A Stage-Based Tailored Support Tool for Alcohol Counsel

基于阶段的酒精咨询支持工具

• 批准号: 7053854
• 负责人: Scott M. Strayer
• 金额: $ 14.99万
• 依托单位: SILVERCHAIR SCIENCE+COMMUNICATION, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7053854
• 关键词: Internet; alcoholic beverage consumption; alcoholism /alcohol abuse therapy; behavioral /social science research tag; clinical research; computer assisted medical decision making; computer assisted patient care; computer human interaction; computer program /software; computer system design /evaluation; counseling; human subject; interview; mathematical model; model design /development; patient care personnel attitude; perception; personal computers; telecommunications

DESCRIPTION (provided by applicant): Alcohol-related problems are costly, but not routinely addressed in primary care where 100+ million people receive their usual source of care. Moreover patients are motivated to act on the health behavior advice of their primary care physicians. We propose to develop a state-of-the-art computer software application to enhance clinician effectiveness in diagnosing and intervening with problem drinkers. The Alcohol Misuse Intervention Tool (AMIT) will be a clinical decision support tool for Personal Digital Assistants (PDAs) and other mobile platforms. AMIT will distill recommended guidelines and evidence based practices into a practical, streamlined, patient tailored, electronic resource that is easy to use, intuitive, and rapidly accessible to busy clinicians at the point of care. Algorithms supporting the tool will be developed using the concept of Information Mastery (Shaughnessy, Slawson,& Bennet, 1994) and will rely on evidence based practice guidelines; motivational interviewing (Miller, 1996); and the Transtheoretical Model of health behavior change (Prochaska & DiClemete, 1983). The commercial version of AMIT will automatically seek and download updates via the Internet in order to ensure that the most current information is available at the point of care. AMIT was conceived in response to the needs identified by NIAAA in the 2005 SBIR/STTR Omnibus Solicitation (DHHS, 2005), which calls for "development and testing of computer algorithms necessary to derive diagnoses of alcohol use disorders" (p. 14) and "selection of appropriate interventions..." (p. 15). Phase I specific aims are to : 1) develop brief evidence-based clinical instruments to assess problem drinking at the point of care; 2) develop a functioning prototype of AMIT, a portable software tool designed to facilitate delivery of those instruments; 3) conduct formal usability testing of the AMIT prototype with health practitioners; 4) measure prototype utilization rates and pre- to post changes in clinician knowledge, behavior, attitudes, and perceived self-efficacy in applying evidence based counseling strategies for unhealthy alcohol use in 20 clinicians who use the AMIT prototype for 3 months. Our long-term commercial goal is to develop a suite of interactive, Internet-distributable, clinical decision support tools, each of which will facilitate evidence-based behavioral change interventions for a specific health issue. Target customers are health plans, HMOs, large hospitals, and research institutions.

描述（由申请人提供）：与酒精相关的问题成本高昂，但在初级保健中并未得到常规解决，而初级保健中有 1 亿多人接受常规护理。此外，患者有动力按照初级保健医生的健康行为建议采取行动。我们建议开发一种最先进的计算机软件应用程序，以提高临床医生诊断和干预有问题饮酒者的效率。酒精滥用干预工具 (AMIT) 将成为个人数字助理 (PDA) 和其他移动平台的临床决策支持工具。 AMIT 将把推荐的指南和基于证据的实践提炼成实用、精简、为患者量身定制的电子资源，该资源易于使用、直观，可供忙碌的临床医生在护理点快速访问。支持该工具的算法将使用信息掌握的概念（Shaughnessy、Slawson 和 Bennet，1994）来开发，并将依赖于基于证据的实践指南；动机访谈（Miller，1996）；以及健康行为改变的跨理论模型（Prochaska & DiClelemete，1983）。 AMIT 的商业版本将通过互联网自动搜索和下载更新，以确保在护理点提供最新信息。 AMIT 的构想是为了响应 NIAAA 在 2005 年 SBIR/STTR 综合征集（DHHS，2005）中确定的需求，该征集呼吁“开发和测试得出酒精使用障碍诊断所需的计算机算法”（第 14 页）和“选择适当的干预措施……”（第 15 页）。第一阶段的具体目标是：1）开发简短的循证临床工具来评估护理点饮酒问题； 2) 开发 AMIT 的功能原型，这是一种便携式软件工具，旨在促进这些仪器的交付； 3) 与健康从业者一起对 AMIT 原型进行正式的可用性测试； 4) 测量使用 AMIT 原型 3 个月的 20 名临床医生在针对不健康饮酒问题应用基于证据的咨询策略时，原型利用率以及临床医生知识、行为、态度和感知自我效能的前后变化。我们的长期商业目标是开发一套交互式、可通过互联网分发的临床决策支持工具，每个工具都将促进针对特定健康问题的基于证据的行为改变干预措施。目标客户是健康计划、HMO、大型医院和研究机构。

项目成果

Evaluation of a screening and counseling tool for alcohol misuse: a Virginia Practice Support and Research Network (VaPSRN) trial.

酒精滥用筛查和咨询工具的评估：弗吉尼亚州实践支持和研究网络 (VaPSRN) 试验。

• DOI: 10.3122/jabfm.2012.05.110077
• 发表时间: 2012
• 期刊: Journal of the American Board of Family Medicine : JABFM
• 作者: Strayer,ScottM;Pelletier,SandraL;Rollins,LisaK;Heim,SteveW;Ingersoll,KarenS;Ritterband,LeeM;Schorling,JohnB
• 通讯作者: Schorling,JohnB