Northwest Pennsylvania Adolescent Alcohol Research Cooperative

宾夕法尼亚州西北青少年酒精研究合作社

• 批准号: 7162316
• 负责人: DUNCAN B. CLARK
• 金额: $ 27.25万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7162316
• 关键词: Internet; adolescence (12-20); alcoholic beverage consumption; alcoholism /alcohol abuse; alcoholism /alcohol abuse therapy; clinical research; computer assisted diagnosis; computer assisted medical decision making; computer system design /evaluation; continuing education; cooperative study; focus groups; health behavior; health care professional practice; health care referral /consultation; health services research tag; human subject; longitudinal human study; mental disorder diagnosis; patient oriented research; pediatrics; primary care physician; rural area; rural health

DESCRIPTION (provided by applicant): Primary health care providers in rural settings can play a vital role in the identification, management, and referral of adolescents with problematic alcohol involvement. This application proposes a cooperative agreement to develop the research capacity of primary health care systems in rural northwestern Pennsylvania for addressing alcohol use and related problems in this age group. The Northwest Pennsylvania Adolescent Alcohol Research Cooperative (NPAARC) will include members from the Pittsburgh Adolescent Alcohol Research Center, the Center for Rural Health Practice at the University of Pittsburgh - Bradford campus and the Kinzua Regional Health Alliance. The Kinzua Alliance includes primary health care organizations serving rural northwestern Pennsylvania. These organizations provide complimentary expertise and resources for conducting the proposed research. NPAARC will assess the extent of underage drinking in the served communities through local high school participation in the Pennsylvania Youth Survey, as well as the evaluation of patients visiting primary care practices. To identify and involve all area practitioners serving this population, a survey and focus groups will be conducted. In collaboration with practitioners, adolescents and parents, an adolescent version of the NIAAA Clinician's Guide and a computer-assisted alcohol assessment and clinical decision support tool will be developed. The computer-assisted decision support system will be tested in five practices. Before their health care visit, adolescents (12-20 years old) will be assessed on alcohol use and problems, including the AUDIT and a computer-administered diagnostic assessment. To determine the influence of this decision support system, practitioner assessment and referral practices and adolescent adherence to recommendations will be compared during two implementation stages: (1) an assessment only control condition and (2) a full implementation including PCP feedback, interpretation of assessments, intervention suggestions, and a tailored print-out provided to the patient. The study will evaluate the influence of the computer-assisted decision support system on practitioner assessment and referral patterns, patient adherence to referral recommendations over a one-month follow-up period and adolescent alcohol consumption. With this project, NPAARC will initiate a long-term partnership among rural health care providers, the Center for Rural Health Care Practice, and the Pittsburgh Adolescent Alcohol Research Center.

描述（由申请人提供）：农村环境中的初级卫生保健提供者在识别，管理和转诊的饮酒中有问题的识别，管理和转诊中起着至关重要的作用。该申请提出了一项合作协议，以开发宾夕法尼亚州西北部农村的初级卫生保健系统的研究能力，以解决该年龄段的饮酒和相关问题。西北宾夕法尼亚州青少年酒精研究合作社（NPAARC）将包括匹兹堡青少年酒精研究中心，匹兹堡大学农村健康实践中心 - 布拉德福德校园和金祖亚地区健康联盟的成员。 Kinzua联盟包括为西北宾夕法尼亚州农村服务的初级卫生保健组织。这些组织为进行拟议的研究提供了免费的专业知识和资源。 NPAARC将通过当地高中参与宾夕法尼亚州青年调查以及访问初级保健实践的患者的评估来评估服务社区中未成年饮酒的程度。为了确定并参与为该人群服务的所有地区从业人员，将进行调查和焦点小组。与从业者，青少年和父母合作，将开发NIAAA临床医生指南的青少年版，以及计算机辅助的酒精评估和临床决策支持工具。计算机辅助的决策支持系统将在五个实践中进行测试。在医疗访问之前，将评估青少年（12-20岁）的酒精使用和问题，包括审计和计算机管理的诊断评估。为了确定该决策支持系统的影响，将在两个实施阶段进行比较：（1）仅评估控制条件，以及（2）完整实施，包括PCP反馈，评估的解释，干预建议以及提供给患者的量身定制的打印机，将在两个实施阶段进行比较。该研究将评估计算机辅助决策支持系统对从业者评估和推荐模式的影响，在一个月的随访期内患者遵守推荐建议以及青少年饮酒。通过这个项目，NPAARC将在农村医疗保健提供者，农村医疗保健实践中心和匹兹堡青少年酒精研究中心之间建立长期合作伙伴关系。