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: 6533599
• 负责人: Arlene Fink
• 金额: $ 8.65万
• 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 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6533599
• 关键词: alcoholism /alcohol abuse; biomedical automation; clinical research; computer assisted diagnosis; computer program /software; computer system design /evaluation; diagnosis design /evaluation; diagnostic tests; disease /disorder proneness /risk; geriatrics; health surveys; human old age (65+); human subject; pathologic process; questionnaires

This study is a randomized trial of the effectiveness and feasibility of the Computerized Alcohol-Related Problems System (CARPS), a self- administered screen to detect and report on non-hazardous, hazardous and harmful alcohol use in older adults. The CARPS consists of a scannable version of a reliable alcohol screen, a personalized Report of each patient's drinking classification, individualized alcohol education, and the capacity to store responses in a relational database. The CARPS was developed because of the paucity of effective and usable screens for older adults. In the elderly, one or two daily drinks may worsen common medical problems (e.g., depression) because of age-related changes and interactions between alcohol, medication-use and diminishing functional status. About 40% may be at risk; hospitalization rates for alcohol problems equal those for myocardial infarction. In this study, experimental primary care patients at a community practice will be randomly assigned to one of two experimental groups or a control. In Group 1, patients alone receive a Report; in Group 2, patients and physicians both receive Reports. The control group receives usual care. Effectiveness us evaluated by examining improvements in knowledge and self-efficacy and reductions in alcohol-related risks and health services utilization. Feasibility is evaluated by unobtrusive observations. PROPOSED COMMERCIAL APPLICATIONS: The CARPS can be used in all health settings to efficiently screen for and diagnose alcohol use disorders in the elderly. This includes physicians' offices and medical clinics, senior centers, and continuing care communities. Managed care organizations and health insurers are particularly concerned with efficient methods of detecting and preventing risks for health problems and will find the product beneficial, especially because no other product like it is available. The CARPS is user friendly. It can be used in quality improvement activities and research as well as in clinical care.

这项研究是对计算机化酒精相关问题系统(CARPS)的有效性和可行性进行的随机试验，CARPS是一种自我管理的屏幕，用于检测和报告老年人中无害、危险和有害的酒精使用情况。CARPS包括一个可靠的酒精屏幕的可扫描版本，每个患者饮酒分类的个性化报告，个性化的酒精教育，以及将回答存储在关系数据库中的能力。开发鲤鱼是因为缺乏针对老年人的有效和可用的筛查。在老年人中，每天喝一两杯酒可能会加重常见的医疗问题(如抑郁症)，因为与年龄相关的变化以及酒精、用药和功能状态下降之间的相互作用。大约40%的人可能面临风险；酒精问题的住院率与心肌梗死的住院率相当。在这项研究中，社区诊所的实验性初级保健患者将被随机分配到两个试验组或对照组中。在组1中，只有患者收到报告；在组2中，患者和医生都收到报告。对照组接受常规护理。我们通过检查知识和自我效能的提高以及与酒精相关的风险和卫生服务利用的减少来评估有效性。可行性是通过不引人注目的观察来评估的。拟议的商业应用：鲤鱼可以在所有健康环境中使用，以有效地筛查和诊断老年人的酒精使用障碍。这包括医生办公室和医疗诊所、老年中心和持续护理社区。管理保健组织和健康保险公司特别关注检测和预防健康问题风险的有效方法，并将发现该产品有益，特别是因为没有其他类似的产品可用。鲤鱼是用户友好的。它可用于质量改进活动和研究以及临床护理。

项目成果

Adding an alcohol-related risk score to an existing categorical risk classification for older adults: sensitivity to group differences.

将与酒精相关的风险评分添加到现有的老年人分类风险分类中：对群体差异的敏感性。

• DOI: 10.1111/j.1532-5415.2007.01072.x
• 发表时间: 2007
• 期刊: Journal of the American Geriatrics Society
• 影响因子: 6.3
• 作者: Wilson,SandraR;Fink,Arlene;Verghese,Shinu;Beck,JohnC;Nguyen,Khue;Lavori,Philip
• 通讯作者: Lavori,Philip

Feasibility of using an alcohol-screening and health education system with older primary care patients.

对老年初级保健患者使用酒精筛查和健康教育系统的可行性。

• 发表时间: 2001
• 期刊: The Journal of the American Board of Family Practice
• 作者: Nguyen,K;Fink,A;Beck,JC;Higa,J
• 通讯作者: Higa,J