Introduction to the special issue on the HEALing Communities Study.

Introduction to the special issue on the HEALing Communities Study.
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DOI:
10.1016/j.drugalcdep.2020.108327
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发表时间:
2020-12-01
影响因子:
4.2
通讯作者:
Walsh SL
Walsh SL
中科院分区:
医学2区
文献类型:
--
作者:
El-Bassel N;Jackson RD;Samet J;Walsh SL

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过量流行的严重性强调了迫切需要创新和高影响力的干预措施,以促进在受致命阿片类药物过量影响严重的社区中迅速渗透和扩大循证实践。这份特刊分享了在实施、研究、设计和评估一种新的数据驱动的社区干预方面的科学进展。HEALing(帮助结束长期成瘾)社区研究(HCS)是一项为期四年的研究,旨在检查社区治疗(CTH)干预的有效性。CTH的干预措施支持在四个高负担州--肯塔基州、马萨诸塞州、纽约和俄亥俄州的67个社区传播EBP。这些社区在城乡地位、种族和其他健康社会决定因素方面的多样性有助于将结果推广到美国其他社区。这份特刊中的九篇论文描述了构成HCS框架和设计的关键要素。这包括实施对致命和非致命阿片类药物过量有重大影响的EBP,阿片类药物过量减少连续护理方法,提高对EBP的认识和需求并减少对OUD和MOUD干预人员的污名化的宣传活动,以及社区参与的过程。这包括如何形成社区联盟并获得他们的承诺,以及采取步骤动员联盟实施电子商务计划并确保电子商务计划适应社区需要。本期的集体论文表明,任何复杂研究的设计都必须适应意外的时间事件,包括迅速出现的COVID-19危机。读者将了解设计和实施社区参与干预的科学过程,其方法,指导概念模型以及可用于解决其他健康问题的研究实施策略。
The severity of the overdose epidemic underscores the urgent need for innovative and high impact interventions that promote the rapid penetration and scale up of evidence-based practices (EBPs) in communities profoundly affected by fatal opioid overdose. This special issue shares scientific advancements in implementation research design and evaluation of a novel data-driven community-based intervention. The HEALing (Helping End Addiction Long-Term) Communities Study (HCS) is a four-year study that is designed to examine the effectiveness of the Communities That HEAL (CTH) intervention. The CTH intervention supports the dissemination of EBPs in 67 communities across four high-burdened states—Kentucky, Massachusetts, New York, and Ohio. The diversity in these communities in terms of rural-urban status, race-ethnicity and other social determinants of health facilitates generalizability of results to other communities across the US. The nine papers in this special issue describe critical elements that constitute the HCS framework and design. This includes the implementation of EBPs that have a substantial impact on fatal and non-fatal opioid overdose, the Opioid-overdose Reduction Continuum of Care Approach, communication campaigns to increase awareness and demand for EBPs and reduce stigma against people with OUD and MOUD interventions, and the process of community engagement. This includes how to form community coalitions and gain their commitment, and steps taken to mobilize coalitions to pursue EBP implementation and ensure EBPs are adapted for community needs. The collective papers in this issue demonstrate that the design of any complex study must adapt to unanticipated temporal events, including the rapidly emerging COVID-19 crisis. Readers will learn about the scientific process of the design and implementation of a community-engaged intervention, its methodologies, guiding conceptual models, and research implementation strategies that can be applied to address other health issues.
DOI: 10.1016/j.drugalcdep.2020.108326
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药物和阿片类药物涉及过量死亡 - 美国,2017-2018。
DOI: 10.15585/mmwr.mm6911a4
发表时间: 2020-03-20
期刊: MMWR. Morbidity and mortality weekly report
影响因子: --
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DOI: 10.1016/j.drugalcdep.2020.108329
发表时间: 2020-12-01
影响因子: 4.2
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影响因子: 4.2
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