Screening for Youth Alcohol and Drug Use: A Study of Primary Care Providers

青少年酗酒和吸毒筛查：初级保健提供者的研究

基本信息

批准号：
7406830
负责人：
CONSTANCE M. WEISNER
金额：
$ 30.88万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-04-15 至 2010-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7406830
关键词：
Accounting Address Administrator Adolescent Affect Aftercare Alcohol abuse Alcohols Appointment Attention deficit hyperactivity disorder Attitude Behavior Behavioral Medicine California Case Mixes Characteristics Chemicals Child Childhood Clinic Complement Computerized Medical Record Condition Data Databases Dependency Development Diagnosis Disease Drug usage Early identification Educational Materials Electronics Enabling Factors Evidence based practice Familiarity Family Goals Guidelines Health Health Planning Health Services Research Health Technology Healthcare Hour Incentives Intervention Intervention Studies Interview Knowledge Legal Literature Location Marijuana Medical Mental Depression Mental Health Modeling Monitor NIH Program Announcements National Institute on Alcohol Abuse and Alcoholism Nurse Practitioners Outcome Patient Self-Report Patients Pattern Pediatrics Perception Personal Behavior Pharmaceutical Preparations Physicians Policies Practice Guidelines Practice Management Preclinical Drug Evaluation Prevalence Prevention Primary Health Care Principal Investigator Procedures Protocols documentation Provider Psychiatry Publishing Rate Records Relative (related person)Reporting Research Research Personnel Resources Risk Behaviors Role Schools Screening procedure Self Efficacy Self-Administered Services Site Social Work Specialist Statistical Models Surveys System Teenagers Testing Time Training Training Programs Visit Youth alcohol and other drug boys compliance behavior contextual factors day demographics drug abuse prevention drug testing early /brief intervention /therapy expectation experience follow-up innovation instrument medical specialties pediatric department preference prevent research to practice size

项目摘要

DESCRIPTION (provided by applicant): This application responds to the National Institute on Alcohol Abuse and Alcoholism's Program Announcement PA-05-139 Health Services Research on the Prevention and Treatment of Drug and Alcohol Abuse, and its goal of understanding "factors that affect the delivery of alcohol or drug abuse prevention, treatment, and related services: social factors, personal behaviors and attributes, financing, organization, management; and health technologies." In particular, we focus on expanding primary care's role in prevention and treatment of alcohol and other drug (AOD) problems. We address the gap in research on incentives and barriers for adolescent primary care providers to make AOD use a health care priority. Our aim is to identify the factors associated with screening practices and management of youth AOD use in order to integrate these activities more fully into primary care. We have the opportunity to study this in a large, heterogeneous managed care health plan. We use a model which examines the influence of provider, panel/patient and organizational characteristics on primary care screening and follow-up services. We propose an on-line survey of primary care providers with adolescent panels to investigate their AOD screening practices, and their perceptions of barriers and enabling factors to screening and follow-up interventions. The study makes use of both provider self-report and health plan electronic databases of screening behavior, and provider and panel characteristics. We also use the health plan's electronic medical record and other automated databases to examine reported and actual screening rates, as well as provider practices after the identification of AOD use. We collect data on organizational characteristics across the region's 48 facilities. Our multivariate analytic model examines facility differences in screening rates and accounts for the clustering of providers within facilities as appropriate. We also propose to conduct interviews with health plan administrators and chiefs, of pediatrics departments to explore policies and procedures as they impact development and dissemination of screening practices. Identifying barriers and incentives to screening and management of AOD problems can heighten integration of AOD identification and services within primary care. Early identification of AOD problems can prevent the development of medical, chemical dependency, and psychiatric problems.

描述（由申请人提供）：本申请对美国国家酒精滥用和酒精中毒计划公告做出回应PA-05-139卫生服务研究，以预防和治疗毒品和酒精滥用，及其理解影响“影响毒品和酒精的因素”提供酒精或药物滥用，治疗和相关服务：社会因素，个人行为和属性，融资，组织，管理和健康技术。”特别是，我们专注于扩大初级保健在预防和治疗酒精和其他药物（AOD）问题中的作用。我们解决了青少年初级保健提供者的激励措施和障碍研究的差距，使AOD使用医疗保健优先事项。我们的目的是确定与筛查实践和对青年AOD使用的管理相关的因素，以便将这些活动更全面地整合到初级保健中。我们有机会在一项大型的，异构的托管护理健康计划中进行研究。我们使用一个模型，该模型检查提供者，小组/患者以及组织特征对初级保健筛查和后续服务的影响。我们提出了一项针对青少年面板的初级保健提供者的在线调查，以调查其AOD筛查实践，以及他们对障碍和促成筛查和随访干预措施的影响的看法。该研究利用了提供者的自我报告和健康计划的电子数据库，以及提供商和面板特征。我们还使用健康计划的电子病历和其他自动化数据库来检查报告和实际筛查率，以及在识别AOD使用后提供者实践。我们收集有关该地区48个设施的组织特征的数据。我们的多元分析模型研究了筛查率方面的设施差异，并说明了提供者在设施中适当的聚类。我们还建议对儿科部门的卫生计划管理人员和酋长进行访谈，以探索政策和程序，以影响筛查实践的发展和传播。确定筛查和管理AOD问题的障碍和激励措施可以加强基本护理中AOD识别和服务的整合。早期鉴定AOD问题可以防止医学，化学依赖性和精神病问题的发展。