Training Clinicians in Implementation Research to Improve Alcohol-related Care

对临床医生进行实施研究培训，以改善酒精相关护理

基本信息

批准号：
9210582
负责人：
KATHARINE ANTHONY BRADLEY
金额：
$ 18.05万
依托单位：
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
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：
2016-02-01 至 2021-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9210582
关键词：
Achievement Address Adoption Adult Alcohols Award Budgets Caring Cellular Phone Clinic Clinical Cognitive Therapy Collaborations Decision Aid Effectiveness Evaluation Funding Future Goals Health Health Services Health Services Accessibility Healthcare Systems Human Improve Access Letters Maintenance Medical Medicine Mental Health Mentors Methods Modeling National Institute on Alcohol Abuse and Alcoholism Nurses PC3 cell line Patient Care Patients Population Primary Care Physician Primary Health Care Provider Recruitment Activity Research Research Institute Research Personnel Site Specific qualifier value Tablets Testing Training United States Agency for Healthcare Research and Quality Universities Validation Veterans Washington Work alcohol abuse therapy alcohol availability alcohol intervention alcohol misuse alcohol research alcohol screening alcohol screening and brief intervention alcohol use disorder base brief intervention career career development collaborative care comparison group cost design eHealth effectiveness trial evidence base experience formative assessment high risk drinking implementation research improved innovation mHealth next generation patient oriented pragmatic trial professor programs public health relevance screening, brief intervention, referral, and treatment shared decision making sound therapy design treatment as usual usability

项目摘要

DESCRIPTION (provided by applicant): Dr. Bradley is an expert in design and evaluation of patient-centered, evidence- based care for alcohol misuse in medical settings. She is an Investigator at Group Health Research Institute (GHRI) and Affiliate Professor of Medicine and Health Services at University of Washington. She is also an Associate Investigator at Veterans Affairs (VA) Puget Sound Health Care System. She has conducted groundbreaking research aimed at implementation of evidence-based care for risky drinking and alcohol use disorders (AUDs) in primary care. Her achievements include validation of the 3-item AUDIT-C in VA and non- VA populations and collaboration with clinical and quality leaders in the VA to implement alcohol screening and brief interventions (BIs) in over 900 VA sites nationwide. She has now expanded her focus to include management of AUDs in primary care. Dr. Bradley's currently funded studies aimed at improving alcohol- related primary care include: the CHOICE trial of nurse-delivered collaborative care for AUDs (NIAAA R01); a pragmatic trial of implementation of alcohol screening and BIs, and shared decision-making for AUDs, in 25 primary care clinics (AHRQ R18); and a study to develop a decision aid to support shared decision-making between primary care providers and their patients with AUDs (NIAAA R21). MENTORING EXPERIENCE and PLANNED MENTORING: Dr. Bradley is an outstanding mentor who has successfully mentored 28 early career clinician investigators. The proposed K24 will allow her to recruit and mentor 10-15 early-stage clinician researchers committed to patient-centered alcohol-related implementation research during the 5-year award. CAREER DEVELOPMENT: The proposed career award will support Dr. Bradley in achieving 3 career objectives: 1) to remain at the forefront of alcohol-related implementation research in medical settings; 2) to develop new expertise for implementing and evaluating "eHealth" interventions for AUDs-online and mobile health programs-in primary care; and 3) to mentor the next generation of innovators in alcohol-related research in medical settings. RESEARCH: New eHealth interventions for AUDs are being developed at a rapid rate and might especially benefit primary care patients with AUDs who are unwilling to enter treatment. However, the effectiveness of eHealth AUD programs in primary care is untested. Aim 1 will be to design a strategy for implementing one eHealth AUD program--online cognitive behavioral therapy (CBT)-in primary care. Aim 2 will be to evaluate the implementation strategy for online CBT that we design in Aim 1. This research will support Dr. Bradley and her mentees' training, as well as pave the way for pragmatic trials of eHealth AUD programs in primary care. IMPACT. The proposed career award will allow Dr. Bradley to mentor the next generation of leaders in innovative alcohol-related implementation research in medical settings, while expanding her research program to evaluate the effectiveness of eHealth programs for AUDs in primary care.

描述（由适用提供）：Bradley博士是对以患者为中心的，基于证据的护理在医疗环境中滥用酒精的专家。她是小组卫生研究所（GHRI）的研究人员，以及华盛顿大学医学与卫生服务的分会教授。她还是退伍军人事务（VA）Puget Sound Health Carey系统的副研究员。她进行了开创性的研究，旨在实施基于循证的护理，以实施初级保健中的危险饮酒和饮酒障碍（AUD）。她的成就包括验证VA和非VA人群中的3项审计-C，以及与VA中的临床和质量领导者的合作，以在全国900多个VA网站上实施酒精筛查和简短干预措施（BIS）。现在，她扩大了重点，将AUDS管理在初级保健中。 Bradley博士目前旨在改善酒精相关的初级保健的资助研究包括：AUDS护士合作护理的选择试验（NIAAA R01）；在25个初级保健诊所（AHRQ R18）中，对酒精筛查和BIS的实施和AUDS的决策进行了务实的试验；以及一项为支持基层保健提供者及其AUDS患者之间共同决策的决策援助的研究（NIAAA R21）。指导经验和计划指导：布拉德利博士是一个杰出的心态，他成功地指导了28名早期职业临床研究人员。拟议的K24将使她能够在5年奖励期间招募10-15个早期临床研究人员，致力于以患者为中心的酒精相关的实施研究。职业发展：拟议的职业奖将支持布拉德利博士实现3个职业目标：1）在医疗环境中与酒精相关的实施研究的最前沿； 2）开发新的专业知识，以实施和评估“ eHealth”干预措施，以实施Auds-Online和Mobile Health Programe-In Trimear Care； 3）在医疗环境中与酒精相关的研究中的下一代创新者进行心理。研究：AUDS的新eHealth干预措施正在快速开发，可能会特别受益于不愿接受治疗的AUDS的初级保健患者。但是，未经测试的eHealth AUD计划在初级保健中的有效性。 AIM 1将在初级保健中设计一种实施一个EHealth AUD计划的策略 - 在线认知行为疗法（CBT）。 AIM 2将是评估我们在AIM 1中设计的在线CBT的实施策略。这项研究将支持Bradley博士及其男子培训，并为初级保健中EHealth AUD计划的务实试验铺平道路。影响。拟议的职业奖将使布拉德利博士能够指导下一代领导者在与酒精相关的医疗环境中的实施研究中，同时扩大了她的研究计划，以评估EHEALTH计划在初级保健中的eHealth计划的有效性。