A Computer-based Intervention for Women with Substance Use and IPV in the ED

简介（由申请人提供）：Esther K. Choo博士是布朗大学Warren Alpert医学院急诊医学系助理教授。她的长期目标是成为一名独立的研究者，专注于为患有药物使用障碍的高风险女性开发有效的干预措施。周博士建议的总体目标是使用基于计算机的干预措施B-SAFER（急诊室女性药物使用和伴侣虐待的简短干预措施）来针对药物使用和亲密伴侣暴力（IPV）共同发生的问题。K23指导患者导向职业发展奖提案与NIDA的使命保持一致，具有通过干预措施显着改善药物滥用治疗的巨大潜力，可以迅速有效地传播到其他急诊科（ed）和其他临床环境。药物使用与IPV有密切的双向关系，共存的疾病使妇女处于精神和身体健康结果不佳的高风险中。急诊科为这一人群提供了一个很好的干预机会，因为共存的问题非常普遍，而适当的评估、干预和转诊并不是常规的。此外，环境署没有资源以综合方式处理药物使用和IPV的相关问题。作为一种基于计算机的干预手段，B-SAFER作为一种可行和可接受的ED资源具有很大的潜力。该研究项目分为两个阶段。开发阶段将使用焦点小组来告知和完善基于计算机的干预措施的开发，并将以小型公开试验结束。测试阶段将是在一个高容量的城市ED中进行干预的试点随机对照试验，检查物质使用和关系安全资源利用的主要结果。在完成这项研究和相关的培训活动后，朱博士计划获得必要的技能、知识和经验，成为研究以技术为基础的药物使用妇女干预措施的国家领导者。她的目标是获得以下技能：1)使用定性卫生研究方法为干预措施的制定提供信息；2)开发和测试药物使用和IPV的计算机干预措施；3)开展药物使用和IPV干预的临床试验；4)纵向数据分析；5)解决与使用计算机干预药物使用和受害个人研究相关的伦理问题。

DESCRIPTION (provided by applicant): Dr. Esther K. Choo is Assistant Professor in the Department of Emergency Medicine at Warren Alpert Medical School of Brown University. Her long-term goal is to become an independent investigator with a focus on developing effective interventions for high-risk women with substance use disorders. The overall aim of Dr. Choo's proposal is to target co-occurring problems of substance use and intimate partner violence (IPV) using a computer-based intervention, B-SAFER (Brief intervention for Substance use and partner Abuse for Females in the Emergency Room). This K23 Mentored Patient-Oriented Career Development Award proposal is in keeping with NIDA's mission, with great potential to significantly improve treatment of drug abuse through an intervention that could be rapidly and effectively disseminated to other emergency departments (EDs) and to other clinical settings. Substance use and IPV have a close, bidirectional relationship, and the coexisting disorders place women at high risk for poor mental and physical health outcomes. The ED presents a great opportunity to intervene in this population, as coexisting problems are highly prevalent, while adequate assessment, intervention and referrals are not routinely available. Further, no resource is available in the ED to address related problems of substance use and IPV in an integrated manner. As a computer-based intervention, B-SAFER has great potential as a feasible and acceptable ED resource. The research project has two phases. The Development Phase will use focus groups to inform and refine the development of the computer-based intervention, and will conclude with a small open trial. The Testing Phase will be a pilot RCT of the intervention in a high-volume urban ED, examining primary outcomes of substance use and utilization of relationship safety resources. In completing this research and associated training activities, Dr. Choo plans to gain the skills, knowledge and experience needed to become a national leader in research on technology-based interventions for women with substance use. Her goals are to gain skills in: 1) using qualitative health research methodology to inform the development of interventions; 2) developing and testing computerized interventions for substance use and IPV; 3) conducting clinical trials of substance use and IPV interventions; 4) analyzing longitudinal data; and 5) addressing the ethical issues related to research using computerized interventions for individuals with substance use and victimization.