Web-Based Training for EAP Alcohol Screening, Brief Intervention, and Referral

过度饮酒是一个公共卫生问题，每年在美国造成约80，000人死亡，每年在医疗，社会和生产力方面的损失估计为2235亿美元。由于绝大多数（79%）患有酒精障碍的成年人都有工作，而员工援助计划（EAP）是75%的美国企业的资源，因此EAP在解决这一公共卫生问题方面具有独特的优势。在过去的10年里，该提案的共同主要研究者和共同研究者之一试图通过促进EAP简短干预小组（BIG）倡议的创建来改变这一点。BIG倡议汇集了主要的EAP企业领导人，EAP临床专业协会和其他人，明确目的是使酒精筛查，简短干预和转诊治疗（SBIRT）成为整个EAP行业的常规做法。有大量的研究证明了酒精SBIRT的有效性和成本效益。 与BIG倡议组织和EAP专业协会合作，我们建议开发和评估SBIRT培训和支持工具，该工具将SBIRT的在线培训（包括使用动机访谈技术）与交互式移动的/网络酒精筛查和干预工具相结合，以指导EAP和行为健康从业者使用SBIRT。酒精SBIRT的内容将来自国家酒精滥用研究所的循证材料。SBIRT培训部分将为从业人员提供技能，知识，动机和自我效能：（a）筛选他们的客户使用不健康的酒精， 筛选工具;（B）提供简短、有动机的访谈知情干预;（c）进行适当的转介。在第2阶段，培训计划将（a）进一步开发第1阶段的内容，（B）扩展课程，以包括其他经过验证的酒精筛查工具。此外，将开发SBIRT支持工具组件，使其成为一个网络/移动的界面，供从业人员使用交互式筛查和简要干预表格，其中包括：（a）提示筛查和干预中的有效问题;（B）动机性访谈知情对话建议;（c）在线资源（即，标准饮料清单;重要性、信心标尺）;以及（d）酒精教育和转诊信息。 该2期产品将在332名EAP从业者的随机对照试验中进行评估。此外，每个实验组中20%的随机样本参与者将参加模拟案例研究电话咨询会议，这将用于评估参与者实施SBIRT技能的能力。 我们的BIG Initiative合作伙伴看到了对该产品的迫切需求，并承诺 在他们的EAP和联盟组织中实施酒精SBIRT。我们打算将SBIRT培训和支持工具商业化，作为ORCAS移动健康平台的关键组成部分，重点是EAP市场和EAP附属行为健康组织。

DESCRIPTION (provided by applicant): Excessive alcohol consumption is a public health concern that causes approximately 80,000 deaths each year in the United States and costs the economy an estimated $223.5 billion in annual medical, social, and productivity losses. Because the large majority (79%) of adults with alcohol disorders is employed and Employee Assistance Programs (EAPs) are resources in 75% of U.S. businesses, EAPs are uniquely positioned to address this public health concern. Over the last 10 years, one of the Co-Principal Investigators and Co-Investigators on this proposal has sought to change this by facilitating the creation of the EAP Brief Intervention Group (BIG) Initiative. The BIG initiative brings together the major EAP corporate leaders, the EAP clinical professional associations, and others for the express purpose of making alcohol screening, brief intervention, and referral to treatment (SBIRT) the routine practice across the EAP industry. There is an extensive body of research that demonstrates the effectiveness and cost-effectiveness of alcohol SBIRT. In collaboration with BIG initiative organizations and EAP professional associations, we propose to develop and evaluate the SBIRT Training & Support Tool, which combines online training in SBIRT, including use of motivational interviewing techniques, with interactive mobile/web alcohol screening and intervention tools to guide EAP and behavioral health practitioners' use of SBIRT. Content for alcohol SBIRT will be derived from the National Institute on Alcohol Abuse's evidence-based materials. The SBIRT Training component will provide practitioners with the skills, knowledge, motivation, and self-efficacy to: (a) screen their clients for unhealthy alcohol use with validated screening tools; (b) provide brief, motivational interviewing-informed intervention; and (c) make appropriate referrals. In Phase 2 the training program will (a) further develop the Phase 1 content and (b) expand the curriculum to include additional validated alcohol screening tools. In addition, the SBIRT Support Tool component will be developed as a web/mobile interface for practitioners to use interactive screening and brief intervention forms with (a) prompts for validated questions in the screening and intervention; (b) motivational interviewing-informed dialogue suggestions; (c) online resources (i.e., standard drink list; importance, confidence rulers); and (d) alcohol education and referral information. This Phase 2 product will be evaluated in a randomized controlled trial with 332 EAP practitioners. In addition, a 20% random sample of participants in each experimental group will participate in simulated case- study phone counseling sessions, which will be used to assess participants' ability to implement SBIRT skills. Our BIG Initiative partners see the critical need for this product and are committed to implementing alcohol SBIRT in their EAPs and allied organizations. We intend to commercialize the SBIRT Training & Support Tool as a key component of ORCAS' mHealth platform, with an emphasis on the EAP market and EAP affiliated behavioral health organizations.