A Mobile Alcohol Misuse Prevention Program

 描述（由申请人提供）：近87%的成年人报告在他们的生活中的某个时候饮酒，超过70%的人报告在过去一年饮酒。更重要的是，近25%的人报告上个月酗酒，近7%的人报告酗酒，2900万人报告在酒精影响下驾驶。虽然相当多的成年人报告过去一个月的危险饮酒，但90%的饮酒过量者不符合酒精依赖的标准。酒精滥用对无数的健康和安全风险有很大的影响，每年给美国造成2235亿美元的损失，其中绝大多数由雇主承担。目前已经制定了几项旨在解决过度饮酒问题的基于互联网的干预措施，各种研究已经证明了这些方法的有效性。然而，由于迄今为止开发的几乎所有在线酒精滥用预防计划都在一开始就强调酒精滥用，因此它们的范围仅限于自我认定的问题饮酒者，并且未能向更大的主流饮酒成年人提供预防信息和材料。这些主流饮酒者不太可能参与一个只关注酒精滥用的项目，因为酒精滥用障碍会带来严重的耻辱。凭借伊萨在药物滥用预防和健康促进干预措施的开发和测试方面的丰富经验（包括以前开发和测试的视频和网络干预措施，通过将干预措施嵌入到广泛接受的健康促进中，避免了与药物滥用有关的耻辱），拟议的项目将开发和测试一个创新的移动的基于网络的酒精滥用预防计划，该计划嵌入在一个更大的基于网络的工作场所健康计划中，适用于几乎任何智能手机（IOS或Android）。健康计划将包括压力管理，锻炼，营养/体重管理和酒精滥用预防。进入健康计划后，用户将完成对其健康习惯和状态（包括饮酒习惯）的评估，这将根据他们的特定需求和偏好定制健康计划。第一阶段将涉及焦点小组和原型的开发、可用性和可行性测试，沿着在进入第二阶段之前必须达到的具体里程碑。第二阶段将涉及移动的网站和工具的全面开发，这些网站和工具旨在让用户“即时”访问，以帮助他们改变行为，随后将对在职成年人进行随机对照试验，以测试该计划的有效性。Chestnut Global Partners是一家专门从事工作场所健康和药物滥用预防的国际公司，已热情地同意在该项目上进行合作，从其客户公司中招募工作场所和员工，并与伊萨的劳动力健康中心合作，推广已完成的计划。

 DESCRIPTION (provided by applicant): Nearly 87% of adults report drinking alcohol at some point in their life and over 70% report drinking in the past year. More importantly, nearly 25% report past month binge drinking, close to 7% report heavy drinking, and 29 million people report driving under the influence of alcohol. While significant numbers of adults report past month risky drinking, 90% of those who drink too much do not meet the criteria for alcohol dependence. Alcohol misuse contributes significantly to myriad health and safety risks, and annually costs the United States $223.5 billion, with the vast majority of those costs borne by employers. Several Internet-based interventions designed to address excessive drinking have now been developed, and a variety of studies have demonstrated the efficacy of these approaches. However, because virtually all of the online alcohol misuse prevention programs developed to date highlight alcohol misuse at the outset, their reach is limited to the self-identified problem drinkers and fail to provide the larger mainstream of drinking adults with prevention messages and materials. These mainstream drinkers are unlikely to engage with a program focusing solely on alcohol misuse because of the significant stigma associated with alcohol abuse disorder. Building on ISA's extensive experience in the development and test of substance misuse prevention and health promotion interventions (including previously developed and tested video and web-based interventions which circumvent the stigma associated with substance misuse by imbedding the intervention into widely accepted health promotion), the proposed project will develop and test an innovative mobile web-based alcohol misuse prevention program imbedded within a larger web-based workplace wellness program, suitable for access on virtually any smartphone (IOS or Android). The wellness program will include stress management, exercise, nutrition/weight management, and alcohol misuse prevention. Upon entering the wellness program, users will complete an assessment of their health practices and status (including drinking practices), which will tailor the wellness program to their particular needs and preferences. Phase I will involve focus groups and the development, usability and feasibility testing of the prototype, along with specific milestones tha must be met before moving to Phase II. Phase II will involve the full development of the mobile website and tools designed for users to access "in-the-moment" to help them change their behavior, followed by a randomized controlled trial with working adults to test the program effectiveness. Chestnut Global Partners, an international company specializing in workplace wellness and substance abuse prevention, has enthusiastically agreed to collaborate on the project to recruit workplaces and employees from among their client companies and to work with ISA's Center for Workforce Health to market the completed program.