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）：对失业危险饮酒者的干预措施尽管最近美国经济有所改善，但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达到危险水平，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