Preventing Alcohol/Prescribed Drug Misuse in the National Guard: Web and Peer BI

防止国民警卫队滥用酒精/处方药：Web 和 Peer BI

基本信息

批准号：
8656877
负责人：
Frederic C Blow
金额：
$ 69.88万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-20 至 2018-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8656877
关键词：
Accidents Address Affect Age Alcohol abuse Alcohol consumption Alcohol or Other Drugs use Alcohols Communities Computers Consumption Data Department of Defense Drug Prescriptions Drug usage Early Intervention Effectiveness Electronics Emerging Technologies Enrollment Ethnic Origin Family Frequencies Gender General Population HIV HIV risk Health Personnel Individual Injury Internet Intervention Intervention Studies Leadership Literature Mediation Mediator of activation protein Medical Mental Health Michigan Military Personnel Modeling Motivation Online Systems Opioid Outcome Participant Performance at work Personal Satisfaction Pharmaceutical Preparations Plant Roots Poaceae Population Preventive Intervention Privacy Process Protocols documentation Provider Psyche structure Psychological reinforcement Psychotropic Drugs Public Health Race Randomized Randomized Controlled Trials Readiness Recording of previous events Recruitment Activity Research Resources Risk Risk Behaviors Safety Self Efficacy Services Sexually Transmitted Diseases Social support Soldier Subgroup Suicide Tablets Techniques Technology Testing Translations Veterans Woman adverse outcome alcohol misuse alcohol use disorder base brief intervention combat comparative efficacy computerized drinking drug abuser follow-up hazardous drinking high risk improved intervention effect longitudinal design member men misuse of prescription only drugs musculoskeletal injury novel opioid misuse outreach outreach program peer physical conditioning prescription opioid prevent programs public health relevance reduced substance use screening, brief intervention, referral, and treatment sedative sex touchscreen treatment as usual treatment program trial comparing volunteer

项目摘要

Preventing alcohol and prescribed opioid/sedative misuse among military personnel including Reserve components, active duty soldiers, and Veterans is a national priority. The military is facing a crisis related to problematic alcohol and prescription drug use, particularly opioid and sedative misuse, and there is a critical need for effective prevention and early interventions. Service members with alcohol and/or opioid/sedative (AOS) misuse are at risk for poor outcomes such as injuries, reduced job performance, mental health problems, suicide, and HIV/other sexually transmitted infections. Although research in civilians indicates that Screening, Brief Intervention, and Referral to Treatment (SBIRT) approaches can reduce substance use and problems, these protocols have not been studied adequately in military personnel. This body of research also points to the need for strategies to reinforce gains in order to sustain Brief Intervention (BI) effects, but "boosters" to these interventions have not been well-studied. Emerging technologies, such as Web-based delivery of interventions and boosters provide the opportunity to tailor SBIRT interventions and address geographical barriers for military personnel such as the Army National Guard (NG). In addition, peer-outreach interventions have high levels of acceptability in military communities. The BuddytoBuddy peer support program, to be enhanced to include AOS misuse in this study, been used successfully in NG units. The proposed study will screen ~ 4,300 unique individuals over a 30-month enrollment period as part of Soldier Readiness Processing in the Michigan Army NG to identify 750 participants age 18-60 with alcohol and/or prescribed opioid or sedative misuse. Screenings via touch-screen computer tablets will be used to recruit NG members with alcohol/prescribed opioid or sedative misuse in the prior 3 months. Participants will be randomized to one of three conditions: 1) Web-delivered alcohol/prescribed drug misuse brief intervention with Web booster sessions (W+W; n=250); 2) Web-delivered brief intervention with Peer-delivered booster sessions (W+P; n=250); or 3) Enhanced Usual Care (EUC; n=250). The aims of the study are to develop, refine and test tailored motivational BIs with varied continuing booster reinforcements (Web vs. Peer) and to conduct a randomized controlled trial comparing the efficacy of these BIs (W+W; W+P) to usual care on subsequent alcohol/drug consumption and consequences, including injury, mental and physical-health functioning, and HIV risk behaviors at 4-, 8-, and 12-months post-enrollment. Random assignment will be stratified by gender and alcohol vs. prescription opioid/sedative misuse. The proposed study will directly inform leadership and key stakeholders about the impact of state-of-the-art technology-based BIs, combined with Web boosters or peer outreach, in NG military personnel to combat the growing scope of alcohol/prescription drug problems among U.S. reserve component and active duty soldiers. If successful, the results of the study will enhance translation to the general population and could have a major public health impact.

防止军事人员（包括预备役人员）酗酒和滥用阿片类药物/镇静剂部队、现役士兵和退伍军人是国家的优先事项。军队正面临着一场危机有问题的酒精和处方药使用，特别是阿片类药物和镇静剂的滥用，并且存在一个关键问题需要有效的预防和早期干预。服用酒精和/或阿片类药物/镇静剂的军人 (AOS) 滥用有导致不良后果的风险，例如受伤、工作绩效下降、心理健康问题、自杀和艾滋病毒/其他性传播感染。尽管对平民的研究表明筛查、简短干预和转诊治疗 (SBIRT) 方法可以减少物质使用和但这些协议尚未在军事人员中得到充分研究。该研究机构还指出需要制定战略来加强收益，以维持短暂干预（BI）效果，但是这些干预措施的“助推器”尚未得到充分研究。新兴技术，例如基于网络的提供干预措施和加强措施为定制 SBIRT 干预措施和解决问题提供了机会陆军国民警卫队 (NG) 等军事人员的地理障碍。此外，同侪外展干预措施在军事界具有很高的接受度。 BuddytoBuddy 同伴支持该计划已在本研究中得到加强，将 AOS 滥用纳入其中，并已在 NG 单位中成功使用。这拟议的研究将在 30 个月的登记期内筛选约 4,300 名独特的个体，作为士兵的一部分密歇根州陆军 NG 的准备处理，以识别 750 名 18-60 岁的参与者是否患有酒精和/或处方阿片类药物或镇静剂滥用。通过触摸屏电脑平板电脑进行筛选将用于招募 NG 过去 3 个月内曾滥用酒精/处方阿片类药物或镇静剂的会员。参加者将是随机分配到以下三种情况之一：1) 通过网络提供酒精/处方药滥用的简短干预网络增强课程（W+W；n=250）； 2) 通过网络提供的简短干预以及同行提供的强化会议 (W+P；n=250)；或 3) 强化日常护理 (EUC；n=250)。研究的目的是开发、完善和测试量身定制的激励 BI，具有各种持续的助推器强化（网络与同行），并进行随机对照试验比较这些 BI（W+W；W+P）与常规护理对后续治疗的疗效饮酒/吸毒及其后果，包括伤害、精神和身体健康功能以及艾滋病毒入组后 4、8 和 12 个月的风险行为。随机分配将按性别分层酒精与处方阿片类药物/镇静剂滥用。拟议的研究将直接为领导层和关键人员提供信息利益相关者了解基于最先进技术的 BI 与 Web 助推器或同行相结合的影响向NG军事人员开展外展活动，以应对日益严重的酒精/处方药问题美国预备役和现役士兵。如果成功，研究结果将增强翻译对一般人群可能产生重大的公共卫生影响。