An Integrated Brief Alcohol and PTSD Intervention for Veterans in Primary Care

针对初级保健退伍军人的酒精和创伤后应激障碍 (PTSD) 综合简短干预措施

基本信息

批准号：
9980234
负责人：
Nadine Rachel Mastroleo
金额：
$ 16.01万
依托单位：
STATE UNIVERSITY OF NY,BINGHAMTON
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-07-20 至 2022-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9980234
关键词：
Accident and Emergency department Address Aftercare Alcohol consumption Alcoholic beverage heavy drinker Alcohols Behavior Therapy Behavioral Clinic Clinical Research Clinical Trials Delphi Study Development Diabetes Mellitus Ensure Evidence based intervention Feedback Female Future Gender Health Health Personnel Healthcare Heavy Drinking Hypertension Improve Access Individual Injury Intervention Manuals Measures Mediator of activation protein Medical Mental Health Methodology Military Personnel Motivation National Institute on Alcohol Abuse and Alcoholism Outcome Participant Patient Care Patients Phase Pilot Projects Population Post-Traumatic Stress Disorders Primary Health Care Procedures Protocols documentation Randomized Clinical Trials Randomized Controlled Trials Readiness Research Services Severities Stimulus Suicide Symptoms Testing Training Treatment outcome Veterans Woman Work addiction alcohol abuse therapy alcohol use disorder base brief alcohol intervention brief intervention brief motivational intervention clinically relevant cost design drinking drinking behavior follow-up functional disability high risk high risk population improved in vivo medical specialties meetings men motivational enhancement therapy patient oriented primary care setting reduced alcohol use skills theories trauma exposure treatment as usual

项目摘要

PROJECT SUMMARY This R34 aims to develop and test an integrated brief intervention to reduce heavy alcohol use and PTSD severity in veterans receiving Veterans Affairs Primary Care. Standard brief alcohol interventions have been unsuccessful in reducing heavy drinking in traumatized individuals and current integrated treatment for alcohol use disorder and PTSD are too long to be delivered in Primary Care. Therefore, this application addresses this gap by developing an intervention tailored to the specific needs of heavy drinking veterans who have co- occurring PTSD. We aim to incorporate two evidenced-based interventions: Brief Motivational Interviewing (BMI) with Prolonged Exposure for Primary Care (PE-PC). This project will apply Delphi methodology to adapt and develop an intervention protocol. Subject matter expert (SME) feedback will guide the refinement of a preliminary treatment manual that will be used in this study. The newly developed brief intervention will first be tested in an open trial to gather veteran participant feedback and develop clinician training and fidelity procedures. This will be followed by a randomized controlled trial (N=60) comparing the integrated intervention to Primary Care Treatment as Usual (PC-TAU) on percentage of heavy drinking days and PTSD severity. Results have the potential to optimize efficacy of both brief alcohol and PTSD interventions for this high risk population.

项目摘要该R34旨在开发和测试一项综合的简短干预措施，以减少大量饮酒和PTSD 接受退伍军人事务初级保健的退伍军人的严重程度。标准的简短酒精干预措施已经减少受创伤的个体的大量饮酒和目前的酒精综合治疗而失败使用障碍和PTSD太长，无法在初级保健中提供。因此，此应用程序解决了这个问题通过制定针对具有共同饮酒的大量退伍军人的特定需求而定制的干预措施的差距发生的PTSD。我们的目标是纳入两种基于证据的干预措施：简短的动机访谈（BMI）长时间接触初级保健（PE-PC）。该项目将采用Delphi方法来适应并制定干预方案。主题专家（SME）反馈将指导本研究将使用的初步治疗手册。新开发的简短干预将首先在一项公开试验中测试，以收集资深参与者的反馈并开发临床医生培训和忠诚程序。随后将进行随机对照试验（n = 60），比较综合干预措施像往常一样接受初级保健治疗（PC-TAU），即大量饮酒日和PTSD严重程度。结果有可能优化短暂酒精和PTSD干预措施的功效，以实现这种高风险人口。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A Randomized Controlled Pilot Trial of Primary Care Treatment Integrating Motivation and Exposure Treatment (PC-TIME) in Veterans With PTSD and Harmful Alcohol Use.

DOI：
10.1016/j.beth.2023.08.011
发表时间：
2023-09
期刊：
Behavior therapy
影响因子：
3.7
作者：
Kyle Possemato;N. Mastroleo;Christina Balderrama-Durbin;Paul R King;Ariella Davis;Brian Borsari;S. A. Rauch
通讯作者：
Kyle Possemato;N. Mastroleo;Christina Balderrama-Durbin;Paul R King;Ariella Davis;Brian Borsari;S. A. Rauch

Development and Initial Testing of a Brief, Integrated Intervention Aimed at Reducing Heavy Alcohol Use and PTSD among Military Veterans in Primary Care.

旨在减少初级保健退伍军人中重度酒精使用和创伤后应激障碍 (PTSD) 的简短综合干预措施的开发和初步测试。

DOI：
10.1037/pro0000489
发表时间：
2023
期刊：
Professional psychology, research and practice
影响因子：
0
作者：
Mastroleo,NadineR;Possemato,Kyle;King,PaulR;Balderrama-Durbin,Christina;Crinnin,Charlotte;Cigrang,Jeff;Read,JenniferP;Borsari,Brian;Maisto,StephenA;Rauch,SheilaAM
通讯作者：
Rauch,SheilaAM

Primary Care Treatment Integrating Motivation and Exposure for PTSD Symptoms and Hazardous Alcohol Use: A Case Series.

结合动机和暴露来治疗 PTSD 症状和有害酒精使用的初级保健治疗：案例系列。

DOI：
10.1016/j.cbpra.2022.02.020
发表时间：
2023
期刊：
Cognitive and behavioral practice
影响因子：
2.9
作者：
Buckheit,KatherineA;Barden,Eileen;Shaw,Rachael;Possemato,Kyle;Mastroleo,NadineR;Rauch,SheilaAM
通讯作者：
Rauch,SheilaAM