DELIVERING TREATMENT IN DUI PROGRAMS TO REDUCE ALCOHOL-RELATED DISPARITIES

通过酒后驾车项目提供治疗，以减少与酒精相关的差异

• 批准号: 9061438
• 负责人: Karen Chan Osilla
• 金额: $ 40.25万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-10 至 2019-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9061438
• 关键词: Accidents; Acculturation; Address; Aftercare; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Caring; Cessation of life; Cirrhosis; Cognitive Therapy; County; Diagnosis; Education; Enrollment; Ethnic Origin; Evidence based treatment; Gender; Health; Health Services Accessibility; Heavy Drinking; Individual; Injury; Latino; Literature; Los Angeles; Modeling; Outcome; Outcome Measure; Policies; Population; Public Health; Race; Randomized; Research; Safety; Self Efficacy; Services; Social Welfare; Staging; Testing; Time; Traffic accidents; Treatment Effectiveness; Treatment Efficacy; Treatment outcome; Vulnerable Populations; alcohol abuse therapy; alcohol related problem; alcohol use disorder; alcohol-related injury; authority; base; convict; court; disparity reduction; drinking; driving under influence; evidence base; experience; follow-up; high risk; impaired driving performance; improved; innovation; lectures; meetings; premature; primary outcome; programs; randomized trial; recidivism; reduced alcohol use; secondary outcome; substance abuse prevention; treatment as usual; treatment disparity; treatment response; vehicular accident

DESCRIPTION (provided by applicant): Enormous unmet needs for alcohol treatment exist among individuals convicted of driving under the influence (DUI) since up to 43% recidivate and 67% meet criteria for alcohol dependence. We will test whether delivering a cognitive behavioral treatment (CBT) for alcohol use disorders (AUDs) as part of a mandated DUI program improves health outcomes, and reduces alcohol use, alcohol-related problems and injuries, and DUI recidivism compared to usual care. The study has the potential to promote the public welfare by providing treatment to individuals with a DUI conviction, while focusing on Latinos, who are disproportionately less likely to access treatment and more likely to be arrested for a DUI, to have higher rates of recidivism, and to die in alcohol- related crashes than their white counterparts. The study is innovative because it would be the first to address effectiveness of treatment for AUDs embedded within a DUI program. We will conduct a randomized trial of a 9-session group-based CBT (n=150) as compared to group-based usual care (UC; n=150) immediately after and 6 months after the end of treatment. Short-term outcomes include alcohol use (rates of heavy drinking, percent days abstinent), alcohol use-related self-efficacy, and intent to drink and drive. We will also examine whether race/ethnicity, gender, acculturation, and alcohol situational norms predict our primary treatment outcomes (rates of heavy drinking, percent days abstinent) and DUI recidivism (alcohol-related violations).

描述（由申请人提供）：因酒后驾车 (DUI) 罪名成立的个人中存在大量未满足的酒精治疗需求，因为高达 43% 的人再次犯罪，67% 的人符合酒精依赖标准。我们将测试作为强制酒后驾车计划的一部分，针对酒精使用障碍 (AUD) 提供认知行为治疗 (CBT) 是否可以改善健康结果，并与常规护理相比，减少饮酒、酒精相关问题和伤害以及酒后驾车累犯。这项研究有可能通过为酒后驾车定罪的个人提供治疗来促进公共福利，同时重点关注拉丁裔，因为他们获得治疗的可能性极低，更有可能因酒后驾车而被捕，累犯率较高，与白人相比，他们死于酒精相关事故的比例更高。这项研究具有创新性，因为它将是第一个探讨酒驾项目中 AUD 治疗有效性的研究。我们将在治疗结束后立即和治疗结束后 6 个月进行一项随机试验，将 9 个疗程的基于小组的 CBT (n=150) 与基于小组的常规护理 (UC；n=150) 进行比较。短期结果包括饮酒（大量饮酒率、禁酒天数百分比）、与饮酒相关的自我效能以及饮酒和驾驶的意图。我们还将研究种族/民族、性别、文化适应和酒精情境规范是否可以预测我们的主要治疗结果（酗酒率、戒酒天数百分比）和酒后驾车累犯（与酒精相关的违法行为）。