Interventions for Unemployed Hazardous Drinkers

对失业危险饮酒者的干预措施

• 批准号: 8798016
• 负责人: NANCY M PETRY
• 金额: $ 65.54万
• 依托单位: UNIVERSITY OF CONNECTICUT SCH OF MED/DNT
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-07-15 至 2020-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8798016
• 关键词: Adoption; Alcohol abuse; Alcohol or Other Drugs use; Alcoholic beverage heavy drinker; Alcohols; Businesses; Cellular Phone; Clinic; Connecticut; Contracts; Data; Distress; Drug abuse; Drug usage; Economics; Education; Employment; Enrollment; Environment; Goals; Health; Health Benefit; Healthcare; Heavy Drinking; Individual; Intervention; Intervention Studies; Job Application; Lead; Measures; Mediating; Mediator of activation protein; Mental Health; Methods; Minority Groups; Morbidity - disease rate; Occupations; Outcome; Participant; Patients; Pattern; Persons; Population; Procedures; Psychological reinforcement; Randomized; Randomized Clinical Trials; Relative (related person); Research; Sampling; Secure; Services; Stress; Subgroup; Symptoms; Time; Training Programs; Unemployment; Veterans; Vocational Education; Writing; adverse outcome; alcohol abstinence; alcohol abuse therapy; alcohol and other drug; alcohol monitoring; contingency management; cost; cost effective; cost effectiveness; design; drinking; dual diagnosis; expectation; experience; follow-up; hazardous drinking; health disparity; high risk; improved; member; mortality; novel; physical conditioning; public health relevance; reduced alcohol use; reduced substance use; secondary outcome; standard care; stem; substance abuse treatment; therapy design; treatment as usual; treatment program

DESCRIPTION (provided by applicant): Interventions for unemployed hazardous drinkers despite recent improvements in the US economy, unemployment remains a significant concern, and estimates indicate that one-third of unemployed persons drink at hazardous levels, adversely impacting their health and abilities to find jobs. Reinforcement interventions are highly efficacious in reducing substance use, and they can be applied to increase job-seeking activities as well. In partnership with CT United Labor Agency, this project is designed to reduce hazardous drinking and enhance active participation in job-seeking activities among those with job loss. It will evaluate the independent and combined effects of reinforcing negative breathalyzer samples and job-seeking activities to ascertain the simplest and most cost-effective approach to improving outcomes in this population. Unemployed individuals with hazardous drinking (N = 280) will be randomly assigned to one of four conditions using a 2 x 2 design: standard care, standard care with reinforcement for submitting negative breathalyzer samples, standard care with reinforcement for job-seeking activities, or standard care plus reinforcement for both negative breathalyzer samples and job-seeking activities. Participants in all conditions will receive usual services part of CT United Labor Agency, along with alcohol monitoring using a novel breathalyzer and cell phone video capture procedure. The study interventions will be in effect for four months, and participants will be followed for one year. Alcohol and other drug use, employment, psychiatric symptoms, and global measures of health will be assessed throughout treatment and follow-up. Reinforcing negative breathalyzer samples is expected to significantly reduce drinking, and reinforcing job-seeking activities is expected to increase re-employment rates and reduce time until job attainment. Reinforcing both negative breathalyzer samples and job-seeking activities is hypothesized to improve outcomes along both domains. The reinforcement interventions may also decrease psychiatric distress and slow progression of physical decline, common among the unemployed. If efficacious and cost- effective, results from this study may stimulate adoption of reinforcement interventions in the context of unemployment services. Reducing the adverse consequences of hazardous drinking and improving job re- entry may have pronounced benefits in a highly vulnerable segment of the US population.

描述（由申请人提供）：对失业的危险饮酒者的干预措施尽管最近美国经济有所改善，失业仍然是一个重大问题，估计表明，三分之一的失业人员饮酒处于危险水平，对他们的健康和找工作的能力产生不利影响。强化干预措施高度 有效减少药物使用，也可用于增加求职活动。该项目与CT联合劳工局合作，旨在减少危险饮酒，并促进失业者积极参与求职活动。它将评估加强负呼气测醉器样本和求职活动的独立和综合影响，以确定最简单和最具成本效益的方法来改善这一人群的结果。危险饮酒的失业人员（N = 280）将被随机分配到四个条件之一，使用2 × 2设计：标准护理，标准护理与加强提交负呼气测醉器样本，标准护理与加强求职活动，或标准护理加负呼气测醉器样本和求职活动。所有条件下的参与者将接受CT联合劳工局的常规服务，沿着使用新型呼气测醉器和手机视频捕获程序进行酒精监测。研究干预措施将持续四个月，参与者将被随访一年。在整个治疗和随访期间，将评估酒精和其他药物使用、就业、精神症状和总体健康指标。加强负呼气测醉器样本预计将显着减少饮酒，并加强求职活动预计将 提高再就业率，缩短找到工作时间。假设加强负呼气测醉器样本和求职活动，以改善结果沿着这两个领域。强化干预也可能减少精神痛苦和减缓身体衰退的进展，这在失业者中很常见。如果有效和具有成本效益，本研究的结果可能会刺激在失业服务背景下采用强化干预措施。减少危险饮酒的不良后果和改善重新就业可能会对美国人口中高度脆弱的部分产生明显的好处。