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酒精和其他药物(AOD)滥用的风险。一年一度的全国性调查继续显示，员工滥用AOD及其对健康和生产力的影响存在问题。为了应对这一挑战，拟议的项目将开发一种电子预防计划，该计划具有持续扩散到工作环境的能力。它将基于为课堂使用而设计的循证计划(团队意识)，并将基于互联网的教育和社会互动中的最新技术创新纳入其中。与课堂培训相比，这种电子项目可以接触到更多的工人，并提供他们可以回来参考和再培训的材料。这个Fast Track应用程序有四个具体目标：(1)开发一个有吸引力的、动态的、支持与互联网和手机技术的社交互动的原型电子程序(称为TeamUpnow)；(2)利用专家评审的反馈和原型的试点测试来构建该程序；(3)在来自三个不同组织的48个工作部门中进行为期6个月的随机试验，测试TeamUpnow的有效性；这项对照研究将评估AOD使用、工作场所饮酒环境、求助态度和员工援助服务利用的变化；以及(4)评估接受该程序的员工对该计划的使用情况。为了吸引员工，该项目将在五个不同的领域进行一系列高度互动的模拟，以传达健康信息：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通过测验和学习游戏得到加强，学习游戏可以在三种模式下进行(单人游戏、团队游戏和团队比赛)。测验和游戏也允许用户赚取奖励。第一阶段将开发一个程序原型并进行试点测试，以确保可用性和功能符合预期(目标1)。要达到的三个关键里程碑是(1)用于评估概念验证的原型开发，(2)试点测试，以及(3)确定第二阶段生产的原型修订。第二阶段评估包括一项整群随机试验，其中将随机分配接受(k=24)或不接受(k=24)TeamUpnow的小组。第二阶段的评估包括估计有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(包括手机界面)使该计划具有特别强的潜力，可以接触到年轻的在职成年人，他们是AOD滥用的最大风险。 与公共健康相关：尽管工作场所预防方案和政策最近取得了进展，但成年雇员酗酒和滥用其他药物仍然是雇主和社会的一个问题。拟议的项目与公共健康相关，旨在减少对工人AOD的滥用和鼓励寻求帮助。它将利用现有的有效的课堂AOD预防计划，并将其重新开发为基于互联网和手机的学习工具和面向团队的游戏，以吸引广泛的员工群体。该计划还将直接链接到员工帮助资源(例如，辅导员)，因此用户将能够接受帮助并向同行建议，就像最初的课堂设计一样。

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.