A HARM REDUCTION APPROACH FOR REDUCING DWI RECIDIVISM

减少酒后驾车再犯的危害减少方法

基本信息

批准号：
6371593
负责人：
THOMAS H NOCHAJSKI
金额：
$ 59.39万
依托单位：
STATE UNIVERSITY OF NEW YORK AT BUFFALO
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-09-29 至 2004-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6371593
关键词：
alcoholic beverage consumption alcoholism /alcohol abuse alcoholism /alcohol abuse education alcoholism /alcohol abuse prevention behavior therapy behavioral /social science research tag clinical research driving while intoxicated drug abuse drug abuse education human subject human therapy evaluation interview motivation outcomes research relapse /recurrence substance abuse related behavior therapy compliance

项目摘要

Research with alcoholics and drug abusers has demonstrated that interventions focused on reducing the harmful consequences of future alcohol/drug consumption and increasing client motivation for change have a positive impact on treatment engagement and treatment outcome. In the present study, we propose an intervention for DWI offenders that includes the use of motivational interviewing strategies within the context of a comprehensive harm reduction approach focusing on decreasing future harm related to alcohol and drug use, including DWI recidivism. The sample will consist of 1,200 convicted DWI offenders participating in the New York State Drinking Driver Program (DDP). All subjects will participate in an initial comprehensive assessment session. Following the assessment session, subjects will be randomly assigned to one of three experimental conditions: information only (IO), motivational interview feedback session (MI), motivational interview feedback session plus six-treatment sessions focused on reducing the harmful consequences of alcohol use (MI+). One-week after the assessment session, individuals in the IO group will return for an alcohol information session that will consist of viewing a videotape concerning the effects of alcohol advertising on behavior. Individuals in the MI condition will return for a feedback session that will incorporate principles of motivational interviewing designed to increase the individuals motivation to make a change in their use of alcohol. Finally, individuals in the MI+ condition will return for a feedback session and the six-session harm reduction intervention. The MI and MI + interventions are designed to be easily portable to other treatment protocols. Aims of the proposal are as follows: 1. To assess the relative effects of experimental conditions on commitment to and involvement in changing drinking and drug use behavior over short-term and long-term follow-ups for a sample of convicted DWI offenders. 2. To assess systematically the relative effects of experimental conditions on the alcohol and drug use, and substance-related problems of convicted DWI offenders. 3. To assess whether the experimental conditions are related to DWI recidivism. In summary, the proposed research will provide important clinically-relevant data for DWI offenders on the effectiveness of brief harm reduction approaches designed to increase client motivation for changing drinking behavior, reduce client dropout from treatment, and reduce DWI recidivism.

对酒精中毒和滥用毒品的研究表明，重点是减少未来酒精/药物消费的有害后果和增加客户变革动机的干预措施对治疗参与和治疗结果产生积极影响。在本研究中，我们为DWI罪犯提供了一项干预措施，其中包括在全面减少危害的方法中使用动机访谈策略，重点是减少与酒精和吸毒相关的未来危害，包括DWI累犯。该样本将包括参加纽约州饮酒司机计划（DDP）的1,200名被定罪的DWI罪犯。所有受试者将参加初步的全面评估课程。评估会议结束后，受试者将被随机分配到三个实验条件之一：仅信息（IO），动机访谈反馈会议（MI），动机访谈反馈会议以及六次治疗课程，旨在减少酒精使用的有害后果（MI+）。评估课程结束后的一周，IO组的个人将返回酒精信息会议，其中包括观看有关酒精广告对行为影响的录像带。处于MI状况的个人将返回参加反馈会议，该会议将结合旨在增加个人使用酒精使用动力的动机访谈原则。最后，处于MI+条件的个人将返回以进行反馈会议和减少六条危害干预措施。 MI和MI +干预措施旨在易于移植到其他治疗方案。该提案的目的如下：1。评估实验条件对在短期和长期随访中改变饮酒和毒品使用行为的相对影响，以换取被定罪的DWI罪犯的样本。 2。系统地评估实验条件对酒精和药物使用的相对影响，以及被定罪的DWI罪犯与物质有关的问题。 3。评估实验条件是否与DWI累犯有关。总而言之，拟议的研究将为DWI罪犯提供重要的临床数据，旨在提高客户动力改变饮酒行为，减少治疗中的客户辍学以及减少DWI累犯的有效性。