Partnerships to Reduce Disparities in Substance Use Screening and Treatment

建立伙伴关系以减少药物使用筛查和治疗方面的差异

基本信息

批准号：
8374777
负责人：
ROBERT L WILLIAMS
金额：
$ 14.53万
依托单位：
UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-02-10 至 2015-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8374777
关键词：
Acute Address Alcohol abuse Alcohol consumption Alcohol dependence Alcohol or Other Drugs use Alcohols Area Attention Behavior Buprenorphine Caring Case Study Cessation of life Clinic Clinical Communities Complex Data Dependency Development Early Diagnosis Early treatment Effectiveness of Interventions Elements Ethnic group Evaluation Evidence based practice Feedback Focus Groups Future Goals Health Health Services Accessibility Healthcare Systems Heroin Hispanic Americans Hispanics Intervention Intervention Studies Intervention Trial Interview Methods Modeling Naltrexone Native Americans Nature New Mexico Opiate Addiction Opiates Opioid Outcome Outcome Measure Outpatients Patients Perception Persons Pharmaceutical Preparations Phase Physicians Poisoning Population Prevention Primary Health Care Process Provider Publishing Readiness Recommendation Research Resources Route Rural Sample Size Sampling Science Screening procedure Services Societies Substance Use Disorder Substance abuse problem Surveys Symptoms Testing Time Touch sensation Translating Work Workload base behavioral health care systems community based participatory research community setting contextual factors design evidence base experience field study flexibility health care delivery health disparity improved informant innovation mortality novel strategies practice-based research network prescription opioid racial and ethnic research to practice screening and brief intervention social socioeconomics theories

项目摘要

Background: Significant health disparities exist for Hispanics and Native Americans in screening and treatment for problem alcohol and opioid use in New Mexico. Despite the availability of methods for screening and brief intervention in primary care for problem alcohol use and opioid dependence, data continue to show that such strategies are underutilized. Improved alcohol and opioid services delivery in primary care will require innovative understandings of the community and primary care context in which these services are provided. Objectives and aims: The specific aims of this ecological, mixed method project are: 1) To more fully describe the complex factors influencing implementation of evidence-based screening and treatment for problem alcohol use and opioid dependence by conducting a three-phase mixed-method study in a primary care practice-based research network; 2) To more fully understand community level factors and perceptions of alcohol use, opioid dependence and the acceptance of screening and treatment for these problems in primary care; 3) Based upon Community and Primary Care Provider feedback, create flexible models for matching approaches to alcohol and opioid screening and intervention with different primary care and community settings; and 4) To assess the feasibility of these models in enhancing screening and intervention for problem alcohol and opioid use in primary care. Design and methods: A multi-method, three phase study is planned, using survey, qualitative case study, interview, and observational data to conduct up to 12 primary care clinic assessments from which a pilot intervention study will be developed and implemented. The study will be conducted in a primary care practice-based research network and will use a participatory approach to engage community behavioral health and substance use partners. Outcomes: This study will produce data that will be used to create and test the feasibility of new model(s) for intervening in primary care clinics to enhance alcohol abuse and opioid dependence services. In contrast to previous ideas about changing primary care clinic to increase attention to problem alcohol use and opioid dependency issues, these innovative models will incorporate the situational and complex nature of primary care. Subsequent research will aim to test the effectiveness of interventions based on the new model(s) on a broader scale aimed at reducing substance use disparities among Hispanics and Native Americans.

背景：西班牙裔和美洲原住民在新墨西哥州的酒精和阿片类药物使用方面存在重大健康差异。尽管可用于筛查和简短干预饮酒和阿片类药物依赖性的初级保健方法的方法，但数据仍表明这些策略未被充分利用。改善初级保健中的酒精和阿片类药物服务将需要对社区和初级保健环境的创新理解提供了这些服务。目标和目的：这个生态混合方法项目的具体目的是： 1）更充分地描述了影响循证筛查和治疗问题的饮酒和阿片类药物依赖性治疗的复杂因素，通过在基于初级保健实践的研究网络中进行三相混合方法研究； 2）更充分地了解社区水平的因素和对酒精使用，阿片类药物依赖性的看法以及对初级保健中这些问题的筛查和治疗的接受； 3）基于社区和初级保健提供者的反馈，创建灵活的模型，以使用不同的初级保健和社区环境来匹配酒精和阿片类药物筛查和干预； 4）评估这些模型在提高初级保健中酒精和阿片类药物使用的筛查和干预方面的可行性。设计和方法：一项多方法，三个阶段研究，使用调查，定性案例研究，访谈和观察数据，以进行多达12个初级保健诊所评估，从中开发和实施试点干预研究。该研究将在基于初级保健实践的研究网络中进行，并将采用参与式方法来吸引社区行为健康和药物使用伙伴。结果：这项研究将产生用于创建和测试新模型用于干预初级保健诊所的可行性以增强酒精滥用和阿片类药物依赖服务的可行性的数据。与以前关于改变初级保健诊所的想法相反，这些创新模型将纳入初级保健的情况和复杂性质。随后的研究将旨在以更广泛的规模测试基于新模型的干预措施的有效性，旨在减少西班牙裔和美洲原住民之间的物质使用差异。