Web-Based Training for EAP Alcohol Screening, Brief Intervention, and Referral

描述(申请人提供)：过度饮酒是一个公共健康问题，每年导致大约85,000人死亡，每年给美国经济造成1850亿美元的损失。由于绝大多数(79%)的酒精障碍成年人都有工作，而员工援助计划(EAP)是75%的美国企业的资源，因此EAP在解决这一公共卫生问题方面具有独特的地位。不幸的是，EAP目前识别和治疗的有酒精使用问题的工人很少。在过去的8年里，这项提案的两名联合调查员试图通过促进EAP简要干预小组(BIG)的创建来改变这种情况。这一重大倡议汇集了主要的EAP公司领导人、EAP临床专业协会和其他人，明确的目的是在适当的情况下进行酒精筛查、简短干预和转介治疗(SBIRT)，这是整个EAP行业的常规做法。有大量的研究表明酒精SBIRT的有效性和成本效益。通过与我们的EAP供应商和临床专业协会的合作，我们提议开发和评估一个基于交互多媒体(IMM)能力的酒精使用问题培训计划，该计划是为EAP从业者设计的。该计划将被设计为一个独立的基于网络的培训计划。拟议的计划将调整来自国家酒精滥用和酒精中毒研究所的循证材料，以具体解决与工作场所相关的EAP实践环境和相关临床专业人员的环境。当第二阶段完成后，完整的计划将包括两个子计划。一个将专注于培训呼叫中心从业者，另一个将培训面对面的临床医生。每个子方案将有12个培训模块。第一阶段将开发和评估呼叫中心应用程序的筛选和简短干预，并将包括12个模块中的5个。两个子计划的其余模块将在第二阶段完成。第一阶段原型计划将在受试者内的前后测试设计(N=40)中进行评估。由于我们的大计划合作伙伴看到了对该产品的迫切需求，并致力于在其EAP和盟军组织中实施该产品，因此市场显然已经到位，以确保该产品的商业成功。 与公共健康相关：过度饮酒是一个重大的公共健康问题，每年给美国经济造成1850亿美元的损失。员工援助计划(EAP)通过筛查员工是否有问题饮酒并提供简短的干预措施，独特地解决了这一公共卫生问题。该项目将为EAP从业者开发和评估基于互动式多媒体能力的培训计划，以提供对客户使用问题酒精的常规筛查，并在适当的情况下提供简短的干预或转介。

DESCRIPTION (provided by applicant): Excessive alcohol consumption is a public health concern that causes approximately 85,000 deaths each year and costs the U.S. economy $185 billion annually. Because the large majority (79%) of adults with alcohol disorders are employed and Employee Assistance Programs (EAPs) are resources in 75% of U.S. businesses, EAPs are uniquely positioned to address this public health concern. Unfortunately, EAPs currently identify and treat very few workers who have alcohol use problems. Over the last 8 years, two of the Co-Investigators on this proposal have sought to change this by facilitating the creation of the EAP Brief Intervention Group (BIG) Initiative. The BIG initiative brings together the major EAP corporate leaders, the EAP clinical professional associations, and others, for the express purpose of making alcohol screening, brief intervention, and referral to treatment (SBIRT), when appropriate, the routine practice across the EAP industry. There is an extensive body of research that demonstrates the effectiveness and cost-effectiveness of alcohol SBIRT. In collaboration with our BIG initiative EAP vendors and clinical professional associations, we propose to develop and evaluate an interactive multimedia (IMM) competency-based training program about alcohol use problems that is designed for EAP practitioners. The program will be designed for application as a stand-alone web-based training program. The proposed program will adapt the evidence-based material from the National Institute on Alcohol Abuse and Alcoholism to specifically address the worksite-related EAP practice environment and that of allied clinical professionals. When completed after Phase 2, the full program will include two sub-programs. One will focus on training call-center practitioners and the other will train face-to- face clinicians. Each sub-program will have 12 training modules. Phase 1 will develop and evaluate a screening and brief intervention for call-center application and will include 5 of the 12 modules. The remaining modules of both sub-programs will be completed in Phase 2. The Phase 1 prototype program will be evaluated in a pretest-to-post test within-subject design (N = 40). Because our BIG initiative partners see the critical need for this product and are committed to implementing it in their EAPs and allied organizations, the market to ensure the commercial success of this product is clearly in place. PUBLIC HEALTH RELEVANCE: Excessive alcohol consumption is a significant public health concern that costs the U.S. economy $185 billion annually. Employee Assistance Programs (EAPs) are uniquely positioned to address this public health concern through the screening of employees for problem alcohol use and the delivery of a brief intervention. This project will develop and evaluate an interactive multimedia competency-based training program for EAP practitioners to deliver routine screening of clients for problem alcohol use and the provision of a brief intervention or referral, when appropriate.