Reducing Opioid and Other Drug Use in Justice-Involved Emerging Adults using Paraprofessional Coaches (with and without Lived Experience) to Deliver Effective Services in a Non-Treatment Setting

使用辅助专业教练（有或没有生活经验）减少涉及司法的新兴成年人的阿片类药物和其他药物使用，以在非治疗环境中提供有效的服务

• 批准号: 10362738
• 负责人: Tess K. Drazdowski
• 金额: $ 19.75万
• 依托单位: OSLC DEVELOPMENTS
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-15 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10362738
• 关键词: Address; Adherence; American; Belief; Bioethics; Cessation of life; Client; Clinical Psychology; Communities; Complex; Consolidated Framework for Implementation Research; Development; Drops; Drug usage; Education; Educational workshop; Elements; Employment; Epidemic; Ethics; Evidence based practice; Future; Goals; Grant; Health; Health Services; Health Services Research; Improve Access; Individual; Injury; Intervention; Justice; Knowledge; Lead; Measurement; Medical; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methodology; Methods; Monitor; Opiate Addiction; Opioid; Outcome; Performance; Population; Public Health; Qualitative Methods; Qualitative Research; Randomized; Randomized Clinical Trials; Recovery; Reporting; Research; Research Methodology; Research Personnel; Risk Factors; Role; Sampling; Scientific Advances and Accomplishments; Services; Societies; Source; Statistical Methods; Symptoms; System; Testing; Time; Training; Training Activity; Vertebral column; Vulnerable Populations; Work; Writing; age group; aged; base; career; career development; contingency management; cost; criminal behavior; design; developmental psychology; emerging adult; evidence base; experience; high risk; high risk population; human subject protection; implementation science; improved; innovation; intervention delivery; lectures; novel; opioid epidemic; opioid overdose; opioid use; outpatient programs; parole; peer; peer support; premature; probation; programs; recidivism; reduced substance use; relapse risk; research and development; service programs; service providers; skills; societal costs; statistics; substance use; substance use treatment; success; symposium; unintended pregnancy; Address; Adherence; American; Belief; Bioethics; Cessation of life; Client; Clinical Psychology; Communities; Complex; Consolidated Framework for Implementation Research; Development; Drops; Drug usage; Education; Educational workshop; Elements; Employment; Epidemic; Ethics; Evidence based practice; Future; Goals; Grant; Health; Health Services; Health Services Research; Improve Access; Individual; Injury; Intervention; Justice; Knowledge; Lead; Measurement; Medical; Mentored Patient-Oriented Research Career Development Award; Mentorship; Methodology; Methods; Monitor; Opiate Addiction; Opioid; Outcome; Performance; Population; Public Health; Qualitative Methods; Qualitative Research; Randomized; Randomized Clinical Trials; Recovery; Reporting; Research; Research Methodology; Research Personnel; Risk Factors; Role; Sampling; Scientific Advances and Accomplishments; Services; Societies; Source; Statistical Methods; Symptoms; System; Testing; Time; Training; Training Activity; Vertebral column; Vulnerable Populations; Work; Writing; age group; aged; base; career; career development; contingency management; cost; criminal behavior; design; developmental psychology; emerging adult; evidence base; experience; high risk; high risk population; human subject protection; implementation science; improved; innovation; intervention delivery; lectures; novel; opioid epidemic; opioid overdose; opioid use; outpatient programs; parole; peer; peer support; premature; probation; programs; recidivism; reduced substance use; relapse risk; research and development; service programs; service providers; skills; societal costs; statistics; substance use; substance use treatment; success; symposium; unintended pregnancy

PROJECT SUMMARY/ABSTRACT The ultimate goal of this Mentored Patient-Oriented Research Career Development Award (K23) is to develop the applicant into an independent investigator prepared to lead ethical, large-scale, and rigorously designed health services research focused on high-risk emerging adults (EAs; aged 18-25). Specifically, the applicant will focus on improving access to and engagement in evidence-based practices (EBPs) for EAs with opioid and other substance use (SU) and co-occurring justice system (JS) involvement, via use of paraprofessional coaches. The proposed career development and research plan builds on the applicant's prior training in clinical and developmental psychology, EBPs, and SU. Through the proposed training plan, the applicant will: (1) gain direct experience conducting ethical health services research with vulnerable populations; (2) attain knowledge and skills for measurement, methodologies, and the interplay of key developmental outcomes in EAs with opioid and other SU problems; (3) advance expertise in the complex statistical methods required for health services research, including mixed methods research, and (4) facilitate professional development as an independent health services researcher focused on EAs with opioid and other SU problems via extensive training in grant writing, grants management, and development of a health services program of research. Training activities will include formal training and mentorship from a team of experts in the fields of SU, randomized clinical trials, EA peer support, bioethics, justice, implementation, and advanced health services statistical methods; intensive training in conducting ethical research with high-risk populations; coursework and lectures on implementation science, qualitative research methods, statistics, and protection of human subjects; and participation in scientific workshops and conferences. The applicant will apply these skills to pilot research aimed at using paraprofessional coaches to increase engagement and access to EBPs (i.e., contingency management for SU and vocational/educational coaching) for EAs with SU and JS involvement. In partnership with parole and probation, EAs with SU will be randomized to work with paraprofessional coaches either with or without lived experience (i.e., successful SU recovery). Although using peer paraprofessional coaches (those with lived experience) is becoming more popular and supported at the federal level, the outcome of this work on the paraprofessional coaches themselves, especially for EAs, is largely unexplored. The proposed study will use both quantitative and qualitative methods to gain a better understanding of the impacts on both the coaches and their EA clients using the Consolidated Framework for Implementation Research (CFIR). Given the high rates and particularly detrimental effects of SU for EAs with JS involvement, the goals of this project have the potential to address an important and costly public health problem. As SU and poor vocational/educational attainment greatly increases the likelihood of recidivism, innovative strategies to reduce opioid and other SU for EAs is critical, along with understanding the effects on the service providers (i.e., paraprofessional coaches).

项目摘要/摘要 这个受到指导的患者研究职业发展奖（K23）的最终目标是发展 申请人进入独立研究人员，准备领导道德，大规模和严格设计 卫生服务研究的重点是新兴成年人（EAS； 18-25岁）。具体来说，申请人将 专注于改善与阿片类药物和其他其他EA的参与和参与基于证据的实践（EBP） 通过使用专业教练，药物使用（SU）和共同出现的司法系统（JS）参与。这 拟议的职业发展和研究计划基于申请人的临床和 发展心理学，EBP和SU。通过拟议的培训计划，申请人将：（1）直接获得 通过弱势群体进行道德健康服务研究的经验； （2）获得知识和 EA与阿片类药物的关键发展结果的测量技能，方法论和关键发展结果的相互作用 其他SU问题； （3）提高卫生服务所需的复杂统计方法的专业知识 研究，包括混合方法研究，（4）促进专业发展作为独立的 卫生服务研究人员通过阿片类药物和其他SU问题专注于EAS，通过广泛的培训 卫生服务研究计划的写作，授予管理和发展。培训活动将 包括SU领域的专家团队的正式培训和指导，随机临床试验，EA 同伴支持，生物伦理学，正义，实施和高级卫生服务统计方法；密集的 通过高风险人群进行道德研究的培训；实施课程和讲座 科学，定性研究方法，统计和保护人类受试者；并参与科学 讲习班和会议。申请人将把这些技能应用于旨在使用的试点研究 专业教练以增加参与度和获得EBP的机会（即SU的应急管理 以及SU和JS参与的EAS的职业/教育教练）。与假释合作 缓刑，与SU的EAS将随机与有或没有生活的专业教练一起工作 经验（即成功的SU恢复）。虽然使用同行专业教练（那些与 经验）在联邦一级变得越来越流行和支持，这项工作的结果 专业教练本身，尤其是对于EAS的教练，在很大程度上没有探索。拟议的研究将使用 定量和定性方法都可以更好地了解对教练和教练的影响 他们的EA客户使用合并的实施研究框架（CFIR）。考虑到高率 SU对JS参与的EA对EA的影响特别有害，该项目的目标具有潜力 解决一个重要且昂贵的公共卫生问题。作为苏和差的职业/教育成就 大大增加了累犯的可能性，减少阿片类药物的创新策略和其他SU的EA是 批判性，同时了解对服务提供商的影响（即专业教练）。