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: 8513960
• 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/8513960
• 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; 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; screening; 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.

描述（由申请人提供）： Esther K.博士Choo是布朗大学Warren Alpert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的调查员，专注于为患有药物使用障碍的高危女性制定有效的干预措施。Choo博士建议的总体目标是利用基于计算机的干预措施B-SAFER（急诊室女性药物使用和伴侣虐待的简短干预），针对药物使用和亲密伴侣暴力（IPV）的共同发生的问题。这K23指导以病人为导向的职业发展奖的建议是符合NIDA的使命，有很大的潜力，以显着改善药物滥用的治疗，通过干预，可以迅速和有效地传播到其他急诊科（ED）和其他临床环境。 物质使用和IPV有密切的双向关系，共存的疾病使妇女处于精神和身体健康状况不佳的高风险之中。艾德提供了一个很好的机会，在这一人群中进行干预，因为共存的问题是非常普遍的，而适当的评估，干预和转介不是常规。此外，艾德没有资源以综合方式处理药物使用和IPV的相关问题。作为一种基于计算机的干预，B-SAFER作为一种可行的和可接受的艾德资源具有很大的潜力。 该研究项目分为两个阶段。开发阶段将使用焦点小组来为基于计算机的干预的开发提供信息和改进，并将以小型开放试验结束。测试阶段将是一项在高容量城市艾德干预的试点RCT，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的培训活动，朱博士计划获得所需的技能，知识和经验，成为全国领先的研究技术为基础的干预措施，为妇女使用药物。她的目标是获得以下技能：1）使用定性健康研究方法为干预措施的发展提供信息; 2）开发和测试物质使用和IPV的计算机化干预措施; 3）进行物质使用和IPV干预措施的临床试验; 4）分析纵向数据;和5）解决与使用计算机干预药物使用和受害个人的研究有关的伦理问题。