Integrating Alcohol Screening, Brief Intervention, and Referral to Treatment into Presurgical Care

将酒精筛查、短暂干预和转诊治疗纳入术前护理

基本信息

批准号：
9032886
负责人：
Anne Christie Fernandez
金额：
$ 1.05万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-07-01 至 2016-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9032886
关键词：
Accounting Address Alcohol abuse Alcohol consumption Alcohols Area Award Behavior Therapy Caring Certified registered nurse anesthetist Clinic Clinical Complex Computerized Medical Record Data Analyses Data Collection Educational workshop Ensure Evaluation Family Goals Health Health Care Costs Health Psychology Health Services Research Health education Healthcare Healthcare Systems Heavy Drinking Hospitals Impaired wound healing Individual Infection Intervention Interview K-Series Research Career Programs Knowledge Link Literature Medical Medical Research Medical Staff Medical center Mentors Mentorship Methods Morbidity - disease rate Operative Surgical Procedures Outcome Patients Perioperative Nursing Postoperative Care Postoperative Complications Postoperative Period Primary Health Care Protocols documentation Provider Psychologist Randomized Randomized Controlled Trials Readiness Reading Recommendation Research Research Training Risk Risk Factors Small Business Innovation Research Grant Surgeon Surveys System Testing Time Training Treatment Efficacy Treatment Protocols Veterans Woman Work addiction alcohol abstinence alcohol related consequences alcohol screening and brief intervention alcohol use disorder base career career development cost drinking experience follow-up health care service health care service utilization immune function improved member men mortality novel patient oriented research pilot trial programs public health relevance reduced alcohol use research and development screening, brief intervention, referral, and treatment treatment group

项目摘要

DESCRIPTION (provided by applicant): The overall objective of this K23 proposal is to support the early career development of Dr. Anne Fernandez, a clinical psychologist with specialized expertise in addiction and health psychology. This award will facilitate her program of research - evaluating and implementing screening, brief interventions, and referral to treatment (SBIRT) for alcohol use disorders in novel medical settings. Her career goal is to improve patient health, enhance hospital outcomes, and reduce healthcare costs through carefully timed alcohol-use interventions. In this career development award (CDA), she will facilitate these career goals by developing expertise in four training areas: (1) multi-disciplinar health services research, (2) SBIRT implementation practices, (3) qualitative data collection and analysis, and (4) quantitative methods in medical research. She will acquire this training through expert mentorship, formal coursework, and hands-on research. The research portion of this CDA is a randomized controlled trial that will pilot test SBIRT for risky alcohol use prior to elective surgery. This CDA builds on existing research indicating that moderate alcohol use (> 2 drinks/day) increases the risk of postoperative morbidity, while heavy alcohol use (> 4 drinks/day) increases the risk of postoperative mortality. These risk factors increase utilization f health care services, placing undue burden on patients, providers, and the healthcare system. To date, no randomized controlled trial has ever evaluated whether SBIRT can reduce alcohol use prior to elective surgery and improve postoperative health outcomes. This K23 will take the first steps in addressing this research gap. The three research aims are to: (1) assess the healthcare system to guide implementation of presurgical alcohol SBIRT, (2) to conduct an open trial of SBIRT in a presurgical clinic, and (3) to conduct a randomized pilot trial of alcohol SBIR prior to elective surgery. These research aims incorporate several novel components, including a mixed-method healthcare assessment and simultaneous evaluation of both efficacy and implementation outcomes. These steps will ensure the protocol addresses the needs of the larger healthcare system. Successful study completion will result in new information regarding the feasibility, acceptability, and efficacy of SBIRT for risky drinking prior to surgery. This program of research and training will allow the candidate to initiate a career conducting patient-oriented research that will ultimately reduce problematic alcohol use, improve patient health, bolster hospital outcomes, and reduce the cost of postoperative care.

描述（由申请人提供）：该 K23 提案的总体目标是支持 Anne Fernandez 博士的早期职业发展，她是一位在成瘾和健康心理学方面拥有专业知识的临床心理学家。该奖项将促进她的研究计划 - 评估和研究。在新型医疗环境中对酒精使用障碍实施筛查、简短干预和转诊治疗 (SBIRT)，她的职业目标是通过定时酒精使用干预措施来改善患者健康、提高医院治疗效果并降低医疗成本。发展奖（CDA），她将通过发展四个培训领域的专业知识来促进这些职业目标：（1）多学科卫生服务研究，（2）SBIRT实施实践，（3）定性数据收集和分析，以及（4）定量方法她将通过专家指导、正式课程和实践研究获得这种培训，该 CDA 的研究部分是一项随机对照试验，将在选择性手术之前对 SBIRT 进行试点测试。建立在现有的研究表明，适量饮酒（> 2 杯/天）会增加术后发病的风险，而大量饮酒（> 4 杯/天）则会增加术后死亡的风险。这些风险因素会增加医疗保健服务的利用率，从而造成不当的后果。迄今为止，还没有随机对照试验评估 SBIRT 是否可以减少择期手术前的饮酒并改善术后健康结果，这将在解决这一研究空白方面迈出第一步。这三个研究目标是： (1) 评估医疗保健系统以指导术前酒精 SBIRT 的实施，(2) 在术前诊所进行 SBIRT 的开放试验，以及 (3) 在择期手术前进行酒精 SBIR 的随机试点试验。纳入几个新颖的组成部分，包括混合方法医疗保健评估以及功效和实施结果的同步评估，这些步骤将确保该协议满足更大的医疗保健系统的需求，并将产生有关可行性的新信息。 SBIRT 对手术前危险饮酒的可接受性和有效性该研究和培训计划将使候选人能够开展以患者为导向的研究，最终减少有问题的饮酒、改善患者健康、改善医院治疗效果并减少饮酒。术后护理费用。