HELP-SEEKING AND RECOVERY PROCESSES IN PROBLEM DRINKERS

描述(由申请人提供)：本K02续期申请申请 第二届五年独立科学家奖(ISA)授予Jalie A.Tucker博士， 公共卫生硕士，以支持公众知识和技能的持续发展 与她在求助和康复方面的研究有关的健康 问题饮酒者的过程。最初的K02奖支持她完成比赛 卫生保健组织和政策硕士学位。第二个奖项将 支持获取与开发远程医疗相关的其他知识 对问题饮酒者的干预。她目前的研究旨在 了解为什么大多数问题饮酒者不寻求帮助，以及 他们会自己恢复的。一个较长期的目标是设计和评估 干预措施可能会吸引这一未经治疗的大多数人，而且更好 抓住支持决议的自然力量。候选人是PI 在R01奖上，涉及两项环境前瞻性研究 不同求助方式对问题饮酒者康复尝试的影响 经历。这项研究是以行为经济学分析为指导的 并正在调查影响康复的自然力量 通过不同的途径追寻，有利于 寻求帮助，以及干预措施如何与恢复进程相互作用。一 这项研究涉及一种创新的、计算机化的交互式语音应答 电话系统收集饮酒和环境的日常报告 最近戒酒的未经治疗的问题饮酒者的变量 辱骂地。这项研究将支持对自然环境的细粒度分析 并将提供一种适合于 针对酗酒者的远程医疗应用。如此低的门槛(和 潜在的较低成本)需要干预来增加多样性 和服务的可获得性，可以在整个过程中获得往往很长的 解决过程中，不需要就诊，但可以方便 在需要时可以访问它们。第二个K02奖将支持候选人的 获得迅速崛起的远程医疗保健专业知识 并将涵盖医疗通信、专家系统、远程医疗等主题 应用和伦理，以及针对饮酒和相关的量身定做的干预措施 高危行为。续签ISA将允许Tucker博士继续 她目前的研究参与和开发水平，将缓解 她摆脱了对短期支持机制的依赖。

DESCRIPTION (Provided by applicant): This K02 renewal application requests a second 5-year Independent Scientist Award (ISA) for Jalie A. Tucker, Ph.D., MPH, to support continued development of knowledge and skills in public health that are pertinent to her research on help-seeking and recovery processes in problem drinkers. The initial K02 award supported her completion of a MPH degree in health care organization and policy. A second award will support additional knowledge acquisition relevant to developing a telehealth intervention for problem drinkers. Her current research is aimed at understanding why most problem drinkers do not seek help and how a subset of them recover on their own. A longer term goal is to devise and evaluate interventions that may appeal to this untreated majority and that better capture the natural forces that support resolution. The candidate is the PI on an R01 award that involves two prospective studies of environmental influences on recovery attempts by problem drinkers with different help-seekng experiences. The research is guided by a behavioral economic analysis of alcohol abuse and is investigating the natural forces that influence recovery pursued through different pathways, the circumstances conducive to help-seeking, and how interventions interact with the recovery process. One study involves an innovative, computerized Interactive Voice Response telephone system to collect daily reports of drinking and environmental variables from untreated problem drinkers who recently stopped drinking abusively. The study will support a fine-grained analysis of the natural resolution process and will provide a measurement technology suitable for telehealth applications with problem drinkers. Such low threshold (and potentially less costly) interventions are needed to increase the diversity and accessibility of services, can be accessed throughout the often lengthy resolution process, and do not require clinic visits, but can facilitate access to them when needed. A second K02 award will support the candidate's acquisition of rapidly emerging, specialized knowledge about telehealth care and will cover topics in health communications, expert systems, telehealth applications and ethics, and tailored interventions for drinking and related high-risk behaviors. Renewal of the ISA would allow Dr. Tucker to continue her current level of research involvement and development and would relieve her from reliance on short term mechanisms of support.