Computerized Alcohol Misuse Intervention with Micro-targeted Normative Feedback

具有微目标规范反馈的计算机化酒精滥用干预

• 批准号: 8251332
• 负责人: Diana Howard Caldwell
• 金额: $ 11.47万
• 依托单位: RESEARCH CIRCLE ASSOCIATES, LLC
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8251332
• 关键词: Adoption; Advisory Committees; Age; Area; Behavior; Behavioral; Characteristics; Cities; Clinic; Communities; Computer software; Computers; Country; Data; Data Sources; Databases; Diffusion; Epidemiology; Feedback; Generic Drugs; Genetic Transcription; Health; Health Care Costs; Health Personnel; Healthcare; Healthcare Systems; Human Resources; Individual; Intervention; Interview; Mainstreaming; Medical; Methods; Morbidity - disease rate; Online Systems; Participant; Patients; Phase; Population; Preventive Health Services; Public Health; Race; Recruitment Activity; Reporting; Research; Sampling; Screening procedure; Small Business Technology Transfer Research; Solid; System; Systems Analysis; Tablets; Techniques; Technology; Testing; Time; United States; alcohol misuse; alcohol screening and brief intervention; base; brief intervention; computerized; cost; cost effectiveness; design; effective intervention; evidence base; experience; health care delivery; innovation; intervention program; mortality; normative feedback; novel; personalized normative feedback; programs; prototype; routine care; scale up; screening and brief intervention; sex; social; theories; touchscreen; uptake

DESCRIPTION (provided by applicant): Alcohol misuse continues to be a major public health problem in the United States, contributing substantially to morbidity, mortality, and social costs. There is a solid body of evidence supporting screening and brief intervention (SBI) for alcohol misuse on both public health and cost-effectiveness grounds, and the practice is endorsed by the U.S. Preventive Health Services Task Force. However, efforts to incorporate SBI into mainstream medical practice have faced barriers due to severe constraints on time and personnel that characterize many modern healthcare delivery settings. Novel methods for seamlessly integrating SBI into mainstream medical practice are needed. The proposed Phase 1 STTR project seeks to establish the feasibility of designing key components of an innovative computerized SBI program that would be appropriate for use within a variety of healthcare settings. The formative research in the Phase 1 STTR will provide critical information to guide the design of a computerized micro-targeted personalized normative feedback product that could ultimately facilitate more rapid diffusion of alcohol SBI into the healthcare system. PUBLIC HEALTH RELEVANCE: The envisioned SBI product will be designed for use on headphone-equipped touch screen tablet computers. The entire screening and intervention session will take approximately 15 minutes so that a patient can complete the program while waiting to see their healthcare provider. The proposed brief intervention will be informed by established social-behavioral theories and will use promising micro-targeted normative feedback and norms misperception correction strategies. These techniques will compare the patient's reported behaviors and perceived norms to the actual estimated population norm for individuals that are similar to the patient in age, race, and sex. Normative comparison data will be obtained from ongoing, national-level epidemiological surveillance systems, analyzed for specific subpopulation-behavior combinations, and embedded within a special database in the software. The targeting of the reference group for behavioral norms feedback to match the patient on age, race, and sex is designed to increase the resonance of the normative comparison for the patient, and represents an unprecedented level of micro-targeting for a normative feedback intervention that can be readily "scaled up" for use in a variety of medical contexts across the country. Key system components will be pilot tested by a sample of participants recruited from a local community-based health center (a typical consumer of the finished product). Participants' experiences with the technology will be explored via in-depth qualitative interviews, and the presentation refined based on user feedback.

描述（由申请人提供）：滥用酒精仍然是美国的一个主要公共卫生问题，在很大程度上导致发病率、死亡率和社会成本。有大量证据支持从公共卫生和成本效益角度对酒精滥用进行筛查和简短干预 (SBI)，并且这种做法得到了美国预防健康服务工作组的认可。然而，由于许多现代医疗保健服务环境对时间和人员的严格限制，将 SBI 纳入主流医疗实践的努力面临着障碍。需要将 SBI 无缝整合到主流医疗实践中的新方法。拟议的第一阶段 STTR 项目旨在确定设计创新计算机化 SBI 程序关键组件的可行性，该程序适合在各种医疗保健环境中使用。 STTR 第一阶段的形成性研究将提供关键信息来指导计算机化的微目标个性化规范反馈产品的设计，该产品最终可以促进酒精 SBI 更快地扩散到医疗保健系统中。 公共健康相关性：设想的 SBI 产品将设计用于配备耳机的触摸屏平板电脑。整个筛查和干预过程大约需要 15 分钟，以便患者可以在等待看医疗保健提供者的同时完成该计划。拟议的简短干预措施将以已建立的社会行为理论为基础，并将使用有前途的微观目标规范反馈和规范误解纠正策略。这些技术将患者报告的行为和感知规范与年龄、种族和性别与患者相似的个体的实际估计群体规范进行比较。规范性比较数据将从正在进行的国家级流行病学监测系统获得，对特定的亚群行为组合进行分析，并嵌入到软件的特殊数据库中。将行为规范反馈参考组设定为与患者年龄、种族和性别相匹配的目标，旨在增加规范比较对患者的共鸣，代表了规范反馈干预的微观目标达到了前所未有的水平，可以很容易地“扩大规模”，用于全国各地的各种医疗环境。关键系统组件将由从当地社区健康中心招募的参与者样本（成品的典型消费者）进行试点测试。将通过深入的定性访谈来探索参与者对该技术的体验，并根据用户反馈完善演示文稿。