Web Intervention for Concerned Partners to Prevent Service Member Alcohol Abuse

对相关合作伙伴进行网络干预，以防止服役人员酗酒

• 批准号: 8657287
• 负责人: Karen Chan Osilla
• 金额: $ 30.86万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-26 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8657287
• 关键词: Address; Advertising; Affect; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Behavioral; Categories; Clinical; Cognitive; Communities; Computers; Confidentiality; Conflict (Psychology); Counseling; Data; Dependence; Development; Early Intervention; Educational Intervention; Evaluation; Evidence based intervention; Family; Feedback; Fright; Future; General Population; Health; Health Promotion; Health Services Accessibility; Healthcare Systems; Heavy Drinking; Hospitals; Individual; Internet; Intervention; Intervention Trial; Interview; Life; Mental Health; Military Personnel; Modeling; Online Systems; Outcome; Pattern; Perception; Personal Satisfaction; Pilot Projects; Policies; Population; Prevalence; Prevention; Preventive Intervention; Primary Health Care; Procedures; Process; Protocols documentation; Psychological reinforcement; Public Health; Randomized; Readiness; Recruitment Activity; Reporting; Research; Resistance; Resources; Risk; Services; Staging; Surveys; Symptoms; Telephone; Testing; Training; Vulnerable Populations; Woman; alcohol misuse; alcohol use disorder; arm; base; brief intervention; care seeking; career; comparative efficacy; design; drinking; drinking behavior; evidence base; follow-up; group intervention; help-seeking behavior; high risk behavior; high risk drinking; improved; innovation; intervention program; meetings; member; men; motivational enhancement therapy; normative feedback; physical conditioning; preference; prevent; prototype; public health relevance; satisfaction; screening; self help; service intervention; social stigma; success; tool

DESCRIPTION (provided by applicant): U.S. military service members engaged in alcohol misuse are a vulnerable population with high unmet need. Alcohol misuse is a stage of problem drinking that occurs before abuse and dependence, placing service members' partners and families at risk for serious consequences. Unfortunately, existing military reporting policies may discourage service members from seeking help for fear of negative career consequences. Service members report encouragement from their partners as the most prevalent facilitator of seeking care and individuals who change their drinking patterns most often cite partner support as the most helpful mechanism in supporting change. Thus, targeting service members' partners using preventive interventions can be an important vehicle for preventing the progression to abuse and dependence. We propose a 3-year study to adapt and pilot-test a web-based intervention (WBI) intended to help concerned partners (CPs) provide support to service members with alcohol misuse and to begin development of a service member module based on service member's input. We will first adapt an evidence-based intervention known as Community Reinforcement and Family Training (CRAFT) intervention to the web to help overcome barriers related to confidentiality concerns and access. Our proposal has three specific aims. Aim 1: Develop a 4-session web- based intervention (WBI) prototype and make iterative revisions based on feedback from 15-20 CPs. Aim 2: Conduct a randomized controlled pilot-test of the finalized WBI (n=50) compared to delayed WBI (n=50), and evaluate the impact of the WBI on CP's reports of service member help-seeking (e.g., counseling, self-help, primary care, treatment) and drinking, and CP well-being and relationship satisfaction three months after the intervention. Aim 3: Begin development of a follow-on WBI module for service members based on service member input and content evaluation. We will explore the service member's intervention preferences and obtain their feedback on a proposed WBI for them. Our project is significant because it has the potential to benefit a large population of military service members who may be disproportionately affected by the current OEF/OIF/OND conflicts and whose drinking misuse would otherwise go undetected and untreated. It also develops a new prevention model that does not rely on service members or partners attending a hospital or clinical facility to access care. The proposed study is innovative because there are no CP-based preventive interventions addressing misuse. This pilot study will inform the development of an R01 trial that evaluates a larger randomized study of a WBI for CPs with a follow-on intervention for service members.

描述（由申请人提供）：滥用酒精的美国军人是弱势群体，需求未得到满足。酒精滥用是酗酒问题的一个阶段，发生在滥用和依赖之前，使军人的伴侣和家人面临严重后果的风险。不幸的是，现有的军事报告政策可能会阻止服役人员寻求帮助，因为担心会对职业生涯造成负面影响。服役人员表示，他们的伴侣的鼓励是寻求护理的最普遍的促进者，而改变饮酒习惯的个人最常将伴侣的支持视为支持改变的最有帮助的机制。因此，针对服务成员的伴侣使用预防性干预措施可能是防止发展为虐待和依赖的重要手段。我们提议进行一项为期 3 年的研究，以适应和试点测试基于网络的干预措施 (WBI)，旨在帮助相关合作伙伴 (CP) 为酗酒的军人提供支持，并开始根据军人的意见开发军人模块。我们将首先将基于证据的干预措施（称为社区强化和家庭培训 (CRAFT) 干预措施）应用于网络，以帮助克服与保密问题和访问相关的障碍。我们的提案有三个具体目标。目标 1：开发 4 次会议的基于网络的干预 (WBI) 原型，并根据 15-20 个 CP 的反馈进行迭代修订。目标 2：对最终 WBI (n=50) 与延迟 WBI (n=50) 进行比较，并评估 WBI 对 CP 寻求帮助（例如咨询、自助、初级保健、治疗）和饮酒报告的影响，以及干预三个月后 CP 健康和关系满意度的影响。目标 3：根据服役成员的输入和内容评估，开始为服役成员开发后续 WBI 模块。我们将探索服役人员的干预偏好，并获取他们对拟议的 WBI 的反馈。我们的项目意义重大，因为它有可能使大量军人受益，他们可能受到当前 OEF/OIF/OND 冲突的不成比例的影响，否则他们的酗酒行为将不会被发现和治疗。它还开发了一种新的预防模式，不依赖服役人员或合作伙伴前往医院或临床机构获得护理。拟议的研究具有创新性，因为没有基于 CP 的预防干预措施来解决滥用问题。这项试点研究将为 R01 试验的开发提供信息，该试验评估针对 CP 的 WBI 的更大规模随机研究，并对服役人员进行后续干预。