Chronic Disease and Health Outcomes of Older Adults with Opioid Use Disorders

患有阿片类药物使用障碍的老年人的慢性病和健康结果

• 批准号: 10707697
• 负责人: Benjamin Hyun Han
• 金额: $ 16.91万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-28 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10707697
• 关键词: Acute; Address; Aging; Attitude; Award; Caring; Chronic Care; Chronic Disease; Collaborations; Complement; Complex; County; Data Set; Development; Development Plans; Disease Management; Elderly; Epidemic; Evaluation Research; Generations; Goals; Health; Health Services; Health Services Research; Health Status; Healthcare; Intervention; Knowledge; Learning; Medical; Medical Care Costs; Mentors; Mentorship; Methods; Modeling; Outcome; Patients; Patterns of Care; Population; Prevalence; Program Evaluation; Qualitative Research; Research; Research Personnel; Risk Factors; Service delivery model; Substance Use Disorder; System; Training; Vulnerable Populations; addiction; baby boomer; behavioral health; career; career development; evidence base; experience; implementation research; mortality; multiple chronic conditions; opioid treatment program; opioid use disorder; skills; social; substance use; substance use treatment; theories; treatment program

Project Summary/Abstract: Dr. Benjamin Han's long-term goal is to become a leader in aging and addiction research with expertise on developing chronic care delivery models coordinated within substance use treatment for older adults. This career award will support Dr. Han towards this goal by providing additional training and completing the proposed mentored research to continue his career development into an independent clinician investigator. The proposed research addresses a critical knowledge gap in the setting of an epidemic of older adults with substance use disorders: the current healthcare patterns, burden of chronic disease, and attitudes and barriers towards chronic disease management of older adults with opioid use disorders (OUD). Although it is recognized that older adults with OUD are often medically and socially complex, very little is known regarding the specific health status and needs of this vulnerable population. Dr. Han's proposed career development plan will allow him to address this knowledge gap by working with a team of mentors as well as with the County of San Diego’s Behavioral Health Services who will collaborate on the following training goals: (1) to achieve expertise in advanced quantitative methods and the use of large administrative datasets for addiction health services research; (2) to develop skills in qualitative research theory and practice; and (3) attain proficiency and experience in the development of a care intervention, and the associated skills in assessing feasibility, sustainability, program evaluation, and implementation research. Dr. Han will attain these training goals with guidance from his mentorship team complemented by formal coursework and seminars, and by conducting a research agenda that uses a mixed methods approach with the following specific aims: (1) describe the prevalence and risk factors for high utilization of acute healthcare, high medical costs, multiple chronic conditions, and mortality among older adults with OUD; (2) examine staff and patient attitudes, acceptance, feasibility, and barriers regarding the integration of geriatric models of care into opioid treatment programs; (3) develop and pilot an evidence-based geriatric care model for geriatric conditions and chronic disease management for older adults with OUD. This will set a future research agenda for widely integrating an evidence-based model of geriatric-based chronic disease assessment and management into existing substance use treatment programs.

项目摘要/摘要： 本杰明·汉（Benjamin Han）博士的长期目标是成为衰老和成瘾研究的领导者，并具有专业知识 开发慢性护理输送模型在老年人的药物使用治疗中协调。这 职业奖将通过提供其他培训并完成该目标来支持Han博士实现这一目标 拟议中的指导研究将他的职业发展继续发展成为一名独立的临床研究者。 拟议的研究涉及在老年人流行中的关键知识差距 药物使用障碍：当前的医疗保健模式，慢性疾病的伯恩（Burnen）以及出席和障碍 尽管它是针对阿片类药物使用障碍老年人的慢性病管理（OUD）。 认识到OUD的老年人通常在医学和社会上是复杂的，关于 这个脆弱人群的特定健康状况和需求。韩博士提议的职业发展计划 将允许他通过与一组导师合作以及与县合作来解决这一知识差距 圣地亚哥的行为卫生服务将在以下培训目标上合作：（1）实现 高级定量方法的专业知识和大型行政数据集用于成瘾健康 服务研究； （2）发展定性研究理论和实践的技能； （3）达到熟练程度 以及开发护理干预的经验以及评估可行性的相关技能， 可持续性，计划评估和实施研究。韩博士将通过 他的指导团队的指导是由正式的课程和半手赛完成的，并通过 使用混合方法方法的研究议程与以下特定目的：（1）描述 高利用急性医疗保健，高医疗费用，多个慢性的患病率和危险因素 老年人的条件和死亡率； （2）考试人员和患者参与者，接受， 可行性和关于将老年护理模型整合到阿片类药物治疗计划中的障碍； （3） 开发和试行了一种基于循证的老年医学护理模型，用于老年病和慢性疾病 老年人的管理。这将设定未来的研究议程，以广泛整合 基于老年病的慢性疾病评估和管理的循证模型 药物使用治疗计划。

项目成果

Multimorbidity Among US Adults Who Use Methamphetamine, 2015-2019.

2015-2019 年使用甲基苯丙胺的美国成年人的多重发病率。

• DOI: 10.1007/s11606-021-06910-6
• 发表时间: 2022
• 期刊: Journal of general internal medicine
• 影响因子: 5.7
• 作者: Han,BenjaminH;Palamar,JosephJ
• 通讯作者: Palamar,JosephJ

Age-friendly care for older adults with substance use disorder.

为患有药物滥用障碍的老年人提供老年友好型护理。

• DOI: 10.1016/s2666-7568(23)00174-5
• 发表时间: 2023
• 期刊: The lancet. Healthy longevity
• 作者: Jones,KatieF;Beiting,KimberlyJ;Ari,Mim;Lau-Ng,Rossana;Landi,AndreaJ;Kelly,Lauren;Pravodelov,Vassiliki;Han,BenjaminH
• 通讯作者: Han,BenjaminH

Cannabis and Prescription Drug Use Among Older Adults With Functional Impairment.

• DOI: 10.1016/j.amepre.2021.01.042
• 发表时间: 2021-08
• 期刊: American journal of preventive medicine
• 影响因子: 5.5
• 作者: Han BH;Le A;Funk-White M;Palamar JJ
• 通讯作者: Palamar JJ

Using Urine Drug Testing to Estimate the Prevalence of Drug Use : Lessons Learned From the New York City Health and Nutrition Examination Survey, 2013-2014.

使用尿液药物检测来估计吸毒流行率：从纽约市健康和营养检查调查中吸取的教训，2013-2014 年。

• DOI: 10.1177/0033354920965264
• 发表时间: 2021
• 期刊: Public health reports (Washington, D.C. : 1974)
• 作者: Han,BenjaminH;Mello,Elizabeth;Tuazon,Ellenie;Paone,Denise
• 通讯作者: Paone,Denise

When national drug surveys "take too long": An examination of who is at risk for survey fatigue.

• DOI: 10.1016/j.drugalcdep.2021.108769
• 发表时间: 2021-08-01
• 期刊: Drug and alcohol dependence
• 影响因子: 4.2
• 作者: Le A;Han BH;Palamar JJ
• 通讯作者: Palamar JJ