BEHAVIORAL ECONOMIC SUPPLEMENT FOR ALCOHOL USE DISORDER TREATMENT

 描述(由申请人提供)：该项目的目标是用简短、新颖的行为经济干预(无物质活动环节[SFAS])来补充酒精使用障碍(AUD)强化门诊治疗计划(SFAS)，以增加延迟奖励和参与目标导向的无物质活动模式的显着性。这项拟议项目的目标是：1)开发一份治疗手册，将SFAS干预扩展到成人AUD人群，该干预已被证明可以减少酗酒大学生中的酒精使用和问题，以及2)评估SFAS作为强化门诊AUD治疗的补充。SFAS将包括短信/电子邮件形式的推动者联系人，在干预会议结束后一个月内提供关于活动模式、目标追求/进展的持续反馈，以及关于当地可获得的无物质活动的个性化信息。这项研究将在一项随机试点试验的背景下，评估SFAS作为标准眼压治疗的辅助手段在减少饮酒水平、与饮酒相关的问题和增加无物质活动参与度方面的效果。拟议研究的方法将是随机2组(照常治疗+SFAS与照常治疗+睡眠卫生和营养教育)试点试验，有50名来自IOP酒精治疗机构的AUD患者寻求治疗。参与者将在干预会议结束后一个月内收到助推器联系。后续数据将在基线后三个月(助推器接触后两个月)收集。在获奖期间，申请者将接受随机临床试验干预方法学的高级培训，获得利用技术进行干预的科学培训，并获得分析纵向数据的培训。这将为申请者在制定和评估针对酒精滥用的简短激励干预措施的职业生涯做好准备。该项目的结果将为未来关于有效的AUD治疗的研究提供信息，并可能将这种干预传播到治疗计划中。

 DESCRIPTION (provided by applicant): The goal of this project is to supplement an alcohol use disorder (AUD) intensive outpatient treatment program (IOP) with a brief, novel, and behavioral economic intervention (substance-free activity session [SFAS]) that increases the salience of delayed rewards and engagement in patterns of goal-directed substance-free activities. The aims of this proposed project are: 1) to develop a treatment manual that extends the SFAS intervention, which has been shown to reduce alcohol use and problems among heavy drinking college students, to an adult AUD population and 2) to evaluate the SFAS as a supplement to an intensive outpatient AUD treatment. The SFAS will include booster contact in the form of text messages/emails that provide ongoing feedback on activity patterns, goal pursuit/progress, and personalized information on locally available substance-free activities for one month after the intervention session. The study will evaluate the efficacy of the SFAS as an adjunct to standard IOP treatment in the context of a randomized pilot trial in reducing drinking levels, drinking-related problems, and increasing substance-free activity engagement. The method for the proposed research will be a randomized 2-group (Treatment as Usual + SFAS vs. Treatment as Usual + Sleep Hygiene and Nutrition Education) pilot trial with 50 AUD treatment-seeking patients from an IOP alcohol treatment facility. Participants will receive booster contact for one-month post the intervention session. Follow-up data will be collected three months post baseline (two months post booster contact). During the period of award, the applicant will undergo advanced training in randomized clinical trial intervention methodology, obtain training in the science of utilizing technology for interventions, and obtain training in analyzing longitudinal data. This will prepare the applicant for a career in developing and evaluating brief motivational interventions for alcohol misuse. Results from this project will inform future research on effective AUD treatment and potential dissemination of this intervention to treatment programs.