Location-Based Monitoring and Intervention for Alcohol Use Disorders

基于位置的酒精使用障碍监测和干预

• 批准号: 7861075
• 负责人: Patrick L Dulin
• 金额: $ 99.88万
• 依托单位: UNIVERSITY OF ALASKA ANCHORAGE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7861075
• 关键词: Accounting; Address; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcoholism; Alcohols; Applications Grants; Area; Behavioral; Cognitive; Computer software; Control Groups; Coping Skills; Cues; Data; Decision Making; Development; Disease; Emerging Technologies; Environment; Feedback; Future; Guidelines; Individual; Intervention; Lead; Location; Medical; Modality; Modification; Monitor; Online Systems; Participant; Persons; Phase; Pilot Projects; Population; Public Health; Randomized; Recommendation; Relapse; Reporting; Research; Research Priority; Services; Severities; Societies; Staging; Stigmata; System; Technology; Testing; Text; Treatment outcome; alcohol abuse therapy; alcohol intervention; alcohol use disorder; alcoholism therapy; base; coping; cost; design; drinking; efficacy testing; efficacy trial; follow-up; high risk; improved; interest; motivational enhancement therapy; problem drinker; programs; psychosocial; public health relevance; skills; social stigma; technological innovation; tool; young adult

DESCRIPTION (provided by applicant): This proposal is consistent with the research priorities of RFA-OD-09-004 (RC2), "Expanding and Personalizing Treatment Options for Alcohol Disorders". At present, a wide gap exists between the number of individuals needing alcohol abuse treatment and the number actually receiving it. Many factors account for this gap, including treatment availability and affordability, individuals wanting to independently solve their problems with alcohol, and stigma associated with receiving treatment. Due to their potential to circumvent these treatment barriers, technological innovations hold promise for increasing dramatically the number of individuals who receive treatment services. For example, recent research has indicated that readily- accessible web-based alcohol interventions are effective in reducing alcohol consumption among problem drinkers. However, such web-based interventions are limited to the extent that they are not sensitive to, or available within, the everyday environment in which drinking or relapse occurs. This lack of immediacy is particularly a concern as research has demonstrated consistently that cues, such as locations where an individual has previously drank, are strong triggers for continued alcohol use or relapse and that these cues often overwhelm an individual's rational decision-making abilities. To address these concerns and to make interventions more readily available and accessible, one approach is to use emerging technologies to develop a tool that helps to intervene in actual high-risk locations. The primary aim of this project is to develop such a tool, the Location-Based Monitoring and Intervention - Alcohol (LBMI-A), a system that utilizes recent advances in GPS-enabled smartphones. The LBMI-A will be programmed to alert users when they are entering their geographically defined high-risk areas for relapse and provide an immediate psychosocial intervention (e.g., by sending a text message to a support person and providing coping strategies). Other LMBI-A features will include assessment and feedback reports, alcohol use self- monitoring and feedback functions, and skills modules (e.g., coping skills). During Phases I and II of the proposed project, the initial technological and psychosocial intervention aspects of the LBMI-A will be developed. In Phase III, alcoholism treatment experts will test and review the LBMI-A and modifications will be made based on their recommendations. In Phase IV, a 6-week, randomized waitlist control pilot study will be performed with 60 young adults who demonstrate mild to moderate alcohol dependence. User- interface data will be gathered to examine how the LBMI-A is used by this population and pilot data will be gathered to examine its efficacy as an intervention tool. In Phase V, based on pilot data, the LBMI-A will be finalized and prepared for additional, rigorous testing for efficacy in future research. PUBLIC HEALTH RELEVANCE: Alcohol abuse and alcoholism are serious public health issues that have significant individual and society costs. It is estimated that over 80% of people who need alcohol treatment are unable to access it due to intractable treatment barriers. This project will lead to a technologically-based alcohol treatment system that can circumvent many of these barriers to treatment as well as provide interventions where they are needed most, namely, in real-world, high-risk environments. This treatment system holds the potential to revolutionize alcohol addiction treatment and to extend services to millions of individuals who otherwise would not obtain needed treatment.

描述（由申请人提供）：该提案与RFA-OD-09-004（RC2）的研究优先级是一致的，“酒精疾病的扩展和个性化治疗选择”。目前，需要酗酒治疗的个人数量与实际接受的人数之间存在很大的差距。许多因素解释了这一差距，包括治疗可用性和可负担性，想要独立解决酒精问题的人以及与接受治疗有关的污名。由于它们有可能规避这些治疗障碍的潜力，因此技术创新有望大大增加接受治疗服务的个人的数量。例如，最近的研究表明，易于获得的基于网络的酒精干预措施可有效减少饮酒者的酒精消耗。但是，这种基于网络的干预措施仅限于对饮酒或复发的日常环境不敏感或可用的程度。这种缺乏即时性尤其令人担忧，因为研究一直表明，提示（例如个人先前喝酒的位置）是持续饮酒或复发的强大触发因素，并且这些提示经常压倒个人的理性决策能力。为了解决这些问题并使干预措施更容易获得和可访问，一种方法是使用新兴技术来开发一种工具，有助于干预实际的高风险位置。该项目的主要目的是开发这种工具，基于位置的监视和干预 - 酒精（LBMI-A），该系统利用了启用GPS智能手机的最新进展。 LBMI-A将在用户输入其地理位置定义的高风险区域以进行复发并立即提供心理心理干预时提醒他们（例如，通过向支持人员发送短信并提供应对策略）。其他LMBI-A功能将包括评估和反馈报告，饮酒自我监控和反馈功能以及技能模块（例如，应对技能）。在拟议项目的第I和II阶段，将开发LBMI-A的最初技术和社会心理干预方面。在第三阶段，酒精中毒治疗专家将测试和审查LBMI-A，并根据他们的建议进行修改。在第四阶段，将对60名表现出轻度至中度酒精依赖性的年轻人进行一项为期6周的随机候补对照试验研究。将收集用户界面数据，以检查该人群如何使用LBMI-A，并将收集飞行员数据以检查其作为干预工具的功效。在基于试点数据的V阶段中，LBMI-A将被最终确定，并为未来研究中的疗效进行额外的严格测试。 公共卫生相关性：酗酒和酒精中毒是严重的公共卫生问题，具有重要的个人和社会成本。据估计，由于棘手的治疗障碍，超过80％的需要酒精治疗的人无法进入。该项目将导致一个基于技术的酒精治疗系统，该系统可以规避这些治疗的许多障碍，并提供最需要的干预措施，即在现实世界中的高风险环境中。该治疗系统具有彻底改变酒精成瘾治疗的潜力，并向数百万人提供服务，而这些人否则将无法获得所需的治疗。