ASI-MV Solutions: A Tailored Program for Substance Abusers in Early Recovery

ASI-MV 解决方案：为药物滥用者早期康复量身定制的计划

• 批准号: 7609544
• 负责人: Emil J. Chiauzzi
• 金额: $ 21.69万
• 依托单位: INFLEXXION, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-02-15 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7609544
• 关键词: Address; Aftercare; Alcohol consumption; Area; Client; Computer software; Data; Dependence; Development; Drug usage; Educational process of instructing; Employment; Family; Feedback; Grant; Guidelines; Health Benefit; Health Care Costs; Health Services Accessibility; Internet; Intervention; Knowledge; Learning; Legal; Link; Logic; Maps; Mediation; Medical; Motivation; Outcome; Patients; Pharmacologic Substance; Phase; Preventive Intervention; Professional counselor; Psychiatric Social Work; Public Health; Recommendation; Recovery; Rehabilitation therapy; Research; Research Design; Resources; Self Assessment; Services; Severities; Solutions; Substance Abuse Treatment Centers; Substance abuse problem; Telephone Interviews; Testing; Time; base; design; disorder later incidence prevention; experience; follow-up; innovation; motivational intervention; programs; psychosocial; public health relevance; skills; skills training; substance abuser; tool; usability; web-enabled

DESCRIPTION (provided by applicant): Overall, research indicates that (1) addressing psychosocial and medical problems associated with substance abuse and dependence leads to better outcomes; (2) treatments are now shorter due in part to rising healthcare costs, and it is difficult to address these issues effectively during treatment, making aftercare and early relapse prevention interventions following treatment essential; (3) making referrals to wraparound services has proven to be problematic and patients may lack the motivation, knowledge, or skills to follow up with the referrals; (4) there is a dearth of easily accessible, skill-based, motivational interventions that address psychosocial and medical issues faced by substance abusers in early recovery, including employment; (5) the Internet is an accessible, promising and currently under-utilized delivery mechanism for providing time- effective, tailored interventions based on client needs. In order to address these deficits, we are proposing the development of ASI-MV Solutions, which will be an online skill-building and motivational intervention for substance abusers in early recovery. By linking learning modules to client results on the ASI-MV, an online interactive version of the ASI administered in treatment settings, we will be able to offer clients important tools to address the early psychosocial and medical challenges of recovery. ASI-MV Solutions will utilize motivational feedback to motivate clients to recognize and address these issues in early recovery, including seeking professional services when needed. Based on client needs, ASI-MV Solutions teaches the practical skills needed to negotiate early recovery challenges. This program will also provide clinicians with guidelines and support for addressing these issues, integrating ASI-MV Solutions into their client interventions, and identifying good referrals. This intervention will address all areas of the ASI in Phase II, but we will focus on employment in the Phase I feasibility test. In Phase I, we propose to: (1) gather design and content input through telephone interviews and concept mapping with substance abuse clients and rehabilitation/substance abuse treatment professionals; (2) determine self-assessment employment questions; (3) complete usability/acceptance testing with substance abuse clients; (4) complete acceptance testing with rehabilitation and substance abuse experts; and (5) complete the Phase II research design. PUBLIC HEALTH RELEVANCE: Making referrals to medical and psychosocial services for substance abuse clients has proven difficult due to lack of access to services, inadequate counselor knowledge, and lack of motivation and skills among clients. Inflexxion is proposing the development of ASI-MV Solutions, which will educate clients about employment, legal, psychiatric, relapse prevention, medical, and family issues, as well as include resources and strategies for counselors. By linking learning modules to client results on the ASI-MV, an online interactive version of the ASI administered in treatment settings, we will be able to offer clients important tools to address key recovery issues and encourage counselors to make appropriate referrals to medical and psychosocial services.

描述（由申请人提供）：总体而言，研究表明(1)解决与药物滥用和依赖相关的社会心理和医疗问题会带来更好的结果；(2)目前治疗时间较短，部分原因是医疗费用上升，而且在治疗期间难以有效解决这些问题，因此治疗后的善后护理和早期复发预防干预必不可少；(3)转介到综合服务有问题，病人可能缺乏跟进转介的动机、知识或技能；(4)缺乏易于获得的、以技能为基础的动机干预措施，以解决药物滥用者在早期康复过程中面临的心理社会和医疗问题，包括就业问题；(5)互联网是一种可访问的、有前途的、目前未充分利用的交付机制，可根据客户的需求提供及时有效的、量身定制的干预措施。为了解决这些缺陷，我们建议开发ASI-MV解决方案，这将是一个在线技能建设和动机干预药物滥用者在早期恢复。通过将学习模块与客户在ASI- mv上的结果联系起来，我们将能够为客户提供重要的工具，以解决早期康复的社会心理和医疗挑战。ASI- mv是在治疗环境中管理的在线交互式ASI版本。ASI-MV解决方案将利用激励性反馈来激励客户在早期恢复中认识并解决这些问题，包括在需要时寻求专业服务。根据客户的需求，ASI-MV解决方案教授解决早期恢复挑战所需的实用技能。该项目还将为临床医生提供指导和支持，以解决这些问题，将ASI-MV解决方案整合到他们的客户干预中，并确定良好的转诊。该干预措施将在第二阶段解决ASI的所有领域，但我们将重点关注第一阶段可行性测试中的就业问题。在第一阶段，我们建议：(1)通过电话访谈和概念图，收集药物滥用客户和康复/药物滥用治疗专业人员的设计和内容输入；(2)确定自评就业问题；(3)完成药物滥用客户的可用性/接受性测试；(4)完成康复和药物滥用专家的验收测试；(5)完成二期研究设计。公共卫生相关性：事实证明，由于无法获得服务、咨询师知识不足以及客户缺乏动机和技能，很难将药物滥用客户转介到医疗和心理社会服务机构。inflexion正在提议开发ASI-MV解决方案，该方案将教育客户有关就业，法律，精神病学，复发预防，医疗和家庭问题，并为咨询师提供资源和策略。通过将学习模块与客户在ASI- mv上的结果联系起来，我们将能够为客户提供重要的工具来解决关键的康复问题，并鼓励咨询师向医疗和社会心理服务部门提供适当的转介。ASI- mv是在治疗环境中管理的在线交互式ASI版本。