Computerized Psychosocial Treatment for Offenders with Substance Use Disorders

对患有药物滥用障碍的罪犯进行计算机化心理社会治疗

基本信息

批准号：
7855764
负责人：
Stanley Sacks
金额：
$ 188.26万
依托单位：
NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC.
依托单位国家：
美国
项目类别：
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/7855764
关键词：
AIDS prevention Abstinence Achievement Active Learning Adopted Adoption Alcohol or Other Drugs use Arts Behavioral California Communication Communities Complex Computers Cost Analysis Crime Criminal Justice Data Drug abuse Drug usage Economics Education Employment Ensure Evidence based intervention Evidence based practice Female Funding Future HIV Imprisonment Individual Intervention Intervention Studies Investments Kentucky Learning Life Los Angeles Measures Mental Health Modeling Multimedia Nature Opioid Outcome Outpatients Patients Persons Pharmaceutical Preparations Population Preventive Intervention Prisons Professional counselor Psychological reinforcement Public Health Quality of life Quality-Adjusted Life Years Randomized Records Relative (related person)Research Research Personnel Research Project Grants Resources Risk Behaviors Sampling Science Site Substance Use Disorder Substance abuse problem System Technology Testing Therapeutic Time Training Treatment Cost U-Series Cooperative Agreements Universities Woman base clinical efficacy cognitive behavior therapy comparative effectiveness computerized cost cost effective cost effectiveness criminal thinking dissemination research economic cost efficacy trial evidence base improved innovation male meetings men multi-site trial offender programs psychosocial public health relevance reincarceration sex skill acquisition skills social standard care systems research tool treatment program

项目摘要

DESCRIPTION (provided by applicant): The majority of individuals in criminal justice settings across the U.S. have a critical need for science- based, psychosocial treatment that targets substance use and HIV risk behavior. The investigative team has developed and demonstrated the efficacy of an interactive, computer-based, psychosocial treatment program, the Therapeutic Education System (TES), which can answer this need. TES is theoretically grounded in evidence-based psychosocial treatments (Community Reinforcement Approach and Cognitive Behavioral Therapy), and employs state-of-the-art, proven informational technologies and multimedia learning tools to promote skills acquisition, experiential learning and behavioral change. This computer-based therapeutic tool allows complex interventions to be delivered with fidelity to the evidence-based model and at low cost due to its self-directed nature (e.g., minimal staff time/training needed), thus offering considerable potential for future sustainability and dissemination within criminal justice systems. The study employs random assignment of incarcerated male and female offenders with substance use disorders (N=526) to either (1) TES (N=263), or (2) Standard Care (N=263), in a multi-site trial conducted in 8 prison substance abuse programs. Along with NDRI (the applicant organization), the collaborating study sites (University of California Los Angeles, Temple University, and the University of Kentucky) operate Research Centers that belong to the Criminal Justice Drug Abuse Treatment Studies (CJDATS) network, a NIDA-funded cooperative agreement, which has established relationships with criminal justice partners from Departments of Corrections across the U.S. Aim 1 is to test the comparative effectiveness of TES vs. Standard Care on measures of drug use (e.g., weeks of abstinence) and HIV risk behavior (both sex-related and drug-related HIV risk behavior) at 3- and 6-months post prison discharge, as well as on reincarceration rates using official Department of Corrections records. Aim 2 is to evaluate the cost and cost-effectiveness of TES relative to standard care. The investigators predict that TES will be significantly more effective and cost effective than Standard Care. The project is significant in its use of an innovative, computer-based technology and in its potential to produce a major increase in the effective and cost-effective delivery of science-based psychosocial treatment to substance-abusing offenders in prison, and thereby make a considerable public health contribution. Thus, funding the proposed 2-year project can markedly accelerate the pace and achievement of research and dissemination efforts to meet the needs of the U.S. correctional community by providing effective and practical treatment interventions for its large substance-abusing population. PUBLIC HEALTH RELEVANCE: The proposed project is significant in its use of an innovative computer-based technology (of demonstrated efficacy with a related population of substance users) to produce a dramatic increase in the effective and cost- effective delivery of psychosocial treatment for male and female substance-abusing offenders, and thereby have a substantial impact on public health. Funding the proposed 2-year research project has the potential to accelerate research and dissemination efforts to enable widespread reach of science-based psychosocial treatment to individuals in criminal justice settings across the U.S.

描述（由申请人提供）：美国各地刑事司法环境中的大多数人都迫切需要针对药物滥用和艾滋病毒危险行为的基于科学的社会心理治疗。研究小组开发并展示了一种交互式、基于计算机的心理社会治疗计划——治疗教育系统（TES）的功效，它可以满足这一需求。 TES 理论上以循证心理社会治疗（社区强化方法和认知行为疗法）为基础，并采用最先进、经过验证的信息技术和多媒体学习工具来促进技能获取、体验式学习和行为改变。这种基于计算机的治疗工具允许以低成本提供复杂的干预措施，忠实于基于证据的模型，并且由于其自我导向的性质（例如，所需的员工时间/培训最少），从而为未来的可持续性和发展提供了巨大的潜力。在刑事司法系统内传播。该研究在一项多中心试验中，将患有物质使用障碍的男性和女性囚犯 (N=526) 随机分配至 (1) TES (N=263) 或 (2) 标准护理 (N=263)在 8 个监狱药物滥用项目中开展。合作研究中心（加州大学洛杉矶分校、天普大学和肯塔基大学）与 NDRI（申请组织）一起运营属于刑事司法药物滥用治疗研究 (CJDATS) 网络的研究中心，该网络是 NIDA-资助的合作协议，该协议与美国各地惩教部门的刑事司法合作伙伴建立了关系。目标 1 是测试 TES 与标准护理在药物使用措施（例如，出狱后 3 个月和 6 个月的艾滋病毒风险行为（与性相关和与毒品相关的艾滋病毒风险行为），以及使用惩教部官方记录的再监禁率。目标 2 是评估 TES 相对于标准护理的成本和成本效益。研究人员预测 TES 将比标准护理更有效且更具成本效益。该项目具有重要意义，因为它使用了基于计算机的创新技术，并有潜力大幅提高向监狱中滥用药物的罪犯提供基于科学的心理社会治疗的有效性和成本效益，从而使公共卫生贡献巨大。因此，资助拟议的为期两年的项目可以显着加快研究和传播工作的步伐和成果，通过为大量药物滥用人口提供有效和实用的治疗干预措施来满足美国惩教界的需求。公共健康相关性：拟议项目的重要意义在于使用基于计算机的创新技术（已证明对相关物质使用者群体有效），以显着提高男性和女性心理社会治疗的有效性和成本效益。女性滥用药物罪犯，从而对公共健康产生重大影响。资助拟议的为期两年的研究项目有可能加速研究和传播工作，从而使基于科学的心理社会治疗广泛应用于美国各地刑事司法环境中的个人。