TELECOM & BIBLIOTHERAPY PROGRAMS FOR PROBLEM DRINKERS

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• 批准号: 7106643
• 负责人: ROBERT H FRIEDMAN
• 金额: $ 50.91万
• 依托单位: BOSTON MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7106643
• 关键词: alcoholism /alcohol abuse education; alcoholism /alcohol abuse therapy; behavioral /social science research tag; clinical research; computer assisted instruction; computer assisted patient care; counseling; drug /alcohol abstinence; education evaluation /planning; expectancy; health behavior; human subject; human therapy evaluation; outcomes research; patient oriented research; self help; telemedicine

DESCRIPTION (provided by applicant): This study will develop and perform a preliminary evaluation of an easily disseminated, population-based, low cost intervention for problem drinking using a computer-based, automated telephone system (Telephone-Linked Communications for Alcohol [TLC-ALC]). TLC-ALC will be modeled after the content and behavioral strategies used in the self-help book, How to Control Your Drinking (2004). The development protocol will entail five sequential tasks: 1) preparing TLC-ALC design specifications, 2) writing the actual TLC dialogues, 3) computer programming the final TLC-ALC content, logic, and database, 4) voice recording the TLC dialogues, and 5) computer software testing (debugging) of the programmed TLC-ALC system and its speech recognition function. Each step involves an iterative process whereby the work is reviewed and revised by the appropriate project staff and the outside reviewer. Potential participants are involved in each step. TLC-ALC will be tested in an evaluation study, in which there will be a control group that will receive a minimal intervention/attention control program consisting of a NIAAA information and referral pamphlet plus a computer-based automated telephone (TLC) system that reinforces the pamphlet's messages and provides general health information. The 200 study participants will be problem drinkers, recruited from responses to newspaper ads in the Boston metropolitan area. They will be randomly assigned to 2 study groups (100 per group). Study subjects will be followed for 6 months, with the first 3 months for the intervention. Each study participant will be evaluated at baseline, and at 3 and 6 months through telephone interviews. The intervention will target 2 primary outcomes: drinking frequency (percent days abstinent [PDA]) and drinking intensity (drinks per drinking day (DDD), in the past month and 2 secondary outcomes: drinking within guidelines (DWG) for safe drinking, and the negative consequences of alcohol use. The study will evaluate the effect of participant characteristics on outcome, and assess the impact of the intervention on postulated mediating (intervening) behavioral variables: stage of change for drinking, self-efficacy for avoiding heavy drinking and alcohol related expectancies. The following hypotheses will be tested. During a 3 month intervention period: (1) participants receiving TLC-ALC will significantly decrease their frequency and intensity of alcohol use compared to controls; (2) participants receiving the intervention will be more likely to decrease their drinking to within NIAAA guidelines and decrease the negative consequences for alcohol use compared to controls; (3) these intervention effects will be maintained to the 6 month follow-up point. The study will also explore moderating and intervening variable effects and the time course of intervention effects across 6 months.

描述（由申请人提供）：本研究将对使用基于计算机的自动电话系统（酒精的电话链接通信[TLC-ALC）进行易于传播的，基于人群的低成本干预措施进行初步评估。 TLC-ALC将以自助书《如何控制饮酒》（2004）中使用的内容和行为策略进行建模。开发协议将需要五个顺序任务：1）准备TLC-ALC设计规范，2）编写实际的TLC对话，3）计算机编程最终的TLC-ALC内容，逻辑和数据库，4）语音记录TLC对话以及5）计算机软件测试（debug）的计算机软件测试（debugging），以识别程序识别系统及其声音识别系统及其其声音。每个步骤都涉及一个迭代过程，在该过程中，适当的项目人员和外部审阅者对工作进行了审查和修订。潜在参与者参与了每个步骤。 TLC-ALC将在一项评估研究中进行测试，其中将有一个对照组，该对照组将获得最小的干预/注意力控制程序，该计划由NIAAA信息和推荐小册子以及一个基于计算机的自动电话（TLC）系统组成，该系统加强了PAMPHLET的信息，并提供一般的健康信息。 200名研究参与者将是问题饮酒者，从波士顿大都会地区的报纸广告的回应招募。它们将随机分配给2个研究组（每组100个）。研究对象将持续6个月，干预前3个月。每个研究参与者将在基线以及通过电话访谈的3和6个月进行评估。 干预措施将针对2种主要结果：饮酒频率（戒酒百分比[PDA]）和饮酒强度（每天饮酒日（DDD），在过去的一个月中，2个次要结果：饮酒范围内的饮酒（DWG）在安全饮酒中的饮酒（DWG），用于安全饮酒，对酒精的负面影响以及研究的阶段。饮酒的变化，避免大量饮酒和与酒精相关的期望的自我效能感。 将测试以下假设。在3个月的干预期间：（1）与对照组相比，接受TLC-ALC的参与者将显着降低其酒精使用频率和强度； （2）接受干预措施的参与者将更有可能将饮酒降低到NIAAA指南中，并减少与对照组相比，对酒精使用的负面影响； （3）这些干预效果将保持到6个月的随访点。该研究还将探索6个月内的调节和干预效果以及干预效果的时间过程。