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.

项目概要 患有酒精使用障碍 (AUD) 和物质使用障碍 (SUD) 的女性需要复杂的护理 从需要识别开始，然后与综合护理计划联系起来， 通常包括同时治疗过量酒精、阿片类药物、兴奋剂和 苯二氮卓类药物的使用，以及 AUD 和/或 SUD 的识别和治疗障碍。 初级保健机构中的女性首先缺乏医疗保健提供者 (HCP) 的筛查 以及育龄妇女缺乏关于饮酒或饮酒时怀孕的危险的知识 HCP 在支持患有 AUD 和/或 SUD 的女性时面临的药物挑战包括耻辱、缺乏时间 在每次预约筛选、评分和结果讨论期间，绝对的潜在量 患有 SUD/AUD 的女性的比例、缺乏对循证干预措施的了解以及缺乏 与提供创伤信息护理的综合治疗机构合作。 提供普遍匿名筛查和促进预约遵守的策略出现 一个有效的移动应用程序，可以提供匿名推荐、教育材料和 支持提供者和患者之间的沟通可以将普遍筛查范围扩大到分娩 在标准医疗预约时或之前，该应用程序可以帮助缓解或消除。 许多限制是由于缺乏时间、意愿或能力造成的。 Benten Technologies 提议设计、构建和测试一款名为“移动应用程序”的移动应用程序 参与综合成瘾和康复环境（WE-CARE）的女性 物质使用将利用安全的、基于云的技术来提供虚拟筛选， 女性之间可能有 AUD 和 SUD 的转介、教育和开放沟通渠道 该应用程序将通过集成新颖的工具来支持护理联系。 包括对酒精、非法药物、抑郁和焦虑的普遍电子筛查，以及 教育材料、匿名主持的论坛和聊天机器人，以及获取 48 小时内匿名转介至综合戒毒和酗酒治疗中心。 通过应用程序收到转诊请求后，治疗中心将联系妇女 关于第一阶段 SBIR 特定问题的其他入学问题和讨论。 目标是 (1) 对育龄妇女、HCP 和相关人员进行形成性研究 利益相关者确定放映、教育材料和 与护理的联系；(2) 构建原型，以及 (3) 筛选 300 名女性并在 20 名女性中进行试点测试 确定存在使用 AUD 和/或 SUD 来评估原型应用程序的风险。