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: 2790134
• 负责人: Arlene Fink
• 金额: $ 10.03万
• 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 2000-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2790134
• 关键词: alcoholism /alcohol abuse; biomedical automation; computer assisted diagnosis; computer program /software; computer system design /evaluation; diagnosis design /evaluation; disease /disorder proneness /risk; drug adverse effect; geriatrics; health surveys; human old age (65+); human subject; pathologic process; questionnaires

Alcohol use in the elderly causes or exacerbates common medical and psychosocial conditions including heart disease, stroke, falls and depression. We propose to develop and test a computerized system to diagnose presence of and risks for alcohol related conditions in the elderly. The computerized system (CARPS) will consist of (1) a machine-readable questionnaire (the Alcohol-Related Problems Survey: ARPS); (2) algorithms based on 398 indications of harmful hazardous, and non hazardous drinking selected by a national panel of Experts and tested in 700 persons; (3) computer software linking ARPS' results to appropriate algorithms; and (4) reports for study participants and providers. Focus groups of participants and experts in geriatrics will design report forms. We will test CARPS in a health setting. CARPS will be the only available automated system for the elderly that uses clinically meaningful, evidence- based algorithms. It will be useful in health and social senior settings and to managed care organizations concerned with identifying preventable and treatable health problems. The program generating CARPS reports will interface with other via an ASCII file format, so the product can also be used for quality improvement and research as well as for clinical care. Phase 2 will test CARPS' impact on alcohol-related behaviors and health services utilization. PROPOSED COMMERCIAL APPLICATION: CARPS can be used in health settings where the concern is to efficiently diagnose alcohol use disorders in the elderly. These include physicians' offices and medical clinics, senior centers, continuing care communities, psychiatric in-patient and out-patient settings, social work settings, home health care contexts, and emergency departments. Managed care organizations and health insurers are particularly concerned with efficiency and will find the product beneficial. CARPS can also be used to quality improvement activities and research as well as in clinical care.

老年人饮酒会导致或加剧常见的医疗和社会心理疾病，包括心脏病、中风、跌倒和抑郁症。我们建议开发和测试一个计算机系统来诊断老年人是否存在酒精相关疾病及其风险。计算机化系统 (CARPS) 将包括 (1) 一份机器可读的调查问卷（酒精相关问题调查：ARPS）； (2) 基于国家专家小组选出的 398 种有害和无害饮酒迹象并在 700 人中进行测试的算法； (3) 将 ARPS 结果与适当算法联系起来的计算机软件； (4) 研究参与者和提供者的报告。由参与者和老年病学专家组成的焦点小组将设计报告表格。我们将在健康环境中测试 CARPS。 CARPS 将是唯一适用于老年人、使用具有临床意义、基于证据的算法的自动化系统。它将在健康和社会老年环境以及致力于识别可预防和可治疗的健康问题的管理式医疗组织中发挥作用。生成 CARPS 报告的程序将通过 ASCII 文件格式与其他程序交互，因此该产品还可用于质量改进和研究以及临床护理。第二阶段将测试 CARPS 对酒精相关行为和卫生服务利用的影响。拟议的商业应用：CARPS 可用于健康环境，重点是有效诊断老年人的酒精使用障碍。其中包括医生办公室和医疗诊所、老年中心、持续护理社区、精神科住院和门诊环境、社会工作环境、家庭医疗保健环境和急诊室。管理式医疗组织和健康保险公司特别关注效率，并且会发现该产品有益。 CARPS 还可用于质量改进活动和研究以及临床护理。