Web-Based Training for EAP Alcohol Screening, Brief Intervention, and Referral

EAP 酒精筛查、简短干预和转介的网络培训

基本信息

批准号：
8930011
负责人：
AMELIA J BIRNEY
金额：
$ 57.98万
依托单位：
OREGON CENTER FOR APPLIED SCIENCE, INC.
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：
2012-09-20 至 2017-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8930011
关键词：
Absenteeism Address Adult Age Alcohol abuse Alcohol consumption Alcohols Ally Businesses Case Study Certification Cessation of life Characteristics Client Clinical Collaborations Controlled Clinical Trials Counseling Development Diabetes Mellitus Disease E-learning Education Educational Curriculum Effectiveness Employee Employee Assistance Program (Health Care)Evaluation Feedback Goals Health Healthcare Heavy Drinking Individual Industry Injury Institutes Internet Intervention Interview Investments Knowledge Marketing Medical Mental Depression Mental Health Motivation National Institute on Alcohol Abuse and Alcoholism Occupations Online Systems Participant Pharmaceutical Preparations Phase Positioning Attribute Prevention Preventive Primary Health Care Principal Investigator Process Professional Organizations Protocols documentation Provider Public Health Randomized Controlled Trials Research Research Personnel Resources Risk Sampling Self Efficacy Services Solutions Suggestion Techniques Technology Telephone Training Training Programs Training Support United States Woman Work alcohol abuse therapy alcohol intervention alcohol misuse alcohol screening alcohol screening and brief intervention alcohol use disorder base behavioral health binge drinker brief intervention cost cost effectiveness design drinking economic outcome efficacy testing evidence base health economics health organization high risk mHealth meetings men motivational enhancement therapy product development productivity loss programs routine practice screening screening and brief intervention screening, brief intervention, referral, and treatment skills social therapy design tool usability web interface

项目摘要

DESCRIPTION (provided by applicant): Excessive alcohol consumption is a public health concern that causes approximately 80,000 deaths each year in the United States and costs the economy an estimated $223.5 billion in annual medical, social, and productivity losses. Because the large majority (79%) of adults with alcohol disorders is employed and Employee Assistance Programs (EAPs) are resources in 75% of U.S. businesses, EAPs are uniquely positioned to address this public health concern. Over the last 10 years, one of the Co-Principal Investigators and Co-Investigators on this proposal has sought to change this by facilitating the creation of the EAP Brief Intervention Group (BIG) Initiative. The BIG initiative brings together the major EAP corporate leaders, the EAP clinical professional associations, and others for the express purpose of making alcohol screening, brief intervention, and referral to treatment (SBIRT) the routine practice across the EAP industry. There is an extensive body of research that demonstrates the effectiveness and cost-effectiveness of alcohol SBIRT. In collaboration with BIG initiative organizations and EAP professional associations, we propose to develop and evaluate the SBIRT Training & Support Tool, which combines online training in SBIRT, including use of motivational interviewing techniques, with interactive mobile/web alcohol screening and intervention tools to guide EAP and behavioral health practitioners' use of SBIRT. Content for alcohol SBIRT will be derived from the National Institute on Alcohol Abuse's evidence-based materials. The SBIRT Training component will provide practitioners with the skills, knowledge, motivation, and self-efficacy to: (a) screen their clients for unhealthy alcohol use with validated screening tools; (b) provide brief, motivational interviewing-informed intervention; and (c) make appropriate referrals. In Phase 2 the training program will (a) further develop the Phase 1 content and (b) expand the curriculum to include additional validated alcohol screening tools. In addition, the SBIRT Support Tool component will be developed as a web/mobile interface for practitioners to use interactive screening and brief intervention forms with (a) prompts for validated questions in the screening and intervention; (b) motivational interviewing-informed dialogue suggestions; (c) online resources (i.e., standard drink list; importance, confidence rulers); and (d) alcohol education and referral information. This Phase 2 product will be evaluated in a randomized controlled trial with 332 EAP practitioners. In addition, a 20% random sample of participants in each experimental group will participate in simulated case- study phone counseling sessions, which will be used to assess participants' ability to implement SBIRT skills. Our BIG Initiative partners see the critical need for this product and are committed to implementing alcohol SBIRT in their EAPs and allied organizations. We intend to commercialize the SBIRT Training & Support Tool as a key component of ORCAS' mHealth platform, with an emphasis on the EAP market and EAP affiliated behavioral health organizations.

描述（由申请人提供）：过度饮酒是一个公共卫生问题，在美国每年大约造成约80,000人死亡，造成经济造成的年度医疗，社会和生产力损失估计为2235亿美元。由于大多数（79％）患有酒精疾病的成年人被雇用，并且员工援助计划（EAP）是75％的美国企业的资源，因此EAPS在解决这一公共卫生问题方面具有独特的位置。在过去的十年中，该提案的共同主要调查人员和共同研究人员试图通过促进EAP简短干预小组（BIG）倡议的创建来改变这一点。大型倡议将主要的EAP公司领导者，EAP临床专业协会和其他人汇集在一起，目的是为了进行酒精筛查，简短的干预并转介治疗（SBIRT）（SBIRT）在EAP行业的常规实践。有大量的研究证明了酒精Sbirt的有效性和成本效益。通过与大型计划组织和EAP专业协会合作，我们建议开发和评估SBIRT培训和支持工具，该工具结合了SBIRT中的在线培训，包括使用动机访谈技术，以及互动的移动/网络酒精筛查和互动的移动饮酒和干预工具，以指导EAP和行为健康实践者使用Sbirt。酒精Sbirt的内容将来自美国国家酒精滥用循证材料研究所。 SBIRT培训部分将为从业人员提供技能，知识，动力和自我效能感：筛选工具；（b）提供简短的动机采访信息干预；（c）进行适当的推荐。在第2阶段，培训计划将（a）进一步开发1阶段的内容，（b）扩展课程，包括其他经过验证的酒精筛查工具。此外，SBIRT支持工具组件将作为网络/移动接口开发，供从业人员使用交互式筛选和简短的干预表格，并提示（a）提示在筛选和干预中进行验证的问题；（b）动机采访信息的对话建议；（c）在线资源（即标准饮料清单；重要性，信心统治者）；（d）酒精教育和推荐信息。该阶段2产品将在与332位EAP从业人员的随机对照试验中进行评估。此外，每个实验组中的参与者的20％随机样本将参加模拟的案例研究电话咨询会议，该课程将用于评估参与者实施SBIRT技能的能力。我们的大型倡议合作伙伴认为对该产品的关键需求，并承诺在其EAP和相关组织中实施酒精饮料。我们打算将SBIRT培训和支持工具作为Orcas MHealth平台的关键组成部分进行商业化，并重点放在EAP市场和EAP关联行为健康组织。