A Computer-based Intervention for Women with Substance Use and IPV in the ED

针对急诊科女性药物滥用和 IPV 的基于计算机的干预

• 批准号: 8165554
• 负责人: Esther K Choo
• 金额: $ 17.96万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-08-15 至 2016-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8165554
• 关键词: Accident and Emergency department; Address; Affect; Alcohol or Other Drugs use; Attention; Attitude; Behavior; Belief; Caring; Clinical; Communities; Computers; Conduct Clinical Trials; Control Groups; Data; Detection; Development; Disease; Drug abuse; Emergency Medicine; Ethical Issues; Expenditure; Female; Focus Groups; Funding; Goals; Health; Health Care Costs; Healthcare; High Risk Woman; Individual; Intervention; K-Series Research Career Programs; Knowledge; Language; Legal; Mental Health; Mentors; Mission; Modeling; Nature; Occupational; Outcome; Partner Abuse; Patients; Perception; Phase; Population; Postdoctoral Fellow; Public Health; Randomized Controlled Trials; Readiness; Recruitment Activity; Relative (related person); Research; Research Methodology; Research Personnel; Research Project Grants; Resources; Safety; Sampling; Screening procedure; Self Efficacy; Site; Social Functioning; Source; Structure; Substance Use Disorder; Substance abuse problem; Target Populations; Techniques; Technology; Telephone; Testing; Time; Training; Training Activity; Trauma; United States Substance Abuse and Mental Health Services Administration; Universities; Victimization; Visit; Woman; base; brief intervention; clinical research site; community setting; computerized; effective intervention; empowerment; experience; high risk; high risk sexual behavior; improved; individualized feedback; innovation; intimate partner violence; literacy; medical schools; motivational enhancement therapy; patient oriented; physical conditioning; primary outcome; professor; secondary outcome; skills; substance abuse treatment; therapy development; usability

DESCRIPTION (provided by applicant): Dr. Esther K. Choo is Assistant Professor in the Department of Emergency Medicine at Warren Alpert Medical School of Brown University. Her long-term goal is to become an independent investigator with a focus on developing effective interventions for high-risk women with substance use disorders. The overall aim of Dr. Choo's proposal is to target co-occurring problems of substance use and intimate partner violence (IPV) using a computer-based intervention, B-SAFER (Brief intervention for Substance use and partner Abuse for Females in the Emergency Room). This K23 Mentored Patient-Oriented Career Development Award proposal is in keeping with NIDA's mission, with great potential to significantly improve treatment of drug abuse through an intervention that could be rapidly and effectively disseminated to other emergency departments (EDs) and to other clinical settings. Substance use and IPV have a close, bidirectional relationship, and the coexisting disorders place women at high risk for poor mental and physical health outcomes. The ED presents a great opportunity to intervene in this population, as coexisting problems are highly prevalent, while adequate assessment, intervention and referrals are not routinely available. Further, no resource is available in the ED to address related problems of substance use and IPV in an integrated manner. As a computer-based intervention, B-SAFER has great potential as a feasible and acceptable ED resource. The research project has two phases. The Development Phase will use focus groups to inform and refine the development of the computer-based intervention, and will conclude with a small open trial. The Testing Phase will be a pilot RCT of the intervention in a high-volume urban ED, examining primary outcomes of substance use and utilization of relationship safety resources. In completing this research and associated training activities, Dr. Choo plans to gain the skills, knowledge and experience needed to become a national leader in research on technology-based interventions for women with substance use. Her goals are to gain skills in: 1) using qualitative health research methodology to inform the development of interventions; 2) developing and testing computerized interventions for substance use and IPV; 3) conducting clinical trials of substance use and IPV interventions; 4) analyzing longitudinal data; and 5) addressing the ethical issues related to research using computerized interventions for individuals with substance use and victimization. PUBLIC HEALTH RELEVANCE: This project seeks to address the health care of women with coexisting substance use and IPV presenting to the ED setting, a population at high risk and with high health care needs and yet few available resources. The results of this research could contribute to national models of care in ED settings and will provide opportunities for Dr. Choo to develop, test and disseminate similar interventions for women with substance use and IPV in other clinical and community settings.

描述（由申请人提供）：Esther K. Choo 博士是布朗大学沃伦阿尔珀特医学院急诊医学系的助理教授。她的长期目标是成为一名独立调查员，专注于为患有药物滥用障碍的高危女性制定有效的干预措施。 Choo 博士提案的总体目标是使用基于计算机的干预措施 B-SAFER（针对急诊室女性药物使用和伴侣虐待的简短干预）来解决同时发生的药物使用和亲密伴侣暴力 (IPV) 问题。这项 K23 指导性以患者为导向的职业发展奖提案符合 NIDA 的使命，通过可快速有效地传播到其他急诊科 (ED) 和其他临床环境的干预措施，具有显着改善药物滥用治疗的巨大潜力。 药物使用和 IPV 具有密切的双向关系，并且共存的疾病使女性面临心理和身体健康状况不佳的高风险。急诊科为干预这一人群提供了绝佳的机会，因为共存问题非常普遍，而充分的评估、干预和转诊通常无法实现。此外，教育部没有可用资源以综合方式解决物质使用和 IPV 的相关问题。作为一种基于计算机的干预措施，B-SAFER 作为可行且可接受的 ED 资源具有巨大潜力。 该研究项目分为两个阶段。开发阶段将利用焦点小组来告知和完善基于计算机的干预措施的开发，并将以小型公开试验结束。测试阶段将是对大量城市急诊室进行干预的试点随机对照试验，检查物质使用和关系安全资源利用的主要结果。在完成这项研究和相关培训活动的过程中，Choo 博士计划获得所需的技能、知识和经验，成为针对药物滥用女性的技术干预研究的国家领导者。她的目标是获得以下方面的技能：1）使用定性健康研究方法为干预措施的制定提供信息； 2) 开发和测试针对物质使用和 IPV 的计算机化干预措施； 3) 开展物质使用和 IPV 干预措施的临床试验； 4）分析纵向数据； 5) 解决与使用计算机干预措施对物质使用和受害个人进行研究相关的伦理问题。 公共健康相关性：该项目旨在解决急诊室中同时存在药物滥用和 IPV 的妇女的医疗保健问题，该人群属于高风险人群，医疗保健需求高，但可用资源很少。这项研究的结果可能有助于建立国家急诊室护理模式，并将为 Choo 博士提供机会，在其他临床和社区环境中针对药物滥用和 IPV 妇女制定、测试和传播类似的干预措施。