Barriers to Entry into Couples' Treatment of Problematic Alcohol Use

进入夫妻酗酒问题治疗的障碍

• 批准号: 7545983
• 负责人: YAEL CHATAV SCHONBRUN
• 金额: $ 4.9万
• 依托单位: BUTLER HOSPITAL (PROVIDENCE, RI)
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7545983
• 关键词: Address; Alcohol abuse; Alcohol consumption; Alcoholism; Behavior; Behavioral; Cognitive; Communities; Couples; Couples Therapy; Data; Derivation procedure; Family; Feedback; Health Services Research; Individual; Information Systems; Intervention; Interview; Knowledge; Measurement; Measures; Methods; Numbers; Outcome; Participant; Patient Outcomes Assessments; Patient Self-Report; Patients; Procedures; Property; Psychometrics; Public Health; Qualitative Evaluations; Relative (related person); Research; Research Personnel; Sampling; Services; Sum; Surveys; System; Testing; United States National Institutes of Health; alcohol abuse therapy; base; information gathering; intimate partner violence; member; novel; prevent; psychosocial; response; satisfaction; theories; tool

DESCRIPTION (provided by applicant): Alcohol use problems have important public health sequelae, and are associated with a number of relationship-oriented negative outcomes, including relationship discord and intimate partner violence (IPV). Thus, problematic alcohol use has implications for both the identified patient, as well as those who are engaged in close relationships with alcohol abusing individuals. Consistent with the notion that alcohol use occurs within a family system, growing evidence suggests that behavioral couple therapy for alcoholism decreases IPV and increases relationship satisfaction more effectively than individual treatments for alcohol problems. However, despite the existence of highly efficacious treatments for problematic alcohol use and attendant improvements in relationship and non-relationship domains, recruitment of couples into treatment has proven difficult, particularly in community settings. Few studies have evaluated the barriers to entry for couples' treatment of alcohol problems with resulting difficulty in targeting factors that prevent couples from entering and engaging in available efficacious treatments. In order for researchers and clinicians to effectively disseminate treatments to individuals who are in need of services, research evaluating barriers to treatment entry is required. This study aims to contribute to knowledge of barriers to treatment entry by following steps identified within the NIH Roadmap network project: Patient-Reported-Outcomes Measurement Information System (PROMIS). PROMIS incorporates item banking, qualitative interviews, and quantitative methods to develop items that distinguish between individuals who seek versus those who do not seek treatment. We will conduct these information gathering procedures with patients in three treatment settings, with their partners, and with experts in the treatment of alcohol problems and of relationship discord. Based on data we collect through item banking and qualitative interviews, we will develop items for a self-report measure of barriers to treatment entry. Following item derivation, we will test items in the field with a sample of patients and partners, and conduct quantitative item analysis using item response theory methods to evaluate the psychometric properties of items. In sum, the proposed study involves a mixed methods approach to gathering information about barriers to entry for couples' treatment of alcohol problems, followed by psychometric assessment of items. Administration of the developed items will permit the identification and targeting of barriers to entry into couples' treatment of problematic alcohol use within diverse treatment settings.

描述（由申请人提供）：酒精使用问题有重要的公共卫生后遗症，并与一些关系导向的负面结果，包括关系不和和亲密伴侣暴力（IPV）。因此，有问题的酒精使用对确定的患者以及与酒精滥用者有密切关系的人都有影响。与酒精使用发生在家庭系统中的概念相一致，越来越多的证据表明，对酒精中毒的行为夫妇治疗比对酒精问题的个体治疗更有效地降低IPV并提高关系满意度。然而，尽管存在非常有效的治疗酗酒问题和随之而来的关系和非关系领域的改善，招募夫妇进行治疗已被证明是困难的，特别是在社区环境中。很少有研究评估了夫妇治疗酒精问题的进入障碍，从而难以针对阻止夫妇进入和参与现有有效治疗的因素。为了使研究人员和临床医生能够有效地向需要服务的个人传播治疗方法，需要进行评估治疗进入障碍的研究。本研究旨在通过NIH路线图网络项目中确定的以下步骤来帮助了解进入治疗的障碍：患者报告结局测量信息系统（PROMIS）。PROMIS结合了项目库，定性访谈和定量方法来开发项目，区分寻求治疗的人与不寻求治疗的人。我们将在三个治疗环境中与患者、他们的伴侣以及治疗酒精问题和关系不和谐的专家进行这些信息收集程序。基于我们通过项目库和定性访谈收集的数据，我们将开发项目，用于治疗进入障碍的自我报告测量。项目推导后，我们将在现场测试项目与患者和合作伙伴的样本，并进行定量项目分析，使用项目反应理论的方法来评估项目的心理测量特性。总之，拟议中的研究涉及一个混合的方法来收集有关进入障碍的信息，为夫妇的酒精问题的治疗，其次是心理测量评估的项目。管理开发的项目将允许识别和针对性的障碍，进入夫妇的治疗问题酒精使用在不同的治疗环境。