HD2A RASC-SUD Implementation Support Core

HD2A RASC-SUD 实施支持核心

• 批准号: 10596437
• 负责人: Sara J. Becker
• 金额: $ 59.12万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2027-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10596437
• 关键词: Action Research; Adoption; Advocacy; African American population; American; Asian Americans; Behavior Therapy; Black race; COVID-19 pandemic; Caring; Catalogs; Clinical Trials Network; Communities; Continuity of Patient Care; Data; Death Rate; Dissemination and Implementation; Engineering; Evaluation; Faculty; Funding; Goals; Harm Reduction; Healthcare; Healthcare Systems; Helping to End Addiction Long-term; Intervention; Investments; Justice; Lead; Leadership; Learning; Link; Measures; Mediation; Methodology; Methods; Motivation; National Institute of Drug Abuse; Native Americans; Native Hawaiian; Needles; Not Hispanic or Latino; Opioid; Overdose; Overdose reduction; Pacific Islander; Pain; Pharmaceutical Preparations; Pharmacology; Phase; Policies; Prevention; Public Health; Public Health Practice; Publications; Recovery Support; Research; Research Institute; Research Personnel; Resources; Role; Science; Scientist; Services; Substance Use Disorder; System; Technology Transfer; Time; Translating; Translational Research; Uninsured; United States National Institutes of Health; United States Substance Abuse and Mental Health Services Administration; addiction; base; caucasian American; dissemination science; evidence base; gaps in access; health equity; implementation facilitation; implementation intervention; implementation measures; implementation outcomes; implementation research; implementation science; implementation strategy; improved; innovation; knowledge base; marginalized population; opioid use disorder; overdose death; overdose prevention; overdose risk; program dissemination; psychosocial; resource guides; shared decision making; social stigma; substance use treatment; symposium

This study is part of the NIH’s Helping to End Addiction Long-term (HEAL) initiative to speed scientific solutions to the national opioid public health crisis. The NIH HEAL Initiative bolsters research across NIH to improve treatment for opioid misuse and addiction and to develop concrete strategies capable of providing rapid and durable solutions to the opioid crisis. SUD IMPLEMENTATION SUPPORT CORE: PROJECT SUMMARY/ABSTRACT Drug overdose fatalities have continued to rise despite massive federal investment in developing and disseminating evidence-based pharmacological and behavioral interventions for substance use disorders (SUDs). Attempts to move the needle on overdose deaths have stalled because of challenges translating research knowledge and evidence-based SUD interventions into public health practice. Access to evidence- based SUD interventions remains woefully limited throughout the U.S. health care system, particularly for historically marginalized populations such as Black/African-Americans, Native Hawaiians/Pacific Islanders, Asian Americans, and the uninsured. Equitable translation of research findings into practice is the domain of dissemination and implementation (D&I) science. A core component of the HD2A Research Adoption Support Center (RASC), the SUD Implementation Support (SUD-IS) Core will bring the best of D&I science to the Innovation Projects to guide the selection, implementation, and sustainment of evidence-based, locally appropriate SUD interventions to reduce overdose risk in hard hit communities. Core leadership will unify implementation scientists and SUD researchers - with the proximal goal of enhancing the impact of the Innovation Projects and the ultimate goal of improving public health - by leveraging cutting-edge D&I measures and methods, and capitalizing on our team’s commitment to team science. Thematically and operationally in tandem with the RASC and other cores, the SUD-IS Core will elevate the Innovation Projects through dynamic and iterative phases of ASSESS, ASSIST, and ADVANCE. We will first ASSESS the current state of evidence for SUD interventions in order to: a) develop a systematic catalog of evidence-based and emerging practices; and b) develop an SUD Intervention D&I Resource Guide for the Innovation Projects and any SUD intervention implementation project based on five key D&I constructs (e.g., contextual determinants, evidentiary support for the intervention, stakeholder engagement, implementation strategies, and implementation outcomes including equity and stigma). We will then ASSIST the Innovation Projects using information gathered in the ASSESS phase in order to: a) enhance motivation to enhance their studies with tailored D&I approaches that draw upon Core expertise; b) provide a D&I Implementation Support Plan and use a shared decision-making approach to determine how best to offer technical assistance; and c) co-lead the RASC Learning Collaborative. Finally, we will ADVANCE the Innovation Projects’ activities with respect to sustainment, equity, and stigma reduction: linking projects with the field at large, promoting impacts on policy/financing and facilitating ongoing stakeholder engagement towards advocacy. Perfectly aligned with the RASC, together we take a major step toward closing the persistent and inequitable gap of access to proven pharmacologic and psychosocial treatments for SUD.

这项研究是NIH的一部分，有助于长期（HEL）倡议结束成瘾，以加快对国家阿片类药物公共卫生危机的科学解决方案。 NIH Heal Heal倡议Bolsters在NIH跨NIH的研究，以改善阿片类药物滥用和成瘾的治疗方法，并制定能够为阿片类药物危机提供快速耐用的解决方案的具体策略。 SUD实施支持核心：项目摘要/抽象药物过量死亡人数继续增加主要投资，以开发和传播基于证据的药物使用障碍的药物和行为干预措施（SUDS）。由于将研究知识和基于证据的SUD干预措施转化为公共卫生实践的挑战，试图将过量死亡的针头转移。在整个美国卫生保健系统中，获得基于证据的SUD干预措施仍然受到严重限制，特别是对于历史上边缘化的人群，例如黑人/非裔美国人，夏威夷原住民/太平洋岛民，亚裔美国人和未投保的人。将研究结果公平地翻译成实践是传播和实施（D＆I）科学的领域。 SUD实施支持（SUD-IS）核心将成为HD2A研究收养支持中心（RASC）的核心组成部分，它将为创新项目带来最好的D＆I科学，以指导基于循证的，本地适当的SUD干预措施的选择，实施和维持，以减少硬命中率社区中过量的毒品风险。核心领导将统一实施科学家和SUD研究人员 - 近端目标是通过利用尖端的D＆I措施和方法，并利用团队对团队科学的承诺来提高创新项目的影响和改善公共卫生的最终目标。 SUD-IS核心与RASC和其他核心在主题上和操作上，将通过动态和迭代阶段的评估，协助和进步来提升创新项目。我们将首先评估SUD干预措施的当前证据状态，以：a）制定基于证据和新兴实践的系统目录； b）基于五个关键D＆I构造（例如，上下文确定者，对干预措施的基于证据的支持，利益相关者参与，实施策略以及包括公平和验收在内的实施成果），为创新项目和任何SUD干预实施项目开发SUD干预D＆I资源指南。然后，我们将使用在评估阶段收集的信息来协助创新项目，以：a）通过限制核心专业知识的量身定制的D＆I方法来增强他们的研究； b）提供D＆I实施支持计划，并使用共同的决策方法来确定如何最好地提供技术帮助； c）共同领导RASC学习合作。最后，我们将推进创新项目在维持，公平和污名上的活动：将项目与整个领域联系起来，促进对政策/融资的影响，并支持正在进行的利益相关者参与倡导。与RASC完全保持一致，我们迈出了重大一步，旨在缩小证明SUD的药物和社会心理治疗的持续和不平等的差距。