COMPUTER ALGORITHMS FOR ALCOHOL DISORDERS IN THE ELDERLY

针对老年人酒精障碍的计算机算法

• 批准号: 6212801
• 负责人: Arlene Fink
• 金额: $ 40.46万
• 依托单位: ARLENE FINK ASSOCIATES
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-05-01 至 2002-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6212801
• 关键词: alcoholism /alcohol abuse; biomedical automation; clinical research; computer assisted diagnosis; computer program /software; computer system design /evaluation; diagnosis design /evaluation; diagnostic tests; disease /disorder proneness /risk; geriatrics; health surveys; human old age (65+); human subject; pathologic process; questionnaires

This study is a randomized trial of the effectiveness and feasibility of the Computerized Alcohol-Related Problems System (CARPS), a self- administered screen to detect and report on non-hazardous, hazardous and harmful alcohol use in older adults. The CARPS consists of a scannable version of a reliable alcohol screen, a personalized Report of each patient's drinking classification, individualized alcohol education, and the capacity to store responses in a relational database. The CARPS was developed because of the paucity of effective and usable screens for older adults. In the elderly, one or two daily drinks may worsen common medical problems (e.g., depression) because of age-related changes and interactions between alcohol, medication-use and diminishing functional status. About 40% may be at risk; hospitalization rates for alcohol problems equal those for myocardial infarction. In this study, experimental primary care patients at a community practice will be randomly assigned to one of two experimental groups or a control. In Group 1, patients alone receive a Report; in Group 2, patients and physicians both receive Reports. The control group receives usual care. Effectiveness us evaluated by examining improvements in knowledge and self-efficacy and reductions in alcohol-related risks and health services utilization. Feasibility is evaluated by unobtrusive observations. PROPOSED COMMERCIAL APPLICATIONS: The CARPS can be used in all health settings to efficiently screen for and diagnose alcohol use disorders in the elderly. This includes physicians' offices and medical clinics, senior centers, and continuing care communities. Managed care organizations and health insurers are particularly concerned with efficient methods of detecting and preventing risks for health problems and will find the product beneficial, especially because no other product like it is available. The CARPS is user friendly. It can be used in quality improvement activities and research as well as in clinical care.

本研究是一项针对计算机酒精相关问题系统 (CARPS) 有效性和可行性的随机试验，该系统是一种自我管理屏幕，用于检测和报告老年人无害、有害和有害的饮酒情况。 CARPS 包括可靠酒精筛查的可扫描版本、每位患者饮酒分类的个性化报告、个性化酒精教育以及在关系数据库中存储响应的能力。 CARPS 的开发是因为缺乏针对老年人的有效且可用的屏幕。对于老年人来说，由于年龄相关的变化以及酒精、药物使用和功能状态下降之间的相互作用，每天饮酒一两次可能会恶化常见的医疗问题（例如抑郁症）。大约 40% 可能面临风险；因酗酒而住院的比率与因心肌梗塞而住院的比率相同。在这项研究中，社区诊所的实验初级保健患者将被随机分配到两个实验组之一或对照组。在第一组中，患者单独收到一份报告；在第 2 组中，患者和医生都收到报告。对照组接受常规护理。我们通过检查知识和自我效能的提高以及酒精相关风险和卫生服务利用的减少来评估有效性。可行性是通过不引人注目的观察来评估的。拟议的商业应用：CARPS 可用于所有健康环境，以有效筛查和诊断老年人的酒精使用障碍。这包括医生办公室和医疗诊所、老年中心和持续护理社区。管理式医疗组织和健康保险公司特别关注检测和预防健康问题风险的有效方法，并且会发现该产品有益，特别是因为没有其他类似产品可用。 CARPS 是用户友好的。它可用于质量改进活动和研究以及临床护理。