DELIVERING TREATMENT IN DUI PROGRAMS TO REDUCE ALCOHOL-RELATED DISPARITIES

描述（由申请人提供）：在被定罪为酒后驾驶（DUI）的个人中存在大量未满足的酒精治疗需求，因为高达43%的再犯和67%符合酒精依赖标准。我们将测试是否提供认知行为治疗（CBT）对酒精使用障碍（AUDs）作为强制酒后驾驶项目的一部分，改善健康结果，减少酒精使用，酒精相关问题和伤害，以及酒后驾驶累犯与常规护理相比。这项研究有可能通过为酒后驾车定罪的个人提供治疗来促进公共福利，同时关注拉丁裔，他们接受治疗的可能性更小，更有可能因酒后驾车被捕，他们的累犯率更高，死于与酒精相关的车祸的可能性比白人高。这项研究具有创新性，因为它将首次解决在酒后驾车计划中嵌入的aud治疗有效性问题。我们将进行一项随机试验，在治疗结束后立即和6个月后，将9期基于小组的CBT （n=150）与基于小组的常规护理（UC; n=150）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感，以及酒后驾车的意图。我们还将研究种族/民族、性别、文化适应和酒精情境规范是否能预测我们的主要治疗结果（酗酒率、戒酒天数百分比）和酒后驾车累犯（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).