Motivational and Cognitive Intervention for Anxious and Depressed Hazardous Drink

针对焦虑和抑郁的危险饮料的动机和认知干预

• 批准号: 7869416
• 负责人: Giao Quynh Tran
• 金额: $ 19.43万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-15 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7869416
• 关键词: Address; Adherence; Affect; Affective; Age; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Anxiety; Attention; Clinic; Clinical; Clinical Trials; Cognitive; Competence; Cost Analysis; Counseling; Data; Data Collection; Depressed mood; Development; Direct Costs; Equilibrium; Feedback; Feeling; Funding; Future; Goals; Health; Health Services; Heavy Drinking; Individual; Internet; Intervention; Learning; Length; Manuals; Measures; Mental Depression; Methodology; Online Systems; Outcome; Participant; Persons; Phase; Pilot Projects; Prevention program; Professional counselor; Protocols documentation; Randomized Controlled Trials; Relative (related person); Reporting; Research; Research Proposals; Resistance; Resources; Risk; Risk Factors; Running; Sampling; Screening procedure; Services; Student Health Services; Students; System; Technology; Testing; Training; Treatment Efficacy; United States; Universities; Work; Writing; alcohol intervention; alcohol prevention; alcohol related problem; brief intervention; brief motivational intervention; college; college drinker; coping; cost; cost effectiveness; depressive symptoms; design; drinking; efficacy testing; follow up assessment; hazardous drinking; innovation; interest; intervention effect; intervention program; meetings; motivational enhancement therapy; motivational intervention; negative emotional state; novel; problem drinker; programs; psychoeducational; public health relevance; skills; social; sound; standard care; subclinical depression; therapy development; treatment effect; treatment program; university student; use alcohol to cope

DESCRIPTION (provided by applicant): Approximately thirty to sixty percent of college students in the United States report hazardous drinking in the past year, which includes a combination of heavy drinking episodes and alcohol related problems. Many college drinkers use alcohol to cope with anxious and depressed affect, and these coping motives for drinking are associated with current alcohol-related problems and greater risk for developing future alcohol dependence. Brief interventions with a dual focus on managing negative affective states and reducing hazardous drinking may therefore represent an improvement over extant approaches that target alcohol use only, particularly given our prior findings that students are more interested in learning skills to reduce their anxiety and depression than their alcohol use. The long-term goal of our research program is to develop efficacious and cost-effective brief interventions that can be tested and subsequently implemented as standard care at college health and counseling centers. The focus of this Exploratory/Developmental Research proposal is to develop and to pilot test the implementation and efficacy of a novel one-session intervention, the Motivational and Cognitive Intervention for Drinkers (MCID), which combines motivational interviewing to reduce hazardous drinking and cognitive restructuring to address anxious and depressed affect related to alcohol use. Phase I (n=20) of the study will involve the development of a web-based assessment program, treatment manuals and treatment integrity measures, as well as the training of two counselors to deliver MCID or a brief motivational intervention (BMI) targeting only hazardous drinking during an individual in-person session. During Phase II, we will conduct a pilot randomized controlled trial (n=72) to address two goals. First, we will test the efficacy of MCID against two efficacious alcohol interventions: (1) a comparison alcohol BMI equal to MCID in session length and counselor participation and (2) a minimal control condition consisting of only written alcohol feedback. Second, we will obtain data on the direct costs of implementing the three interventions and their preliminary cost-effectiveness. This Phase II pilot study will be conducted with a sample of college students who meet criteria for hazardous drinking, have subclinical levels of anxiety and/or depression, and report coping motives for drinking. Two-, four- and six-month follow-ups will be conducted via web-based assessment to examine alcohol-related and affective outcomes from the interventions. PUBLIC HEALTH RELEVANCE: The results of this study will provide the preliminary data necessary to design a full-scale clinical trial that will have sufficient power to test the efficacy and cost-effectiveness of the novel brief intervention in reducing hazardous drinking and negative affect. The combination of web-based assessment and counselor- delivered MCID presents a promising intervention that may be feasibly implemented as standard care at college health and counseling centers.

描述（由申请人提供）：在美国，大约有30%到60%的大学生在过去一年中报告了危险饮酒，其中包括大量饮酒事件和酒精相关问题的组合。许多大学饮酒者使用酒精来科普焦虑和抑郁情绪，这些饮酒的应对动机与当前酒精相关的问题和未来酒精依赖的更大风险有关。因此，对管理消极情感状态和减少危险饮酒的双重关注的简短干预可能代表了对仅针对酒精使用的现有方法的改进，特别是考虑到我们先前的研究结果，即学生对学习技能更感兴趣，以减少他们的焦虑和抑郁，而不是他们的酒精使用。我们的研究计划的长期目标是开发有效和具有成本效益的简短干预措施，可以在大学健康和咨询中心进行测试，并随后作为标准护理实施。这项探索性/发展性研究提案的重点是开发和试点测试一种新的一次性干预措施的实施和有效性，即饮酒者的动机和认知干预（MCID），它结合了动机访谈，以减少危险饮酒和认知重建，以解决与酒精使用相关的焦虑和抑郁情绪。该研究的第一阶段（n=20）将涉及开发基于网络的评估程序，治疗手册和治疗完整性措施，以及培训两名顾问在个人面对面会议期间提供MCID或仅针对危险饮酒的简短动机干预（BMI）。在第二阶段，我们将进行一项试点随机对照试验（n=72），以解决两个目标。首先，我们将测试MCID对两种有效的酒精干预的有效性：（1）在会话长度和咨询师参与方面与MCID相同的酒精BMI比较，以及（2）仅由书面酒精反馈组成的最小控制条件。第二，我们将获得关于实施这三项干预措施的直接成本及其初步成本效益的数据。这项第二阶段的试点研究将与大学生谁符合危险饮酒的标准，有亚临床水平的焦虑和/或抑郁，并报告应对饮酒的动机样本进行。两个月，四个月和六个月的随访将通过基于网络的评估进行，以检查干预措施的酒精相关和情感结果。 公共卫生相关性：这项研究的结果将为设计一项全面的临床试验提供必要的初步数据，该试验将有足够的能力来测试这种新型短暂干预在减少危险饮酒和负面影响方面的功效和成本效益。基于网络的评估和辅导员提供的MCID相结合，提出了一个有前途的干预，可能是可行的，在大学健康和咨询中心的标准护理实施。