SBIR-STTR Award

Web-Based Training for Eap Alcohol Screening; Brief Intervention; and Referral
Award last edited on: 9/14/17

Sponsored Program
SBIR
Awarding Agency
NIH : NIAAA
Total Award Amount
$1,713,793
Award Phase
2
Solicitation Topic Code
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Principal Investigator
Susan W Schroeder

Company Information

Oregon Center for Applied Science (AKA: ORCAS)

PO Box 1226
Eugene, OR 97440
   (541) 342-7227
   orcas@orcasinc.com
   www.orcasinc.com
Location: Single
Congr. District: 04
County: Lane

Phase I

Contract Number: 1R43AA021053-01
Start Date: 9/20/12    Completed: 4/30/13
Phase I year
2012
Phase I Amount
$228,994
Excessive alcohol consumption is a public health concern that causes approximately 85,000 deaths each year and costs the U.S. economy $185 billion annually. Because the large majority (79%) of adults with alcohol disorders are employed and Employee Assistance Programs (EAPs) are resources in 75% of U.S. businesses, EAPs are uniquely positioned to address this public health concern. Unfortunately, EAPs currently identify and treat very few workers who have alcohol use problems. Over the last 8 years, two of the Co-Investigators on this proposal have sought to change this by facilitating the creation of the EAP Brief Intervention Group (BIG) Initiative. The BIG initiative brings together the major EAP corporate leaders, the EAP clinical professional associations, and others, for the express purpose of making alcohol screening, brief intervention, and referral to treatment (SBIRT), when appropriate, the routine practice across the EAP industry. There is an extensive body of research that demonstrates the effectiveness and cost-effectiveness of alcohol SBIRT. In collaboration with our BIG initiative EAP vendors and clinical professional associations, we propose to develop and evaluate an interactive multimedia (IMM) competency-based training program about alcohol use problems that is designed for EAP practitioners. The program will be designed for application as a stand-alone web-based training program. The proposed program will adapt the evidence-based material from the National Institute on Alcohol Abuse and Alcoholism to specifically address the worksite-related EAP practice environment and that of allied clinical professionals. When completed after Phase 2, the full program will include two sub-programs. One will focus on training call-center practitioners and the other will train face-to- face clinicians. Each sub-program will have 12 training modules. Phase 1 will develop and evaluate a screening and brief intervention for call-center application and will include 5 of the 12 modules. The remaining modules of both sub-programs will be completed in Phase 2. The Phase 1 prototype program will be evaluated in a pretest-to-post test within-subject design (N = 40). Because our BIG initiative partners see the critical need for this product and are committed to implementing it in their EAPs and allied organizations, the market to ensure the commercial success of this product is clearly in place.

Public Health Relevance:
Excessive alcohol consumption is a significant public health concern that costs the U.S. economy $185 billion annually. Employee Assistance Programs (EAPs) are uniquely positioned to address this public health concern through the screening of employees for problem alcohol use and the delivery of a brief intervention. This project will develop and evaluate an interactive multimedia competency-based training program for EAP practitioners to deliver routine screening of clients for problem alcohol use and the provision of a brief intervention or referral, when appropriate.

Public Health Relevance Statement:
Excessive alcohol consumption is a significant public health concern that costs the U.S. economy $185 billion annually. Employee Assistance Programs (EAPs) are uniquely positioned to address this public health concern through the screening of employees for problem alcohol use and the delivery of a brief intervention. This project will develop and evaluate an interactive multimedia competency-based training program for EAP practitioners to deliver routine screening of clients for problem alcohol use and the provision of a brief intervention or referral, when appropriate.

NIH Spending Category:
Alcoholism; Behavioral and Social Science; Clinical Research; Health Services; Prevention; Screening And Brief Intervention For Substance Abuse; Substance Abuse

Project Terms:
Absenteeism; Accounting; Address; Adult; Alcohol abuse; alcohol abuse therapy; alcohol screening and brief intervention; alcohol use disorder; Alcohols; Ally; Attitude; Awareness; base; Behavior; Behavioral; behavioral health; brief intervention; Businesses; Certification; Cessation of life; Characteristics; Client; Clinical; Collaborations; Commit; Controlled Clinical Trials; cost; cost effectiveness; Counseling; design; Development; Disease; Effectiveness; Employee; Employee Assistance Program (Health Care); Ensure; Environment; evidence base; functional disability; Health; Health Care Costs; Health Planning; Heavy Drinking; Human Resources; improved; Industry; Intention; interactive multimedia; Judgment; Knowledge; Learning; Marketing; Medical; Mental Health; Modeling; Motivation; National Institute on Alcohol Abuse and Alcoholism; Online Systems; Outcome; Pharmaceutical Preparations; Phase; Pilot Projects; Positioning Attribute; Prevalence; Prevention; Preventive; Primary Health Care; Productivity; Professional Organizations; programs; prototype; Provider; public health medicine (field); Research; Research Personnel; Resources; routine practice; screening and brief intervention; Screening procedure; screening, brief intervention, referral, and treatment; Self Efficacy; Services; skills; social; Solutions; success; Telephone; Testing; Training; Training Programs; Universities; Vendor; Washington; Work; Workplace

Phase II

Contract Number: 2R44AA021053-02
Start Date: 00/00/00    Completed: 00/00/00
Phase II year
2014
(last award dollars: 2016)
Phase II Amount
$1,484,799

Excessive alcohol consumption is a public health concern that causes approximately 80,000 deaths each year in the United States and costs the economy an estimated $223.5 billion in annual medical, social, and productivity losses. Because the large majority (79%) of adults with alcohol disorders is employed and Employee Assistance Programs (EAPs) are resources in 75% of U.S. businesses, EAPs are uniquely positioned to address this public health concern. Over the last 10 years, one of the Co-Principal Investigators and Co-Investigators on this proposal has sought to change this by facilitating the creation of the EAP Brief Intervention Group (BIG) Initiative. The BIG initiative brings together the major EAP corporate leaders, the EAP clinical professional associations, and others for the express purpose of making alcohol screening, brief intervention, and referral to treatment (SBIRT) the routine practice across the EAP industry. There is an extensive body of research that demonstrates the effectiveness and cost-effectiveness of alcohol SBIRT. In collaboration with BIG initiative organizations and EAP professional associations, we propose to develop and evaluate the SBIRT Training & Support Tool, which combines online training in SBIRT, including use of motivational interviewing techniques, with interactive mobile/web alcohol screening and intervention tools to guide EAP and behavioral health practitioners' use of SBIRT. Content for alcohol SBIRT will be derived from the National Institute on Alcohol Abuse's evidence-based materials. The SBIRT Training component will provide practitioners with the skills, knowledge, motivation, and self-efficacy to: (a) screen their clients for unhealthy alcohol use with validatedscreening tools; (b) provide brief, motivational interviewing-informed intervention; and (c) make appropriate referrals. In Phase 2 the training program will (a) further develop the Phase 1 content and (b) expand the curriculum to include additional validated alcohol screening tools. In addition, the SBIRT Support Tool component will be developed as a web/mobile interface for practitioners to use interactive screening and brief intervention forms with (a) prompts for validated questions in the screening and intervention; (b) motivational interviewing-informed dialogue suggestions; (c) online resources (i.e., standard drink list; importance, confidence rulers); and (d) alcohol education and referral information. This Phase 2 product will be evaluated in a randomized controlled trial with 332 EAP practitioners. In addition, a 20% random sample of participants in each experimental group will participate in simulated case- study phone counseling sessions, which will be used to assess participants' ability to implement SBIRT skills. Our BIG Initiative partners see the critical need for this product and are committedto implementing alcohol SBIRT in their EAPs and allied organizations. We intend to commercialize the SBIRT Training & Support Tool as a key component of ORCAS' mHealth platform, with an emphasis on the EAP market and EAP affiliated behavioral health organizations.

Thesaurus Terms:
Absenteeism;Address;Adult;Age;Alcohol Abuse;Alcohol Abuse Therapy;Alcohol Consumption;Alcohol Intervention;Alcohol Misuse;Alcohol Screening;Alcohol Screening And Brief Intervention;Alcohol Use Disorder;Alcohols;Ally;Base;Behavioral Health;Binge Drinker;Brief Intervention;Businesses;Case Study;Certification;Cessation Of Life;Characteristics;Client;Clinical;Collaborations;Commit;Computer-Assisted Instruction;Controlled Clinical Trials;Cost;Cost Effectiveness;Counseling;Design;Development;Diabetes Mellitus;Disease;Drinking;E-Learning;Economic Outcome;Educational Aspects;Educational Curriculum;Effectiveness;Efficacy Testing;Employee;Employee Assistance Program (Health Care);Evaluation;Evidence Base;Feedback;Goals;Health;Health Economics;Health Organization;Healthcare;Heavy Drinking;High Risk;Individual;Industry;Injury;Institutes;Internet;Intervention;Interview;Investments;Knowledge;Marketing;Medical;Meetings;Men;Mental Depression;Mental Health;Mhealth;Motivation;Motivational Enhancement Therapy;National Institute On Alcohol Abuse And Alcoholism;Occupations;Online Systems;Participant;Pharmaceutical Preparations;Phase;Positioning Attribute;Prevention;Preventive;Primary Health Care;Principal Investigator;Process;Product Development;Productivity Loss;Professional Organizations;Programs;Protocols Documentation;Provider;Public Health Medicine (Field);Public Health Relevance;Randomized Controlled Trials;Research;Research Personnel;Resources;Risk;Routine Practice;Sampling;Screening;Screening And Brief Intervention;Screening, Brief Intervention, Referral, And Treatment;Self Efficacy;Services;Simulate;Skills;Social;Solutions;Suggestion;Techniques;Technology;Telephone;Therapy Design;Tool;Training;Training Programs;Training Support;United States;Usability;Web Interface;Woman;Work;