Multiple Behavior SBIRT Model of Drug Abuse Among Emerging Adults in Primary Care

初级保健中新兴成年人药物滥用的多重行为 SBIRT 模型

• 批准号: 7587204
• 负责人: Chudley E. Werch
• 金额: $ 54.24万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-15 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7587204
• 关键词: AIDS/HIV problem; Adolescence; Age; Alcohol abuse; Alcohol consumption; Alcohols; Behavior; Behavior Therapy; Behavioral; Caring; Cigarette; Clinic; Communities; Computers; Consumption; Coupled; Data Collection; Drug abuse; Drug usage; Effectiveness; Ensure; Feedback; Florida; Gender; Goals; Health; Health Personnel; Health behavior; Illicit Drugs; Image; Intervention; Intervention Studies; Intervention Trial; Link; Mediating; Mediator of activation protein; Medical; Medical Staff; Methods; Modeling; Outcome; Outcome Study; Patients; Persons; Pharmaceutical Preparations; Phase; Primary Health Care; Race; Randomized; Randomized Clinical Trials; Randomized Controlled Clinical Trials; Research; Research Activity; Research Design; Risk; Risk Behaviors; Risk Factors; Role; Screening procedure; Self Perception; Services; Staging; Substance abuse problem; Summary Reports; Surveys; Technology; Testing; Time; Tobacco use; Training; Translating; United States National Institutes of Health; Work; Writing; Youth; age group; base; brief intervention; computer generated; cost; cost effectiveness; emerging adult; fitness; follow-up; health related quality of life; high risk; high risk behavior; improved; innovation; novel; prescription drug abuse; prevent; primary care setting; screening and brief intervention; screening, brief intervention, referral, and treatment; social; theories; trial comparing; young adult

The primary purpose of this research is to develop and evaluate the effectiveness of an innovative multiple behavior screening, brief intervention and referral to treatment (MB-SBIRT) model using social and self-image to simultaneously link and reduce prescription and other drug abuse and other co-occurring risk behaviors among emerging adults in primary care settings serving racially and economically diverse communities. The long term objective of this research is to cost-effectively reduce prescription and illicit drug abuse, along with alcohol and tobacco consumption and HIV/AIDS risk behaviors, and improve health-related quality of life among high-risk emerging adults often ignored in intervention research and services. Emerging adults have the highest levels of prescription, illicit and licit drug consumption of any age group in the nation. This work is founded on an emerging conceptual framework titled the Behavior-Image Model (BIM), which posits that multiple health behaviors can be coupled and simultaneously influenced with brief interventions targeting salient social and self-images. The proposed research will involve two primary phases. The first phase will consist of formative research activities involving the use of expert panels, target audience surveys, and pilot testing. A randomized controlled pilot test will be conducted examining the acceptability, quality, feasibility, and short-term (3-month) effects of two community-friendly computer technology delivery formats of the MB-SBIRT model for young adult patients attending four participating primary care clinics. Training of all medical personnel will be conducted to increase acceptance and utilization of the MB-SBIRT model, and brief computer-generated summary reports on perceived patient quality, utilization and effectiveness will be provided to medical staff on a regular basis to enhance sustainability of the proposed SBIRT model within participating primary care clinics. The second phase of the proposed research design and methods will involve a longitudinal randomized clinical trial (RCT) of the effects of the revised MB-SBIRT model. This phase is essential to determining the short (3-month) and long-term (1-year) effectiveness, costs, and cost-effectiveness of the innovative MB-SBIRT model among young adults attending participating primary health clinics in diverse communities in northeast Florida. This second phase of research will also determine the role of baseline drug use, gender, race, and clinic setting as moderators of the MB-SBIRT model effects at both follow-up data collection points. In addition, we propose to evaluate social and self-image and other theory-based risk factors as mediators of change on prescription and illicit drug use and problems, alcohol and tobacco use, HIV/AIDS risk behaviors, health-related quality of life, and attempts to seek drug abuse and HIV/AIDS treatment and testing at both follow-up data collection points. Project

这项研究的主要目的是使用社交和自我形象开发和评估创新的多重行为筛查，简短干预和转诊（MB-SBIRT）模型的有效性，以同时联系和减少处方滥用，以及其他共同照顾成人在种族和经济上有多种多样的各种相互关怀成年人中的其他同时滥用以及其他共同存在的风险行为。这项研究的长期目标是成本效率地减少处方和非法药物滥用，以及饮酒和烟草消费以及艾滋病毒/艾滋病风险行为，并改善与健康相关的高风险新兴成年人的生活质量，在干预研究和服务中常常被忽略。新兴的成年人的处方，非法和非法药物消耗的最高水平。这项工作建立在一个名为“行为形象模型”（BIM）的新兴概念框架上，该框架认为可以将多种健康行为耦合，并与针对显着社会形象的简短干预措施同时影响。拟议的研究将涉及两个主要阶段。第一阶段将包括涉及使用专家小组，目标受众调查和试点测试的形成性研究活动。将进行一项随机对照试验测试，以研究MB-SBIRT模型的两种社区友好计算机技术交付格式的可接受性，质量，可行性和短期（3个月）影响，该格式针对四个参加初级保健诊所的年轻患者。将对所有医务人员进行培训，以增加对MB-Sbirt模型的接受和利用，并定期向医务人员提供有关患者质量，利用和有效性的简短计算机生成的摘要报告，以增强参与初级护理诊所中拟议的SBIRT模型的可持续性。拟议的研究设计和方法的第二阶段将涉及修订后的MB-SBIRT模型效应的纵向随机临床试验（RCT）。此阶段对于确定创新的MB-Sbirt模型的短期（3个月）和长期（1年）的效力，成本和成本效益至关重要。第二阶段的研究还将确定基线药物使用，性别，种族和诊所环境作为MB-Sbirt模型在两个后续数据收集点上效应的主持人的作用。此外，我们建议评估社会和自我形象以及其他基于理论的危险因素，以作为处方和非法药物使用以及问题，酒精和烟草使用，艾滋病毒/艾滋病风险行为，与健康相关的生活质量以及在这两个随访数据收集点上寻求药物滥用和艾滋病毒治疗和测试的尝试。项目