Addressing High Risk Alcohol Use Amongst Injury Patients in an Emergency Department in Tanzania

解决坦桑尼亚急诊科受伤患者的高风险饮酒问题

• 批准号: 9324031
• 负责人: Catherine Ann Staton
• 金额: $ 13.11万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-23 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9324031
• 关键词: Accident and Emergency department; Address; Adherence; Africa; Africa South of the Sahara; African; Age-Years; Alcohol abuse; Alcohol consumption; Alcoholism; Alcohols; Area; Award; Behavior; Cessation of life; Clinical Research; Clinical Trials; Country; Data; Disease; Education; Emergency Department patient; Enrollment; Ensure; Environment; Epidemiology; Evidence based intervention; Face; Family; Family member; Feasibility Studies; Focus Groups; Fostering; Foundations; Funding; Goals; Health Personnel; Income; Individual; Injury; Institutes; International; Intervention; Intervention Trial; Interview; K-Series Research Career Programs; Knowledge; Lead; Low income; Measures; Mediation; Medical center; Mentors; Mentorship; Methods; Modeling; National Institute on Alcohol Abuse and Alcoholism; Nurses; Outcome; Patients; Perception; Population; Pragmatic clinical trial; Preparation; Procedures; Randomized; Research; Research Infrastructure; Research Methodology; Research Personnel; Research Priority; Research Project Grants; Resources; Risk; Risk Factors; Survey Methodology; Surveys; Tanzania; Testing; Time; Validation; Work; Writing; addiction; alcohol abuse therapy; alcohol epidemiology; alcohol related consequences; alcohol research; alcohol use disorder; alcohol-related injury; base; career; community center; cost; drinking behavior; epidemiology study; experience; global health; high risk; human capital; implementation research; improved; international center; language training; low and middle-income countries; motivational enhancement therapy; multidisciplinary; patient oriented; pilot trial; protocol development; public health relevance; reduced alcohol use; responsible research conduct; skills; tool; young adult

 DESCRIPTION (provided by applicant): Annually, there are 1.8 million global deaths due to alcohol. Alcohol use is rapidly increasing in low and middle-income countries, where it is inexpensive, readily available, poorly regulated, and there are few resources devoted to safe alcohol use behavior. Like many other limited resource settings, there are few treatment facilities or addiction practitioners in the Kilimanjaro region of Tanzania. This career development award will allow for the cultural adaptation, validation, and pilot testing of a brief negotiational interview for alcohol use. To do so, the project will 1) describe the current knowledge and perceptions about alcohol use in Tanzania, 2) adapt an evidence-based intervention to the Tanzanian setting and, 3) pilot this intervention in preparation of a large-scae trial. The intervention, a brief negotiational interview, based on a motivational interviewing framework, has proven effective in the US but has not been adapted or implemented in an African context. I am uniquely qualified to lead this project given my 10 years of clinical and research global health experience. I am dedicated to a global health research career, am integrated into the Kilimanjaro Christian Medical Center community, and have conducted the basic alcohol epidemiology research in preparation for this award. To become an independent researcher focusing on addressing alcohol use, I am seeking further skills in mixed methods research, motivational interviewing, global clinical trials, and the responsible conduct of research. This proposal not only provides me with a unique combination of research expertise that are needed in Africa, but also lays a foundation for groundbreaking research to curb the impact of alcohol use in Africa.

 描述（由申请人提供）：每年，全球有 180 万人因酒精死亡。在低收入和中等收入国家，酒精的使用量正在迅速增加，这些国家的酒精价格便宜、容易获得、监管不力，而且专门用于安全饮酒行为的资源很少。与许多其他资源有限的环境一样，坦桑尼亚乞力马扎罗地区几乎没有治疗设施或戒毒人员。该职业发展奖将允许对酒精使用的简短谈判访谈进行文化适应、验证和试点测试。为此，该项目将 1) 描述坦桑尼亚目前关于饮酒的知识和看法，2) 根据坦桑尼亚的情况调整基于证据的干预措施，3) 试点该干预措施以准备大规模试验。这种干预措施是基于动机访谈框架的简短谈判访谈，在美国已被证明是有效的，但尚未在非洲背景下进行调整或实施。鉴于我 10 年的全球健康临床和研究经验，我拥有领导该项目的独特资格。我致力于全球健康研究事业，融入乞力马扎罗基督教医疗中心社区，并进行了基础酒精流行病学研究，为获得该奖项做准备。为了成为一名专注于解决酒精使用问题的独立研究人员，我正在寻求混合方法研究、动机访谈、全球临床试验和负责任的研究行为方面的进一步技能。该提案不仅为我提供了非洲所需的研究专业知识的独特组合，而且还为遏制非洲饮酒影响的突破性研究奠定了基础。