ENHANCING BRIEF INTERVENTION OF PRIMARY CARE PHYSICIANS

加强初级保健医生的短暂干预

基本信息

批准号：
6629624
负责人：
JOHN E HELZER
金额：
$ 57.15万
依托单位：
UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-05-01 至 2005-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6629624
关键词：
alcoholic beverage consumption alcoholism /alcohol abuse therapy behavioral /social science research tag blood tests clinical research computer assisted patient care human subject human therapy evaluation interview longitudinal human study patient monitoring device primary care physician saliva telecommunications telemedicine therapy compliance

项目摘要

Interactive Voice Response (IVR) is a computer-based telephone technique that allows subjects to respond to a recorded voice asking scripted questions. The caller inputs brief, numeric answers using the telephone touch pad. In a series of studies, we have been using the IVR as a reporting device to examine the evolution of alcohol consumption over time and its relation to alcohol problems. In this study we propose to test IVR in a primary care practice as treatment tool to enhance physicians' brief alcohol interventions with heavy and problem drinkers. Method: After brief alcohol intervention by their physician in participating primary care clinics, consenting patients meeting our selection criteria will be randomized to one of four study groups. The first three of these are: 1) brief intervention only; II) brief intervention plus daily calls by the subject to the IVR; and III) brief intervention plus daily IVR calls with periodic feedback of IVR consumption data to the patient via the physician. Group IV will receive the same treatment as Group III, but subjects in Group IV will receive a financial incentive to help ensure a high IVR call compliance rate. Goals: We will assess: 1) the feasibility of using IVR as an intervention in primary care patients including call compliance rates and the validity of consumption reports, and 2) whether an IVR, with or without patient feedback, enhances the effect of brief alcohol intervention by a physician. Our long-term objective is to develop interventions specifically designed to capitalize on the unique advantages of an IVR system. The public health implications of effective, low cost interventions for heavy and problem drinking that can be accessed remotely and are applicable in primary care and HMO settings are considerable.

交互式语音应答 (IVR) 是一种基于计算机的电话技术允许受试者对录制的声音做出回应问题。呼叫者使用电话输入简短的数字答案触摸板。在一系列的研究中，我们一直使用 IVR 作为用于检查酒精消费变化的报告装置时间及其与酒精问题的关系。在这项研究中，我们建议在初级保健实践中测试 IVR 作为治疗工具以增强医生对酗酒者和有问题的饮酒者进行简短的酒精干预。方法：在医生短暂的酒精干预后参与初级保健诊所、同意符合我们的要求的患者选择标准将被随机分配到四个研究组之一。这其中前三项是：1）仅进行简短干预；二）简要干预加上受试者每天向 IVR 拨打电话； III) 简要干预加上每日 IVR 呼叫以及定期 IVR 反馈通过医生向患者提供消费数据。第四组将接受与第 III 组相同的治疗，但第 IV 组的受试者将获得经济奖励，以帮助确保高 IVR 呼叫合规性速度。目标：我们将评估：1）使用 IVR 作为解决方案的可行性对初级保健患者的干预，包括呼叫依从率以及消费报告的有效性，以及 2) 是否有 IVR，或无需患者反馈，增强短暂酒精的效果由医生干预。我们的长期目标是发展专门设计的干预措施，以利用独特的 IVR系统的优势对公共卫生的影响针对酗酒和酗酒问题采取有效、低成本的干预措施可以远程访问，适用于初级保健和 HMO 设置相当可观。