DELIVERING TREATMENT IN DUI PROGRAMS TO REDUCE ALCOHOL-RELATED DISPARITIES

描述（由申请人提供）：酒精治疗的巨大未满足的需求存在于因酒后驾车（DUI）而被定罪的个人中，因为高达43%的人会复发，67%的人符合酒精依赖的标准。我们将测试是否提供认知行为治疗（CBT）酒精使用障碍（AUDs）作为强制性DUI计划的一部分，改善健康结果，并减少酒精使用，酒精相关的问题和伤害，以及与常规护理相比的DUI累犯。该研究有可能通过向有酒后驾车定罪的个人提供治疗来促进公共福利，同时关注拉丁美洲人，他们不成比例地不太可能获得治疗，更有可能因酒后驾车被捕，累犯率更高，并且比他们的白色同行死于与酒精有关的撞车事故。这项研究是创新的，因为它将是第一个解决嵌入DUI计划中的AUD治疗有效性的研究。我们将在治疗结束后即刻和治疗结束后6个月进行一项随机试验，比较9次基于组的CBT（n=150）与基于组的常规护理（UC; n=150）。短期结果包括酒精使用（大量饮酒率，戒酒天数百分比），酒精使用相关的自我效能，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预测我们的主要治疗结果（大量饮酒率，戒酒天数百分比）和DUI累犯（酒精相关违法行为）。

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).