Moderation training applicaiton for drinkers

描述（由申请人提供）：该项目的目标是开发，评估和传播互联网（网络）应用程序，适度饮酒（MD）。医学博士将使用行为自我控制训练（BSCT）协议，帮助饮酒者学习技巧，要么节制饮酒，要么戒酒。目标人群是自助组织、适度管理组织的成员和其网站的访问者。MM将自己描述为一个组织，可以帮助问题饮酒者想要节制饮酒或戒酒。它的成员往往是不太严重的问题饮酒者，几乎没有依赖的迹象。MM提供书面材料，描述行为改变计划，在线互助社区和面对面会议。他们的行为改变程序是当前一代BSCT协议的一个版本，将用于Web应用程序。BSCT是一种具有强有力经验支持的干预措施。互动节目将是互联网上独一无二的。该计划将帮助用户选择一个目标（节制或禁欲），然后学习必要的认知和行为技能，以实现和保持他们的目标。模块包括目标设定、自我监控、“做30个”、增加动力和自我效能、识别和管理触发因素、开发替代方案、应对失误/复发，以及在用户难以实现和保持适度时转向禁欲。因为适度饮酒是一种选择，该计划可能会吸引不太严重的依赖饮酒者，否则他们可能会避免纯粹基于禁欲的计划。这群不太严重依赖饮酒者是一个服务不足，但不断增长的人口。第二阶段的目标是完成该计划的开发，进行试点测试，并进行随机对照试验，随访12个月，以评估其有效性。实验组将通过MD网站接受培训，并将参加MM的在线互助社区。控制组只会参与在线互助社区。

DESCRIPTION (provided by applicant): The goals of this project are to develop, evaluate, and disseminate an Internet (web) application, Moderate Drinking (MD). MD will use a behavioral self-control training (BSCT) protocol that helps drinkers learn skills to either moderate their drinking or to abstain. The target population is members of the self-help organization, Moderation Management (MM) and to visitors to their web site. MM describes itself as an organization that can be helpful for problem drinkers wanting to either moderate their drinking or to abstain. Its members tend to be less severe problem drinkers with few signs of dependence. MM offers written materials describing a program of behavioral change, an online mutual-help community, and face-to-face meetings. Their behavioral change program is a version of a current generation BSCT protocol that will be used in the web application. BSCT is an intervention with strong empirical support. The interactive program will be unique on the Internet. The program will help users choose a goal (moderation or abstinence) then learn cognitive and behavioral skills necessary to achieve and maintain their goal. Modules include goal setting, self-monitoring, "doing a 30," increasing motivation and self-efficacy, identifying and managing triggers, developing alternatives, coping with lapses/relapses, and a segue to abstinence if the user is having difficulty achieving and maintaining moderation. Because moderate drinking is an option, the program may to appeal to less severely dependent drinkers who might otherwise avoid a program that is purely abstinence based. This group of less severely dependent drinkers is an under served but growing population. Phase II goals are to complete the development of the program, pilot test it, and conduct a randomized controlled trial with a 12 month follow-up to assess its effectiveness. The experimental group will receive training via the MD web site and will participate in MM's online mutual help community. The control group will only participate in the online mutual help community.