ASI-MV Solutions: A Tailored Program for Substance Abusers in Early Recovery

ASI-MV 解决方案：为药物滥用者早期康复量身定制的计划

• 批准号: 7909987
• 负责人: Emil J. Chiauzzi
• 金额: $ 88.27万
• 依托单位: INFLEXXION, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-02-15 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7909987
• 关键词: Address; Alcohol or Other Drugs use; Alcohols; Area; Benchmarking; Client; Communities; Computer software; Country; Dependence; Development; Educational process of instructing; Effectiveness; Employment; Family; Feedback; Guidelines; Health Benefit; Health Care Costs; Health Services Accessibility; Intervention; Knowledge; Learning; Legal; Link; Logic; Maps; Marketing; Measures; Mediation; Medical; Motivation; Multimedia; Outcome; Pharmaceutical Preparations; Phase; Process; Professional counselor; Psychiatric Social Work; Psychosocial Influences; Public Health; Recovery; Relative (related person); Research; Resources; Self Efficacy; Services; Severities; Site; Social Health Services; Social Work; Solutions; Substance abuse problem; System; Technology; Testing; Time; addiction; base; compliance behavior; design; disorder later incidence prevention; follow-up; improved; innovation; meetings; phase 1 study; programs; psychologic; psychosocial; public health relevance; satisfaction; skills; skills training; substance abuser; tool; usability; web-enabled

DESCRIPTION (provided by applicant): Substance abuse research indicates that: (1) addressing medical and psychosocial problems associated with substance abuse and dependence leads to better outcomes; (2) treatments are now shorter due in part to rising healthcare costs, and it is difficult to address these issues effectively during treatment, making medical and psychosocial ("wraparound") services following treatment essential; (3) counselors may lack the knowledge to effectively integrate these services; and (4) referrals to these services have been underutilized and clients may lack the motivation, knowledge, or skills to follow up with the referrals when they are made. To address these deficits, we are proposing the development of ASI-MV Solutions, which will provide tailored motivational feedback and skill-building lessons to clients to address specific psychosocial and medical problem areas. We expect that ASI-MV Solutions will have seven modules (Alcohol, Drugs, Medical, Psychiatric, Legal, Employment, and Family) corresponding to domains of the ASI-MV, a Web-enabled interactive version of the ASI administered in treatment settings. Substance abusers who have high severity scores on ASI-MV subscales will be directed to corresponding interactive lessons and local resources on ASI-MV Solutions. To demonstrate the feasibility of the program concept, the Phase I study focused on the Employment domain. All feasibility criteria were met and findings indicated: (1) Proposed content was based on highly positive findings from concept mapping, as well as usability and acceptance testing with clients and experts. Ratings of potential effectiveness and appeal were high. (2) Usability testing indicated that the program was usable by the target audience, the skills and outcomes were relevant to the target audience, and the program was regarded as potentially very helpful to the treatment process. We surpassed feasibility benchmarks for both clients and experts. (3) Our technical/design team produced a demonstration program that was perceived by key stakeholders as highly usable and engaging multimedia program, as well as determining the necessary technologies to produce the complete program in Phase II. In Phase II we will develop ASI-MV Solutions content, complete the ASI-MV Solutions program, field test the program, and conduct satisfaction and acceptance testing of the program with clients and counselors. PUBLIC HEALTH RELEVANCE: Making referrals to medical and psychosocial services for substance abuse clients has proven difficult due to lack of access to services, inadequate counselor knowledge, and lack of motivation and skills among clients. Inflexion is proposing the development of ASI-MV Solutions, which will educate clients about employment, legal, psychiatric, relapse prevention, medical, and family issues, as well as include resources and strategies for counselors. By linking learning modules to client results on the ASI-MV, an online interactive version of the ASI administered in treatment settings, we will be able to offer clients important tools to address key recovery issues and encourage counselors to make appropriate referrals to medical and psychosocial services.

描述（由申请人提供）：药物滥用研究表明：(1) 解决与药物滥用和依赖相关的医疗和社会心理问题可以带来更好的结果； (2) 现在治疗时间缩短，部分原因是医疗费用上涨，并且在治疗过程中很难有效解决这些问题，因此治疗后的医疗和社会心理（“环绕式”）服务至关重要； (3) 辅导员可能缺乏有效整合这些服务的知识； (4) 对这些服务的转介没有得到充分利用，客户可能缺乏动机、知识或技能来跟进转介。为了解决这些缺陷，我们建议开发 ASI-MV 解决方案，该解决方案将为客户提供量身定制的激励反馈和技能建设课程，以解决特定的心理社会和医疗问题领域。我们预计 ASI-MV 解决方案将具有与 ASI-MV 领域相对应的七个模块（酒精、毒品、医疗、精神病学、法律、就业和家庭），ASI-MV 是在治疗环境中管理的 ASI 的网络交互式版本。在 ASI-MV 分量表中严重程度得分较高的药物滥用者将被引导至 ASI-MV 解决方案上相应的互动课程和本地资源。为了证明该计划概念的可行性，第一阶段研究重点关注就业领域。所有可行性标准均得到满足，结果表明：(1) 提议的内容基于概念图以及与客户和专家进行的可用性和验收测试的高度积极的结果。潜在有效性和吸引力的评级很高。 (2)可用性测试表明该程序可供目标受众使用，其技能和结果与目标受众相关，并且该程序被认为对治疗过程有潜在的帮助。我们超越了客户和专家的可行性基准。 (3) 我们的技术/设计团队制作了一个演示程序，被主要利益相关者认为是高度可用且引人入胜的多媒体程序，并确定了在第二阶段制作完整程序所需的技术。在第二阶段，我们将开发 ASI-MV 解决方案内容，完成 ASI-MV 解决方案计划，现场测试该计划，并与客户和顾问一起对该计划进行满意度和验收测试。 公共卫生相关性：事实证明，由于缺乏获得服务的机会、咨询师知识不足以及客户缺乏动力和技能，将药物滥用客户转介到医疗和心理社会服务已被证明是困难的。 Inflexion 提议开发 ASI-MV 解决方案，该解决方案将为客户提供有关就业、法律、精神病学、复发预防、医疗和家庭问题的教育，并包括咨询师的资源和策略。通过将学习模块与 ASI-MV 上的客户结果联系起来，ASI-MV 是在治疗环境中管理的 ASI 的在线互动版本，我们将能够为客户提供重要工具来解决关键的康复问题，并鼓励咨询师适当转介至医疗和心理社会服务。