DELIVERING TREATMENT IN DUI PROGRAMS TO REDUCE ALCOHOL-RELATED DISPARITIES

通过酒后驾车项目提供治疗，以减少与酒精相关的差异

• 批准号: 8761819
• 负责人: Karen Chan Osilla
• 金额: $ 45.93万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-10 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8761819
• 关键词: Accidents; Acculturation; Address; Aftercare; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Caring; Cessation of life; Cirrhosis; Cognitive Therapy; County; Diagnosis; Education; Enrollment; Ethnic Origin; Evidence based treatment; Gender; Health; Health Services Accessibility; Heavy Drinking; Individual; Injury; Latino; Literature; Los Angeles; Modeling; Outcome; Outcome Measure; Policies; Population; Public Health; Race; Randomized; Research; Safety; Self Efficacy; Services; Social Welfare; Staging; Testing; Time; Traffic accidents; Treatment Effectiveness; Treatment Efficacy; Treatment outcome; Vulnerable Populations; alcohol abuse therapy; alcohol availability; alcohol related problem; alcohol use disorder; authority; base; convict; court; drinking; driving under influence; evidence base; experience; follow-up; high risk; impaired driving performance; improved; innovation; lectures; meetings; premature; primary outcome; programs; public health relevance; randomized trial; recidivism; reduced alcohol use; secondary outcome; substance abuse prevention; treatment as usual; treatment response; vehicular accident

DESCRIPTION (provided by applicant): Enormous unmet needs for alcohol treatment exist among individuals convicted of driving under the influence (DUI) since up to 43% recidivate and 67% meet criteria for alcohol dependence. We will test whether delivering a cognitive behavioral treatment (CBT) for alcohol use disorders (AUDs) as part of a mandated DUI program improves health outcomes, and reduces alcohol use, alcohol-related problems and injuries, and DUI recidivism compared to usual care. The study has the potential to promote the public welfare by providing treatment to individuals with a DUI conviction, while focusing on Latinos, who are disproportionately less likely to access treatment and more likely to be arrested for a DUI, to have higher rates of recidivism, and to die in alcohol- related crashes than their white counterparts. The study is innovative because it would be the first to address effectiveness of treatment for AUDs embedded within a DUI program. We will conduct a randomized trial of a 9-session group-based CBT (n=150) as compared to group-based usual care (UC; n=150) immediately after and 6 months after the end of treatment. Short-term outcomes include alcohol use (rates of heavy drinking, percent days abstinent), alcohol use-related self-efficacy, and intent to drink and drive. We will also examine whether race/ethnicity, gender, acculturation, and alcohol situational norms predict our primary treatment outcomes (rates of heavy drinking, percent days abstinent) and DUI recidivism (alcohol-related violations).

描述（由申请人提供）：因酒后驾车 (DUI) 罪名成立的个人中存在大量未满足的酒精治疗需求，因为高达 43% 的人再次犯罪，67% 的人符合酒精依赖标准。我们将测试作为强制酒后驾车计划的一部分，针对酒精使用障碍 (AUD) 提供认知行为治疗 (CBT) 是否可以改善健康结果，并与常规护理相比，减少饮酒、酒精相关问题和伤害以及酒后驾车累犯。该研究有可能通过为酒后驾车定罪的个人提供治疗来促进公共福利，同时重点关注拉丁裔，因为他们获得治疗的可能性极低，更有可能因酒后驾车而被捕，累犯率较高，与白人相比，他们死于酒精相关事故的比例更高。这项研究具有创新性，因为它将是第一个探讨酒驾项目中 AUD 治疗有效性的研究。我们将在治疗结束后立即和治疗结束后 6 个月进行一项随机试验，将 9 个疗程的基于小组的 CBT (n=150) 与基于小组的常规护理 (UC；n=150) 进行比较。短期结果包括饮酒（大量饮酒率、禁酒天数百分比）、与饮酒相关的自我效能以及饮酒和驾驶的意图。我们还将研究种族/族裔、性别、文化适应和酒精情境规范是否可以预测我们的主要治疗结果（酗酒率、戒酒天数百分比）和酒后驾车累犯（与酒精相关的违法行为）。