A suite of web apps for patients with alcohol & drug use problems in primary care

一套针对酒精患者的网络应用程序

基本信息

批准号：
8450360
负责人：
Reid Kevin Hester
金额：
$ 15.32万
依托单位：
BEHAVIOR THERAPY ASSOCIATES, LLP
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-25 至 2013-09-24
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8450360
关键词：
Abstinence Address Age Alcohol consumption Alcoholic beverage heavy drinker Alcohols Beryllium Caring Cognitive Therapy Data Databases Diabetes Mellitus Drug Prescriptions Drug usage Elements Health Health Care Costs Health Care Reform Health Services Healthcare Heart Diseases Heavy Drinking Illicit Drugs Internet Intervention Medical Mental Health Modeling Morbidity - disease rate New Mexico Nurse Practitioners Outcome Patients Pharmaceutical Preparations Phase Physicians Pilot Projects Primary Health Care Professional counselor Protocols documentation Provider Reporting Resources Screening procedure Services Substance abuse problem Testing Time TimeLine Training Writing alcohol use disorder behavioral health brief motivational intervention checkup examination clay drinking drug abuser hazardous drinking improved meetings problem drinker programs provider intervention skills substance abuse treatment success

项目摘要

DESCRIPTION (provided by applicant): The annual healthcare costs of heavy drinking in the U.S. are estimated to be $24.6 billion (Bouchery et al., 2011). Effectively intervening with hazardous, risky, and problem drinkers would reduce both their morbidity and their healthcare costs. One way to address the needs of problem drinkers is by screening for and intervening with them in primary care. It is not feasible, however, for primary care providers to provide these services. Instead, healthcare is moving towards the integration of these services into primary care using behavioral health counselors. This integration is starting to happen now both in New Mexico and nationally (Clay, 2012). Most mental health counselors though do not have expertise is addressing alcohol and drug issues. This project seeks to help address this problem by providing them with an empirically supported program that could be an adjunct to their efforts. The overall objective of this project is to develop, evaluate, and disseminate a web application called Check-up and Choices (CC). CC will be developed for use in primary care. It would tightly integrate screening for heavy drinking and drug use, a brief motivational intervention for hazardous or heavy drinkers, a moderation training protocol for less dependent problem drinkers, and an abstinence-oriented protocol for more dependent drinkers and drug abusers. The brief motivational intervention will be tailored to the patient's age. Its purpose wil be to motivate problem drinkers to change their drinking. The action-oriented moderation and abstinence protocols are cognitive-behavioral interventions (CBIs) that provide patients with the skills to maximize their chances of success with changing their drinking and/or drug use. We have already developed these elements but they are not integrated into a single program with appropriate branching between them. Nor has the content been tailored for use in primary care. This integration of behavioral health services is seen as a win-win that improves the health of patients while at the same time reduces healthcare costs. The move to integrate services is also seen as necessary to be ready for the increased demand for services that will accompany the implementation of national healthcare reform in January, 2014. PUBLIC HEALTH RELEVANCE: At both the local and national level, healthcare organizations are moving towards integrating mental health and substance abuse services into primary care. This web application could meet some of the needs of organizations wishing to provide substance abuse services using a stepped care model of intervention.

描述（由申请人提供）：美国每年因酗酒造成的医疗费用估计为 246 亿美元（Bouchery 等人，2011 年）。对危险、有风险和有问题的饮酒者进行有效干预可以降低他们的发病率和医疗费用。满足有饮酒问题的人的需求的一种方法是在初级保健中对他们进行筛查和干预。然而，初级保健提供者提供这些服务是不可行的。服务。相反，医疗保健正在通过行为健康顾问将这些服务整合到初级保健中。这种整合现在开始在新墨西哥州和全国范围内发生（Clay，2012）。大多数心理健康咨询师虽然不具备解决酒精和毒品问题的专业知识。该项目旨在通过为他们提供一个经验支持的计划来帮助解决这个问题，该计划可以作为他们努力的辅助手段。该项目的总体目标是开发、评估和传播名为 Check-up and Choices (CC) 的 Web 应用程序。 CC 将被开发用于初级保健。它将紧密结合对重度饮酒和吸毒的筛查、对危险或重度饮酒者的简短激励干预、针对不太依赖的问题饮酒者的适度训练方案，以及针对更多依赖的饮酒者和药物滥用者的以戒酒为导向的方案。简短的动机干预将根据患者的年龄进行调整。其目的是激励有饮酒问题的人改变饮酒习惯。以行动为导向的节制和戒酒方案是认知行为干预 (CBI)，它为患者提供技能，以最大限度地提高他们改变饮酒和/或吸毒的成功机会。我们已经开发了这些元素，但它们没有集成到单个程序中，并且它们之间有适当的分支。这些内容也不是专门为初级保健使用而设计的。这种行为健康服务的整合被视为双赢，可以改善患者的健康，同时降低医疗成本。整合服务的举措也被认为是必要的，以便为 2014 年 1 月实施的国家医疗改革带来的服务需求增加做好准备。公共卫生相关性：在地方和国家层面，医疗保健组织正在努力将心理健康和药物滥用服务纳入初级保健。该网络应用程序可以满足希望使用分级护理干预模式提供药物滥用服务的组织的一些需求。