ARMS: A Web-Based Attendance Reward and Monitoring System

ARMS：基于网络的考勤奖励和监控系统

• 批准号: 7152794
• 负责人: Mary Jo Larson
• 金额: $ 10万
• 依托单位: NEW ENGLAND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7152794
• 关键词: alcohols; clinical research; community; training

DESCRIPTION (provided by applicant): This Phase I SBIR will develop a website to train community treatment providers on how to design and implement contingency management incentives (CM Incentives) interventions. CM Incentives is an innovative area of clinical practice that is a prime target for training development since it has a strong evidence base but currently little community implementation. This project builds on the expertise of training developers and content experts to design a technologically sound but user-friendly training for counselors that will help to move this innovative and effective intervention approach into clinical practice. This translational research is a pressing priority of the NIH Road Map and the Institute of Medicine's landmark report on Bridging the Gap between Research and Practice. The CM Incentives website will instruct on the principles and essential components of effective CM Incentives programs and train providers to design and implement a sound intervention. It will address common barriers that have inhibited diffusion of this effective intervention. This SBIR will also create for the website an electronic reward and monitoring system for providers so they can implement a CM Incentives program of positive reinforcements for patient attendance at treatment sessions. This system will reduce the decision- making complexity and aid with the additional record-keeping needed to maintain consistency when delivering CM Incentives interventions. Ambivalence about entering treatment is a persistent challenge for addiction providers as even those patients who are initially motivated may drop out of treatment soon after they arrive. The expected outcome (Phase II) will be successful translation of CM Incentives into practice at participating agencies and resulting increase in patient attendance and retention in programs. Alcohol dependent patients comprise the majority of substance abusers in outpatient treatment. However, CM Incentives studies have largely ignored alcohol patients as it is difficult to immediately measure and reinforce alcohol use; existing technology is inadequate for measuring blood alcohol concentration over several days. Reinforcing attendance at planned treatment sessions is feasible and important for alcohol patients. Attendance is an objective, critical behavior change measure that promotes achieving and maintaining alcohol and drug abstinence; session attendance is a necessary path to effective treatment. In Phase I, NERI will create a website prototype with two components: a) twenty screens of engaging, web-based instruction on the CM Incentives will be created from training content previously developed by clinical consultants, Drs. Maxine Stitzer and Nancy Petry; and b) the electronic reward and monitoring system will programmed and used to track attendance with clients and generate hypothetical rewards. Both components will be evaluated by 30 addiction providers in pre- and post-knowledge, attitude, and confidence questionnaires and a focus group with 8-10 providers on feasibility of implementing a CM Incentives intervention with the website.

描述（由申请人提供）： I阶段I SBIR将开发一个网站，以培训社区治疗提供者如何设计和实施应急管理激励措施（CM激励措施）干预措施。 CM激励措施是临床实践的创新领域，它是培训开发的主要目标，因为它具有强大的证据基础，但目前几乎没有社区实施。该项目以培训开发人员和内容专家的专业知识为基础，为辅导员设计技术合理但用户友好的培训，这将有助于将这种创新有效的干预方法转移到临床实践中。这项翻译研究是NIH路线图的重中之重，以及医学研究所的地标报告，弥合了研究和实践之间的差距。 CM激励措施网站将指导有效CM激励计划的原理和基本组成部分，并培训提供商设计和实施合理的干预措施。它将解决抑制这种有效干预措施扩散的常见障碍。该SBIR还将为网站创建一个为提供者的电子奖励和监视系统，以便他们可以在治疗课程中实施CM激励计划，以供患者出席。该系统将减少决策的复杂性，并帮助在提供CM激励措施时保持一致性所需的额外记录。对于成瘾提供者来说，关于进入治疗的矛盾性是一个持续的挑战，因为即使那些最初有动力的患者也可能在他们到达后不久就退出治疗。预期的结果（第二阶段）将成功地将CM激励措施转化为参与机构的实践，并导致患者出勤率和计划中的保留率提高。酒精依赖的患者包括门诊治疗中大多数滥用药物。但是，CM激励措施的研究在很大程度上忽略了酒精患者，因为很难立即测量和加强酒精饮酒。现有技术不足以在几天内测量血液酒精浓度。在计划治疗课程中加强出席对于酒精患者是可行的，很重要。出勤是一项客观的，关键的行为改变措施，可促进和维持酒精和戒毒。会议出勤是有效治疗的必要途径。在第一阶段，NERI将创建一个具有两个组件的网站原型：a）二十个引人入胜的基于网络的CM激励措施的屏幕将由临床顾问DRS先前开发的培训内容创建。 Maxine Stitzer和Nancy Petry； b）电子奖励和监视系统将对客户进行编程并用于跟踪出勤率并产生假设的奖励。这两个组件将在知识前和知识后的30个成瘾提供者评估，以及与8-10个提供商的焦点小组有关对网站实施CM激励干预的可行性的焦点小组。