Adaptive Support Environment for Alcohol Dependence

描述（由申请人提供）：酗酒是一个昂贵和困难的 社会问题和治疗方案往往不成功。一个一致 文献中的发现是，随着治疗的改善， 潴留ASEAD（酒精依赖的适应性支持环境）是一个 旨在改善治疗保留的工具。它用传呼机把病人 提醒他们去治疗预约的信息， 在治疗中学习到他们的日常生活， 符合干净清醒的生活方式我们的第一阶段研究表明 我们的干预在技术上是可行的， 病人们发现寻呼机既容易使用，又有助于他们的治疗。 第二阶段项目的目标是使ASEAD成为一种产品， 采用因此，我们将（1）让药物和酒精治疗机构参与进来， （管理员和提供商）在寻呼机系统的设计，（2）设计 并实现足够灵活和健壮的软件来满足他们的需求， 和（3）用随机试验来测试这种干预措施，该试验旨在测量（a） 从治疗提供者和机构的角度来看， (our最终顾客）和（B）与治疗相关的患者结果变量。

DESCRIPTION (provided by applicant): Alcoholism is a costly and difficult societal problem and treatment programs are often unsuccessful. One consistent finding in the literature is that better outcomes occur with improved treatment retention. ASEAD (Adaptive Support Environment for Alcohol Dependence) is a tool designed to improve treatment retention. It uses pagers to send patients messages that remind them to go to treatment appointments, to apply what they are learning in treatment to their daily life, and to engage in behaviors consistent with a clean and sober lifestyle. Our Phase I study demonstrated that our intervention was both technically feasible and positively received by patients, who found the pager both easy to use and helpful in their treatment. The goal of the Phase II project will be to make ASEAD a product that will be used. Therefore, we will (1) involve drug and alcohol treatment agencies (administrators and providers) in the design of the pager system, (2) design and implement software flexible and robust enough to accommodate their needs, and (3) test this intervention with a randomized trial designed to measure (a) usability and utility from the perspective of treatment providers and agencies (our ultimate customers) and (b) patient outcome variables related to treatment.