Reducing Opioid Mortality in Illinois (ROMI): A case management/peer recovery coaching critical time intervention clinical trial protocol.
Reducing Opioid Mortality in Illinois (ROMI): A case management/peer recovery coaching critical time intervention clinical trial protocol.
复制标题
降低伊利诺伊州阿片类药物死亡率（ROMI）：病例管理/同伴康复指导关键时间干预临床试验方案。
DOI：
10.1016/j.jsat.2021.108348
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发表时间：
2021-09
影响因子：
3.9
通讯作者：
Pollack, Harold A.
中科院分区：
文献类型：
--
作者：
Pho, Mai;Erzouki, Farah;Boodram, Basmattee;Jimenez, Antonio D.;Pineros, Juliet;Shuman, Valery;Claypool, Emily Jane;Bouris, Alida M.;Gastala, Nicole;Reichert, Jessica;Kelly, Marianne;Salisbury-Afshar, Elizabeth;Epperson, Matthew W.;Gibbons, Robert D.;Schneider, John A.;Pollack, Harold A.
关键词：
有阿片类药物使用史的个人在伊利诺伊州监狱和监狱中的比例不成比例，并面临着服药过量和在社区重新进入时复发的高风险。病例管理和同伴康复辅导是既定的干预措施，可用于在这些关键的过渡时期改善与药物使用、治疗和支助服务的联系。我们提出了降低伊利诺伊州阿片类药物死亡率(ROMI)的方案，这是一项I型混合有效性实施随机试验，涉及病例管理、同伴康复指导、过量教育和纳洛酮分配(CM/PRC+OEND)关键时间干预(CTI)，与单独使用OEND相比。CM/PRC+OEND是一种新的为期12个月的干预措施，涉及与药物使用治疗和持续护理、技能培养以及导航和参与社会服务的支持相联系，将在研究地点采用中心辐射式培训和监督模式实施。至少1000名从监狱和监狱释放的城乡人员将被录取。主要结果是参与阿片类药物使用障碍的药物治疗。次要结果包括健康保险登记、精神健康服务参与、再次逮捕/累犯、违反假释和/或重新监禁。将使用混合方法来评估进程和实施结果，包括对干预的忠诚度、障碍、促进者和成本。在新冠肺炎大流行期间，将利用视频会议和其他远程进程来修改协议，以确保安全。这项研究的结果可能会改善行为健康和刑事法律制度边缘的弱势群体的结果。
Individuals with a history of opioid use are disproportionately represented in Illinois jails and prisons and face high risks of overdose and relapse at community reentry. Case management and peer recovery coaching are established interventions that may be leveraged to improve linkage to substance use treatment and supportive services during these critical periods of transition. We present the protocol for the Reducing Opioid Mortality in Illinois (ROMI), a type I hybrid effectiveness-implementation randomized trial of a case management, peer recovery coaching and overdose education and naloxone distribution (CM/PRC+OEND) critical time intervention (CTI) compared to OEND alone. The CM/PRC+OEND is a novel, 12-month intervention that involves linkage to substance use treatment and support for continuity of care, skills building, and navigation and engagement of social services that will be implemented using a hub-and-spoke model of training and supervision across the study sites. At least 1,000 individuals released from jails and prisons spanning urban and rural settings will be enrolled. The primary outcome is engagement in medication for opioid use disorder. Secondary outcomes include health insurance enrollment, mental health service engagement, and rearrest/recidivism, parole violation, and/or reincarceration. Mixed methods will be used to evaluate process and implementation outcomes including fidelity to, barriers to, facilitators of, and cost of the intervention. Videoconferencing and other remote processes will be leveraged to modify the protocol for safety during the COVID-19 pandemic. Results of the study may improve outcomes for vulnerable persons at the margin of behavioral health and the criminal legal system.
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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：
4.4
作者：
Graham, Andrea K.;Minc, Alexa;Laiteerapong, Neda
通讯作者：
Laiteerapong, Neda
影响因子：
3.3
作者：
Saldana, Lisa;Chamberlain, Patricia;Landsverk, John
通讯作者：
Landsverk, John
DOI：
10.1186/1748-5908-9-43
发表时间：
2014-04-05
期刊：
Implementation science : IS
影响因子：
--
作者：
Saldana L
通讯作者：
Saldana L
影响因子：
5.5
作者：
Luke, Douglas A.;Calhoun, Annaliese;Moreland-Russell, Sarah
通讯作者：
Moreland-Russell, Sarah