Web Intervention for Concerned Partners to Prevent Service Member Alcohol Abuse

对相关合作伙伴进行网络干预，以防止服役人员酗酒

• 批准号: 8909002
• 负责人: Karen Chan Osilla
• 金额: $ 21.63万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-26 至 2017-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8909002
• 关键词: Address; Advertising; Affect; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Behavioral; Categories; Clinical; Cognitive; Communities; Computers; Confidentiality; Conflict (Psychology); Counseling; Data; Dependence; Development; Early Intervention; Educational Intervention; Evaluation; Evidence based intervention; Family; Feedback; Fright; Future; General Population; Health; Health Promotion; Health Services Accessibility; Healthcare Systems; Heavy Drinking; Hospitals; Individual; Internet; Intervention; Intervention Trial; Interview; Life; Mental Health; Military Personnel; Modeling; Online Systems; Outcome; Pattern; Perception; Personal Satisfaction; Pilot Projects; Policies; Population; Prevalence; Prevention; Preventive Intervention; Primary Health Care; Procedures; Process; Protocols documentation; Psychological reinforcement; Public Health; Randomized; Readiness; Recruitment Activity; Reporting; Research; Resistance; Resources; Risk; Services; Staging; Surveys; Symptoms; Telephone; Testing; Training; Vulnerable Populations; Woman; alcohol misuse; alcohol use disorder; arm; base; brief intervention; care seeking; career; comparative efficacy; design; drinking; drinking behavior; evidence base; follow-up; group intervention; help-seeking behavior; high risk behavior; high risk drinking; improved; innovation; intervention program; meetings; member; men; motivational enhancement therapy; normative feedback; physical conditioning; preference; prevent; prototype; satisfaction; screening; self help; service intervention; social stigma; success; tool

DESCRIPTION (provided by applicant): U.S. military service members engaged in alcohol misuse are a vulnerable population with high unmet need. Alcohol misuse is a stage of problem drinking that occurs before abuse and dependence, placing service members' partners and families at risk for serious consequences. Unfortunately, existing military reporting policies may discourage service members from seeking help for fear of negative career consequences. Service members report encouragement from their partners as the most prevalent facilitator of seeking care and individuals who change their drinking patterns most often cite partner support as the most helpful mechanism in supporting change. Thus, targeting service members' partners using preventive interventions can be an important vehicle for preventing the progression to abuse and dependence. We propose a 3-year study to adapt and pilot-test a web-based intervention (WBI) intended to help concerned partners (CPs) provide support to service members with alcohol misuse and to begin development of a service member module based on service member's input. We will first adapt an evidence-based intervention known as Community Reinforcement and Family Training (CRAFT) intervention to the web to help overcome barriers related to confidentiality concerns and access. Our proposal has three specific aims. Aim 1: Develop a 4-session web- based intervention (WBI) prototype and make iterative revisions based on feedback from 15-20 CPs. Aim 2: Conduct a randomized controlled pilot-test of the finalized WBI (n=50) compared to delayed WBI (n=50), and evaluate the impact of the WBI on CP's reports of service member help-seeking (e.g., counseling, self-help, primary care, treatment) and drinking, and CP well-being and relationship satisfaction three months after the intervention. Aim 3: Begin development of a follow-on WBI module for service members based on service member input and content evaluation. We will explore the service member's intervention preferences and obtain their feedback on a proposed WBI for them. Our project is significant because it has the potential to benefit a large population of military service members who may be disproportionately affected by the current OEF/OIF/OND conflicts and whose drinking misuse would otherwise go undetected and untreated. It also develops a new prevention model that does not rely on service members or partners attending a hospital or clinical facility to access care. The proposed study is innovative because there are no CP-based preventive interventions addressing misuse. This pilot study will inform the development of an R01 trial that evaluates a larger randomized study of a WBI for CPs with a follow-on intervention for service members.

描述（由申请人提供）：滥用酗酒的美国军事服务成员是一个脆弱的人口，需求很高。滥用酒精是饮酒阶段，在滥用和依赖之前发生，使服务人员的伴侣和家庭面临严重后果的风险。不幸的是，现有的军事报告政策可能会阻止服务人员寻求帮助，因为担心负面职业后果。服务成员向他们的合作伙伴表示鼓励，这是寻求护理的最普遍的促进者和改变其饮酒方式的个人，通常认为伴侣支持是支持变革的最有用的机制。因此，针对服务成员的合作伙伴使用预防干预措施可能是防止进步滥用和依赖的重要工具。我们提出了一项为期3年的研究，以适应和试点测试基于网络的干预措施（WBI），旨在帮助有关的合作伙伴（CPS）为服务成员提供滥用酒精的支持，并根据服务成员的输入开始开发服务成员模块。我们将首先适应一种基于证据的干预措施，称为社区加强和家庭培训（Craft）干预措施，以帮助克服与机密性问题和获取有关的障碍。我们的建议具有三个具体目标。 AIM 1：开发一个基于4条的基于Web的干预（WBI）原型，并根据15-20 CP的反馈进行迭代修订。目标2：与延迟WBI（n = 50）相比，进行最终WBI（n = 50）的随机对照试验测试，并评估WBI对CP服务成员寻求帮助的报告的影响（例如，咨询，自助，初级保健，治疗，饮酒），以及在三个月后的互动疗法和关系满意。 AIM 3：根据服务成员输入和内容评估，开始为服务成员开发WBI模块。我们将探索服务成员的干预偏好，并为他们提供有关拟议的WBI的反馈。我们的项目很重要，因为它有可能使大量的兵役人员受益，他们可能受到当前OEF/OIF/OND冲突的影响不成比例的影响，否则他们的饮酒滥用将未被发现和未经治疗。它还开发了一种新的预防模型，该模型不依赖于参加医院或临床设施的服务成员或合作伙伴来获得护理。拟议的研究具有创新性，因为没有针对滥用的基于CP的预防干预措施。这项试点研究将为R01试验的开发提供信息，该试验评估了对CPS的WBI进行更大的随机研究，并为服务成员进行后续干预。

项目成果

Efficacy of a Web-based Intervention for Concerned Spouses of Service Members and Veterans with Alcohol Misuse.

• DOI: 10.1111/jmft.12279
• 发表时间: 2018-04
• 期刊: Journal of marital and family therapy
• 影响因子: 2.2
• 作者: Osilla KC;Trail TE;Pedersen ER;Gore KL;Tolpadi A;Rodriguez LM
• 通讯作者: Rodriguez LM

Study design to develop and pilot-test a web intervention for partners of military service members with alcohol misuse.

研究设计旨在为酗酒的军人伴侣开发和试点测试网络干预措施。

• DOI: 10.1186/1940-0640-9-18
• 发表时间: 2014
• 期刊: Addiction science & clinical practice
• 影响因子: 3.7
• 作者: Osilla,KarenChan;Pedersen,EricR;Gore,Kristie;Trail,Thomas;Howard,StefanieStern
• 通讯作者: Howard,StefanieStern

Effects of a Web-Based Intervention in Reducing Drinking among Concerned Partners of Military Service Members and Veterans.

• DOI: 10.1037/cfp0000201
• 发表时间: 2022-03
• 期刊: COUPLE AND FAMILY PSYCHOLOGY-RESEARCH AND PRACTICE
• 影响因子: 1.7
• 作者: Osilla, Karen Chan;Rodriguez, Lindsey M;Neighbors, Clayton;Pedersen, Eric R
• 通讯作者: Pedersen, Eric R

Alcohol Use Among Concerned Partners of Heavy Drinking Service Members and Veterans.

• DOI: 10.1111/jmft.12261
• 发表时间: 2018-04
• 期刊: Journal of marital and family therapy
• 影响因子: 2.2
• 作者: Rodriguez LM;Osilla KC;Trail TE;Gore KL;Pedersen ER
• 通讯作者: Pedersen ER

Exploring the association between changes in partner behaviors, perceived service member drinking, and relationship quality: Secondary analysis of a web-based intervention for military partners.

探索伙伴行为变化、感知服役人员饮酒和关系质量之间的关联：对军事伙伴基于网络的干预的二次分析。

• DOI: 10.1016/j.jsat.2019.01.002
• 发表时间: 2019
• 期刊: Journal of substance abuse treatment
• 影响因子: 3.9
• 作者: Trail,ThomasE;Osilla,KarenChan;Rodriguez,LindseyM;Pedersen,EricR;Gore,KristieL
• 通讯作者: Gore,KristieL