Responsible Drinking: Internet-based, Interactive Computer Tailored Intervention

描述(由申请人提供)：超过国家酒精使用和过度饮酒准则的成年人对自己和整个社会造成严重和代价高昂的后果。酒精的使用和滥用每年给社会造成超过1000亿美元的医疗支出、生产力和收入损失、过早死亡、与酒精有关的犯罪以及对社会的其他影响。需要以人口为基础的方法来影响更广泛的问题饮酒。减少过度饮酒的成本效益高、以科学为基础、易于实施的干预措施可能是减少与酗酒有关的问题的有效解决办法。这项研究的最终目标是在跨理论模型的基础上开发一种创新的、基于科学的、具有成本效益的干预措施，以接触到不依赖酒精的高风险饮酒成年人。拟议的形成性研究将包括焦点小组、认知访谈和对酗酒者的可用性访谈，以及来自专家顾问小组的咨询和指导。在原型基线干预和互动工作簿完成后，将对来自三个工作地点的过量饮酒者进行试点测试，以确定行为改变的近端测量的可接受性、可行性和由此产生的变化。与公共健康相关：酒精的使用和滥用每年给社会造成超过1000亿美元的医疗支出、生产力和收入损失、过早死亡、与酒精有关的犯罪以及对社会的其他影响。这项研究建议开发第一个基于网络的、完全定制的、基于TTM的计划，以减少成年人过度饮酒。拟议的干预措施为减少成年人中的过度饮酒和相关问题提供了一个创新的、基于科学的、具有成本效益的解决方案。

DESCRIPTION (provided by applicant): Adults who exceed national guidelines for alcohol use and drink excessively impose serious and costly consequences for themselves and society at large. Alcohol use and abuse costs society over $100 billion dollars per year in healthcare expenditures, lost productivity and earnings, premature death, alcohol-related crime, and other impacts on society. There is a need for population-based approaches to impacting the broader range of problem drinking. Cost-effective, science-based and easily deliverable interventions that reduce excessive drinking can be effective solutions reduce problems associated with heavy drinking. The ultimate goal of this research is to develop an innovative, science-based, and cost-effective intervention based on the TransTheoretical Model to reach high-risk drinking adults who are not alcohol dependent. The proposed formative research will include focus groups, cognitive interviews, and usability interviews with excessive drinkers, as well as consultation and guidance from a panel of expert consultants. Upon completion of a prototype baseline intervention and interactive workbook, a pilot test with excessive drinkers from three worksites will be conducted to determine the acceptability, feasibility, and resulting changes on proximal measures of behavior change. PUBLIC HEALTH RELEVANCE: Alcohol use and abuse costs society over $100 billion dollars per year in healthcare expenditures, lost productivity and earnings, premature death, alcohol-related crime, and other impacts on society. This research proposes to develop the first web- based, fully tailored, TTM-based program for reducing excessive alcohol use among adults. The proposed intervention offers an innovative, science-based, and cost- effective solution for reducing excessive drinking and related problems in an adult population.