DELIVERING TREATMENT IN DUI PROGRAMS TO REDUCE ALCOHOL-RELATED DISPARITIES

描述(由申请人提供)：在被判酒后驾车(DUI)的个人中，存在着巨大的未得到满足的酒精治疗需求，因为高达43%的人再犯，67%的人符合酒精依赖的标准。我们将测试作为强制酒后驾驶计划的一部分，为酒精使用障碍(AUD)提供认知行为治疗(CBT)是否可以改善健康结果，并与通常的护理相比，减少酒精使用、与酒精相关的问题和伤害以及酒后驾车复发。这项研究有可能通过为有酒后驾车定罪的人提供治疗来促进公共福利，同时关注拉美裔人，他们比白人同龄人更不可能获得治疗，更有可能因酒后驾车被捕，再次犯罪率更高，并死于与酒精有关的车祸。这项研究具有创新性，因为它将是第一个解决酒后驾车驾驶计划中嵌入的AUDS治疗有效性的研究。我们将进行一项随机试验，将9个疗程的基于小组的CBT(n=150)与基于小组的常规护理(UC；n=150)在治疗结束后立即和6个月后进行比较。短期结果包括酒精使用(重度饮酒率，戒酒天数百分比)，与酒精使用相关的自我效能，以及饮酒和开车的意图。我们还将检查种族/民族、性别、文化适应和酒精状况规范是否预测我们的主要治疗结果(酗酒率、戒酒天数百分比)和酒后驾车再次犯罪(与酒精有关的违规行为)。

DESCRIPTION (provided by applicant): Enormous unmet needs for alcohol treatment exist among individuals convicted of driving under the influence (DUI) since up to 43% recidivate and 67% meet criteria for alcohol dependence. We will test whether delivering a cognitive behavioral treatment (CBT) for alcohol use disorders (AUDs) as part of a mandated DUI program improves health outcomes, and reduces alcohol use, alcohol-related problems and injuries, and DUI recidivism compared to usual care. The study has the potential to promote the public welfare by providing treatment to individuals with a DUI conviction, while focusing on Latinos, who are disproportionately less likely to access treatment and more likely to be arrested for a DUI, to have higher rates of recidivism, and to die in alcohol- related crashes than their white counterparts. The study is innovative because it would be the first to address effectiveness of treatment for AUDs embedded within a DUI program. We will conduct a randomized trial of a 9-session group-based CBT (n=150) as compared to group-based usual care (UC; n=150) immediately after and 6 months after the end of treatment. Short-term outcomes include alcohol use (rates of heavy drinking, percent days abstinent), alcohol use-related self-efficacy, and intent to drink and drive. We will also examine whether race/ethnicity, gender, acculturation, and alcohol situational norms predict our primary treatment outcomes (rates of heavy drinking, percent days abstinent) and DUI recidivism (alcohol-related violations).