Online Training for Methadone Maintenance Treatment Providers

美沙酮维持治疗提供者在线培训

• 批准号: 7662213
• 负责人: HILARY James LIBERTY
• 金额: $ 18.67万
• 依托单位: SOCIAL SCIENCES INNOVATIONS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-01 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7662213
• 关键词: AIDS/HIV problem; Abstinence; Access to Information; Address; Adverse effects; Aging; Alcoholism; Alcohols; Area; Attitude; Authorization documentation; Award; Belief; Caring; Case Manager; Case Study; Centers for Disease Control and Prevention (U.S.); Certification; Chronic; Client; Cocaine Abuse; Communication; Computer Assisted; Computers; Confidentiality; Consensus; Continuing Education; Counseling; County; Data; Dependence; Development; Discipline of Nursing; Drug Courts; E-learning; Educational Curriculum; Educational workshop; Effectiveness; Enrollment; Exhibits; Financial compensation; Focus Groups; Goals; Grant; HIV; Health Personnel; Hepatitis C virus; Heroin; Hour; Human immunodeficiency virus test; Individual; Information Technology; Institutes; Intake; Knowledge; Label; Learning; Left; Length; Maintenance; Maintenance Therapy; Measures; Medical; Methadone; Methamphetamine; Minority Groups; Narcotics; Nature; Neurobiology; New York; Nurses; Online Systems; Opiate Addiction; Opiates; Participant; Patients; Persons; Pharmaceutical Preparations; Phase; Physician Assistants; Physicians; Population; Pre-Post Tests; Preventive Intervention; Process; Professional counselor; Provider; Public Health; Questionnaires; Randomized; Recording of previous events; Recovery; Relapse; Reporting; Request for Proposals; Research Institute; Resources; Risk; Role; Safety; Science; Services; Small Business Innovation Research Grant; Social Sciences; Speed; Stigmata; Substance abuse problem; Surveys; System; Target Populations; Testing; Time; Training; Training Programs; Traumatic Brain Injury; Treatment outcome; United States; United States National Institutes of Health; United States Substance Abuse and Mental Health Services Administration; Update; Upper arm; Withdrawal; Work; Writing; addiction; career; computerized; design; effective therapy; improved; innovation; meetings; methadone maintenance; methamphetamine abuse; opioid abuse; payment; problem drinker; prototype; public health relevance; response; skills; social stigma; substance abuse prevention; symposium; treatment program; usability; web site

DESCRIPTION (provided by applicant): This application seeks to address heroin and other opioid addiction by providing inexpensive, effective online training to Methadone Maintenance Treatment (MMT) staff to improve treatment outcomes. It is estimated that at least 980,000 people in the United States are currently addicted to heroin and other opiates (CDC, 2002). About 20 percent of these individuals or 196,000 are in MMT. MMT is recognized as one of the most effective therapies for chronic opioid dependence (NIH Consensus Statement, 1997). Methadone is a rigorously well-tested medication that is safe and efficacious. Unfortunately, this treatment has developed an undeserved stigma which is associated with negative attitudes, lack of knowledge and false beliefs regarding its effectiveness and safety. Stigma towards methadone maintenance has been documented among the public, patients and providers. Negative attitudes are particularly problematic when found among treatment providers because they have been shown to be associated with poorer treatment outcomes (Kang et al., 1997; Caplehorn et al., 1998). The Training Institute (TI) of Social Sciences Innovations Corp. (SSIC) has been a provider of training to MMT staff for many years. However, the need for training MMT staff outstrips the capacity of the TI to provide in-person administrations of this course. Web-based Computer Assisted Instructional (CAI) is uniquely suited to meet the many needs described above. Compared to the limited enrollments of a face-to-face course, the number of service providers who can take a CAI course is virtually unlimited. Whereas face-to-face courses have geographical restrictions, a CAI course can be taken anywhere a computer is available. While face-to-face courses are generally restricted to work day hours of nine to five, a CAI course can be taken at any time. Certified Alcoholism and Substance Abuse Counselor (CASAC) continuing education credits (which are required for continued certification as a counselor) will be offered where applicable. The Aims of this application are: To update an entire written current curriculum in use by the TI and to adapt it to a CAI format; To create a self-directed and interactive prototype of two modules from the course; and to evaluate these two modules in 1) a usability test, 2) a post-use consumer focus group to assess look and feel as well content of the modules, and 3) a pre- and post- session questionnaire to measure knowledge gains. PUBLIC HEALTH RELEVANCE: Methadone is a rigorously well-tested medication that is safe and efficacious. Unfortunately, this treatment has developed an undeserved stigma which is associated with negative attitudes, lack of knowledge and false beliefs regarding its effectiveness and safety. Stigma towards methadone maintenance has been documented among the public, patients and providers. Negative attitudes are particularly problematic when found among treatment providers because they have been shown to be associated with poorer treatment outcomes (Kang et al., 1997; Caplehorn et al., 1998). This application seeks to address these problems by providing inexpensive, effective online training to methadone maintenance treatment (MMT) staff. Web-based Computer Assisted Instructional (CAI) is uniquely suited to the widespread dispersion of accurate information and timely training. Compared to the limited enrollments of a face-to-face course, the number of service providers who can take a CAI course is virtually unlimited. Whereas face-to-face courses have geographical restrictions, a CAI course can be taken anywhere a computer is available. This course will meet an important public health need, timely training for MMT staff.

描述（由申请人提供）：本申请旨在通过向美沙酮维持治疗 (MMT) 工作人员提供廉价、有效的在线培训来改善治疗结果，从而解决海洛因和其他阿片类药物成瘾问题。据估计，目前美国至少有 980,000 人对海洛因和其他阿片类药物上瘾（CDC，2002 年）。其中约 20%（即 196,000 人）属于 MMT。 MMT 被认为是治疗慢性阿片类药物依赖最有效的疗法之一（NIH 共识声明，1997）。美沙酮是一种经过严格测试的药物，安全有效。不幸的是，这种治疗已经产生了不应有的耻辱，这与对其有效性和安全性的消极态度、缺乏知识和错误信念有关。据记载，公众、患者和服务提供者对美沙酮维持治疗存在耻辱。当治疗提供者中出现消极态度时，问题尤其严重，因为它们已被证明与较差的治疗结果相关（Kang 等人，1997 年；Caplehorn 等人，1998 年）。社会科学创新公司 (SSIC) 的培训学院 (TI) 多年来一直为 MMT 员工提供培训。然而，培训 MMT 员工的需求超出了 TI 提供现场管理本课程的能力。基于网络的计算机辅助教学（CAI）非常适合满足上述许多需求。与面对面课程的有限报名人数相比，可以参加 CAI 课程的服务提供商数量几乎是无限的。面对面课程有地域限制，而 CAI 课程可以在任何有计算机的地方进行。虽然面对面课程通常仅限于朝九晚五的工作日时间，但 CAI 课程可以随时参加。如果适用，将提供经过认证的酗酒和药物滥用辅导员 (CASAC) 继续教育学分（这是继续获得辅导员认证所必需的）。该应用程序的目的是： 更新 TI 使用的整个书面当前课程并使其适应 CAI 格式；创建课程中两个模块的自导式交互式原型；并通过以下方式评估这两个模块：1) 可用性测试；2) 使用后消费者焦点小组，以评估模块的外观和感觉以及内容；3) 会前和会后调查问卷，以衡量知识增益。公共卫生相关性：美沙酮是一种经过严格测试的药物，安全有效。不幸的是，这种治疗已经产生了不应有的耻辱，这与对其有效性和安全性的消极态度、缺乏知识和错误信念有关。据记载，公众、患者和服务提供者对美沙酮维持治疗存在耻辱。当治疗提供者中出现消极态度时，问题尤其严重，因为它们已被证明与较差的治疗结果相关（Kang 等人，1997 年；Caplehorn 等人，1998 年）。该应用程序旨在通过为美沙酮维持治疗 (MMT) 工作人员提供廉价、有效的在线培训来解决这些问题。基于网络的计算机辅助教学（CAI）非常适合广泛传播准确信息和及时培训。与面对面课程的有限报名人数相比，可以参加 CAI 课程的服务提供商数量几乎是无限的。面对面的课程有地域限制，而 CAI 课程可以在任何有计算机的地方进行。本课程将满足重要的公共卫生需求，及时对 MMT 工作人员进行培训。