ALCOHOL RELAPSE PREVENTION VIA PROSPECTIVE IVR FOLLOW-UP

通过前瞻性 IVR 随访预防酗酒

• 批准号: 6356371
• 负责人: JAMES C. MUNDT
• 金额: $ 10.59万
• 依托单位: HEALTHCARE TECHNOLOGY SYSTEMS, LLC
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2002-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6356371
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse prevention; alcoholism /alcohol abuse therapy; computer assisted patient care; computer program /software; computer system design /evaluation; human subject; interactive multimedia; patient monitoring device; personal log /diary; relapse /recurrence; self care

An innovative interactive voice response (IVR) system is proposed, integrating computerized self-monitoring of drinking and automated cognitive-behavorial coping skills training with follow-up aftercare of patients discharged from alcoholism treatment. Personal diaries of drinking and drinking-related urges are widely advocated for motivating and encouraging the reduction of alcohol consumption, and computer- automated telephone outreach programs for needs assessment and treatment have been developed and shown effective and cost efficient in other areas of health care. IVR monitoring of daily drinking has been identified as an important new technique needing further refinement and development as both a research and clinical tool (Sobell & Sobell, 1995). IVR data collection procedures and patient feedback mechanisms (encouragement of success, prevention of "slips" from initiating complete relapse) can promote and build upon treatment success. Proactive support mechanisms, such as counselor-initiated follow-up, can minimize the impact of problems that would not otherwise be detected. This research will evaluate these techniques for reducing relapse following discharge and for detecting relapse following onset, thereby facilitating more immediate, less intensive, and more effective intervention. A relapse prevention program demonstrating efficacy and cost efficiency, relative to the recurrent costs of retreatment, would be attractive to both insurers and treatment providers. IVR technology offers the opportunity for long-term, frequent interaction with recovering alcoholics in a cost-efficient fashion that could trade-off pennies for prevention against dollars for more intensive, less effective intervention subsequently. PROPOSED COMMERCIAL APPLICATIONS: Billions of dollars are spent annually treating alcoholism and alcohol- related problems. The basic idea of this proposal is that recovering alcoholics given toll-free access to interactive voice response monitoring could effectively be assisted in establishing and maintaining treatment goals with cost-efficiencies that would make the purchase of this service attractive to treatment providers. IVR technology offers the opportunity to provide long-term, individualized, frequent contacts with recovering alcoholics in a cost-efficient fashion that could trade-off pennies spent on prevention against dollars saved on subsequent, more intensive intervention.

提出了一种创新的交互式语音应答（IVR）系统，将计算机化的饮酒自我监控和自动认知行为应对技能培训与戒酒治疗患者的后续善后护理结合起来。广泛提倡记录饮酒和与饮酒相关的冲动的个人日记，以激励和鼓励减少饮酒，并且已经开发了用于需求评估和治疗的计算机自动电话外展计划，并在其他医疗保健领域显示出有效和成本效益。日常饮酒的 IVR 监测已被认为是一项重要的新技术，需要进一步完善和开发作为研究和临床工具（Sobell & Sobell，1995）。 IVR 数据收集程序和患者反馈机制（鼓励成功，防止“失误”引发完全复发）可以促进和巩固治疗成功。积极主动的支持机制，例如顾问发起的后续行动，可以最大限度地减少原本无法发现的问题的影响。这项研究将评估这些技术，以减少出院后的复发和检测发病后的复发，从而促进更直接、更少强度和更有效的干预。相对于再治疗的经常性成本，展示功效和成本效率的复发预防计划将对保险公司和治疗提供者都有吸引力。 IVR 技术提供了以一种具有成本效益的方式与戒酒者进行长期、频繁互动的机会，可以用少量的预防措施与随后进行更密集、效率较低的干预的美元进行权衡。拟议的商业应用：每年花费数十亿美元来治疗酗酒和酒精相关问题。该提案的基本思想是，通过免费电话获得交互式语音应答监控，可以有效地帮助戒酒者建立和维持治疗目标，并具有成本效益，这将使购买这项服务对治疗提供者有吸引力。 IVR 技术提供了以具有成本效益的方式与戒酒者进行长期、个性化、频繁接触的机会，可以权衡花在预防上的钱和随后更深入的干预措施节省的钱。