A moderation training web app. for problem drinkers

描述（由申请人提供）：该项目的目标是开发、评估和传播一个互联网（web）应用程序，向自助组织“适度管理”（MM）的成员及其网站的访问者传授适度饮酒技巧。该应用程序将被称为适度饮酒（MD）。MM （www.moderation.org）将自己描述为一个可以帮助有问题或酗酒者的组织，而不是酗酒者。它通过制定一项行为改变计划来实现这一使命，该计划的目标是适度和无问题饮酒。MM通过列表服务、面对面会议和描述行为改变要素和MM项目的书面材料提供了一个在线互助社区。MM行为改变的核心要素与行为自我控制训练（BSCT）相似，这是一种具有较强实证支持的调节导向干预。MM还有一些通常不包括在BSCT协议中的附加元素，包括详细考虑将戒酒作为目标，在尝试适度饮酒之前进行30天的自我监控，控制冲动和渴望，如果节制不成功就继续戒酒，以及更详细的复发预防组件。作为一个以经验为导向的自助组织，MM有兴趣与研究人员合作，了解他们努力的影响，并提高他们为问题饮酒者提供帮助的有效性。开发、评估和传播适度饮酒网络应用程序可以帮助更多的MM成员成功实现无问题、适度饮酒的目标。第一阶段的目标是开发一个有限的原型web应用程序，并与已建立的MM成员进行试点研究，以评估其技术优点和可行性。一个由MM专业顾问组成的小组也会对原型进行评估。二期目标包括完成申请、试点测试和对照临床试验，随访12个月以评估有效性。

DESCRIPTION (provided by applicant): The goals of this project are to develop, evaluate, and disseminate an Internet (web) application that teaches moderate drinking skills to members of the self-help organization, Moderation Management (MM) and to visitors to their web site. The application will be called Moderate Drinking (MD). MM (www.moderation.org) describes itself as an organization that can be helpful for problem or heavy drinkers but not alcoholics. It pursues this mission by specifying a program of behavioral change with a goal of moderate and non-problematic drinking. MM offers an online mutual-help community via a listserv, face-to-face meetings, and written materials describing the elements of behavioral change and the MM program. The core elements of behavioral change in MM are similar to those of behavioral self-control training (BSCT), a moderation oriented intervention with strong empirical support. MM has additional elements not usually included in BSCT protocols including a detailed consideration of abstinence as a goal, a 30 day period of abstinence with self-monitoring prior to attempting moderate drinking, management of urges and cravings, segues to abstinence if moderation is not successful, and a more detailed relapse prevention component. A self-help organization with an empirical orientation, MM is interested in working with researchers to understand the impact of their efforts and to improve the effectiveness of the help they offer problem drinkers. Developing, evaluating, and disseminating a Moderate Drinking web application could help more members of MM be successful with a goal of non-problematic, moderate drinking. The goals of Phase I are to develop a limited prototype web application and conduct a pilot study with established MM members to evaluate its technical merit and feasibility. A panel of MM professional advisors also will evaluate the prototype. Phase II goals include the completion of the application, pilot testing, and a controlled clinical trial with a 12 month follow-up to assess effectiveness.