WE-CARE - an innovative platform ofWomen Engaged in Comprehensive Addiction and Recovery Environments for SubstanceUse Women

WE-CARE - 为吸毒女性提供综合成瘾和康复环境的女性创新平台

• 批准号: 10323630
• 负责人: Tony Xuyen Ma
• 金额: $ 33.21万
• 依托单位: BENTEN TECHNOLOGIES, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-10 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10323630
• 关键词: Abruptio Placentae; Address; Adherence; Adverse effects; Alcohol abuse; Alcohol consumption; Alcohols; Anxiety; Appointment; Awareness; Benzodiazepines; Caring; Clinic; Communication; Community Outreach; Complex; Comprehensive Health Care; Conceptions; Congenital Abnormality; Consult; Drug Screening; Education; Educational Materials; Environment; Evidence based intervention; Evidence based treatment; Face; Feeling; Female of child bearing age; Fetal Alcohol Exposure; Fetal Alcohol Spectrum Disorder; Fetal Alcohol Syndrome; Fetal Development; Fetal Growth Retardation; Florida; Gender; Health; Health Fairs; Health Personnel; Home; Hour; Illicit Drugs; Individual; Infant; Intake; Knowledge; Lead; Learning; Link; Low Birth Weight Infant; Marijuana; Mental Depression; Motivation; Neonatal; Opioid; Patients; Pharmaceutical Preparations; Pharmacotherapy; Phase; Policies; Pregnancy; Pregnant Women; Prevalence; Primary Health Care; Process; Provider; Recovery; Reporting; Reproductive Health; Research; Risk; Screening procedure; Secure; Services; Small Business Innovation Research Grant; Social support; Substance Use Disorder; Technology; Testing; Time; Tobacco; Tobacco use; Trauma; Trust; Woman; addiction; alcohol abuse therapy; alcohol related problem; alcohol screening; alcohol use disorder; base; binge drinking; brief intervention; chatbot; child bearing; child protective service; cloud based; comorbidity; design; digital; experience; fetus at risk; handheld mobile device; high risk; improved; innovation; mHealth; marijuana use; medical appointment; mobile application; negative affect; neurobehavioral; novel; outreach; prenatal; primary care setting; prototype; screening; social stigma; substance use; substance use treatment; tool; treatment center; usability; virtual; virtual screening; willingness

PROJECT SUMMARY Women with alcohol use disorder (AUD) and substance use disorder (SUD) have complex care needs that begin with a need for identification followed by linkage to a comprehensive care plan that frequently includes simultaneous treatment for excessive alcohol, opioid, stimulant, and benzodiazepine use, as well as trauma. Barriers to identification and treatment of AUD and/or SUD among women in primary care settings begin with a lack of screening by healthcare providers (HCPs) and lack of knowledge by child-bearing women about the dangers of conceiving while using alcohol or drugs. The HCP’s challenges to supporting women with AUD and/or SUD include stigma, lack of time during each appointment for screening, scoring and discussion of results, the sheer potential volume of women with SUD/AUD, lack of knowledge about evidence-based interventions, and scarcity of partnerships with a comprehensive treatment facility offering trauma-informed care. Novel digital strategies to provide universal anonymous screenings and promote appointment adherence appear effective. A mobile application that can provide anonymous referrals, educational materials, and support communication between providers and patients could expand universal screenings to delivery at or prior to a standard medical appointment. This application could then help to alleviate or remove many of the limitations due to a lack of time, willingness, or ability. Benten Technologies proposes to design, build and test a mobile-based application called Women Engaged in Comprehensive Addiction and Recovery Environments (WE-CARE) for Substance Use that will leverage secure, cloud-based technology to provide virtual screenings, referrals, education, and open communication channels between women with possible AUD and SUD and their providers. The application will support linkage to care through the integration of novel tools including universal e-screenings for alcohol, illicit drugs, depression, and anxiety, as well as educational materials, an anonymous moderated forum, and a chatbot, and the option to get an anonymous referral to a comprehensive drug and alcohol treatment center. Within 48 hours of receiving a referral request through the application, the treatment center will contact the women for additional intake questions and discussions about her concerns. The Phase 1 SBIR Specific Aims are to (1) Use formative research with child-bearing age women, HCPs, and relevant stakeholders to identify the needs and requirements for screenings, educational materials, and linkage to care; (2) Build the prototype, and (3) Screen 300 women and pilot test with 20 women identified with being at risk of having an AUD and/or SUD to evaluate the prototype application.

项目摘要 饮酒障碍（AUD）和药物使用障碍（SUD）的妇女有复杂的护理 需求从需要身份证明开始，然后与一项综合护理计划联系起来 通常包括简单的酒精，阿片类药物，刺激性和 苯二氮卓类药物以及创伤。识别和处理AUD和/或SUD的障碍 在初级保健环境中的妇女中，始于医疗保健提供者（HCP）缺乏筛查 以及育儿妇女缺乏关于在使用酒精或 毒品。 HCP在支持AUD和/或SUD的女性方面面临的挑战包括污名，缺乏时间 在每次约会期间进行筛选，评分和讨论结果，潜在的数量很大 有SUD/AUD的妇女，缺乏有关循证干预措施的知识以及缺乏 与全面的治疗机构的合作伙伴关系，提供创伤信息的护理。小说数字 提供通用匿名放映并促进约会遵守外观的策略 有效的。可以提供匿名推荐，教育材料和的移动应用程序 支持提供者与患者之间的沟通可以扩展通用筛查到交付 在标准医疗预约之前或之前。然后，此申请可以帮助减轻或删除 由于缺乏时间，意愿或能力，许多局限性。 Benten Technologies建议设计，构建和测试基于移动的应用程序称为 妇女从事全面的成瘾和恢复环境（WE-CARE） 将利用安全的，基于云的技术来提供虚拟筛选， 具有AUD和SUD的女性之间的推荐，教育和开放式沟通渠道 及其提供者。该应用程序将通过整合新工具来支持联系以照顾 包括用于酒精，非法药物，抑郁和动画的通用电子筛选以及 教育材料，一个匿名的主持论坛和聊天机器人，以及获得的选择 匿名转介到综合药物和酒精治疗中心。在48小时内 通过申请收到推荐请求，治疗中心将与妇女联系以获取 关于她的担忧的其他进气问题和讨论。 1阶段SBIR特异性 目的是（1）与育龄妇女，HCP和相关的育龄妇女使用形成性研究 利益相关者确定筛查，教育材料的需求和要求 与护理的联系； （2）构建原型，（3）屏幕300名女性和20名女性试验测试 被确定有可能拥有AUD和/或SUD来评估原型应用程序的风险。