Internet Delivery of Worksite Substance Abuse Prevention

描述（由申请人提供）： 拟议项目的长远目标是开发一个电子化的（例如，光盘/互联网/DVD）培训方案，这将有助于提供具有成本效益的酒精或毒品（AOD）工作场所预防方案的方式，提供"专业知识的需求。"有一些以科学为基础的项目可以改善劳动力的健康和生产力，但管理人员既不熟悉这些项目，也不知道如何根据他们特定的工作地点来制定这些项目。拟议的培训将使行为健康专业人员-员工援助（EAP），人力资源和医疗保健经理-（1）诊断组织中的生产力和健康（包括药物滥用）;（2）选择和塑造预防干预措施，可能会减少行为健康问题。该网站将提供一系列直接或间接与AOD预防有关的干预措施（例如，压力管理）。在第一阶段，对一个原型网站程序进行了试点测试。人力资源专业人员，EAPS，和小企业主进行了采访，提供访问网站沿着的评价工具，后来参加焦点小组，提供详细的反馈意见的设计，可行性和潜在的有用性的培训。评估数据为充分开发一个基于互联网的方案提供了见解和建议，该方案旨在培训评估需求、选择干预措施和评估结果的专业人员-所有这些都与工作场所AOD预防有关。第二阶段建议在一个严格的随机现场实验中与小企业，人力资源人员，员工援助和医疗服务人员充分开发和测试该计划。第二阶段的具体目标如下：（1）全面发展一个以网络为基础的计划，以促进提供以证据为基础的工作场所药物滥用预防;（2）在随机实地测试中测试该计划（参与者将被随机分配到网站条件或对照条件，调查将评估四个阶段的有效性：反应、增加的知识、方案的实际利用情况和对工作场所的影响）;以及（3）根据实地测试结果修订方案，并准备供全国各地的雇主、人力资源提供者和其他健康促进提供者使用。

DESCRIPTION (provided by applicant): The long-term objective of the proposed project is to develop an electronically based (e.g., CD-ROM/Internet/ DVD) training program that will facilitate delivery of cost-effective alcohol or drug (AOD) workplace prevention programs in ways that afford "expertise on demand." Science-based programs are available that can improve work force health and productivity, but managers are neither familiar with these programs or know how to shape them to their particular work-site. The proposed training will enable behavioral health professionals--employee assistance (EAPs), human resource, and health care managers--to (1) diagnose productivity and health (including substance abuse) in the organization; and (2) select and shape prevention interventions likely to reduce behavioral health problems. The website will provide access to a range of interventions that directly or indirectly link to AOD prevention (e.g., stress management). A prototype website program was pilot-tested in Phase I. Human resource professionals, EAPS, and small business owners were interviewed, provided access to the website along with evaluation instruments, and later attended focus groups which provided detailed feedback on the design, feasibility, and potential usefulness of the training. Evaluation data provided insights and suggestions for full development of an Internet-based program designed to train professionals in assessing needs, selecting interventions, and evaluating results--all related to workplace AOD prevention. Phase II proposes to fully develop and test the program in a rigorous randomized field experiment with small businesses, HR personnel, employee assistance, and health service personnel. Specific objectives for Phase II are as follows: (1) To fully develop a web-based program that will promote the delivery of evidence-based workplace substance abuse prevention; (2) To test the program in a randomized field-test (participants will be randomly assigned to the website condition or a control condition and a survey will assess four stages of effectiveness: reactions, increased knowledge, actual utilization of programs and impact on the workplace); and (3) To revise the program based on the field test results and prepare for use by employers, human resource providers and other health promotion providers throughout the country.