The Ohio Valley Node of the Clinical Trials Network

临床试验网络俄亥俄谷节点

基本信息

批准号：
10441828
负责人：
T John WINHUSEN
金额：
$ 3.32万
依托单位：
UNIVERSITY OF CINCINNATI
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-07-01 至 2022-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10441828
关键词：
Abstinence Acceleration Acquired Immunodeficiency Syndrome Address Adherence Adolescent Adult Affect African American Age Alcohols Anxiety Anxiety Disorders Back Behavior Behavior Therapy Behavioral Model Benzodiazepines Biography Black, Indigenous, People of Color Budgets Bupropion Calibration Categories Caucasians Cessation of life Characteristics Child Clinic Clinical Clinical Data Clinical Treatment Clinical Trials Clinical Trials Network Cocaine Cocaine Dependence Cocaine Users Cognitive Therapy Collection Color Communities Counseling Data Data Aggregation Data Analyses Data Collection Data Pooling Data Set Databases Death Rate Diagnostic Disease Drug abuse Education Effect Modifiers (Epidemiology)Effectiveness Employment Enrollment Ethnic Origin Ethnic group Evaluation Evidence based treatment Factor Analysis Fentanyl Frequencies Funding Gender Identity Glass Goals Grant Growth Harm Reduction Health Health Services Accessibility Health behavior Heroin Hispanics Incentives Individual Institution Institutional Review Boards Intercept Interest Group International Intervention Jordan Knowledge Latinx Learning Life Style Link Literature Long-Term Effects Measurement Measures Medical Meta-Analysis Methamphetamine Methodology Methods Minority Modality Modeling Motivation National Institute of Drug Abuse National Institute of Mental Health National Institute on Alcohol Abuse and Alcoholism Neighborhoods Ohio Opioid Outcome Outpatients Paper Participant Patient Self-Report Patient-Focused Outcomes Patients Perception Pharmaceutical Preparations Pharmacological Treatment Pharmacotherapy Population Positioning Attribute Post-Traumatic Stress Disorders Privatization Process Property Protocols documentation Provider Psychiatric therapeutic procedure Psychiatrist Psychiatry Psychosocial Factor Public Health Publications Publishing Race Randomized Randomized Clinical Trials Readiness Reporting Research Research Design Research Methodology Research Personnel Research Project Grants Resources Review Literature Risk Role Safety Sampling Self Efficacy Severities Site Smoker Social Conditions Socioeconomic Factors Source Stress Subgroup Substance Addiction Substance Use Disorder Substance abuse problem System Testing Therapeutic Time Time trend TimeLine Tobacco Use Disorder Toxicology Training Trauma Treatment Effectiveness Treatment Efficacy Treatment outcome Underrepresented Minority Underrepresented Populations United States Urine Validation Variant Veins Vital Statistics Weight Woman Work Writing active method addiction alcohol abuse therapy base black subgroup career childhood anxiety clinically significant cocaine overdose cocaine use comorbidity comparative effectiveness comparative efficacy compare effectiveness contextual factors cooking cultural competence data harmonization design dual diagnosis education research effectiveness evaluation efficacy evaluation ethnic difference ethnic diversity evidence base experience follow-up health care quality health difference health disparity improved individual patient innovation interest marijuana use meetings men men&apos s group methadone clinic/center motivational enhancement therapy multi-racial multidisciplinary multilevel analysis nicotine patch novel opioid epidemic opioid mortality opioid use overdose death patient subsets pregnant primary outcome programs psychosocial psychostimulant racial and ethnic racial and ethnic disparities racism rate of change response rural African American science education screening, brief intervention, referral, and treatment secondary analysis secondary outcome sex social social factors social health determinants sociodemographic factors sociodemographics statistics structured data substance abuse treatment substance use substance use treatment substance user symposium synergism synthetic opioid theories treatment adherence treatment arm treatment effect treatment program treatment trial young adult young man

项目摘要

Using Integrative Data Analysis to Examine the Impact of Psychosocial Treatments for Black Cocaine Users Enrolled in the NIDA Drug Abuse Treatment Clinical Trials Network (CTN) Specific Aims Recent reports reveal that the acceleration of opioid-involved overdose deaths for Black people now outpaces that of White people.1 This increase is attributable to the presence of synthetic opioids (fentanyl) in the cocaine supply in approximately one third of opioid overdose deaths. The limited body of work available suggests that treatment effectiveness may vary across racial- ethnic groups. Yet, only a subset of these studies have specifically looked at cocaine use. The CTN provides a unique but underexplored collection of studies that can improve our knowledge on effective psychosocial treatments for Black people who use cocaine. The proposed study will combine data from 7 CTN treatment studies (total N = 1442 Black participants) that in combination present mixed findings. Using multiple emerging measurement/data analysis frameworks (integrative data analysis (IDA), meta-analysis of individual patient data (MIPD), causal moderation analysis), the goal of the proposed study is to evaluate the effectiveness of substance use disorder treatments for Black people who use cocaine. The project has three specific aims: Aim 1: Estimate scale scores of cocaine use severity while considering study-level measurement non-invariance. Aim 2: Compare the effectiveness of evidence-based treatment models for cocaine use severity. Aim 3: Explore individual- and study-level moderators, such as concomitant opioid use, age, sex, employment, pre-treatment psychiatric status, and retention to evaluate subgroup differences in treatment effectiveness.

使用综合数据分析来检查社会心理治疗对 NIDA药物滥用治疗临床试验网络的黑色可卡因使用者（CTN）具体目标最近的报道表明，黑人的阿片类药物涉及过量死亡的加速现在超过白人的空间。1这种增加归因于合成的存在可卡因供应中大约三分之一的阿片类药物过量死亡中可卡因供应中的阿片类药物（芬太尼）。可用的工作有限表明，在种族中的治疗效果可能会有所不同。族裔。然而，只有这些研究的一部分专门研究了可卡因的使用。这 CTN提供了一个独特但毫无疑问的研究集合，可以改善我们的知识关于使用可卡因的黑人有效的社会心理治疗。拟议的研究将结合7个CTN治疗研究的数据（总n = 1442个黑人参与者）组合呈现混合发现。使用多个新兴测量/数据分析框架（综合数据分析（IDA），单个患者数据的荟萃分析（MIPD），因果节奏分析），拟议研究的目的是评估使用可卡因的黑人使用药物使用障碍治疗的有效性。该项目具有三个特定的目标：目标1：估计可卡因使用严重程度的量表得分，同时考虑学习水平测量非变异。目标2：比较可卡因使用严重程度的基于证据的治疗模型的有效性。目标3：探索个人和学习水平的主持人，例如伴随的阿片类药物使用，年龄，性别，就业，治疗前精神病状况和评估子组的保留治疗有效性的差异。