In-person vs. Computer Interventions to Increase Probation Compliance

面对面与计算机干预以提高缓刑合规性

• 批准号: 8607919
• 负责人: Faye S Taxman
• 金额: $ 60.75万
• 依托单位: UNIVERSITY OF NORTH TEXAS HLTH SCI CTR
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-03-15 至 2016-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8607919
• 关键词: AIDS/HIV problem; Adult; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Baltimore; Behavior; Behavioral; Caring; Characteristics; Client; Clinical Research; Clinical Services; Cognitive; Communicable Diseases; Communities; Computers; Consensus; County; Criminal Justice; Drug usage; Effectiveness; Ethnic Origin; Feedback; Gender; Goals; HIV; Human immunodeficiency virus test; Incidence; Intake; Intervention; Link; Literature; Maryland; Meta-Analysis; Minority; Monitor; Motivation; Outcome; Participant; Persons; Pharmaceutical Preparations; Phase; Population; Process; Qualifying; Randomized; Readiness; Recommendation; Relative (related person); Risk; Risk Behaviors; Services; Site; Structure; Substance abuse problem; Supervision; System; Testing; Texas; Time; addiction; alcohol abuse therapy; base; checkup examination; computer program; computerized; cost; cost effectiveness; criminal behavior; effective intervention; efficacy testing; evidence base; follow-up; high risk sexual behavior; innovation; intervention effect; motivational enhancement therapy; offender; parole; primary outcome; probation; probationer; programs; public health relevance; recidivism; secondary outcome; substance abuse treatment; substance abuser; theories; transmission process; treatment program

DESCRIPTION (provided by applicant): It is well established that substance abuse treatment in the criminal justice system is effective at reducing drug use and related criminal behavior. Although drug and alcohol treatment are common mandates in criminal justice programs, only a minority of clients actually initiate treatment. This application will compare two intervention formats that target motivation to initiate and engage in substance abuse treatment among a group of probationers who have drug or alcohol treatment conditions. Six hundred drug and alcohol offenders in two probation sites (Baltimore, Maryland, and Dallas, Texas) will be randomized to receive: 1) an in-person motivational interviewing session (MI), 2) a motivational computer program (MC), or 3) intake and monitoring supervision as usual (SAU). The MI condition will be structured along the lines of the promising Check-Up format, which consists of an assessment and personalized feedback delivered in an MI style; the content of the MC condition will be drawn from previous literature on effective motivational computer programs. In addition, because of the much higher rates of infectious disease among criminal justice populations and the link between drug use and infectious disease, the MI and MC conditions would include a referral to HIV/AIDS testing and treatment for those participants who qualify. Both interventions will be delivered at the start of the probation process, with follow-up assessments at one, six, and twelve months. Primary outcomes include engagement and participation in substance abuse treatment; secondary outcomes include drug and alcohol use, probation progress, HIV testing and treatment, and criminal behavior. This project will be the first to develop and test two interventions for encouraging criminal justice clients to follow through with treatment recommendations, with the goal of increasing treatment initiation and reducing subsequent drug use and related risky behavior. It also contributes to ongoing partnerships with two large probation agencies -- the Dallas County Supervision and Corrections Department and the Maryland Division of Parole and Probation.

描述（由申请人提供）：众所周知，刑事司法系统中的药物滥用治疗可有效减少药物使用和相关犯罪行为。尽管毒品和酒精治疗是刑事司法项目中的常见要求，但只有少数客户真正开始治疗。该应用程序将比较两种干预形式，这些干预形式的目标是在一组患有药物或酒精治疗条件的缓刑犯中开始和参与药物滥用治疗的动机。两个缓刑地点（马里兰州巴尔的摩和德克萨斯州达拉斯）的 600 名吸毒和酗酒罪犯将被随机接受：1) 面对面的励志访谈 (MI)，2) 励志计算机程序 (MC)，或3）照常摄入和监测监督（SAU）。 MI 条件将按照有前途的检查格式进行构建，其中包括以 MI 风格提供的评估和个性化反馈； MC 条件的内容将取自先前有关有效激励计算机程序的文献。此外，由于刑事司法人群中传染病的发病率要高得多，并且吸毒与传染病之间存在联系，MI 和 MC 条件将包括为符合条件的参与者转介接受 HIV/AIDS 检测和治疗。这两种干预措施都将在缓刑过程开始时进行，并在一个月、六个月和十二个月时进行后续评估。主要成果包括参与药物滥用治疗；次要结果包括吸毒和酗酒、缓刑进展、艾滋病毒检测和治疗以及犯罪行为。该项目将是第一个开发和测试两种干预措施的项目，以鼓励刑事司法客户遵循治疗建议，其目标是增加治疗起始时间并减少随后的吸毒和相关危险行为。它还有助于与两个大型缓刑机构——达拉斯县监督和惩教部以及马里兰州假释和缓刑部——持续建立伙伴关系。