Adaptive Support Environment for Alcohol Dependence

描述(由申请人提供)：酗酒是一种代价高昂且困难的疾病 社会问题和治疗方案往往不成功。一个始终如一的 文献中的发现是，改善治疗会产生更好的结果 留存。ASEAD(酒精依赖适应性支持环境)是一个 旨在提高治疗保留率的工具。它使用寻呼机向患者发送 提醒他们去预约治疗的信息，要涂抹他们 正在学习如何对待他们的日常生活，并从事行为 与干净清醒的生活方式相一致。我们的第一阶段研究证明 我们的干预在技术上是可行的，也得到了 患者发现寻呼机使用方便，对他们的治疗也有帮助。 第二阶段项目的目标将是使ASEAD成为一个 使用。因此，我们将(1)涉及药物和酒精治疗机构 (管理员和提供商)在寻呼系统的设计中，(2)设计 并实现足够灵活和健壮的软件来满足他们的需求， 以及(3)通过一项随机试验来测试这种干预措施，该试验旨在测量(A) 从治疗提供者和机构的角度看可用性和实用性 (B)与治疗相关的患者结局变量。

DESCRIPTION (provided by applicant): Alcoholism is a costly and difficult societal problem and treatment programs are often unsuccessful. One consistent finding in the literature is that better outcomes occur with improved treatment retention. ASEAD (Adaptive Support Environment for Alcohol Dependence) is a tool designed to improve treatment retention. It uses pagers to send patients messages that remind them to go to treatment appointments, to apply what they are learning in treatment to their daily life, and to engage in behaviors consistent with a clean and sober lifestyle. Our Phase I study demonstrated that our intervention was both technically feasible and positively received by patients, who found the pager both easy to use and helpful in their treatment. The goal of the Phase II project will be to make ASEAD a product that will be used. Therefore, we will (1) involve drug and alcohol treatment agencies (administrators and providers) in the design of the pager system, (2) design and implement software flexible and robust enough to accommodate their needs, and (3) test this intervention with a randomized trial designed to measure (a) usability and utility from the perspective of treatment providers and agencies (our ultimate customers) and (b) patient outcome variables related to treatment.