Preventing Alcohol/Prescribed Drug Misuse in the National Guard: Web and Peer BI

防止国民警卫队滥用酒精/处方药：Web 和 Peer BI

• 批准号: 9121342
• 负责人: Frederic C Blow
• 金额: $ 69万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-20 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9121342
• 关键词: Accidents; Address; Affect; Age; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Communities; Consumption; Data; Department of Defense; Drug Prescriptions; Drug usage; Early Intervention; Effectiveness; Electronics; Emerging Technologies; Enrollment; Ethnic Origin; Family; Frequencies; Gender; General Population; HIV; HIV risk; Health; Health Personnel; Individual; Injury; Internet; Intervention; Intervention Studies; Leadership; Literature; Mediation; Mediator of activation protein; Medical; Mental Health; Michigan; Military Personnel; Modeling; Motivation; Online Systems; Opioid; Outcome; Participant; Performance at work; Personal Satisfaction; Pharmaceutical Preparations; Plant Roots; Poaceae; Population; Preventive Intervention; Privacy; Process; Protocols documentation; Provider; Psyche structure; Psychological reinforcement; Psychotropic Drugs; Public Health; Race; Randomized; Randomized Controlled Trials; Readiness; Recording of previous events; Recruitment Activity; Research; Resources; Risk; Risk Behaviors; Safety; Self Efficacy; Services; Sexually Transmitted Diseases; Social support; Soldier; Subgroup; Suicide; Tablet Computer; Techniques; Technology; Testing; Translations; Veterans; Woman; adverse outcome; alcohol misuse; alcohol use disorder; base; brief intervention; combat; comparative efficacy; computerized; drinking; drug misuse; follow-up; hazardous drinking; high risk; improved outcome; intervention effect; longitudinal design; member; men; misuse of prescription only drugs; musculoskeletal injury; novel; opioid misuse; outreach; outreach program; peer; peer support; physical conditioning; prescription opioid; prevent; programs; reduced substance use; screening, brief intervention, referral, and treatment; sedative; sex; touchscreen; treatment as usual; treatment program; trial comparing; volunteer

DESCRIPTION (provided by applicant): Preventing alcohol and prescribed opioid/sedative misuse among military personnel including Reserve components, active duty soldiers, and Veterans is a national priority. The military is facing a crisis related to problematic alcohol and prescription drug use, particularly opioid and sedative misuse, and there is a critical need for effective prevention and early interventions. Service members with alcohol and/or opioid/sedative (AOS) misuse are at risk for poor outcomes such as injuries, reduced job performance, mental health problems, suicide, and HIV/other sexually transmitted infections. Although research in civilians indicates that Screening, Brief Intervention, and Referral to Treatment (SBIRT) approaches can reduce substance use and problems, these protocols have not been studied adequately in military personnel. This body of research also points to the need for strategies to reinforce gains in order to sustain Brief Intervention (BI) effects, but "booster" to these interventions have not been well-studied. Emerging technologies, such as Web-based delivery of interventions and boosters provide the opportunity to tailor SBIRT interventions and address geographical barriers for military personnel such as the Army National Guard (NG). In addition, peer-outreach interventions have high levels of acceptability in military communities. The BuddytoBuddy peer support program, to be enhanced to include AOS misuse in this study, been used successfully in NG units. The proposed study will screen ~ 4,300 unique individuals over a 30-month enrollment period as part of Soldier Readiness Processing in the Michigan Army NG to identify 750 participants age 18-60 with alcohol and/or prescribed opioid or sedative misuse. Screenings via touch-screen computer tablets will be used to recruit NG members with alcohol/prescribed opioid or sedative misuse in the prior 3 months. Participants will be randomized to one of three conditions: 1) Web-delivered alcohol/prescribed drug misuse brief intervention with Web booster sessions (W+W; n=250); 2) Web-delivered brief intervention with Peer-delivered booster sessions (W+P; n=250); or 3) Enhanced Usual Care (EUC; n=250). The aims of the study are to develop, refine and test tailored motivational BIs with varied continuing booster reinforcements (Web vs. Peer) and to conduct a randomized controlled trial comparing the efficacy of these BIs (W+W; W+P) to usual care on subsequent alcohol/drug consumption and consequences, including injury, mental and physical-health functioning, and HIV risk behaviors at 4-, 8-, and 12-months post-enrollment. Random assignment will be stratified by gender and alcohol vs. prescription opioid/sedative misuse. The proposed study will directly inform leadership and key stakeholders about the impact of state-of-the-art technology-based BIs, combined with Web boosters or peer outreach, in NG military personnel to combat the growing scope of alcohol/prescription drug problems among U.S. reserve component and active duty soldiers. If successful, the results of the study will enhance translation to the general population and could have a major public health impact.

描述（由申请人提供）：防止包括预备役人员、现役士兵和退伍军人在内的军事人员滥用酒精和处方阿片类药物/镇静剂是国家优先事项。军队正面临着一场与酗酒和