Ultra-brief intervention for problem drinkers

对有饮酒问题的人进行超简短的干预

• 批准号: 7456176
• 负责人: JOHN A CUNNINGHAM
• 金额: $ 25.88万
• 依托单位: CENTRE FOR ADDICTION AND MENTAL HEALTH
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-25 至 2012-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7456176
• 关键词: Adult; Advertising; Alcohol abuse; Alcohol consumption; Alcohols; Area; Baseline Surveys; Clinical Research; Condition; Educational Materials; Effectiveness; Equation; Feedback; General Population; Health Benefit; Health Services; Household; Individual; Institute of Medicine (U.S.); Intervention; Life; Mediating; Mediator of activation protein; Methods; Modeling; Numbers; Outcome; Pamphlets; Persuasive Communication; Population; Postal Code; Public Health; Randomized; Randomized Controlled Trials; Recruitment Activity; Research; Resources; Respondent; Risk; Role; Surveys; Telephone; Testing; Week; base; cost; design; drinking; early /brief intervention /therapy; experience; follow-up; help-seeking behavior; improved; motivational intervention; problem drinker; self help; social; success

DESCRIPTION (provided by applicant): How do we help those problem drinkers who will never seek treatment? This is a challenging issue because of the large number of problem drinkers and the limited amount of resources available. Public health initiatives employing educational materials have met with little or no success. However, clinical research has developed effective brief interventions to help problem drinkers. This project will merge these two worlds, modifying a clinically developed intervention and producing it in an ultra-brief format that is suitable for use as a public health intervention. The major objective of this proposal is to conduct a randomized controlled trial of an ultra-brief, personalized feedback intervention for problem drinkers. The advantages of the personalized feedback pamphlet are that it is low cost and can be widely distributed to the population of problem drinkers who never seek treatment. Because the materials are based on some of the best of research-based interventions, such an ultra-brief normative feedback pamphlet has the potential of helping problem drinkers. An effective intervention of this type would yield significant public health benefit. 1830 problem drinkers will be recruited on a baseline population telephone survey and randomized to one of three conditions - personalized feedback pamphlet condition, control pamphlet condition (to test if it is the specific content of the pamphlet that leads to the change or just the receipt of any pamphlet) and a no intervention control condition (sent intervention pamphlet after the six-month follow-up). In the week after the baseline survey, all households in the postal code areas that contain respondents in the two pamphlet conditions will be sent their respective pamphlets. Changes in drinking will be assessed on post intervention three-month and six-month follow-ups. Drinking outcomes will be compared between experimental conditions using Structural Equation Modeling. The primary hypothesis is that respondents from households who receive the personalized feedback pamphlet intervention will display significantly improved drinking outcomes at three and six-month follow-ups as compared to respondents from households in the no intervention control condition. Secondary hypotheses will test the impact of the intervention on help seeking, and explore the mediating or moderating role of perceived drinking norms, perceived risk and the problem drinker's social reasons for drinking.

描述（由申请人提供）：我们如何帮助那些永远不会寻求治疗的饮酒者？这是一个具有挑战性的问题，因为有大量的问题饮酒者和可用的资源有限。采用教育材料的公共卫生计划几乎没有成功。但是，临床研究已制定了有效的简短干预措施，以帮助饮酒者。该项目将合并这两个世界，修改临床开发的干预措施，并以适合用作公共卫生干预措施使用的超轻度格式生产它。该提案的主要目的是对问题饮用者进行超吹牛，个性化的反馈干预措施进行随机对照试验。个性化反馈小册子的优点是，它是低成本，可以广泛分配给从未寻求治疗的饮酒者。由于材料基于一些基于研究的干预措施，因此这种超大规范的反馈小册子具有帮助饮酒者的潜力。这种类型的有效干预将带来巨大的公共卫生益处。 1830年的问题饮酒者将在基线人口电话调查中招募，并随机分为三个条件之一 - 个性化的反馈小册子条件，控制小册子条件（测试是小册子的特定内容，还是导致更改或仅收到任何小册子的情况）和无干预控制条件（无干预措施控制条件（发送了六个月后的干预手册））。在基线调查后的一周中，邮政法规区域中包含两个小册子条件下受访者的所有家庭将被送出各自的小册子。饮酒的变化将在干预后三个月和六个月的随访中评估。使用结构方程建模将在实验条件之间比较饮酒结果。主要的假设是，与在没有干预控制条件下的家庭的受访者相比，接受个性化反馈小册子干预的家庭的受访者将在三个月和六个月的随访中显示出明显改善的饮酒结果。次要假设将测试干预措施对寻求帮助的影响，并探索感知到的饮酒规范，感知的风险以及饮酒者的社会原因的中介或调节作用。