SBIRT in New Mexico

新墨西哥州的 SBIRT

基本信息

批准号：
8518278
负责人：
ROBERT P SCHWARTZ
金额：
$ 37.51万
依托单位：
FRIENDS RESEARCH INSTITUTE, INC.
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2015-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8518278
关键词：
Absenteeism at work Accident and Emergency department Address Adopted Adoption Adult Advisory Committees Affect Age Alcohol consumption Alcohol or Other Drugs use Alcohols American Area Behavior Behavioral Biological Biological Assay Categories Characteristics Clinic Clinical Research Collaborations Community Health Computers Counseling Data Data Analyses Dependence Detection Development Disclosure Drug usage Effect Modifiers (Epidemiology)Effectiveness Effectiveness of Interventions Employment Status Environment Ethnic Origin Federal Government Frequencies Friends Gender HIV risk Hair Health Healthcare Hospitalization Human Resources Illicit Drugs Immunoassay Income Individual Injury Intervention Investigation Investments Knowledge Literature Marital Status Measures Medical Staff Methodology Methods Mexican Americans Minority Modeling New Mexico Outcome Outcome Measure Participant Patient Self-Report Patients Persons Physicians Policy Maker Population Preventive Primary Health Care Public Health Race Radio Randomized Randomized Controlled Trials Recommendation Reimbursement Mechanisms Relative (related person)Research Research Institute Resources Risk Risk Behaviors Role Sampling Science Self-Administered Services Site Standardization Substance of Abuse System Testing Time Tobacco Treatment Effectiveness Treatment outcome United States Substance Abuse and Mental Health Services Administration Visit Work base brief intervention clinical care clinical practice compare effectiveness computerized cost drug of abuse evidence base expectation experience high risk improved innovation intervention effect meetings misuse of prescription only drugs motivational enhancement therapy post intervention pressure primary outcome programs psychological distress screening screening and brief intervention screening, brief intervention, referral, and treatment secondary outcome tool treatment site working group

项目摘要

DESCRIPTION (provided by applicant): A firm evidence base has emerged supporting screening and brief intervention for alcohol use in healthcare settings. However, important gaps exist in the evidence for screening and brief intervention for illegal drug use. Rigorous research is needed that tests the effectiveness of screening and brief intervention for illegal drug use. In the proposed project, Friends Research Institute is partnering with Sangre de Cristo Community Health Partnership, the organization responsible for implementing the SAMHSA Screening, Brief Intervention, Referral, and Treatment (SBIRT) Initiative at over 35 primary care sites throughout the State of New Mexico since 2003. The proposed study will use a randomized controlled trial to compare the effectiveness of a standardized interpersonal brief intervention (IBI) based on motivational interviewing (currently used in the New Mexico SBIRT initiative) with a promising computerized brief intervention (CBI) in reducing illegal drug use and its associated health consequences. In addition, the study will assess whether patients' computer experience differentially moderates the effectiveness of the two interventions. The study will take place at two large primary care clinics in New Mexico. All patients will complete a screening for substance use via the Alcohol, Tobacco, and Substance Involvement Screening Tool (ASSIST) as part of regular clinical care. Patients who score in a moderate-risk category for illegal drug use (n = 360, 180 at each site) will be randomized within their respective clinics to the IBI or CBI condition. Patients with high-risk drug use will be referred for more intensive services as per standard clinical practice. Primary outcomes include drug use levels for major substances of abuse as measured by radio immunoassay analysis of hair samples, as well as global illicit drug risk ASSIST scores. Secondary outcomes include self-reported frequency of hospitalizations, emergency room utilization, injuries, psychological distress, HIV risk behaviors, arrests, missed work days, and earned income. Data analysis will be conducted using a Generalized Linear Mixed Model approach. An effective computerized brief intervention has the potential to make a substantial impact on SBIRT practice and improve public health. An effective CBI has the potential to offer a more acceptable format for addressing drug use behaviors than an interpersonal encounter, and has the expected advantages of having high reach and easy replication with comparatively lower investment of clinicians' time and resources. PUBLIC HEALTH RELEVANCE: The relevance of this research to public health will show that targeted screening in primary care health settings for moderate drug use will have a significant impact on public health by implementing brief interventions that target risky behaviors in moderate drug using individuals. This research, which also tests the differential effectiveness of two brief interventions for illegal drug use, has the potential to make a significant contribution to understanding the role that brief interventions have in reducing drug use and its associated consequences.

描述（由申请人提供）：企业证据基础已经出现了支持筛查和在医疗机构中饮酒的简短干预。但是，在筛查和简短干预非法药物使用的证据中存在重要差距。需要进行严格的研究，以测试筛查的有效性和对非法药物使用的简短干预。 In the proposed project, Friends Research Institute is partnering with Sangre de Cristo Community Health Partnership, the organization responsible for implementing the SAMHSA Screening, Brief Intervention, Referral, and Treatment (SBIRT) Initiative at over 35 primary care sites throughout the State of New Mexico since 2003. The proposed study will use a randomized controlled trial to compare the effectiveness of a standardized interpersonal brief intervention (IBI) based on motivational interviewing （目前在新墨西哥州SBIRT倡议中使用），采用有希望的计算机简短干预（CBI）来减少非法使用及其相关的健康后果。此外，该研究将评估患者的计算机经历是否会差异化两种干预措施的有效性。该研究将在新墨西哥州的两个大型初级保健诊所进行。作为常规临床护理的一部分，所有患者将通过酒精，烟草和物质参与筛查工具（ASSING）完成筛查以供物质使用。在中等风险类别中得分非法药物使用的患者（每个地点的n = 360，180）将在其各自诊所内随机分配给IBI或CBI状况。根据标准临床实践，将向具有高风险药物使用的患者进行更密集的服务。主要结果包括通过无线电免疫测定样品分析来衡量的主要滥用物质的药物使用水平，以及全球非法药物风险辅助分数。次要结果包括自我报告的住院频率，急诊室利用，伤害，心理困扰，艾滋病毒风险行为，逮捕，失业日和收入。数据分析将使用广义线性混合模型方法进行。有效的计算机简短干预有可能对SBIRT实践产生重大影响并改善公共卫生。一个有效的CBI有可能提供与人际交往相比，可以提供更可接受的格式来解决药物使用行为，并且具有高覆盖范围和易于复制的预期优势，而临床医生的时间和资源的投资相对较低。公共卫生相关性：这项研究与公共卫生的相关性将表明，在初级保健健康环境中针对中度药物使用的有针对性筛查将对公共卫生产生重大影响，通过实施简短的干预措施，这些干预措施以使用个人使用的是中等药物的危险行为。这项研究还测试了两种简短的非法药物使用措施的差异效果，有可能为理解简短干预措施在减少药物使用及其相关后果方面的作用做出重大贡献。

项目成果

期刊论文数量（16）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Staff Views of Acceptability and Appropriateness of a Computer-Delivered Brief Intervention for Moderate Drug and Alcohol Use.

工作人员对计算机提供的针对适度吸毒和酗酒的简短干预的可接受性和适当性的看法。

DOI：
10.1080/02791072.2015.1075631
发表时间：
2015
期刊：
Journal of psychoactive drugs
影响因子：
2.8
作者：
Mitchell,ShannonGwin;Monico,LauraB;Gryczynski,Jan;O'Grady,KevinE;Schwartz,RobertP
通讯作者：
Schwartz,RobertP

Gender and ethnic differences in primary care patients' response to computerized vs. in-person brief intervention for illicit drug misuse.

DOI：
10.1016/j.jsat.2017.10.009
发表时间：
2018-01
期刊：
Journal of substance abuse treatment
影响因子：
3.9
作者：
Gryczynski J;Carswell SB;O'Grady KE;Mitchell SG;Schwartz RP
通讯作者：
Schwartz RP

Process evaluation of a technology-delivered screening and brief intervention for substance use in primary care.

DOI：
10.1016/j.invent.2016.01.004
发表时间：
2016-05-01
期刊：
Internet interventions
影响因子：
0
作者：
Ondersma SJ;Gryczynski J;Mitchell SG;O'Grady KE;Schwartz RP
通讯作者：
Schwartz RP

Corrigendum to "Concordance between DSM-5 and DSM-IV nicotine, alcohol, and cannabis use disorder diagnoses among pediatric patients" [Drug Alcohol Depend. 140 (2014) 213-216].

“儿科患者中 DSM-5 和 DSM-IV 尼古丁、酒精和大麻使用障碍诊断之间的一致性”勘误表 [药物酒精依赖。

DOI：
10.1016/j.drugalcdep.2016.09.012
发表时间：
2016
期刊：
Drug and alcohol dependence
影响因子：
4.2
作者：
Kelly,SharonM;Gryczynski,Jan;Mitchell,ShannonGwin;Kirk,Arethusa;O'Grady,KevinE;Schwartz,RobertP
通讯作者：
Schwartz,RobertP

SBIRT for adolescent drug and alcohol use: current status and future directions.