Interactive Voice Response (IVR) is a computer-based telephone technique that allows subjects to respond to a recorded voice asking scripted questions. The caller inputs brief, numeric answers using the telephone touch pad. In a series of studies, we have been using the IVR as a reporting device to examine the evolution of alcohol consumption over time and its relation to alcohol problems. In this study we propose to test IVR in a primary care practice as treatment tool to enhance physicians' brief alcohol interventions with heavy and problem drinkers. Method: After brief alcohol intervention by their physician in participating primary care clinics, consenting patients meeting our selection criteria will be randomized to one of four study groups. The first three of these are: 1) brief intervention only; II) brief intervention plus daily calls by the subject to the IVR; and III) brief intervention plus daily IVR calls with periodic feedback of IVR consumption data to the patient via the physician. Group IV will receive the same treatment as Group III, but subjects in Group IV will receive a financial incentive to help ensure a high IVR call compliance rate. Goals: We will assess: 1) the feasibility of using IVR as an intervention in primary care patients including call compliance rates and the validity of consumption reports, and 2) whether an IVR, with or without patient feedback, enhances the effect of brief alcohol intervention by a physician. Our long-term objective is to develop interventions specifically designed to capitalize on the unique advantages of an IVR system. The public health implications of effective, low cost interventions for heavy and problem drinking that can be accessed remotely and are applicable in primary care and HMO settings are considerable.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA011954-04
Application #
6509291
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Lefauve, Charlene
Project Start
1999-05-01
Project End
2004-04-30
Budget Start
2002-05-01
Budget End
2003-04-30
Support Year
4
Fiscal Year
2002
Total Cost
$499,795
Indirect Cost
Name
University of Vermont & St Agric College
Department
Psychiatry
Type
Schools of Medicine
DUNS #
066811191
City
Burlington
State
VT
Country
United States
Zip Code
05405
Rose, Gail L; Guth, Sarah E; Badger, Gary J et al. (2015) Brief Intervention for Heavy Drinking in Primary Care: Role of Patient Initiation. J Addict Med 9:368-75
Fazzino, Tera L; Rose, Gail L; Burt, Keith B et al. (2014) Comparison of categorical alcohol dependence versus a dimensional measure for predicting weekly alcohol use in heavy drinkers. Drug Alcohol Depend 136:121-6
Harder, Valerie S; Ayer, Lynsay A; Rose, Gail L et al. (2014) Alcohol, moods and male-female differences: daily interactive voice response over 6 months. Alcohol Alcohol 49:60-5
Fazzino, Tera L; Rose, Gail L; Burt, Keith B et al. (2014) A test of the DSM-5 severity scale for alcohol use disorder. Drug Alcohol Depend 141:39-43
Fazzino, Tera L; Harder, Valerie S; Rose, Gail L et al. (2013) A daily process examination of the bidirectional relationship between craving and alcohol consumption as measured via interactive voice response. Alcohol Clin Exp Res 37:2161-7
Fazzino, Tera L; Rabinowitz, Terry; Althoff, Robert R et al. (2013) Monitoring daily affective symptoms and memory function using interactive voice response in outpatients receiving electroconvulsive therapy. J ECT 29:318-24
Rose, Gail L; Plante, Dennis A; Thomas, Colleen S et al. (2010) Utility of prompting physicians for brief alcohol consumption intervention. Subst Use Misuse 45:936-50
Helzer, John E; Badger, Gary J; Searles, John S et al. (2006) Stress and alcohol consumption in heavily drinking men: 2 years of daily data using interactive voice response. Alcohol Clin Exp Res 30:802-11
Gruenewald, Paul J; Russell, Marcia; Light, John et al. (2002) One drink to a lifetime of drinking: temporal structures of drinking patterns. Alcohol Clin Exp Res 26:916-25
Searles, John S; Helzer, John E; Rose, Gail L et al. (2002) Concurrent and retrospective reports of alcohol consumption across 30, 90 and 366 days: interactive voice response compared with the timeline follow back. J Stud Alcohol 63:352-62