Community Wise: An innovative multi-level intervention to reduce alcohol and illegal drug use
社区智慧:减少酒精和非法药物使用的创新多层次干预措施
基本信息
- 批准号:9129395
- 负责人:
- 金额:$ 53.75万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2016
- 资助国家:美国
- 起止时间:2016-05-16 至 2019-12-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAffectAfrican AmericanAlcoholsAttentionBehaviorBehavioralCognitiveCommunitiesComplexConsciousCrimeDataDevelopmentDistressDrug usageEmploymentEtiologyEvidence based interventionExperimental DesignsFeasibility StudiesFrequenciesFutureGeneral PopulationGoalsHIV/HCVHealth Services AccessibilityHepatitis CHomelessnessHousingImprisonmentIndigenousIndividualInequalityInterventionKnowledgeLiteratureManualsModelingOutcomeParticipantPerformancePlant RootsPopulationPovertyPreclinical Drug EvaluationPrincipal InvestigatorProcessProtocols documentationProviderPublic HealthPublishingQuality of lifeRandomizedRecommendationRecording of previous eventsResearchResearch MethodologyResearch PersonnelResourcesRestSamplingServicesSubstance Use DisorderTestingUnited States Substance Abuse and Mental Health Services Administrationcommunity based participatory researchcommunity organizationscost effectivenessdesigneffective therapyempoweredhealth inequalitiesillicit drug useinnovationmembermenpublic health relevanceresearch studysocialsocial health determinantssocial stigmastandard of carestandardize measuresuccesstheorieswasting
项目摘要
DESCRIPTION (provided by applicant): Rates of alcohol and illicit drug use (AIDU) among residents of distressed communities with concentrations of African Americans (DCAA- i.e., localities with high rates of poverty and crime) are similar to the general population. Yet AIDU has significantly higher consequences for residents in DCAAs (e.g., higher incarceration and HIV/HCV infection rates), who also have considerably less access to effective treatment of substance use disorders. This project will continue to develop and test Community Wise, an innovative multi-level intervention created in partnership with service providers, residents of DCAAs and individuals with histories of substance use disorders and incarceration, to reduce health inequalities related to AIDU. We used community-based participatory research (CBPR) to develop and pilot test Community Wise, achieving 75% intervention completion rates, despite great participant challenges (such as homelessness, AIDU, and poverty). Note that substance use disorder intervention completion rates in the literature are much lower among populations with fewer challenges (often 30 to 40%). We believe that this success is due to the CBPR model used to develop an intervention that is relevant to participants' needs. Community Wise addresses social determinants of health (e.g., stigma, poverty, lack of treatment access, housing, and meaningful employment) and inequalities related to AIDU at the micro level (e.g., cognitive and behavioral processes), meso level (e.g., relationships with individuals and organizations) and macro level (e.g., political and cultural processes). Community Wise builds on critical consciousness theory, which empowers individuals, organizations, and communities to address social determinants of health while changing individual behaviors (e.g., reducing AIDU). We propose to apply the Multiphase Optimization Strategy (MOST) - an innovative and rigorous framework that employs factorial designs - to optimize Community Wise. Specifically, using MOST we will identify the most efficient, scalable, and sustainable components of Community Wise so that we can refine the intervention protocol by including only components that significantly reduce AIDU. The long-term goal of Community Wise is to reduce health inequalities related to AIDU between men with substance use disorders and a history of incarceration residing in DCAAs and the general population through an intervention that is congruent with DCAA world views and grounded in scientific and indigenous knowledge. Data from this study will culminate in an optimized Community Wise manual; enhanced methodological strategies to develop multi-component scalable interventions using MOST and CBPR; and a better understanding of the application of critical consciousness theory to the field of health inequalities related to AIDU.
描述(由申请人提供):非裔美国人集中的贫困社区(DCAA,即贫困率和犯罪率高的地区)居民的酒精和非法药物使用率 (AIDU) 与一般人群相似。对 DCAA 中的居民造成的后果要严重得多(例如,监禁率和 HIV/HCV 感染率更高),他们获得药物滥用障碍有效治疗的机会也少得多。该项目将继续发展和实施。测试 Community Wise,这是一种与服务提供商、DCAA 居民以及有药物使用障碍和监禁史的个人合作创建的创新性多层次干预措施,以减少与 AIDU 相关的健康不平等。尽管参与者面临巨大挑战(例如无家可归、AIDU 和贫困),但仍实现了 75% 的干预完成率。请注意,文献中的药物使用障碍干预完成率在挑战较少的人群中要低得多。 (通常为 30% 至 40%)。我们认为,这一成功归功于 CBPR 模型用于制定与参与者需求相关的干预措施,解决健康的社会决定因素(例如,耻辱、贫困、缺乏治疗机会)。 、住房和有意义的就业)以及与 AIDU 有关的微观层面(例如认知和过程)、中观层面(例如与组织和组织的关系)和宏观层面(例如个人)的行为不平等Community Wise 建立在批判意识理论的基础上,使个人、组织和社区能够解决健康的社会决定因素,同时改变个人行为(例如减少 AIDU)。我们建议应用多阶段优化策略 (MOST)——一个创新而严格的框架。采用因子设计 - 为了优化 Community Wise,具体而言,我们将使用 MOST 确定 Community Wise 中最多、可扩展且可持续的组件,以便我们可以通过仅包含显着影响的有效组件来完善干预协议。 Community Wise 的长期目标是通过与 DCAA 世界观一致并基于以下原则的干预措施,减少居住在 DCAA 中的有药物滥用障碍和有监禁史的男性与普通人群之间与 AIDU 相关的健康不平等。这项研究的数据最终将形成一份优化的《社区智慧》手册;使用 MOST 和 CBPR 以及更好地理解来制定多组成部分的可扩展干预措施;批判意识理论在与 AIDU 相关的健康不平等领域的应用。
项目成果
期刊论文数量(0)
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COVID-19 治疗级联优化研究
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$ 53.75万 - 项目类别:
Community Wise: An innovative multi-level intervention to reduce alcohol and illegal drug use
社区智慧:减少酒精和非法药物使用的创新多层次干预措施
- 批准号:
10303003 - 财政年份:2016
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$ 53.75万 - 项目类别:
Community Wise: An innovative multi-level intervention to reduce alcohol and illegal drug use
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$ 53.75万 - 项目类别:
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