Fast-track: Scalable digital delivery of evidence-based training for addiction professionals to maximize treatment admission and retention rates of opioid use disorder in affected families.

快速通道：为成瘾专业人士提供可扩展的数字化循证培训，以最大限度地提高受影响家庭阿片类药物使用障碍的治疗入院率和保留率。

• 批准号: 10482203
• 负责人: Jane Macky
• 金额: $ 25.96万
• 依托单位: WE THE VILLAGE, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-15 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10482203
• 关键词: Address; Admission activity; Adopted; Adoption; Affect; American; Audiotape; Behavioral; Certification; Code; Collaborations; Communities; Continuing Education; Cost efficiency; Data; Development; Educational Status; Educational workshop; Employment; FDA approved; Family; Family member; Feedback; Goals; Health Personnel; Healthcare Systems; Individual; Knowledge; Learning; Life; Methods; Modeling; Multimedia; Outcome; Outcome Measure; Persons; Pharmaceutical Preparations; Phase; Pilot Projects; Price; Procedures; Process; Professional counselor; Psychological reinforcement; Randomized Controlled Trials; Readiness; Recovery; Research; Resistance; Secure; Standardization; Suggestion; Surveys; Testing; Time; Training; Training Programs; Translations; Validation; Videoconferencing; Work; acceptability and feasibility; addiction; base; commercialization; comparison group; digital; digital delivery; effective therapy; evidence base; expectation; improved; loved ones; medical specialties; opioid use disorder; overdose death; prevent; programs; prototype; randomized trial; retention rate; satisfaction; supervised learning; trial comparing; usability

Effective medication-based treatment could prevent overdose deaths and help over 2 million Americans recover from opioid use disorder (OUD), but only a fraction access specialty treatment or receive an FDA-approved medication. Community Reinforcement and Family Training (CRAFT) works with family members to get treatment resistant individuals (Identified Persons; IPs) into treatment, and 68% of families coached in CRAFT achieve treatment entry for their IP; about twice as many as comparison groups. However, most addiction professionals (counselors) are not trained in CRAFT or deliver it with questionable fidelity. The goal of this project is to develop and evaluate the technical feasibility and commercial viability of a scalable digital counselor training program for CRAFT. The Counselor product would be tailored to prepare counselors to work with family members of individuals with OUD. It will allow counselors to deliver high-fidelity CRAFT and significantly benefit IPs and their families affected by OUD by addressing the critical barrier of access to a leading evidence-based approach to family involvement in addiction recovery. Current methods for training counselors and disseminating ESTs, including CRAFT, rely on brief online or in-person workshops. However, research shows this format is minimally effective in facilitating adoption and implementation of ESTs. A more efficacious model includes ongoing counselor training with feedback and coaching. This project will develop an enhanced training model for CRAFT and digitize it to maximize scalability. In this project, we will: Produce the digital counselor training prototype and coaching process, tailored to OUD - with stakeholder input (Aim 1); Conduct a pilot study of 3 levels of digital training (Level 1 -Digital tutorial only [T]; Level 2 -Tutorial & digital training materials for self-study [TM]; Level 3 – Tutorial, digital materials, feedback and coaching [TMC]) to establish feasibility, acceptability, and examine the effects of training on CRAFT knowledge, fidelity, and treatment entry and retention (Aim 2). Validation of feasibility and commercial merit in the Phase I pilot study will provide substantiation to advance to Phase II. In addition to optimizing the product based on Phase I learnings and stakeholder input, Phase II goals will include completing development of a supervised machine learning (SML) automated coding system that will score counselor-submitted digital audiotapes of CRAFT sessions and generate written feedback including suggestions for improvement. This will allow us to demonstrate digital training efficacy at scale and commercial readiness (Aim 3). We will conduct a fully-powered randomized control trial comparing all piloted outcomes for the 3 training level conditions (Aim 4). These studies form the basis to demonstrate commercial readiness and value to purchasers.

有效的药物治疗可以预防用药过量死亡并帮助超过 200 万美国人 从阿片类药物使用障碍 (OUD) 中康复，但只有一小部分人接受专业治疗或接受特殊治疗 FDA 批准的药物与家庭一起进行社区强化和家庭培训 (CRAFT)。 成员让治疗抵抗个体（身份识别人员；IP）接受治疗，以及 68% 的家庭 接受 CRAFT 辅导的患者获得 IP 治疗的人数大约是对照组的两倍。 大多数成瘾专业人士（咨询师）没有接受过工艺方面的培训，也没有以令人怀疑的忠诚度来提供它。 该项目的目标是开发和评估技术可行性和商业可行性 CRAFT 的可扩展数字咨询师培训计划将针对 CRAFT 量身定制。 准备辅导员与 OUD 患者的家庭成员一起工作 这将使辅导员能够提供帮助。 高保真工艺，通过解决关键问题，使受 OUD 影响的 IP 及其家人受益匪浅 目前，家庭参与成瘾康复的主要循证方法存在障碍。 培训辅导员和传播 EST（包括 CRAFT）的方法依赖于在线或面对面的简短介绍 然而，研究表明这种形式在促进采用和推广方面效果甚微。 EST 的实施更有效的模式包括持续的辅导员培训和反馈。 该项目将为 CRAFT 开发一个增强的培训模型，并将其数字化以最大化。 在这个项目中，我们将： 制作数字辅导员培训原型和辅导流程， 针对 OUD 量身定制 - 听取利益相关者的意见（目标 1）；进行 3 个级别的数字培训试点研究（级别 1） -仅数字化教程 [T] -自学教程和数字化培训材料 [TM]； 材料、反馈和指导 [TMC]）以确定可行性、可接受性并检查效果 有关工艺知识、保真度以及治疗进入和保留的培训（目标 2）。 第一阶段试点研究的商业价值将为进入第二阶段提供证据。 根据第一阶段的经验和利益相关者的意见优化产品，第二阶段的目标将包括 完成监督机器学习 (SML) 自动编码系统的开发，该系统将得分 辅导员提交的 CRAFT 课程数字录音带并生成书面反馈，包括 这将使我们能够展示大规模和商业化的数字培训效果。 我们将进行一项全面的随机对照试验，比较所有试点结果。 3 个培训水平条件（目标 4）是证明商业准备度和能力的基础。 对购买者的价值。