Web and Phone-Based Team Wellness for Alcohol and Drug Prevention in Work Setting

描述（由申请人提供）：该项目的长期目标是降低工人、工作组和工作环境中酗酒和滥用其他药物（AOD）的风险。年度全国调查继续显示出雇员滥用精神分裂症的问题及其对健康和生产力的影响。为了应对这一挑战，拟议的项目将开发一个具有持续扩散到工作环境的能力的电子预防程序。它将基于一个为课堂使用而设计的循证项目（团队意识），并结合基于互联网的教育和社会互动的最新技术创新。与课堂培训相比，这种电子课程可以让更多的工人受益，并为他们提供可以参考和再培训的材料。这个快速通道应用程序有四个具体目标：(1)开发一个原型电子程序（称为TeamUpnow），它是有吸引力的，动态的，并支持与互联网和手机技术的社会互动；(2)根据专家评审和样机试车的反馈，构建程序；(3)对来自三个不同组织的48个工作部门进行为期6个月的随机试验，测试TeamUpnow的有效性；本对照研究将评估AOD使用、工作场所饮酒气候、求助态度和员工援助服务利用的变化；(4)评估接受该计划的工人对该计划的使用情况。为了吸引员工，该项目将在五个不同领域通过一系列高度互动的模拟传递健康信息：宽容、应对技能、人际关系、健康以及给予和获得帮助。这个学习中心的信息是通过测验和学习游戏来加强的，游戏有三种模式（单人游戏、团队游戏和团队比赛）。测验和游戏玩法也允许用户获得奖励。第一阶段将开发一个程序原型，并对其进行试点测试，以确保可用性和功能符合预期（目标1）。需要满足的三个关键里程碑是(1)用于评估概念证明的原型开发，(2)试点测试，以及(3)确定第二阶段生产的原型修订。II期评估包括一个集群随机试验，其中各组将被随机分配接受（k=24）或不接受（k=24） TeamUpnow。第二阶段评估涉及384名工人完成岗前调查。该项目涉及员工协助（EAP）服务和在线营销软件设计领域的战略合作伙伴。TeamUpnow的在线、社交和游戏方面（包括一个手机界面）使该项目特别有潜力接触到最有可能患上AOD的年轻工作成年人。

DESCRIPTION (provided by applicant): The long-term objective of this project is to reduce risks for alcohol and other drug (AOD) abuse in workers, work groups, and work settings. Annual national surveys continue to show problems with employee AOD abuse and its impact on health and productivity. To address this challenge, the proposed project will develop an electronic prevention program that has the capacity for sustained diffusion into the work environment. It will be based on an evidence-based program (Team Awareness) designed for classroom use, and incorporate recent technological innovations in Internet- based education and social interaction. An electronic program of this sort can reach more workers than classroom training, and provide materials they can come back to for reference and retraining. This Fast Track application has four specific aims: (1) develop a prototype electronic program (called TeamUpnow) that is attractive, dynamic, and supports social interaction with both Internet and cell-phone technology; (2) build the program, using feedback from an expert review and pilot-test of the prototype; (3) test the effectiveness of TeamUpnow in a six-month randomized trial with 48 work departments, drawn from three distinct organizations; this controlled study will assess changes in AOD use, workplace drinking climate, help-seeking attitudes, and utilization of employee assistance services; and (4) evaluate use of the program among workers who receive it. To appeal to workers, the program will couch health messages in a series of highly interactive simulations in five different areas: tolerance, coping skills, relationships, wellness, and giving and getting help. Information in this learning center is reinforced through quizzes and a learning game that can be played in three modes (solo play, with a team, and in team competition). Quizzes and game play also allow users to earn incentives. Phase I will develop a program prototype and pilot test it to ensure usability and functionality are as expected (Aim 1). Three key milestones to be met are (1) prototype development for evaluation of proof of concept, (2) pilot testing, and (3) identifying prototype revisions for Phase II production. Phase II evaluation involves a cluster randomized trial wherein groups will be randomly assigned to receive (k=24) or not receive (k=24) TeamUpnow. Phase II evaluation involves an estimate of 384 workers completing pre-post surveys. The project involves strategic partners in the field of employee assistance (EAP) services and software design for online marketing. The online, social, and game play aspects of TeamUpnow (including a cell-phone interface) give the program especially strong potential to reach young working adults who are at greatest risk for AOD abuse. PUBLIC HEALTH RELEVANCE: Adult employee alcohol and other drug (AOD) abuse have continued to be a problem for employers and society despite recent developments in workplace prevention programming and policies. The proposed project is relevant to public health in aiming to reduce worker AOD abuse and encourage help-seeking. It will take an existing and effective classroom AOD prevention program and re-develop it as an Internet- and cell-phone based learning tool and team-oriented game to appeal to a wide group of workers. The program will also link directly to employee assistance resources (e.g., counselors) so users will be able to both receive and suggest help to peers, as in the original classroom design.