Electronic Alcohol Screening and Intervention in Work Settings

描述（由申请人提供）：综合筛查、短暂干预和转诊治疗（SBIRT）是解决酒精滥用及其后果、改善公众健康的一种简单有效的策略。这个项目的长期目标是减少工作人员滥用酒精的现象，办法是在工作场所更多地提供未得到充分利用的SBIRT。该项目将为工作场所开发一个基于互联网和移动设备的SBIRT项目。该项目将包括酒精使用障碍识别测试（AUDIT）的筛选，量身定制的反馈和信息，以及一个学习游戏。它将使用现有的员工健康评估调查进行预筛查并接触到工人，并将支持转介到员工援助计划（EAP）和其他支持性服务，在健康评估和EAP之间建立通常不存在的联系。快速通道SBIR项目有四个具体目标：(1)在第一阶段，开发一个可行的基于互联网的程序原型和游戏的完整设计；(2)在第二阶段，与我们的健康促进和软件开发伙伴合作，构建基于互联网的程序和游戏；(3)在随机试验中评估项目结果（N = 250名员工）；(4)评估员工对项目的使用情况，在被分配接受项目的员工中，评估他们使用筛选和简短干预材料或玩学习游戏的次数。第一阶段项目计划里程碑包括(1)充分的原型开发以评估概念证明，(2)试点测试程序，以及(3)根据测试确定第一阶段生产的原型修订。试点测试将评估测试者对酒精相关信息的自我认知学习，以及他们对原型程序及其组成部分的满意度。在进行编程、测试和部署之前，从阶段1反馈中获得的经验教训将包含在程序设计中。一旦程序完成，随机对照试验将酒精消费量，酒精在工作中的问题，生产力，态度

DESCRIPTION (provided by applicant): Integrated screening, brief intervention, and referral to treatment (SBIRT) make a simple and effective strategy to address alcohol misuse and its consequences, improving public health. The long-term objective of this project is to reduce alcohol misuse among the workforce, by making SBIRT more available in the workplace, where it has been underutilized. The project will develop an Internet- and mobile device-based SBIRT program for the workplace. The program will include screening with the Alcohol Use Disorders Identification Test (AUDIT), tailored feedback and information, and a learning game. It will use existing employee health assessment surveys for pre-screening and to reach workers, and will support referral to Employee Assistance Programs (EAP) and other supportive services, creating a connection between heath assessments and the EAP that does not typically exist. The Fast-Track SBIR project has four specific aims: (1) In Phase I, develop a feasible prototype of the Internet-based program and a full design of the game; (2) In Phase II, build the Internet-based program and game in collaboration with our health promotion and software development partners; (3) Evaluate program outcomes in a randomized trial (N = 250 employees); (4) Evaluate employees' use of the program, among those assigned to receive it, assessing how many times they use the screening and brief intervention materials or play the learning game. Phase I project plan milestones include (1) sufficient prototype development for evaluation of proof of concept, (2) pilot testing the program, and (3) identifying prototype revisions for Phase I production based on the testing. The pilot test will assess testers' self-perceived learning of alcohol-related information and their satisfaction with prototype program and its components. Lessons learned from Phase I feedback will be included in program design, before moving on to programming, testing, and deployment. Once the program is complete, the randomized controlled trial will alcohol consumption, alcohol problems at work, productivity, attitudes toward seeking help, and use of services. Our primary hypothesis is that program users will consume less alcohol at 4-month follow-up compared to non- users.