ALCOHOL RELAPSE PREVENTION VIA PROSPECTIVE IVR FOLLOW-UP

提出了一种创新的交互式语音应答(IVR)系统，将饮酒的计算机化自我监控和自动化认知行为应对技能培训与戒酒患者出院后的后续护理相结合。关于饮酒和与饮酒有关的冲动的个人日记被广泛提倡，以激励和鼓励减少饮酒，并开发了用于需求评估和治疗的计算机自动电话外联方案，并在其他保健领域显示出有效性和成本效益。日常饮酒的IVR监测已被确定为一项重要的新技术，无论是作为研究还是临床工具，都需要进一步完善和发展(Sobell&Sobell，1995)。IVR数据收集程序和患者反馈机制(鼓励治疗成功，防止“失误”引发完全复发)可以促进治疗成功并在此基础上进一步发展。积极主动的支持机制，如辅导员发起的后续行动，可以最大限度地减少否则不会被发现的问题的影响。这项研究将评估这些减少出院后复发和检测发病后复发的技术，从而促进更直接、更少强度和更有效的干预。相对于再治疗的经常性成本，一个证明疗效和成本效益的复发预防计划将对保险公司和治疗提供者都有吸引力。IVR技术提供了以经济高效的方式与戒酒患者进行长期、频繁互动的机会，可以权衡以便士换取预防，以及随后进行更密集、效率较低的干预。拟议的商业应用：每年花费数十亿美元治疗酒精中毒和与酒精相关的问题。这项提议的基本思想是，如果免费获得交互式语音应答监测，就可以有效地协助戒酒人员建立和维持具有成本效益的治疗目标，从而使购买这项服务对治疗提供者具有吸引力。IVR技术提供了机会，以经济高效的方式与正在康复的酗酒者进行长期的、个性化的、频繁的联系，可以权衡在预防方面花费的几分钱与随后更密集的干预所节省的资金。

An innovative interactive voice response (IVR) system is proposed, integrating computerized self-monitoring of drinking and automated cognitive-behavorial coping skills training with follow-up aftercare of patients discharged from alcoholism treatment. Personal diaries of drinking and drinking-related urges are widely advocated for motivating and encouraging the reduction of alcohol consumption, and computer- automated telephone outreach programs for needs assessment and treatment have been developed and shown effective and cost efficient in other areas of health care. IVR monitoring of daily drinking has been identified as an important new technique needing further refinement and development as both a research and clinical tool (Sobell & Sobell, 1995). IVR data collection procedures and patient feedback mechanisms (encouragement of success, prevention of "slips" from initiating complete relapse) can promote and build upon treatment success. Proactive support mechanisms, such as counselor-initiated follow-up, can minimize the impact of problems that would not otherwise be detected. This research will evaluate these techniques for reducing relapse following discharge and for detecting relapse following onset, thereby facilitating more immediate, less intensive, and more effective intervention. A relapse prevention program demonstrating efficacy and cost efficiency, relative to the recurrent costs of retreatment, would be attractive to both insurers and treatment providers. IVR technology offers the opportunity for long-term, frequent interaction with recovering alcoholics in a cost-efficient fashion that could trade-off pennies for prevention against dollars for more intensive, less effective intervention subsequently. PROPOSED COMMERCIAL APPLICATIONS: Billions of dollars are spent annually treating alcoholism and alcohol- related problems. The basic idea of this proposal is that recovering alcoholics given toll-free access to interactive voice response monitoring could effectively be assisted in establishing and maintaining treatment goals with cost-efficiencies that would make the purchase of this service attractive to treatment providers. IVR technology offers the opportunity to provide long-term, individualized, frequent contacts with recovering alcoholics in a cost-efficient fashion that could trade-off pennies spent on prevention against dollars saved on subsequent, more intensive intervention.