NIATx-TI versus typical product training on e-health technology implementation: a clustered randomized controlled trial study protocol.
NIATx-TI versus typical product training on e-health technology implementation: a clustered randomized controlled trial study protocol.
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DOI：
10.1186/s13012-020-01053-4
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发表时间：
2020-10-23
期刊：
影响因子：
--
通讯作者：
Toy A
中科院分区：
文献类型：
--
作者：
White VM;Molfenter T;Gustafson DH;Horst J;Greller R;Gustafson DH Jr;Kim JS;Preuss E;Cody O;Pisitthakarm P;Toy A
物质使用障碍(SODS)每年在美国导致数以万计的过量死亡和其他形式的可预防死亡。这造成每年超过5000亿美元的社会和经济代价，以及受影响个人的亲人的大量悲痛。尽管存在这些健康和社会后果，但只有一小部分人寻求肥皂水治疗，而寻求帮助的大多数人未能实现长期戒酒。事实证明，医疗保健中的电子健康应用程序在维持治疗和接触传统治疗路径可能错过的患者方面是有效的。然而，电子健康在医疗保健领域的采用率和维持率很低，特别是在SUD治疗部门。实施工程可以通过扩大现有的实施模型来解决电子健康领域的这一差距，现有的实施模型回顾地解释了组织和个人的电子健康行为，并提供了能够指导实施的预期资源。这项整群随机对照试验旨在测试采用循证移动电子健康技术治疗SUD的两种实施策略。建议的电子健康实施模式是网络成瘾治疗-技术实施(NIATx-TI)框架。该项目总部设在爱荷华州，将比较控制条件(使用典型的软件产品培训方法，包括面对面的员工培训，然后访问在线支持)与使用NIATx-TI的软件实施，其中包括更改管理培训，然后指导如何实施和使用移动应用程序。虽然电子健康跨越许多模式和健康学科，但该项目将侧重于实施成瘾综合健康增强支持系统(A-CHESS)，这是一个基于证据的SUD治疗康复应用程序框架。这项试验将在爱荷华州12家SUD治疗机构的46个组织地点进行。控制组由5个组织的23个单独治疗点组成，干预组由7个组织的23个单独的SUD治疗点组成。这项研究解决了一个具有重大公共卫生意义的问题：加强对以患者为中心的循证成瘾治疗电子健康技术不断增长的库存的吸收。临床试验.gov，NCT03954184。发布于2019年5月17日
Substance use disorders (SUDs) lead to tens-of-thousands of overdose deaths and other forms of preventable deaths in the USA each year. This results in over $500 billion per year in societal and economic costs as well as a considerable amount of grief for loved ones of affected individuals. Despite these health and societal consequences, only a small percentage of people seek treatment for SUDs, and the majority of those that seek help fail to achieve long-term sobriety. E-health applications in healthcare have proven to be effective at sustaining treatment and reaching patients traditional treatment pathways would have missed. However, e-health adoption and sustainment rates in healthcare are poor, especially in the SUD treatment sector. Implementation engineering can address this gap in the e-health field by augmenting existing implementation models, which explain organizational and individual e-health behaviors retrospectively, with prospective resources that can guide implementation. This cluster randomized control trial is designed to test two implementation strategies at adopting an evidence-based mobile e-health technology for SUD treatment. The proposed e-health implementation model is the Network for the Improvement of Addiction Treatment–Technology Implementation (NIATx-TI) Framework. This project, based in Iowa, will compare a control condition (using a typical software product training approach that includes in-person staff training followed by access to on-line support) to software implementation utilizing NIATx-TI, which includes change management training, followed by coaching on how to implement and use the mobile application. While e-health spans many modalities and health disciplines, this project will focus on implementing the Addiction Comprehensive Health Enhancement Support System (A-CHESS), an evidence-based SUD treatment recovery app framework. This trial will be conducted in Iowa at 46 organizational sites within 12 SUD treatment agencies. The control arm consists of 23 individual treatment sites based at five organizations, and the intervention arm consists of 23 individual SUD treatment sites based at seven organizations This study addresses an issue of substantial public health significance: enhancing the uptake of the growing inventory of patient-centered evidence-based addiction treatment e-health technologies. ClinicalTrials.gov, NCT03954184. Posted 17 May 2019
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影响因子：
25.8
作者：
Gustafson, David H.;McTavish, Fiona M.;Chih, Ming-Yuan;Atwood, Amy K.;Johnson, Roberta A.;Boyle, Michael G.;Levy, Michael S.;Driscoll, Hilary;Chisholm, StevenM.;Dillenburg, Lisa;Isham, Andrew;Shah, Dhavan
通讯作者：
Shah, Dhavan
影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
7.9
作者：
Gustafson, David H.;Hawkins, Robert;Serlin, Ronald C.
通讯作者：
Serlin, Ronald C.
影响因子：
3.9
作者：
Chih, Ming-Yuan;Patton, Timothy;Gustafson, David H.
通讯作者：
Gustafson, David H.