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

• 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
• 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

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）：过量饮酒是一个公共健康问题，在美国每年导致约 80,000 人死亡，每年给经济造成约 2,235 亿美元的医疗、社会和生产力损失。由于绝大多数 (79%) 患有酒精障碍的成年人都有工作，而且 75% 的美国企业都提供员工援助计划 (EAP) 资源，因此 EAP 在解决这一公共卫生问题方面具有得天独厚的优势。在过去的 10 年里，该提案的联合首席研究员和联合研究员之一试图通过促进 EAP 简短干预小组 (BIG) 倡议的创建来改变这一现状。 BIG 倡议汇集了主要的 EAP 企业领导者、EAP 临床专业协会和其他机构，其明确目的是使酒精筛查、简短干预和转诊治疗 (SBIRT) 成为整个 EAP 行业的常规做法。大量研究证明了酒精 SBIRT 的有效性和成本效益。 我们建议与 BIG 倡议组织和 EAP 专业协会合作，开发和评估 SBIRT 培训和支持工具，该工具将 SBIRT 在线培训（包括使用动机性访谈技术）与交互式移动/网络酒精筛查和干预工具相结合，以指导EAP 和行为健康从业者对 SBIRT 的使用。酒精 SBIRT 的内容将源自国家酒精滥用研究所的循证材料。 SBIRT 培训部分将为从业者提供技能、知识、动机和自我效能，以便：(a) 通过验证筛选其客户是否存在不健康的饮酒行为 筛选工具； (b) 提供简短、激励性的访谈干预； (c) 作出适当的转介。在第二阶段，培训计划将 (a) 进一步开发第一阶段的内容，并 (b) 扩展课程以包括其他经过验证的酒精筛查工具。此外，SBIRT 支持工具组件将开发为网络/移动界面，供从业人员使用交互式筛选和简短干预表格，其中 (a) 提示筛选和干预中已验证的问题； (b) 动机性访谈知情对话建议； (c) 在线资源（即标准饮料清单；重要性、置信度标尺）； (d) 酒精教育和转介信息。 该 2 期产品将在一项由 332 名 EAP 从业者参加的随机对照试验中进行评估。此外，每个实验组中随机抽取 20% 的参与者将参加模拟案例研究电话咨询课程，用于评估参与者实施 SBIRT 技能的能力。 我们的 BIG Initiative 合作伙伴看到了对该产品的迫切需求并承诺 在其 EAP 和联盟组织中实施酒精 SBIRT。我们打算将 SBIRT 培训和支持工具商业化，作为 ORCAS 移动医疗平台的关键组成部分，重点关注 EAP 市场和 EAP 附属行为健康组织。