Automation in an addiction treatment research clinic: computerised contingency management, ecological momentary assessment and a protocol workflow system.
Automation in an addiction treatment research clinic: computerised contingency management, ecological momentary assessment and a protocol workflow system.
复制标题
成瘾治疗研究诊所的自动化：计算机化应急管理、生态瞬时评估和方案工作流程系统。
DOI：
10.1111/j.1465-3362.2008.00007.x
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发表时间：
2009
影响因子：
3.8
通讯作者：
Preston,KenzieL
中科院分区：
文献类型：
--
作者：
Vahabzadeh,Massoud;Lin,Jia-Ling;Mezghanni,Mustapha;Epstein,DavidH;Preston,KenzieL
引言和目的：治疗研究的一个挑战是必须遵守方案和法规的限制，同时保持灵活性，以满足患者的治疗需求，并适应方案之间的变化。另一个挑战是在偶尔繁忙的环境中获取大量的数据，沿着提供无缝的方法来导出，挖掘和查询data.Design和Methods。我们已经自动化了我们的门诊治疗研究诊所的几个主要功能，在药物滥用和依赖性的研究。在这里，我们描述了三个这样的专业应用程序：自动应急管理（ACM）系统提供的行为干预，交易电子日记（TED）系统的管理行为评估和协议工作流程系统（PWS）的计算机化工作流程自动化和指导每个参与者的日常临床活动。这些模块被集成到我们更大的信息系统中，使授权人员能够真实的实时共享数据。成果ACM和TED使我们能够进行以前无法进行的研究。此外，每次研究结束时进行数据分析的时间大大缩短。推行这项计划后，我们已能管理一间可容纳80名病人的研究诊所，每年平均为18 000名病人提供诊症服务，并收集7 300次尿液，而研究人员则有5名。 最后，自动化数据管理大大提高了我们监测和总结参与者安全数据的能力，以供研究监督。讨论和结论：在与最终用户协商后开发的治疗研究诊所自动化可以实现更高效的操作，更好的员工沟通和研究方法的扩展。[Vahabzadeh M，Lin J-L，Mezghanni M，Epstein DH，普雷斯顿KL.成瘾治疗研究诊所的自动化：计算机化应急管理，生态瞬时评估和协议工作流程系统。药物酒精Rev 2009;28：3-11]
Introduction and Aims.A challenge in treatment research is the necessity of adhering to protocol and regulatory strictures while maintaining flexibility to meet patients' treatment needs and to accommodate variations among protocols. Another challenge is the acquisition of large amounts of data in an occasionally hectic environment, along with the provision of seamless methods for exporting, mining and querying the data.Design and Methods.We have automated several major functions of our outpatient treatment research clinic for studies in drug abuse and dependence. Here we describe three such specialised applications: the Automated Contingency Management (ACM) system for the delivery of behavioural interventions, the transactional electronic diary (TED) system for the management of behavioural assessments and the Protocol Workflow System (PWS) for computerised workflow automation and guidance of each participant's daily clinic activities. These modules are integrated into our larger information system to enable data sharing in real time among authorised staff.Results.ACM and the TED have each permitted us to conduct research that was not previously possible. In addition, the time to data analysis at the end of each study is substantially shorter. With the implementation of the PWS, we have been able to manage a research clinic with an 80 patient capacity, having an annual average of 18 000 patient visits and 7300 urine collections with a research staff of five. Finally, automated data management has considerably enhanced our ability to monitor and summarise participant safety data for research oversight.Discussion and Conclusions.When developed in consultation with end users, automation in treatment research clinics can enable more efficient operations, better communication among staff and expansions in research methods. [Vahabzadeh M, Lin J‐L, Mezghanni M, Epstein DH, Preston KL. Automation in an addiction treatment research clinic: Computerised contingency management, ecological momentary assessment and a protocol workflow system.Drug Alcohol Rev2009;28:3–11]