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CBT by Phone to Promote Use of Alcohol Related Care and Reduce Drinking

通过电话进行认知行为治疗（CBT）以促进酒精相关护理的使用并减少饮酒

基本信息

批准号：
10229511
负责人：
KENNETH R CONNER
金额：
$ 31万
依托单位：
UNIVERSITY OF ROCHESTER
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：
2018-09-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10229511
关键词：
Address Adult Advertisements Age Alcohol consumption Alcohols Behavior Behavior Therapy Caring Clinical Treatment Cognitive Therapy Communities Equation Evidence based treatment Feedback Frequencies Funding Individual Internet Intervention Lead Measures Mediating Mediator of activation protein Medical Methods Modeling Motivation National Institute on Alcohol Abuse and Alcoholism Outcome Participant Planning Theory Randomized Randomized Controlled Trials Recording of previous events Recovery Research Sampling Screening Result Self Administration Structure Telephone Testing Treatment Efficacy Work alcohol abuse therapy alcohol use disorder base brief alcohol intervention brief intervention comparison intervention design drinking efficacy testing efficacy trial evidence base experience follow-up improved improved outcome innovation intervention effect medical specialties mobile application optimism recruit response screening, brief intervention, referral, and treatment treatment research treatment services volunteer

项目摘要

Abstract Numerous evidence based treatments for alcohol use disorder (AUD) have been developed, and research shows that individuals who obtain alcohol specialty care have improved drinking outcomes and are more likely to recover, yet a small percentage of individuals with AUD obtain treatment. Use of Screening, Brief Intervention, and Referral to Treatment (SBIRT) interventions is a potential strategy to increase treatment seeking, yet there is little evidence that these interventions increase participation in alcohol-related care and a lack of evidence that such care serves as a mechanism for improved drinking outcomes. The current randomized controlled trial (RCT) of a one session intervention delivered by telephone seeks to address these gaps in evidence. The specific aims are to show that research volunteers ages 18 and older with AUD who are assigned to the intervention compared to an information control condition are more likely to initiate alcohol specialty care (aim 1), have decreased frequency of alcohol use (as measured by percent days abstinent) and intensity of alcohol use (as measured by drinks per drinking day) (aim 2), and that treatment engagement serves as a mediator of the improved drinking outcomes (aim 3). Innovations include the use of an SBIRT intervention based on the theory of planned behavior and cognitive behavioral treatment principles and that the intervention was developed for phone administration from the onset and was explicitly designed to promote treatment engagement. The project is in response to PA-15-299, Alcohol Use Disorders: Behavioral Treatment, Services, and Recovery Research. It builds on a smaller efficacy trial that showed that the intervention leads to increased engagement in alcohol-related care (Stecker et al., 2012) and extends that study in several ways including through the use of a priori tests to determine efficacy of the intervention to improve drinking outcomes and that treatment engagement serves as a mediator of the improved outcomes.

摘要