
• 关键词: alcoholic beverage consumption; alcoholism /alcohol abuse; alcoholism /alcohol abuse education; alcoholism /alcohol abuse prevention; behavior therapy; behavioral /social science research tag; clinical research; driving while intoxicated; drug abuse; drug abuse education; human subject; human therapy evaluation; interview; motivation; outcomes research; relapse /recurrence; substance abuse related behavior; therapy compliance

Research with alcoholics and drug abusers has demonstrated that interventions focused on reducing the harmful consequences of future alcohol/drug consumption and increasing client motivation for change have a positive impact on treatment engagement and treatment outcome. In the present study, we propose an intervention for DWI offenders that includes the use of motivational interviewing strategies within the context of a comprehensive harm reduction approach focusing on decreasing future harm related to alcohol and drug use, including DWI recidivism. The sample will consist of 1,200 convicted DWI offenders participating in the New York State Drinking Driver Program (DDP). All subjects will participate in an initial comprehensive assessment session. Following the assessment session, subjects will be randomly assigned to one of three experimental conditions: information only (IO), motivational interview feedback session (MI), motivational interview feedback session plus six-treatment sessions focused on reducing the harmful consequences of alcohol use (MI+). One-week after the assessment session, individuals in the IO group will return for an alcohol information session that will consist of viewing a videotape concerning the effects of alcohol advertising on behavior. Individuals in the MI condition will return for a feedback session that will incorporate principles of motivational interviewing designed to increase the individuals motivation to make a change in their use of alcohol. Finally, individuals in the MI+ condition will return for a feedback session and the six-session harm reduction intervention. The MI and MI + interventions are designed to be easily portable to other treatment protocols. Aims of the proposal are as follows: 1. To assess the relative effects of experimental conditions on commitment to and involvement in changing drinking and drug use behavior over short-term and long-term follow-ups for a sample of convicted DWI offenders. 2. To assess systematically the relative effects of experimental conditions on the alcohol and drug use, and substance-related problems of convicted DWI offenders. 3. To assess whether the experimental conditions are related to DWI recidivism. In summary, the proposed research will provide important clinically-relevant data for DWI offenders on the effectiveness of brief harm reduction approaches designed to increase client motivation for changing drinking behavior, reduce client dropout from treatment, and reduce DWI recidivism.

对酗酒者和吸毒者的研究表明，侧重于减少今后酗酒/吸毒的有害后果和增加客户改变动机的干预措施对治疗参与和治疗结果产生积极影响。 在本研究中，我们提出了一种干预DWI罪犯，其中包括使用动机的采访策略的背景下，一个全面的减少伤害的方法，重点是减少未来的伤害与酒精和毒品的使用，包括DWI累犯。该样本将包括1，200名参与纽约州饮酒驾驶员计划（DDP）的被定罪的DWI罪犯。 所有受试者将参加初始综合评估会议。 在评估会议之后，受试者将被随机分配到三个实验条件之一：仅信息（IO），动机性访谈反馈会议（MI），动机性访谈反馈会议加上六个治疗会议，重点是减少酒精使用的有害后果（MI+）。 评估会议一周后，IO组的个人将返回一个酒精信息会议，将包括观看有关酒精广告对行为的影响的录像带。在MI条件下的个人将返回一个反馈会议，将纳入动机访谈的原则，旨在增加个人的动机，使他们在使用酒精的变化。 最后，MI+患者将返回进行反馈会议和六次伤害减少干预。 MI和MI +干预设计为易于移植到其他治疗方案。 该提案的目的如下：1。为了评估实验条件的相对影响承诺和参与改变饮酒和吸毒行为在短期和长期的后续行动的样本被定罪的DWI罪犯。 2.系统地评估实验条件对酒精和药物使用的相对影响，以及被定罪的DWI罪犯的物质相关问题。 3.评估实验条件是否与DWI累犯有关。总之，拟议的研究将为DWI罪犯提供重要的临床相关数据，这些数据涉及旨在增加客户改变饮酒行为的动机，减少客户退出治疗，并减少DWI累犯的简短减少伤害方法的有效性。