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

本研究的主要目的是开发和评估创新的多重行为筛查、简短干预和转诊治疗 (MB-SBIRT) 模型的有效性，该模型使用社会和自我形象来同时联系和减少处方和其他药物滥用以及其他药物滥用。为种族和经济多元化社区提供服务的初级保健机构中新兴成年人共同发生的风险行为。这项研究的长期目标是经济有效地减少处方药和非法药物滥用，以及酒精和烟草的消费以及艾滋病毒/艾滋病风险行为，并改善干预中经常被忽视的高危新兴成年人的健康相关生活质量研究和服务。新兴成年人的处方药、非法和合法药物消费量是全国所有年龄段中最高的。这项工作建立在一个名为行为形象模型（BIM）的新兴概念框架之上，该框架假设多种健康行为可以与针对显着社会和自我形象的简短干预结合起来并同时受到影响。拟议的研究将涉及两个主要阶段。第一阶段将包括形成性研究活动，涉及专家小组的使用、目标受众调查和试点测试。将进行随机对照试点测试，检查 MB-SBIRT 模型的两种社区友好型计算机技术交付格式对参加四个参与初级保健的年轻成年患者的可接受性、质量、可行性和短期（3 个月）效果诊所。将对所有医务人员进行培训，以提高对 MB-SBIRT 模型的接受和使用，并将定期向医务人员提供关于患者质量、利用率和有效性的简短计算机生成总结报告，以增强医疗服务的可持续性在参与的初级保健诊所内提出了 SBIRT 模型。拟议的研究设计和方法的第二阶段将涉及对修订后的 MB-SBIRT 模型的效果进行纵向随机临床试验 (RCT)。这一阶段对于确定创新 MB-SBIRT 模式在东北部不同社区参与初级卫生诊所的年轻人中的短期（3 个月）和长期（1 年）有效性、成本和成本效益至关重要佛罗里达。第二阶段的研究还将确定基线药物使用、性别、种族和临床环境作为 MB-SBIRT 模型在两个后续数据收集点效果的调节因素的作用。此外，我们建议评估社会和自我形象以及其他基于理论的风险因素，作为处方药和非法药物使用和问题、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、并尝试在两个后续数据收集点寻求药物滥用和艾滋病毒/艾滋病治疗和检测。项目