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A suite of web apps for patients with alcohol & drug use problems in primary care

一套针对酒精患者的网络应用程序

基本信息

批准号：
8450360
负责人：
Reid Kevin Hester
金额：
$ 15.32万
依托单位：
BEHAVIOR THERAPY ASSOCIATES, LLP
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-25 至 2013-09-24
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8450360
关键词：
Abstinence Address Age Alcohol consumption Alcoholic beverage heavy drinker Alcohols Beryllium Caring Cognitive Therapy Data Databases Diabetes Mellitus Drug Prescriptions Drug usage Elements Health Health Care Costs Health Care Reform Health Services Healthcare Heart Diseases Heavy Drinking Illicit Drugs Internet Intervention Medical Mental Health Modeling Morbidity - disease rate New Mexico Nurse Practitioners Outcome Patients Pharmaceutical Preparations Phase Physicians Pilot Projects Primary Health Care Professional counselor Protocols documentation Provider Reporting Resources Screening procedure Services Substance abuse problem Testing Time TimeLine Training Writing alcohol use disorder behavioral health brief motivational intervention checkup examination clay drinking drug abuser hazardous drinking improved meetings problem drinker programs provider intervention skills substance abuse treatment success

项目摘要

DESCRIPTION (provided by applicant): The annual healthcare costs of heavy drinking in the U.S. are estimated to be $24.6 billion (Bouchery et al., 2011). Effectively intervening with hazardous, risky, and problem drinkers would reduce both their morbidity and their healthcare costs. One way to address the needs of problem drinkers is by screening for and intervening with them in primary care. It is not feasible, however, for primary care providers to provide these services. Instead, healthcare is moving towards the integration of these services into primary care using behavioral health counselors. This integration is starting to happen now both in New Mexico and nationally (Clay, 2012). Most mental health counselors though do not have expertise is addressing alcohol and drug issues. This project seeks to help address this problem by providing them with an empirically supported program that could be an adjunct to their efforts. The overall objective of this project is to develop, evaluate, and disseminate a web application called Check-up and Choices (CC). CC will be developed for use in primary care. It would tightly integrate screening for heavy drinking and drug use, a brief motivational intervention for hazardous or heavy drinkers, a moderation training protocol for less dependent problem drinkers, and an abstinence-oriented protocol for more dependent drinkers and drug abusers. The brief motivational intervention will be tailored to the patient's age. Its purpose wil be to motivate problem drinkers to change their drinking. The action-oriented moderation and abstinence protocols are cognitive-behavioral interventions (CBIs) that provide patients with the skills to maximize their chances of success with changing their drinking and/or drug use. We have already developed these elements but they are not integrated into a single program with appropriate branching between them. Nor has the content been tailored for use in primary care. This integration of behavioral health services is seen as a win-win that improves the health of patients while at the same time reduces healthcare costs. The move to integrate services is also seen as necessary to be ready for the increased demand for services that will accompany the implementation of national healthcare reform in January, 2014. PUBLIC HEALTH RELEVANCE: At both the local and national level, healthcare organizations are moving towards integrating mental health and substance abuse services into primary care. This web application could meet some of the needs of organizations wishing to provide substance abuse services using a stepped care model of intervention.

描述（由申请人提供）：在美国，每年酗酒的医疗费用估计为246亿美元（Bouchery et al., 2011）。有效地干预危险的、有风险的和有问题的饮酒者可以降低他们的发病率和医疗费用。解决问题饮酒者需求的一种方法是在初级保健中对他们进行筛查和干预。然而，初级保健提供者提供这些服务是不可行的