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

描述(由申请人提供)：过度饮酒是一个公共健康问题，每年在美国导致大约80,000人死亡，并给经济造成每年约2235亿美元的医疗、社会和生产力损失。由于绝大多数(79%)的酒精障碍成年人都是有工作的，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地位。在过去的10年里，这项提议的联合首席调查员和联合调查员之一试图通过促进建立EAP简要干预小组(BIG)来改变这种情况。这一重大倡议将主要的EAP公司领导人、EAP临床专业协会和其他人聚集在一起，明确表示要使酒精筛查、简短干预和转诊治疗(SBIRT)成为整个EAP行业的常规做法。有大量的研究表明酒精SBIRT的有效性和成本效益。我们建议与大型倡议组织和EAP专业协会合作开发和评估SBIRT培训和支持工具，该工具结合了SBIRT的在线培训，包括使用激励访谈技术，以及交互式移动/网络酒精筛查和干预工具，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培训部分将为从业者提供技能、知识、动机和自我效能，以：(A)对其客户使用有效的不健康酒精进行筛查 (B)提供简短、激励性的面谈--知情干预；(C)作出适当的转介。在第二阶段，培训计划将(A)进一步发展第一阶段的内容，(B)扩展课程，包括更多有效的酒精筛查工具。此外，SBIRT支助工具部分将开发为一个网络/移动界面，供从业者使用互动筛查和简短干预表格，其中包括：(A)筛查和干预中提示有效问题；(B)激励性访谈--知情的对话建议；(C)在线资源(即标准饮品清单；重要性、信心尺子)；(D)酒精教育和转诊信息。这一第二阶段的产品将在332名EAP从业者的随机对照试验中进行评估。此外，每组随机抽取20%的参与者将参加模拟的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。我们的大计划合作伙伴看到了对该产品的迫切需求，并致力于 在他们的EAP和盟军组织中实施酒精SBIRT。我们打算将SBIRT培训和支持工具商业化，作为虎鲸mHealth平台的关键组件，重点放在EAP市场和EAP附属行为健康组织上。

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.