A web application to reduce heavy drinking in first-time DWI offenders

一个网络应用程序，可减少醉驾初犯者的酗酒情况

基本信息

批准号：
8059330
负责人：
Reid Kevin Hester
金额：
$ 21.05万
依托单位：
BEHAVIOR THERAPY ASSOCIATES, LLP
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-01 至 2012-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8059330
关键词：
Abstinence Address Age Alcoholic beverage heavy drinker Alcohols Cellular Phone Cessation of life Clinical Cognitive Therapy Communities Computer software Data Databases Development Driving While Intoxicated Drunk driving Electronic Mail Elements Evidence based intervention Family Freezing Future Goals Health Hazards Heavy Drinking Individual Injury Internet Intervention Licensing New Mexico Online Systems Phase Pilot Projects Population Professional counselor Protocols documentation Public Health Recording of previous events Reporting Risk Running Safety Sampling Substance abuse problem Suspension substance Suspensions Testing Text Time TimeLine Training Transportation Writing alcohol related problem base brief motivational intervention checkup examination college drinker cost cost effective court drinking evidence base high risk ignition interlock device innovation intervention program offender prevent programs prototype repeat offender research and development trafficking

项目摘要

DESCRIPTION (provided by applicant): Driving while intoxicated (DWI) is a major public health hazard. In the U.S. there were 13,846 deaths in 2008 caused by alcohol-impaired drivers (National Highway Traffic Safety Administration (NHTSA), 2009a). The New Mexico Dept. of Transportation reported the total DWI cost to New Mexico in 2007 was over one billion dollars (NM DoT, 2008). In New Mexico, 43% of DWI offenders are repeat offenders. This is unacceptable. More needs to be done to prevent first-time offenders from becoming recidivists. We propose to develop a new web application that could consistently and cost-effectively deliver an intervention that has the potential to reduce heavy drinking in first offenders by 45-55%. This reduction in drinking, and abstinence in some, would reduce their risk for future DWIs, alcohol-related crashes, injuries, and death. Taking advantage of a "teachable moment," the program will incorporate two evidence-based brief motivational interventions (BMIs) and a prototype cognitive behavioral intervention (CBI) into a single, new program. There are four innovations in this proposal: 1) a web-based and age-appropriate BMI; 2) an abstinence-oriented CBI for offenders with a history of significant alcohol-related problems; 3) a text messaging feature that incorporates users' content from the program, with the texts being sent at the users' designated high risk times for heavy drinking; and 4) an email feature in the CBI program that encourages users to return to the program and persist in their efforts to abstain. The R&D proposed here is to test the feasibility of: 1) combining three separate web applications so that the integrated program can run without freezing or crashing; 2) combining three separate databases (2 MS SQL Server and 1 MySQL) into a single database that can serve all of the data calls from the new program; and 3) incorporating a customized and personalized cell phone text messaging feature into the program. The R&D will also test the feasibility of its use by a sample of DWI offenders. Providing evidence-based interventions to DWI offenders through substance abuse counselors has the potential to reduce heavy drinking in DWI offenders. There are, however, significant challenges: 1) many substance abuse counselors are not trained in evidence-based protocols; 2) even clinicians who are trained tend to "drift" from protocols over time; and 3) there is an average annual turn-over rate of 50% in counselors in substance abuse programs (McLellan et al., 2003). This means that programs providing training for staff in evidence-based protocols often have to do so on an on-going basis and are rarely compensated for this cost. We propose to address this challenge of implementing evidence-based interventions with this web application. We have successfully developed and disseminated evidence-based software programs for heavy drinkers from every Phase II we have completed. PUBLIC HEALTH RELEVANCE: Drunk driving is a major public health hazard that caused 13,846 deaths in the U.S. in 2008. If this program proves to be effective, it could become a reliable, cost-effective, and evidence- based intervention for first-time DWI offenders. Reducing the drinking, alcohol-related problems and drunk driving in this population would benefit the individuals, their families, and their communities.

描述（由申请人提供）：醉酒驾驶 (DWI) 是主要的公共健康危害。在美国，2008 年有 13,846 人因酗酒驾驶而死亡（国家公路交通安全管理局 (NHTSA)，2009a）。新墨西哥州交通部报告称，2007 年新墨西哥州的酒后驾车总成本超过 10 亿美元（NM DoT，2008 年）。在新墨西哥州，43% 的酒驾违法者是惯犯。这是不可接受的。需要采取更多措施来防止初犯成为累犯。我们建议开发一种新的网络应用程序，该应用程序可以持续且经济高效地提供干预措施，有可能将初犯的酗酒率减少 45-55%。饮酒量的减少以及一些人的戒酒，将降低他们未来酒后驾车、与酒精相关的车祸、受伤和死亡的风险。利用“可教学时刻”，该计划将把两种基于证据的简短动机干预措施（BMI）和一个原型认知行为干预措施（CBI）整合到一个新计划中。该提案有四点创新：1）基于网络且适合年龄的BMI； 2) 针对有严重酒精相关问题史的罪犯进行以禁欲为导向的 CBI； 3) 短信功能，包含程序中的用户内容，并在用户指定的酗酒高风险时间发送短信； 4) CBI 计划中的电子邮件功能，鼓励用户返回该计划并坚持努力弃权。这里提出的研发是为了测试以下的可行性：1）将三个独立的Web应用程序组合起来，使集成的程序能够运行而不会卡顿或崩溃； 2) 将三个独立的数据库（2 个 MS SQL Server 和 1 个 MySQL）合并为一个数据库，可以为新程序的所有数据调用提供服务； 3) 将定制和个性化的手机短信功能纳入程序中。研发部门还将测试酒后驾车罪犯样本使用该技术的可行性。通过药物滥用咨询师向酒后驾车罪犯提供循证干预措施有可能减少酒后驾车罪犯的酗酒情况。然而，存在重大挑战：1）许多药物滥用咨询师没有接受过基于证据的协议培训； 2）即使是经过培训的临床医生，随着时间的推移，也往往会“偏离”治疗方案； 3) 药物滥用项目咨询师的年平均流动率为 50%（McLellan 等人，2003 年）。这意味着为工作人员提供循证方案培训的项目通常必须持续进行，并且很少对此成本进行补偿。我们建议通过此网络应用程序来解决实施基于证据的干预措施的挑战。我们已经成功地为每个已完成的第二阶段的重度饮酒者开发并传播了基于证据的软件程序。公共健康相关性：酒后驾驶是一项重大的公共健康危害，2008 年在美国造成 13,846 人死亡。如果该计划被证明是有效的，它可能成为针对首次酒后驾车的可靠、具有成本效益且基于证据的干预措施罪犯。减少该人群的饮酒、与酒精相关的问题和醉酒驾驶将使个人、他们的家庭和社区受益。