Barriers to Entry into Couples' Treatment of Problematic Alcohol Use

进入夫妻酗酒问题治疗的障碍

• 批准号: 7932241
• 负责人: YAEL CHATAV SCHONBRUN
• 金额: $ 4.01万
• 依托单位: BUTLER HOSPITAL (PROVIDENCE, RI)
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7932241
• 关键词: Address; Alcohol abuse; Alcohol consumption; Alcoholism; Behavior; Behavioral; Cognitive; Couples; Couples Therapy; Data; Derivation procedure; Family; Feedback; Health Services Research; Individual; Information Systems; Intervention; Interview; Knowledge; Measurement; Measures; Methods; Outcome; Participant; Patient Outcomes Assessments; Patient Self-Report; Patients; Procedures; Property; Psychometrics; Public Health; Qualitative Evaluations; Relative (related person); Research; Research Personnel; Sampling; Services; Sum; Surveys; System; Testing; United States National Institutes of Health; alcoholism therapy; base; community setting; information gathering; intimate partner violence; member; novel; prevent; psychosocial; response; satisfaction; theories; tool

DESCRIPTION (provided by applicant): Alcohol use problems have important public health sequelae, and are associated with a number of relationship-oriented negative outcomes, including relationship discord and intimate partner violence (IPV). Thus, problematic alcohol use has implications for both the identified patient, as well as those who are engaged in close relationships with alcohol abusing individuals. Consistent with the notion that alcohol use occurs within a family system, growing evidence suggests that behavioral couple therapy for alcoholism decreases IPV and increases relationship satisfaction more effectively than individual treatments for alcohol problems. However, despite the existence of highly efficacious treatments for problematic alcohol use and attendant improvements in relationship and non-relationship domains, recruitment of couples into treatment has proven difficult, particularly in community settings. Few studies have evaluated the barriers to entry for couples' treatment of alcohol problems with resulting difficulty in targeting factors that prevent couples from entering and engaging in available efficacious treatments. In order for researchers and clinicians to effectively disseminate treatments to individuals who are in need of services, research evaluating barriers to treatment entry is required. This study aims to contribute to knowledge of barriers to treatment entry by following steps identified within the NIH Roadmap network project: Patient-Reported-Outcomes Measurement Information System (PROMIS). PROMIS incorporates item banking, qualitative interviews, and quantitative methods to develop items that distinguish between individuals who seek versus those who do not seek treatment. We will conduct these information gathering procedures with patients in three treatment settings, with their partners, and with experts in the treatment of alcohol problems and of relationship discord. Based on data we collect through item banking and qualitative interviews, we will develop items for a self-report measure of barriers to treatment entry. Following item derivation, we will test items in the field with a sample of patients and partners, and conduct quantitative item analysis using item response theory methods to evaluate the psychometric properties of items. In sum, the proposed study involves a mixed methods approach to gathering information about barriers to entry for couples' treatment of alcohol problems, followed by psychometric assessment of items. Administration of the developed items will permit the identification and targeting of barriers to entry into couples' treatment of problematic alcohol use within diverse treatment settings.

描述（由申请人提供）：酒精使用问题具有重要的公共卫生后遗症，并与许多以关系为导向的负面结果有关，包括关系不和和亲密伴侣暴力（IPV）。因此，有问题的酒精使用对已确定的患者以及那些与酗酒者有密切关系的人都有影响。与酒精使用发生在家庭系统内的观念一致，越来越多的证据表明，酒精中毒的行为夫妻治疗比单独治疗酒精问题更有效地降低了IPV，提高了关系满意度。然而，尽管存在针对问题性酒精使用的高效治疗方法，并且在关系和非关系领域也随之有所改善，但事实证明很难招募夫妇接受治疗，特别是在社区环境中。很少有研究对夫妻接受酒精问题治疗的障碍进行评估，因此难以确定阻止夫妻接受和参与现有有效治疗的因素。为了使研究人员和临床医生有效地向需要服务的个人传播治疗方法，需要进行评估进入治疗障碍的研究。本研究旨在通过NIH路线图网络项目中确定的以下步骤，帮助了解进入治疗的障碍：患者报告的结果测量信息系统（PROMIS）。PROMIS结合了项目银行、定性访谈和定量方法来开发项目，以区分寻求治疗的个体和不寻求治疗的个体。我们将与三种治疗环境中的患者、他们的伴侣以及治疗酒精问题和关系不和谐的专家一起进行这些信息收集程序。根据我们通过项目银行和定性访谈收集的数据，我们将开发用于自我报告的项目，以衡量进入治疗的障碍。在项目衍生之后，我们将以患者和合作伙伴为样本进行实地测试，并使用项目反应理论方法进行定量项目分析，以评估项目的心理测量特性。总之，拟议的研究涉及一种混合方法来收集关于夫妻治疗酒精问题的进入障碍的信息，然后对项目进行心理测量评估。对已开发项目的管理将允许在不同的治疗环境中确定和针对妨碍夫妻对有问题的酒精使用进行治疗的障碍。

项目成果

Mental health experts' perspectives on barriers to dissemination of couples treatment for alcohol use disorders.

心理健康专家对传播夫妻酒精使用障碍治疗方法的障碍的看法。

• DOI: 10.1037/a0026694
• 发表时间: 2012
• 期刊: Psychological services
• 影响因子: 2.3
• 作者: Schonbrun,YaelChatav;Stuart,GregoryL;Wetle,Terrie;Glynn,TiffanyR;Titelius,EliseN;Strong,David
• 通讯作者: Strong,David

A qualitative investigation of barriers to entry into couples' treatment for alcohol problems.

对夫妻酒精问题治疗的障碍进行定性调查。

• DOI: 10.1016/j.jsat.2011.06.002
• 发表时间: 2011
• 期刊: Journal of substance abuse treatment
• 影响因子: 3.9
• 作者: Schonbrun,YaelChatav;Strong,DavidR;Wetle,Terrie;Stuart,GregoryL
• 通讯作者: Stuart,GregoryL