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ENHANCING BRIEF INTERVENTION OF PRIMARY CARE PHYSICIANS

加强初级保健医生的短暂干预

基本信息

批准号：
6629624
负责人：
JOHN E HELZER
金额：
$ 57.15万
依托单位：
UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-05-01 至 2005-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6629624
关键词：
alcoholic beverage consumption alcoholism /alcohol abuse therapy behavioral /social science research tag blood tests clinical research computer assisted patient care human subject human therapy evaluation interview longitudinal human study patient monitoring device primary care physician saliva telecommunications telemedicine therapy compliance

项目摘要

Interactive Voice Response (IVR) is a computer-based telephone technique that allows subjects to respond to a recorded voice asking scripted questions. The caller inputs brief, numeric answers using the telephone touch pad. In a series of studies, we have been using the IVR as a reporting device to examine the evolution of alcohol consumption over time and its relation to alcohol problems. In this study we propose to test IVR in a primary care practice as treatment tool to enhance physicians' brief alcohol interventions with heavy and problem drinkers. Method: After brief alcohol intervention by their physician in participating primary care clinics, consenting patients meeting our selection criteria will be randomized to one of four study groups. The first three of these are: 1) brief intervention only; II) brief intervention plus daily calls by the subject to the IVR; and III) brief intervention plus daily IVR calls with periodic feedback of IVR consumption data to the patient via the physician. Group IV will receive the same treatment as Group III, but subjects in Group IV will receive a financial incentive to help ensure a high IVR call compliance rate. Goals: We will assess: 1) the feasibility of using IVR as an intervention in primary care patients including call compliance rates and the validity of consumption reports, and 2) whether an IVR, with or without patient feedback, enhances the effect of brief alcohol intervention by a physician. Our long-term objective is to develop interventions specifically designed to capitalize on the unique advantages of an IVR system. The public health implications of effective, low cost interventions for heavy and problem drinking that can be accessed remotely and are applicable in primary care and HMO settings are considerable.

交互式语音应答(IVR)是一种基于计算机的电话技术这允许受试者对录制的语音进行回复问题。呼叫者使用电话输入简短的数字答案触摸板。在一系列研究中，我们一直使用IVR作为一种一种报告装置，用于检查酒精消费的演变情况时间及其与酒精问题的关系。在这项研究中，我们建议在初级保健实践中测试IVR作为治疗工具以增强医生对酗酒者和问题饮酒者的短暂酒精干预。方法：在经过医生短暂的酒精干预后参与初级保健诊所，同意患者满足我们的选择标准将随机分配到四个研究组中的一个。这个其中前三项是：1)仅限短暂干预；ii)短暂干预加上受试者对IVR的日常通话；以及iii)简要干预加上日常IVR通话，并定期反馈IVR 通过医生将消费数据发送给患者。第四组将接受与III组相同的治疗，但IV组的对象将获得经济奖励，以帮助确保高IVR呼叫合规性费率。目标：我们将评估：1)使用IVR作为对初级保健患者的干预，包括呼叫遵从率以及消费报告的有效性，以及2)无论是带有或在没有患者反馈的情况下，增强了短暂酒精的效果由医生进行干预。我们的长远目标是发展专门设计的干预措施，旨在利用 IVR系统的优势。对公众健康的影响对酗酒和酗酒问题进行有效、低成本的干预可远程访问，适用于初级保健和医疗保健组织环境是相当重要的。