An Internet application for SMART Recovery

描述（由申请人提供）：这个拟议的研究项目的目标是开发，评估和传播一个基于互联网的应用程序，称为克服成瘾（OA）。OA将以SMART康复的认知行为改变方案（www.smartrecovery.org）为基础。OA的目标是帮助用户学习认知和行为技能，以戒除饮酒、吸毒和其他成瘾行为。SMART Recovery是一个非营利性的教育组织，有自助/互助的成分。SMART代表自我管理和恢复训练。其网站将该组织的宗旨定义为：通过教导如何改变自我挫败的思想、情绪和行为，支持已经选择戒除或正在考虑戒除任何成瘾行为（物质或活动）的个人；努力追求长期的满足感和生活质量。它的改变协议是基于动机增强和认知行为原则和策略。这个四点计划的重点是：1)建立和保持变革的动机；2)处理冲动；3)解决问题；4)生活方式平衡（平衡短暂和持久的满足）。第一阶段的目标是开发和评估该计划的广泛呼吸，有限深度的原型，并通过与SMART Recovery成员的试点研究和SMART Recovery专家小组的评估来评估其技术优点和可行性。第二阶段的目标是完成一个项目的开发，进行试点测试，并进行随机临床试验，随访12个月，以评估其有效性。该研究将是一个附加设计，比较OA和SMART恢复组的参与与单独SMART恢复组的参与。为SMART Recovery开发一个网络应用程序将是一项创新。我们和SMART Recovery的负责人都不知道任何其他提供SMART Recovery协议培训的web应用程序。因此，开发一个有效的网络应用程序不仅有巨大的商业机会，而且如果这个网络应用程序能有效地帮助个人从成瘾行为中恢复过来，也有潜在的公共卫生效益。一个自动化的、以证据为基础的项目，帮助有酒精、毒品和非化学成瘾的个人，将在三个方面有益于我们国家的整体公共卫生：1)改善那些寻求这种替代康复方案的人的康复效果；2)为寻求戒除毒瘾的消费者和他们的家庭提供更好的生活质量；3)节约经济。此外，对基于web的应用程序（如OA）的创新使用有可能覆盖到可能不通过其他方式寻求和/或接受服务的大量人群。

DESCRIPTION (provided by applicant): The goals of this proposed research project are to develop, evaluate and disseminate an Internet based (web) application called Overcoming Addictions (OA). OA will be based on the cognitive-behavioral change protocol of SMART Recovery (www.smartrecovery.org). The goal of OA is to help users learn cognitive and behavioral skills to abstain from drinking, drug use, and other addictive behaviors. SMART Recovery is a non-profit educational organization with a self-help/mutual aid component. SMART stands for Self-Management And Recovery Training. Its web site defines the purpose of the organization as: To support individuals who have chosen to abstain, or are considering abstinence from any type of addictive behaviors (substances or activities), by teaching how to change self-defeating thinking, emotions, and actions; and to work towards long-term satisfactions and quality of life. It s protocol for change is based on motivational enhancement and cognitive-behavioral principles and strategies. The four point program focuses on: 1) building and maintaining motivation for change; 2) dealing with urges; 3) problem solving; and 4) lifestyle balance (balancing momentary and enduring satisfactions). Phase I goals are to develop and evaluate a broad breath, limited depth prototype of the program and evaluate its technical merit and feasibility via a pilot study with SMART Recovery members and evaluation by a panel of experts on SMART Recovery. Phase II goals are to complete the development of a program, pilot test it and conduct a randomized clinical trial with a 12 month follow-up to assess its effectiveness. The study will be an additive design, comparing OA and SMART Recovery group involvement to SMART Recovery group involvement alone. Developing a web application for SMART Recovery would be innovative. Neither we nor the principals at SMART Recovery are aware of any other web application that provides training in the SMART Recovery protocol. As a result, there is both a significant commercial opportunity in developing an effective web application and a public health benefit potential if this web application is effective in helping individuals recover from their addictive behaviors. An automated, evidence-based program that helps individuals with alcohol, drug, and non-chemical addictions will benefit the overall public health of our nation in three ways: 1) improved recovery outcomes for those seeking such alternative recovery options; 2) a better quality of life for consumers seeking to recover from their addictions and their families; and 3) economic savings. In addition, the innovative use of a web-based application like OA has the potential to reach a significant segment of the population that might not otherwise seek and/or receive services by other means.