Clinical Trials Network: Pacific Northwest Node

临床试验网络：太平洋西北节点

基本信息

批准号：
9806827
负责人：
DENNIS Michael DONOVAN
金额：
$ 22.22万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-11-01 至 2019-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9806827
关键词：
Accident and Emergency department Acute Address Affordable Care Act Alaska Alcohol abuse Alcohols Behavior Therapy Belief Caring Chronic Disease Clinic Clinical Research Clinical Treatment Clinical Trials Network Communities Community Health Planning Comorbidity Computerized Medical Record Data Disease Management Drug abuse Early Intervention Early identification Effectiveness Electronic Health Record Evidence based practice Future General Population Health Care Reform Healthcare Healthcare Systems Idaho Illicit Drugs Individual Institutes Intervention Libraries Link Location Medical Medical center Medicine Mental Health Methods Modeling Monitor Montana National Clinical Trials Network National Institute of Drug Abuse Neighborhood Health Center Outcome Pacific Northwest Patients Pediatric Hospitals Pharmacological Treatment Population Heterogeneity Prevalence Primary Health Care Process Provider Public Health Published Comment Registries Research Research Design Research Methodology Research Personnel Research Priority Resources Source Substance Use Disorder System Technology Transfer Testing Tobacco Training Universities Washington Wyoming addiction adolescent substance use base behavioral health care providers chronic care model clinical practice cohort collaborative care comparative effectiveness design dissemination research effective intervention effectiveness trial health care delivery health care settings high-risk adolescents illicit drug use innovation medical specialties member operation parity practice setting practice-based research network prescription opioid misuse prevent programs randomized trial relative effectiveness research data dissemination research study screening, brief intervention, referral, and treatment treatment program

项目摘要

PROJECT SUMMARY/ABSTRACT Changes in the healthcare delivery system have been brought about nationally by the Affordable Care Act and the Mental Health Parity and Addiction Equity Act and locally by a number of Washington State initiatives. As part of these changes substance use disorder (SUD) treatment is being expanded beyond specialty care and integrated into primary care and acute care medical settings where SUD prevalence rates are high. These initiatives have led to an increased focus on SUD screening, brief intervention, and referral to treatment (SBIRT) in these settings. These integrative initiatives are based on collaborative care and chronic disease management approaches. There is an increased need for future research to develop and test the effectiveness of SUD interventions implemented in healthcare settings and linked to specialty SUD treatment programs. This viewpoint also reflects the future direction of the NIDA National Drug Abuse Treatment Clinical Trials Network (CTN) as it expands its research focus beyond community-based specialty treatment programs (CTPs). In order to contribute to the CTN's expanded objectives and research priorities, the Pacific Northwest (PNW) Node proposes the following Specific Aims: (1) Increase the capacity of the PNW Node research team by adding investigators with demonstrated practical and research expertise in developing and coordinating primary care practice-based research networks and collaborative care models, integrating behavioral health and SUD treatment components into primary and acute care settings, and harmonizing and using electronic medical record systems across multiple health care systems; (2) Expand the scope, population, diversity, and focus of research and clinical practice settings affiliated with the PNW Node by adding to our current CTPs a number of large state-wide and regional practice-based primary care clinical and research networks and programs involved in integrated behavioral health collaborative care; (3) Design and conduct pragmatic, comparative effectiveness, registry, and other types of innovative studies, informed bidirectionally by SUD researchers and clinicians and primary and acute care providers, that evaluate SBIRT, integrated behavioral and pharmacological treatments, and components of collaborative care for tobacco, alcohol, illicit drugs, and misused prescription opioid medications; and (4) Through the CTN National Dissemination Library, the Northwest and the Central Rockies Addiction Technology Transfer Centers, and resources within the Alcohol and Drug Abuse Institute provide training to health care and SUD providers about SUDs, collaborative care and chronic disease management models, the integration process, and methods of effective linkage between primary care and specialty SUD CTPs. Such training also provides opportunities for dissemination research.

项目概要/摘要《平价医疗法案》和《平价医疗法案》在全国范围内带来了医疗保健服务系统的变化《心理健康平等和成瘾公平法案》以及华盛顿州当地的一些举措。作为这些变化的一部分是物质使用障碍 (SUD) 治疗正在扩展到专业护理之外，纳入 SUD 患病率较高的初级保健和急症护理医疗环境。这些举措导致人们更加关注 SUD 筛查、简短干预和转诊治疗 (SBIRT) 在这些设置中。这些综合举措基于协作护理和慢性病管理方法。未来的研究越来越需要开发和测试其有效性在医疗机构中实施并与专业 SUD 治疗计划相关的 SUD 干预措施。这观点也反映了NIDA国家药物滥用治疗临床试验网络的未来方向（CTN）将其研究重点扩展到基于社区的专业治疗计划（CTP）之外。在为了为 CTN 的扩展目标和研究重点做出贡献，太平洋西北地区 (PNW) Node 提出以下具体目标： (1) 提高 PNW Node 研究团队的能力增加在开发和协调方面具有实践和研究专业知识的研究人员基于初级保健实践的研究网络和协作护理模式，整合行为健康和 SUD 治疗组件纳入初级和急症护理环境，并协调和使用电子跨多个医疗保健系统的医疗记录系统； (2) 扩大范围、人口、多样性和通过在我们当前的 CTP 中添加一个，重点关注与 PNW 节点相关的研究和临床实践设置许多大型的全州和区域性初级保健临床和研究网络以及涉及综合行为健康协作护理的计划；（3）设计和行为务实，由 SUD 双向提供的比较有效性、注册和其他类型的创新研究研究人员和临床医生以及初级和急症护理提供者，评估 SBIRT、综合行为和药物治疗，以及烟草、酒精、非法药物和协作护理的组成部分滥用处方阿片类药物； (4) 通过 CTN 国家传播图书馆，西北和落基山脉中部成瘾技术转移中心以及酒精内的资源和药物滥用研究所向医疗保健和 SUD 提供者提供有关 SUD、协作护理的培训与慢性病管理模式、整合流程、有效衔接的方法初级保健和专业 SUD CTP。此类培训还为传播研究提供了机会。