Interactive Voice Response (IVR) is a computer-based telephone system that enables users to respond with the telephone keypad to a recorded voice asking scripted questions. We have been exploring the potential of IVR as a tool for efficient data collection and for intervention. Evidence from our previous research suggests that simply calling an IVR to report drinking each day for extended period results in a reduction of alcohol consumption among heavy drinkers. In an ongoing study, we are finding evidence that daily IVR reports amplify and extend the therapeutic effect of brief intervention delivered by primary care providers to hazardous drinkers. We have now developed and tested a more elaborate """"""""Therapeutic"""""""" IVR (TIVR) as a supplement to cognitive behavioral therapy (CBT). In addition to making daily reports, patients can use the TIVR to review and/or rehearse coping skills they learned in CBT and get personalized feedback about their clinical progress. Results from a pilot study recommended by the prior reviewers demonstrate feasibility, patient acceptance, and the potential benefits of the TIVR when used for the therapeutic enhancement of abstinence-oriented group CBT in patients with alcohol dependence. In this application we propose a randomized controlled trial of the TIVR as a supplement to group CBT for alcohol dependence. Method: Patients (N= 200) who have completed 12 sessions of group cognitive behavioral coping skills training (CBT) for alcohol dependence will be randomly assigned to one of two treatment groups: 1) CBT only, or 2) CBT plus 6 months of TIVR. We will measure alcohol consumption and alcohol-related symptoms, readiness to change, self-efficacy, situational confidence, use of coping skills, and coping behavior effectiveness at various intervals including: immediately before and after CBT, during and immediately after 6 months of TIVR, and 6 months later (i.e. 12 months post-CBT). The primary goal of this application is to test whether the TIVR enhances the therapeutic effect of CBT for alcohol dependence. Our long-term objective is to develop interventions specifically designed to capitalize on the unique advantages of IVR. The public health implications of effective, low cost interventions for alcohol dependence that can be accessed remotely are considerable.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA014270-04
Application #
7268983
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Lowman, Cherry
Project Start
2004-08-05
Project End
2009-07-31
Budget Start
2007-08-01
Budget End
2008-07-31
Support Year
4
Fiscal Year
2007
Total Cost
$474,967
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; Skelly, Joan M; Badger, Gary J et al. (2015) Efficacy of automated telephone continuing care following outpatient therapy for alcohol dependence. Addict Behav 41:223-31
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
Rose, Gail L; Skelly, Joan M; Badger, Gary J et al. (2012) Interactive voice response for relapse prevention following cognitive-behavioral therapy for alcohol use disorders: a pilot study. Psychol Serv 9:174-84
Naylor, Magdalena R; Krauthamer, G Michael; Naud, Shelly et al. (2011) Predictive relationships between chronic pain and negative emotions: a 4-month daily process study using Therapeutic Interactive Voice Response (TIVR). Compr Psychiatry 52:731-6
Ayer, Lynsay A; Harder, Valerie S; Rose, Gail L et al. (2011) Drinking and stress: an examination of sex and stressor differences using IVR-based daily data. Drug Alcohol Depend 115:205-12
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
Rose, Gail L; MacLean, Charles D; Skelly, Joan et al. (2010) Interactive voice response technology can deliver alcohol screening and brief intervention in primary care. J Gen Intern Med 25:340-4
Rose, Gail L; Skelly, Joan M; Badger, Gary J et al. (2010) Automated screening for at-risk drinking in a primary care office using interactive voice response. J Stud Alcohol Drugs 71:734-8
Naylor, Magdalena R; Keefe, Francis J; Brigidi, Bart et al. (2008) Therapeutic Interactive Voice Response for chronic pain reduction and relapse prevention. Pain 134:335-45
Helzer, John E; Rose, Gail L; Badger, Gary J et al. (2008) Using interactive voice response to enhance brief alcohol intervention in primary care settings. J Stud Alcohol Drugs 69:251-8

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