LINKAGE OF DRUG USING PATIENTS DETECTED IN GEN MED SETTING PROJECT LINK

GEN MED 设置项目链接中检测到的患者使用药物的链接

• 批准号: 6264938
• 负责人: Edward Bernstein Bernstein
• 金额: $ 3.05万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-12-01 至 1999-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6264938
• 关键词: alcoholism /alcohol abuse; behavioral /social science research tag; breath tests; clinical research; cocaine; crack cocaine; drug abuse therapy; drug addiction; health care referral /consultation; health care service; heroin; human subject; interview; longitudinal human study; questionnaires; substance abuse related disorder

Brief negotiated interviews (BNI) are effective in linking alcohol abusers to treatment, but have not been adequately tested among crack/cocaine users. Using a randomized controlled trial, Project Link will test effectiveness of the BNI and an active referral process. 17,600 patients will be screened in the Urgent Care and Women's Health clinics at BMC, using DAST and frequency of use questions embedded in a Health Needs History. We expect 10% of patients with crack/cocaine and/or heroin use and DAST score>=3; they will be offered enrollment. All assessed at baseline by researchers blinded to experimental status, with biochemical analysis of hair, the Addiction Severity Instrument (ASI), Readiness to Change Ruler, and breathalizer analysis for alcohol. A control group of 800 will receive standard care (written advice/referral); intervention group of 800 will receive same plus the BNI/active referral. Follow up at 3 months will include structured interview and ASI. Follow up at 6 months will include same plus biochemical analysis

简短协商访谈（BNI）可以有效地将酗酒者与治疗联系起来，但尚未在快克/可卡因使用者中进行充分测试。 Project Link 将使用随机对照试验来测试 BNI 和主动转诊流程的有效性。 BMC 的紧急护理和妇女健康诊所将使用 DAST 和健康需求历史中嵌入的使用频率问题对 17,600 名患者进行筛查。 我们预计 10% 的患者使用快克/可卡因和/或海洛因且 DAST 评分 >=3；他们将被录取。 所有这些都由不了解实验状态的研究人员在基线时进行评估，包括头发生化分析、成瘾严重程度仪器 (ASI)、准备改变标尺和酒精呼气分析。 800 名对照组将接受标准护理（书面建议/转介）； 800 人的干预组将收到相同的信息以及 BNI/主动转介。 3 个月后的跟进将包括结构化面试和 ASI。 6 个月的随访将包括相同的生化分析