In-person vs. Computer Interventions to Increase Probation Compliance

面对面与计算机干预以提高缓刑合规性

• 批准号: 8236911
• 负责人: Faye S Taxman
• 金额: $ 60.78万
• 依托单位: UNIVERSITY OF NORTH TEXAS HLTH SCI CTR
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-03-15 至 2016-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8236911
• 关键词: AIDS/HIV problem; Adult; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Baltimore; Behavior; Behavioral; Caring; Characteristics; Client; Clinical Research; Clinical Services; Cognitive; Communicable Diseases; Communities; Computers; Consensus; County; Criminal Justice; Drug usage; Effectiveness; Ethnic Origin; Feedback; Gender; Goals; HIV; Human immunodeficiency virus test; Incidence; Intake; Intervention; Link; Literature; Maryland; Meta-Analysis; Minority; Monitor; Motivation; Outcome; Participant; Persons; Pharmaceutical Preparations; Phase; Population; Process; Qualifying; Randomized; Readiness; Recommendation; Relative (related person); Risk; Risk Behaviors; Services; Site; Structure; Substance abuse problem; Supervision; System; Testing; Texas; Time; addiction; alcohol abuse therapy; base; checkup examination; computer program; computerized; cost; cost effectiveness; criminal behavior; effective intervention; efficacy testing; evidence base; follow-up; high risk sexual behavior; innovation; intervention effect; motivational enhancement therapy; offender; parole; primary outcome; probation; probationer; programs; public health relevance; recidivism; secondary outcome; substance abuse treatment; substance abuser; theories; transmission process; treatment program

DESCRIPTION (provided by applicant): It is well established that substance abuse treatment in the criminal justice system is effective at reducing drug use and related criminal behavior. Although drug and alcohol treatment are common mandates in criminal justice programs, only a minority of clients actually initiate treatment. This application will compare two intervention formats that target motivation to initiate and engage in substance abuse treatment among a group of probationers who have drug or alcohol treatment conditions. Six hundred drug and alcohol offenders in two probation sites (Baltimore, Maryland, and Dallas, Texas) will be randomized to receive: 1) an in-person motivational interviewing session (MI), 2) a motivational computer program (MC), or 3) intake and monitoring supervision as usual (SAU). The MI condition will be structured along the lines of the promising Check-Up format, which consists of an assessment and personalized feedback delivered in an MI style; the content of the MC condition will be drawn from previous literature on effective motivational computer programs. In addition, because of the much higher rates of infectious disease among criminal justice populations and the link between drug use and infectious disease, the MI and MC conditions would include a referral to HIV/AIDS testing and treatment for those participants who qualify. Both interventions will be delivered at the start of the probation process, with follow-up assessments at one, six, and twelve months. Primary outcomes include engagement and participation in substance abuse treatment; secondary outcomes include drug and alcohol use, probation progress, HIV testing and treatment, and criminal behavior. This project will be the first to develop and test two interventions for encouraging criminal justice clients to follow through with treatment recommendations, with the goal of increasing treatment initiation and reducing subsequent drug use and related risky behavior. It also contributes to ongoing partnerships with two large probation agencies -- the Dallas County Supervision and Corrections Department and the Maryland Division of Parole and Probation. PUBLIC HEALTH RELEVANCE: Despite being a common mandate of criminal justice sentencing, only a minority of probationers with drug treatment orders actually complete substance abuse treatment. Substance abusers also have higher rates of incidence of HIV/AIDS, yet few seek testing or care. This project will compare an in-person motivational interview, a motivational computer program, or supervision as usual, in order to increase the number of probationers who follow through with substance abuse treatment mandates and/or receive HIV testing and treatment.

描述（由申请人提供）：众所周知，刑事司法系统中的药物滥用治疗可有效减少毒品使用和相关的犯罪行为。尽管毒品和酒精治疗是刑事司法计划中的共同任务，但只有少数客户实际上开始治疗。该应用将比较两种针对动机的干预格式，以在患有药物或酒精治疗条件的一组缓刑师之间发起和进行药物滥用治疗。在两个缓刑场所（巴尔的摩，马里兰州和德克萨斯州达拉斯）的600名毒品和酒精犯罪者将被随机接收：1）一次面对面的动机访谈课程（MI），2）激励计算机计划（MC）或3）摄入量和监测监督的摄入量（SAU）。 MI条件将按照有希望的检查格式的线进行结构，该格式由以MI风格提供的评估和个性化反馈组成； MC条件的内容将从以前有关有效动机程序程序的文献中汲取。此外，由于刑事司法人群中传染病的率要高得多，药物使用与传染病之间的联系将包括转介给艾滋病毒/艾滋病测试和治疗资格的参与者。两种干预措施将在缓刑过程开始时进行，并在一个，六个月和十二个月内进行随访评估。主要结果包括参与和参与药物滥用治疗；次要结果包括毒品和饮酒，缓刑进展，艾滋病毒测试和治疗以及犯罪行为。该项目将是第一个开发和测试两种干预措施的项目，以鼓励刑事司法客户遵循治疗建议，以增加治疗启动并减少随后的药物使用和相关的风险行为。它还与两个大型缓刑机构建立了持续的伙伴关系 - 达拉斯县的监督和惩教部以及马里兰州假释和缓刑部。 公共卫生相关性：尽管是刑事司法判决的普遍任务，但只有少数具有药物治疗令的缓刑者实际上完成了滥用药物的治疗。滥用药物的艾滋病毒/艾滋病发病率也更高，但很少有人寻求测试或护理。该项目将比较一次面对面的动机访谈，动机计算机计划或照常监督，以增加遵循药物滥用治疗授权和/或接受HIV测试和治疗的缓刑者的数量。