Web-Based Training for EAP Alcohol Screening, Brief Intervention, and Referral

过度饮酒是一个公共卫生问题，每年造成约85，000人死亡，每年给美国经济造成1850亿美元的损失。由于绝大多数（79%）患有酒精障碍的成年人都有工作，而员工援助计划（EAP）是75%的美国企业的资源，因此EAP在解决这一公共卫生问题方面具有独特的优势。不幸的是，EAP目前识别和治疗很少有酒精使用问题的工人。在过去的8年里，该提案的两位共同研究者试图通过促进EAP简短干预小组（BIG）倡议的创建来改变这一点。BIG倡议汇集了主要的EAP企业领导人，EAP临床专业协会和其他人，明确的目的是使酒精筛查，简短干预和转诊治疗（SBIRT），在适当的时候，整个EAP行业的常规做法。有大量的研究证明了酒精SBIRT的有效性和成本效益。 与我们的大倡议EAP供应商和临床专业协会合作，我们建议开发和评估一个交互式多媒体（IMM）的能力为基础的培训计划，酒精使用的问题，是专为EAP从业者。该计划将被设计为应用程序作为一个独立的基于网络的培训计划。拟议的计划将适应国家酒精滥用和酒精中毒研究所的循证材料，以专门解决与工作场所相关的EAP实践环境和相关临床专业人员的环境。在第二阶段完成后，整个计划将包括两个子计划。一个将专注于培训呼叫中心从业人员，另一个将培训面对面的临床医生。每个次级方案将有12个培训单元。第1阶段将开发和评估呼叫中心应用程序的筛选和简短干预，并将包括12个模块中的5个。两个子项目的剩余模块将在第2阶段完成。将在受试者内设计（N = 40）中对第1阶段原型项目进行前测后测评价。 由于我们的BIG计划合作伙伴看到了对该产品的迫切需求，并致力于在其EAP和联盟组织中实施该产品，因此确保该产品商业成功的市场显然已经到位。 公共卫生相关性：过度饮酒是一个重大的公共卫生问题，每年给美国经济造成1850亿美元的损失。员工援助计划（EAP）具有独特的地位，通过筛选员工的问题酒精使用和提供简短的干预来解决这一公共卫生问题。该项目将开发和评估一个互动的多媒体能力为基础的培训计划，为EAP从业人员提供常规筛选的客户端的问题酒精使用和提供一个简短的干预或转介，在适当的时候。

DESCRIPTION (provided by applicant): Excessive alcohol consumption is a public health concern that causes approximately 85,000 deaths each year and costs the U.S. economy $185 billion annually. Because the large majority (79%) of adults with alcohol disorders are employed and Employee Assistance Programs (EAPs) are resources in 75% of U.S. businesses, EAPs are uniquely positioned to address this public health concern. Unfortunately, EAPs currently identify and treat very few workers who have alcohol use problems. Over the last 8 years, two of the Co-Investigators on this proposal have sought to change this by facilitating the creation of the EAP Brief Intervention Group (BIG) Initiative. The BIG initiative brings together the major EAP corporate leaders, the EAP clinical professional associations, and others, for the express purpose of making alcohol screening, brief intervention, and referral to treatment (SBIRT), when appropriate, the routine practice across the EAP industry. There is an extensive body of research that demonstrates the effectiveness and cost-effectiveness of alcohol SBIRT. In collaboration with our BIG initiative EAP vendors and clinical professional associations, we propose to develop and evaluate an interactive multimedia (IMM) competency-based training program about alcohol use problems that is designed for EAP practitioners. The program will be designed for application as a stand-alone web-based training program. The proposed program will adapt the evidence-based material from the National Institute on Alcohol Abuse and Alcoholism to specifically address the worksite-related EAP practice environment and that of allied clinical professionals. When completed after Phase 2, the full program will include two sub-programs. One will focus on training call-center practitioners and the other will train face-to- face clinicians. Each sub-program will have 12 training modules. Phase 1 will develop and evaluate a screening and brief intervention for call-center application and will include 5 of the 12 modules. The remaining modules of both sub-programs will be completed in Phase 2. The Phase 1 prototype program will be evaluated in a pretest-to-post test within-subject design (N = 40). Because our BIG initiative partners see the critical need for this product and are committed to implementing it in their EAPs and allied organizations, the market to ensure the commercial success of this product is clearly in place. PUBLIC HEALTH RELEVANCE: Excessive alcohol consumption is a significant public health concern that costs the U.S. economy $185 billion annually. Employee Assistance Programs (EAPs) are uniquely positioned to address this public health concern through the screening of employees for problem alcohol use and the delivery of a brief intervention. This project will develop and evaluate an interactive multimedia competency-based training program for EAP practitioners to deliver routine screening of clients for problem alcohol use and the provision of a brief intervention or referral, when appropriate.