BRIEF ALCOHOL INTERVENTION USING SOCIAL NETWORK SUPPORT

相当大比例的成年人酗酒，因此面临各种问题的风险，如机动车事故、伤害、医疗疾病、工作困难和家庭功能障碍。在过去的二十年里，短暂的干预在减少酗酒方面被证明是有希望的。此R21应用程序的目的是探索增强简短干预的有效性的方法。酒精中毒治疗的最新发展强调了利用酗酒者的社会网络来提高饮酒结果的首要地位。然而，很少有研究研究让配偶/重要的另一半参与对酗酒者进行的短暂的基于动机的干预可能会改善问题饮酒结果。这一治疗结果研究方案的长期目标是加强对成年重度饮酒者的短暂干预。这项治疗发展建议的具体目标是：1)制定一份治疗手册，用于进行简短的配偶/重要其他相关动机访谈(SIMI)；2)在初级保健环境中对10名患者进行试点测试和完善治疗手册；以及3)收集通过比较SIMI和评估控制(AC)条件下的受试者在3个月时酒精使用和酒精相关负面后果的评估。我们建议补充动机访谈，这是一种简短的干预措施，在减少酗酒方面取得了成功，包括配偶/重要的另一半，作为利用社会支持对饮酒结果的潜在影响的一种方式。在大量饮酒的成年人中加强基于短暂动机的干预措施的有效性，为规避这一人群中慢性酒精问题的发展和与酒精有关的负面后果提供了一种手段。

A significant proportion of adults drink heavily and consequently are at risk for a variety of problems such as motor vehicle accidents, injuries, medical illnesses, work difficulties, and family dysfunction. In the past two decades, brief interventions have proven to be promising in reducing heavy drinking. The objective of this R21 application is to investigate ways of augmenting the effectiveness of brief interventions. Recent developments in treatments for alcoholism underscore the primacy of utilizing the social networks of heavy drinkers for enhancing drinking outcomes. However, few studies have examined the likelihood that involving the spouse/significant other in a brief motivation-based intervention with an individual heavy drinker may improve problem drinking outcomes. The long-term objective of this programmatic body of treatment outcome research is to enhance brief interventions for adult heavy drinkers. The specific aims of this treatment development proposal are to: 1) develop a treatment manual for conducting a brief Spouse/Significant Other Involved Motivational Interview (SIMI); 2) pilot test and refine the treatment manual on 10 patients in a primary care setting; and 3) collect assessed by comparing subjects in the SIMI and Assessment Control (AC) conditions on alcohol use and alcohol-related negative consequences at 3-months. We propose to supplement Motivational Interviewing, a brief intervention with demonstrated success in reducing heavy drinking, by including a spouse/significant other as a way of capitalizing on the potential effect of social support on drinking outcomes. Enhancing the efficacy of brief motivation-based interventions with heavy drinking adults provides a means to circumvent the development of chronic alcohol problems and alcohol-related negative consequences among this population.