Development of a Novel Peer-Narrated Virtual Patient Decision Aid for Entry into Alcohol Treatment for ICU Survivors with Alcohol Misuse

开发新型同伴叙述虚拟患者决策辅助工具，帮助 ICU 酗酒幸存者接受酒精治疗

• 批准号: 10679242
• 负责人: Kelsey R Hills-Dunlap
• 金额: $ 8.34万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10679242
• 关键词: Abstinence; Address; Admission activity; Advisory Committees; Alcohol consumption; Alcohols; Area; Behavior; Benchmarking; Caring; Cessation of life; Clinical Sciences; Colorado; Counseling; Critical Care; Critical Illness; Data; Decision Aid; Decision Making; Dependence; Development; Ensure; Environment; Familiarity; Feedback; Fellowship Program; Future; Goals; Health Services; Health Services Accessibility; Health behavior change; Hearing; Hospitalization; Hospitals; Inpatients; Insurance Coverage; Intensive Care Units; Intention; Intervention; Interview; Knowledge; Learning; Link; Medical; Medicine; Mentors; Mentorship; Methodology; Motivation; Narration; National Institute on Alcohol Abuse and Alcoholism; Patient Admission; Patients; Prevalence; Process; Qualitative Methods; Recovery; Rehabilitation therapy; Reporting; Research; Research Methodology; Research Personnel; Risk; Structure; Survivors; Testing; Thinking; Time; Universities; Wait Time; Waiting Lists; Work; acute care; addiction; adverse outcome; alcohol abuse therapy; alcohol intervention; alcohol misuse; alcohol use disorder; career; clinical practice; drinking; effectiveness study; experience; hospital readmission; innovation; interest; long term recovery; metropolitan; multidisciplinary; novel; patient engagement; patient population; peer; pilot test; pilot trial; pragmatic trial; programs; prototype; skills; social separation; treatment center; treatment program; virtual; virtual intervention; virtual patient; virtual therapy

Project Summary / Abstract Alcohol misuse, which includes alcohol use disorder (AUD), is present in up to 2 million patients admitted to an intensive care unit (ICU) each year. The ICU admission may be a “teachable moment” and many ICU survivors are motivated to change their drinking. Unfortunately, the current paradigm for linking ICU survivors to alcohol treatment is ineffective. The unique challenge in harnessing an ICU patient’s motivation is that alcohol treatment programs are separated from the acute care environment. This proposal describes a 2-year research fellowship program that will iteratively develop and pilot a peer-narrated virtual tour regarding treatment for ICU survivors with AUD and will allow Dr. Kelsey Hills-Dunlap to develop an academic career in Critical Care Medicine. The proposed research program will develop the first and only virtual intervention for ICU survivors with AUD aimed at increasing entry to alcohol treatment and will provide the research skills necessary to further Dr. Hills- Dunlap toward her goal of becoming an independent investigator in alcohol health services and critical care research. The program will consist of direct mentoring from a multidisciplinary team of nationally renowned local experts in alcohol and critical illness, health behavior change, decision aids, and qualitative methodology. In addition, a formalized research advisory committee will ensure that the goals and benchmarks of this proposal are met. The program will also include coursework in clinical sciences, addiction medicine and medical decision making. This cohesive program will help Dr. Hills-Dunlap learn and apply multiple research methods, acquire foundational knowledge of addiction medicine focusing on AUD, and gain expertise in the development and implementation of decision aids for ICU survivors with AUD. The overall research goal of this proposal is to optimize the way in which alcohol treatment options are delivered to ICU survivors with AUD through the creation of a peer-narrated virtual tour prototype. Presenting treatment options in the form of a peer-narrated virtual tour may help overcome the separation between the acute care environment and alcohol treatment programs. Dr. Hills-Dunlap will build this prototype by first conducting semi- structured interviews in ICU survivors with AUD to determine the content of the tour. Subsequently, she will use a rigorous process of development and feedback to create a video prototype of a peer-narrated virtual tour of the Center for Dependency, Addiction and Rehabilitation (CeDAR), a nationally recognized addiction treatment center at the University of Colorado Anschutz Medical Campus, and will pilot the prototype for acceptability. This will pave the way for a NIAAA K23 submission to complete peer-narrated virtual tours for the remaining treatment options in the Denver area and conduct a pragmatic effectiveness study. A peer-narrated virtual tour for ICU survivors with AUD would help to close the treatment gap for a large population of patients at a time when they are uniquely motivated to change.

项目概要/摘要 多达 200 万住院患者存在酒精滥用，其中酒精包括使用障碍 (AUD)。 每年入住 ICU 可能是一个“受教育的时刻”，对许多 ICU 幸存者来说。 不幸的是，目前将 ICU 幸存者与酒精联系起来的模式。 控制 ICU 患者动机的独特挑战是酒精治疗。 该提案描述了为期 2 年的研究奖学金。 该计划将迭代开发和试点有关 ICU 幸存者治疗的同行叙述虚拟之旅 与 AUD 合作，将使 Kelsey Hills-Dunlap 博士能够在重症监护医学领域发展学术生涯。 拟议的研究计划将为使用 AUD 的 ICU 幸存者开发第一个也是唯一一个虚拟干预措施 旨在增加酒精治疗的机会，并将提供必要的研究技能，以进一步推动希尔斯博士- 邓拉普实现了成为酒精健康服务和重症监护领域独立调查员的目标 该计划将包括由全国知名的当地多学科团队的直接指导。 酒精和危重疾病、健康行为改变、决策辅助和定性方法方面的专家。 此外，一个正式的研究咨询委员会将确保该提案的目标和基准 该计划还将包括临床科学、成瘾医学和医疗决策方面的课程。 这个有凝聚力的计划将帮助 Hills-Dunlap 博士学习和应用多种研究方法，获得。 专注于 AUD 的成瘾医学基础知识，并获得开发和应用方面的专业知识 使用 AUD 为 ICU 幸存者实施决策辅助。 该提案的总体研究目标是优化酒精治疗方案的提供方式 通过创建同伴讲述的虚拟游览原型，向 ICU 幸存者提供 AUD 治疗演示。 同伴讲述的虚拟游览形式的选择可能有助于克服急症护理之间的分离 Hills-Dunlap 博士将通过首先进行半环境和酒精治疗计划来构建这个原型。 她将与 AUD 对 ICU 幸存者进行结构化访谈，以确定巡视内容。 使用严格的开发和反馈流程来创建同行讲述的虚拟旅游的视频原型 依赖、成瘾和康复中心 (CeDAR) 的一项全国公认的成瘾治疗 科罗拉多大学安舒茨医学校区的治疗中心，并将试点原型 这将为 NIAAA K23 提交完成同行叙述的虚拟游览铺平道路。 丹佛地区的剩余治疗方案并进行一项同行叙述的实用有效性研究。 使用 AUD 对 ICU 幸存者进行虚拟游览将有助于缩小大量患者的治疗差距 他们受到独特的变革动力的时刻。