Underage Drinking: Building Health Care System Responses

未成年人饮酒：建立医疗保健系统应对措施

• 批准号: 7162288
• 负责人: JAMES A. HALL
• 金额: $ 51.75万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7162288
• 关键词: Internet; adolescence (12-20); alcoholic beverage consumption; alcoholism /alcohol abuse; alcoholism /alcohol abuse prevention; alcoholism /alcohol abuse therapy; behavioral /social science research tag; clinical research; cooperative study; early /brief intervention /therapy; health science research support; health services research tag; human subject; human therapy evaluation; patient oriented research; pediatrics; rural area; rural health

DESCRIPTION (provided by applicant): The overall mission of this proposed program is to develop a research infrastructure in primary health care settings in rural Iowa so that interventions can be evaluated to address underage drinking. Our infrastructure will include a central research office at the University of Iowa (Center for Addictions Research), a primary care setting for youth only (Adolescent Health & Resource Center or AHRC) and several cooperating primary health care clinics that are members of the University of Iowa Community Medical Services (UICMS) system. In Phase 1, we will begin with 5 UICMS clinics and the AHRC, and then, as our infrastructure becomes more efficient, we will add the remaining UICMS clinics for Phase 2. Additionally, we will develop an innovative Video Doctor computer application, which will consist of two main components: (1) the GAPS (Guidelines for Adolescent Preventive Services) screening system and (2) the Video Doctor - a computerized video clips of physicians giving age-appropriate motivational feedback about alcohol consumption - based on responses to screening items. The GAPS program was developed by the American Medical Association and used in many Adolescent Medicine clinics. The Video Doctor will be developed in the first 6 months of our project and then subjected to extensive and sequential review by youth in three age categories (10-12 years; 13 - 15 years; and 16 - 18 years) participating in Positive Youth Development groups. Finally, after the beta version has been developed, this intervention will be pilot tested in our primary health care clinics with each age group. Based on the results from Phase 1, we will then develop an application for a Phase 2 study that includes a more rigorous design and additional sites. To accomplish the goals of this develop project, we have developed interdisciplinary support for our infrastructure improvement plan and for our proposed pilot study. In summary, we propose to develop a research infrastructure by (1) partnering with primary health care clinics in the UICMS system, (2) providing training for the clinic staff about alcohol abuse issues and health services research skills, and (3) developing an age appropriate Video Doctor computer application which can be used easily in primary health care settings. This project focuses on a significant public health problem - underage drinking in rural Iowa. In many of our rural communities, many adolescents describe a culture of binge drinking - especially on the weekends. However, these episodes of alcohol consumption often lead to fairly negative consequences ranging from school absence, conflict with parents, physical violence, unprotected sexual activity and use of other illegal substances. We argue that our primary care clinics can have a positive impact on this culture of alcohol consumption by underage drinkers through a combination of primary prevention and early intervention.

描述（由申请人提供）：该拟议计划的总体使命是在爱荷华州农村的初级卫生保健环境中开发研究基础设施，以便可以评估干预措施以解决未成年人的饮酒。我们的基础设施将包括爱荷华大学（成瘾研究中心）的中央研究办公室，仅针对青少年的初级保健环境（青少年健康与资源中心或AHRC）以及几家合作的初级卫生保健诊所，这些诊所是爱荷华大学社区医疗服务（UICMS）系统的成员。在第1阶段，我们将从5个UICMS诊所和AHRC开始，然后，随着基础设施变得更加有效，我们将添加第二阶段的剩余UICMS诊所。此外，我们将开发一个创新的视频医生计算机应用程序，该计算机的应用程序将由两个主要组成部分组成：（1）GAPS（1）GAPS（指南）（指南） 青少年预防服务）筛查系统和（2）视频医生 - 基于对筛查项目的反应，对医生提供了适合年龄的动机反馈的计算机视频片段。 GAPS计划是由美国医学协会开发的，并在许多青少年医学诊所使用。视频医生将在我们项目的前6个月内开发，然后在三个年龄类别（10-12岁； 13-15岁；和16-18岁的年龄段； 16-18岁）中进行广泛的顺序审查，参加了积极的青年发展小组。最后，在开发了Beta版本之后，将在每个年龄段的初级卫生保健诊所中对该干预进行试点测试。基于阶段1的结果，我们将针对2阶段研究开发一个应用程序，该研究包括更严格的设计和其他站点。为了实现这一发展项目的目标，我们为我们的基础设施改进计划和拟议的试点研究提供了跨学科的支持。总而言之，我们建议通过（1）与UICMS系统中的初级卫生保健诊所合作开发研究基础设施，（2）为诊所工作人员提供有关酒精滥用问题和卫生服务研究技能的培训，以及（3）开发适合年龄的视频医生计算机应用程序，可以在初级卫生保健环境中轻松使用。该项目着重于一个重大的公共卫生问题 - 爱荷华州农村的未成年人饮酒。在我们许多农村社区中，许多青少年描述了一种暴饮暴食的文化 - 尤其是在周末。但是，这些饮酒的事件通常会导致相当负面的后果，包括学校缺席，与父母冲突，身体暴力，无保护的性活动以及使用其他非法物质的使用。我们认为，我们的初级保健诊所可以通过一级预防和早期干预措施结合未成年的饮酒者对这种饮酒文化产生积极影响。