Northwest Pennsylvania Adolescent Alcohol Research Cooperative (Phase II)

宾夕法尼亚州西北部青少年酒精研究合作社（第二阶段）

基本信息

批准号：
8318753
负责人：
DUNCAN B. CLARK
金额：
$ 62.64万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-30 至 2014-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8318753
关键词：
20 year old Address Adherence Adolescence Adolescent Adult Age Alcohol consumption Alcohols Area Attitude Calendar Caring Clinic Clinical Code Communities Computer Assisted Computers Consensus County Development Disease Feedback Focus Groups Goals Guidelines Health Care Visit Health Personnel Healthcare Implant Insurance Internet Intervention Intervention Studies Maintenance Measures Methods Monitor Online Systems Outcome Parents Patient Education Patient Self-Report Patients Pattern Pennsylvania Phase Play Population Prevention program Preventive Intervention Primary Health Care Procedures Provider Published Comment Recommendation Reporting Request for Applications Research Research Infrastructure Resources Role Rural Schedule Self Assessment Self-Administered Services Source Staging Suggestion Surveys System Technology Teenagers Testing Training Triage Universities Visit Writing adolescent alcohol alcohol abstinence alcohol involvement alcohol related problem alcohol research alcohol use disorder alcohol use initiation binge drinking brief advice clinical application clinical practice college compliance behavior computer generated follow-up health practice high school implantation improved innovation interest legal drinking age meetings member programs provider intervention public health relevance rural area screening and brief intervention screening, brief intervention, referral, and treatment therapy design tool underage drinker underage drinking

项目摘要

DESCRIPTION (provided by applicant): Rural primary health care providers can play a vital role in the identification, management, and referral of underage drinkers. This application proposes to continue a program that has successfully engaged 30 rural primary health care providers in the development of a collaborative network for conducting research addressing underage drinking. The Northwest Pennsylvania Adolescent Alcohol Research Cooperative (NPAARC) includes members from the Pittsburgh Adolescent Alcohol Research Center, the Center for Rural Health Practice at the University of Pittsburgh - Bradford campus and primary care practitioners in a rural eight county area. In Phase I, rural practitioners serving underage drinkers participated in a survey on their alcohol-related clinical practices and attitudes. A subset of these practitioners, along with teens and parents, participated in focus groups that explored facilitating and hindering factors influencing alcohol-related screening, brief intervention and referral for treatment. Our Computer Assisted Decision Support for Underage Drinkers (CADSUD) was developed, the assessment component was tested with over 225 adolescents in two practices, and the intervention component will soon be implemented in these practices. With two additional practices scheduled to become involved in 2009, we anticipate that four practices and 800 adolescents will have participated in CADSUD testing during Phase I. in Phase II, CADSUD will be tested in six additional practices with 1200 adolescents. Before their health care visit, these adolescents (12-20 years old) will be assessed via CADSUD on alcohol use and related disorders. To determine the influence of CADSUD, practitioner and adolescent outcomes will be compared during two implementation stages: (1) an assessment only control condition and (2) a full implementation condition including PCP feedback, interpretation of assessments, intervention suggestions, and tailored written materials provided for the patient. Outcomes assessed will include practitioner assessment and referral patterns, patient adherence to referral recommendations, and adolescent alcohol use determined by 2-month and 12-month follow-up assessments. PCPs will be encouraged to utilize CADSUD in community venues and will be provided with related technical support. NPAARC will thus develop, test, and implement a method to address rural underage drinking through primary care practices. PUBLIC HEALTH RELEVANCE: NPAARC will provide clinical tools to practitioners while serving as the platform for intervention research. CADSUD addresses barriers to primary care screening and brief intervention by providing a computer- assisted pre-visit assessment, developmentally appropriate web-based post-visit interventions, and referral suggestions. CADSUD requires limited practitioner training and, if proven effective, could be readily disseminated.

描述（由申请人提供）：农村初级卫生保健提供者可以在未成年人饮酒者的身份，管理和转诊中发挥至关重要的作用。该申请建议继续一项计划，该计划成功地与30个农村初级卫生保健提供者一起开发了一个协作网络，用于进行未成年人饮酒的研究。宾夕法尼亚州西北部青春期酒精研究合作社（NPAARC）包括匹兹堡青少年酒精研究中心，匹兹堡大学农村健康实践中心 - 布拉德福德校园和农村八县农村地区的初级保健从业者。在第一阶段，为未成年人饮酒者提供服务的农村从业者参加了一项有关其酒精相关临床实践和态度的调查。这些从业人员的子集以及青少年和父母参加了焦点小组，探讨了影响与酒精有关的筛查，简短的干预和治疗转诊的促进和阻碍因素。我们开发了针对未成年人饮酒者的计算机辅助决策支持（CADSUD），在两种实践中对225位青少年进行了评估部分，并在这些实践中很快实施了干预部分。随着计划在2009年介入的另外两项实践，我们预计将在第一阶段进行四种实践和800名青少年参加CADSUD测试，在第二阶段，CADSUD将在六个具有1200名青少年的其他实践中进行测试。在他们的医疗保健访问之前，这些青少年（12-20岁）将通过饮酒和相关疾病的CADSUD进行评估。为了确定CADSUD的影响，将在两个实施阶段进行从业者和青少年结果进行比较：（1）仅评估控制条件以及（2）（2）完整的实施条件，包括PCP反馈，评估解释，干预建议以及为患者提供的量身定制的书面材料。评估的结果将包括从业者评估和转诊模式，患者遵守推荐建议以及由2个月和12个月的随访评估确定的青少年酒精使用。将鼓励PCP在社区场所使用CADSUD，并将获得相关的技术支持。因此，NPAARC将开发，测试和实施一种通过初级保健实践来解决农村未成年饮酒的方法。公共卫生相关性：NPAARC将在作为干预研究平台的同时向从业人员提供临床工具。 CADSUD通过提供计算机辅助前评估，基于开发的基于Web的访问后干预措施以及推荐建议来解决初级保健筛查和简短干预的障碍。 CADSUD需要有限的从业人员培训，如果证明有效，很容易被传播。