The HEALing (Helping to End Addiction Long-term (SM)) Communities Study: Protocol for a cluster randomized trial at the community level to reduce opioid overdose deaths through implementation of an integrated set of evidence-based practices.
The HEALing (Helping to End Addiction Long-term (SM)) Communities Study: Protocol for a cluster randomized trial at the community level to reduce opioid overdose deaths through implementation of an integrated set of evidence-based practices.
复制标题
DOI：
10.1016/j.drugalcdep.2020.108335
复制
发表时间：
2020-12-01
影响因子：
4.2
通讯作者：
HEALing Communities Study Consortium
中科院分区：
文献类型：
--
作者：
HEALing Communities Study Consortium
在美国，阿片类药物过量死亡人数仍然很高。尽管有有效的干预措施来防止过量死亡，但仍有许多障碍阻碍了它们的采用。康复社区研究(HCS)的主要目的是确定由社区参与、数据驱动的选择和实施一套综合的循证做法(EBP)组成的干预措施对减少阿片类药物过量死亡的影响。HCS是一项为期四年的多地点、平行分组、整群随机等待名单对照试验。肯塔基州、马萨诸塞州、纽约州和俄亥俄州的社区(n = 67)被随机分为积极干预组(第一波)和轮候名单控制组(第二波)，前者在第一年开始干预，后者在第三年开始干预。社区干预服务将测试一个概念驱动的框架，以帮助社区选择和采用EBP，其中包括三个组成部分：1)与当地联盟一起制定社区参与战略，以指导和实施干预；2)EBP概要和技术援助；以及3)一系列沟通活动，以提高对EBP的认识和需求，并减少污名。执行科学框架指导干预，并允许审查促进或阻碍采用和扩大循证方案的多层次背景。在对第一波干预的第二年期间，将比较第一波和第二波社区之间的主要结果，即阿片类药物过量死亡的数量。将检查许多次要结果。HCS是成瘾领域最大的社区实施研究，其雄心勃勃的目标是大幅减少致命的阿片类药物过量。
Opioid overdose deaths remain high in the U.S. Despite having effective interventions to prevent overdose deaths, there are numerous barriers that impede their adoption. The primary aim of the HEALing Communities Study (HCS) is to determine the impact of an intervention consisting of community-engaged, data-driven selection, and implementation of an integrated set of evidence-based practices (EBPs) on reducing opioid overdose deaths. The HCS is a four year multi-site, parallel-group, cluster randomized wait-list controlled trial. Communities (n = 67) in Kentucky, Massachusetts, New York and Ohio are randomized to active intervention (Wave 1), which starts the intervention in Year 1 or the wait-list control (Wave 2), which starts the intervention in Year 3. The HCS will test a conceptually driven framework to assist communities in selecting and adopting EBPs with three components: 1) a community engagement strategy with local coalitions to guide and implement the intervention; 2) a compendium of EBPs coupled with technical assistance; and 3) a series of communication campaigns to increase awareness and demand for EBPs and reduce stigma. An implementation science framework guides the intervention and allows for examination of the multilevel contexts that promote or impede adoption and expansion of EBPs. The primary outcome, number of opioid overdose deaths, will be compared between Wave 1 and Wave 2 communities during Year 2 of the intervention for Wave 1. Numerous secondary outcomes will be examined. The HCS is the largest community-based implementation study in the field of addiction with an ambitious goal of significantly reducing fatal opioid overdoses.
登录
查看更多内容
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
评估康复社区研究中实施环境和忠诚度的模型和方法。
影响因子：
4.2
作者：
Knudsen HK;Drainoni ML;Gilbert L;Huerta TR;Oser CB;Aldrich AM;Campbell ANC;Crable EL;Garner BR;Glasgow LM;Goddard-Eckrich D;Marks KR;McAlearney AS;Oga EA;Scalise AL;Walker DM
通讯作者：
Walker DM
影响因子：
39.2
作者：
Bohnert, Amy S. B.;Guy, Gery P., Jr.;Losby, Jan L.
通讯作者：
Losby, Jan L.
影响因子：
2
作者：
Eldridge, Sandra M.;Ukoumunne, Obioha C.;Carlin, John B.
通讯作者：
Carlin, John B.