Fostering MOUD use in justice populations: Assessing the comparative effectiveness of two favored implementation strategies to increase MOUD use.
Fostering MOUD use in justice populations: Assessing the comparative effectiveness of two favored implementation strategies to increase MOUD use.
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DOI：
10.1016/j.jsat.2021.108370
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发表时间：
2021-09
影响因子：
3.9
通讯作者：
Perez HA
中科院分区：
文献类型：
--
作者：
Molfenter T;Vechinski J;Taxman FS;Breno AJ;Shaw CC;Perez HA
教练是阿片类药物使用障碍（MOUD）实施药物治疗的首选策略，但研究尚未充分测试或评估教练剂量和媒介的整体有效性，也没有在刑事司法环境（CJS）中广泛研究教练剂量。扩大MOUD的使用，特别是在CJS，提出了一个挑战，因为物质使用障碍的污名化，MOUD的资金，社区治疗提供者的可用性和能力，领导支持，以及对行为治疗为基础的治疗实践的历史偏好。威斯康星州的健康增强和系统研究中心（国际象棋）和乔治梅森大学的中心推进惩教卓越! (ACE!)正在进行一项随机对照试验，以确定两种不同的教练策略的最佳组合和剂量，以在涉及司法的人群中传播MOUD;这些策略是NIATx模型的过程改进和社区医疗保健成果的扩展（ECHO）模型。NIATx教练在MOUD实施和组织变革方面提供技术援助，以帮助司法和治疗组织为司法客户实施和传播MOUD。ECHO平台主要关注临床提供者，将提供者与专家MOUD处方者联系起来，以促进高质量的MOUD实践。该试验将有四个研究组，比较高剂量和低剂量的指导，有和没有ECHO。这将是第一次试验，评估两种类型的教练方法在不同剂量的司法参与个人的比较有效性。该试验将在48个监狱和社区治疗提供者网站进行，这些网站处理与阿片类药物使用障碍（OUD）有关的司法人员。
Coaching is a favored strategy for the implementation of medications for opioid use disorder (MOUD), yet research has not adequately tested or assessed coaching dosages and mediums for overall effectiveness, nor have coaching doses been widely studied within criminal justice settings (CJS). Scaling up the use of MOUD, particularly in CJS, presents a challenge given the stigmatization of substance use disorder, funding for MOUD, availability and capacity of community-based treatment providers, leadership support, and the historical preference for behavioral therapy–based treatment practices. The University of Wisconsin’s Center for Health Enhancement and Systems Studies (CHESS) and George Mason University’s Center for Advancing Correctional Excellence! (ACE!) are conducting a randomized controlled trial to determine the optimal combination and dosages for two different coaching strategies to disseminate MOUD in justice-involved populations; those strategies are the NIATx model for process improvement and Extension for Community Healthcare Outcomes (ECHO) model. NIATx coaches provide technical assistance in MOUD implementation and organizational change to help justice and treatment organizations to implement and disseminate MOUD for justice clients. The ECHO platform focuses primarily on the clinical provider by connecting the provider with expert MOUD prescribers to promote high-quality MOUD practices. The trial will have four study arms that compare high-dose and low-dose coaching, with and without ECHO. This will be the first trial that assesses the comparative effectiveness of two types of coaching methods at varying dosages for justice-involved individuals. The trial will be conducted with 48 jails and community-based treatment provider sites that handle justice-involved persons with opioid use disorder (OUD).
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影响因子：
3.5
作者：
Friedmann PD;Hoskinson R;Gordon M;Schwartz R;Kinlock T;Knight K;Flynn PM;Welsh WN;Stein LA;Sacks S;O'Connell DJ;Knudsen HK;Shafer MS;Hall E;Frisman LK;Mat Working Group Of CJ-Dats
通讯作者：
Mat Working Group Of CJ-Dats
影响因子：
3
作者：
Williams, ES;Konrad, TR;Douglas, J
通讯作者：
Douglas, J
影响因子：
3.9
作者：
Taxman, Faye S.;Young, Douglas W.;Mitchell, Suzanne
通讯作者：
Mitchell, Suzanne
影响因子：
3.8
作者：
Gomez, Rapson;Summers, Mathew;Summers, Jeff
通讯作者：
Summers, Jeff
影响因子：
2.6
作者：
Owens JS;Lyon AR;Brandt NE;Warner CM;Nadeem E;Spiel C;Wagner M
通讯作者：
Wagner M