The Ohio Valley Node of the Clinical Trials Network
The Ohio Valley Node of the Clinical Trials Network
批准号:
10441828
负责人:
T John WINHUSEN
金额:
$3.32万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2021
资助国家:
美国
项目状态:
已结题
起止时间:
2021-07-01 至 2022-02-28
关键词:
AbstinenceAccelerationAcquired Immunodeficiency SyndromeAddressAdherenceAdolescentAdultAffectAfrican AmericanAgeAlcoholsAnxietyAnxiety DisordersBackBehaviorBehavior TherapyBehavioral ModelBenzodiazepinesBiographyBlack, Indigenous, People of ColorBudgetsBupropionCalibrationCategoriesCaucasiansCessation of lifeCharacteristicsChildClinicClinicalClinical DataClinical TreatmentClinical TrialsClinical Trials NetworkCocaineCocaine DependenceCocaine UsersCognitive TherapyCollectionColorCommunitiesCounselingDataData AggregationData AnalysesData CollectionData PoolingData SetDatabasesDeath RateDiagnosticDiseaseDrug abuseEducationEffect Modifiers (Epidemiology)EffectivenessEmploymentEnrollmentEthnic OriginEthnic groupEvaluationEvidence based treatmentFactor AnalysisFentanylFrequenciesFundingGender IdentityGlassGoalsGrantGrowthHarm ReductionHealthHealth Services AccessibilityHealth behaviorHeroinHispanicsIncentivesIndividualInstitutionInstitutional Review BoardsInterceptInterest GroupInternationalInterventionJordanKnowledgeLatinxLearningLife StyleLinkLiteratureLong-Term EffectsMeasurementMeasuresMedicalMeta-AnalysisMethamphetamineMethodologyMethodsMinorityModalityModelingMotivationNational Institute of Drug AbuseNational Institute of Mental HealthNational Institute on Alcohol Abuse and AlcoholismNeighborhoodsOhioOpioidOutcomeOutpatientsPaperParticipantPatient Self-ReportPatient-Focused OutcomesPatientsPerceptionPharmaceutical PreparationsPharmacological TreatmentPharmacotherapyPopulationPositioning AttributePost-Traumatic Stress DisordersPrivatizationProcessPropertyProtocols documentationProviderPsychiatric therapeutic procedurePsychiatristPsychiatryPsychosocial FactorPublic HealthPublicationsPublishingRaceRandomizedRandomized Clinical TrialsReadinessReportingResearchResearch DesignResearch MethodologyResearch PersonnelResearch Project GrantsResourcesReview LiteratureRiskRoleSafetySamplingSelf EfficacySeveritiesSiteSmokerSocial ConditionsSocioeconomic FactorsSourceStressSubgroupSubstance AddictionSubstance Use DisorderSubstance abuse problemSystemTestingTherapeuticTimeTime trendTimeLineTobacco Use DisorderToxicologyTrainingTraumaTreatment EffectivenessTreatment EfficacyTreatment outcomeUnderrepresented MinorityUnderrepresented PopulationsUnited StatesUrineValidationVariantVeinsVital StatisticsWeightWomanWorkWritingactive methodaddictionalcohol abuse therapybaseblack subgroupcareerchildhood anxietyclinically significantcocaine overdosecocaine usecomorbiditycomparative effectivenesscomparative efficacycompare effectivenesscontextual factorscookingcultural competencedata harmonizationdesigndual diagnosiseducation researcheffectiveness evaluationefficacy evaluationethnic differenceethnic diversityevidence baseexperiencefollow-uphealth care qualityhealth differencehealth disparityimprovedindividual patientinnovationinterestmarijuana usemeetingsmenmen&aposs groupmethadone clinic/centermotivational enhancement therapymulti-racialmultidisciplinarymultilevel analysisnicotine patchnovelopioid epidemicopioid mortalityopioid useoverdose deathpatient subsetspregnantprimary outcomeprogramspsychosocialpsychostimulantracial and ethnicracial and ethnic disparitiesracismrate of changeresponserural African Americanscience educationscreening, brief intervention, referral, and treatmentsecondary analysissecondary outcomesexsocialsocial factorssocial health determinantssociodemographic factorssociodemographicsstatisticsstructured datasubstance abuse treatmentsubstance usesubstance use treatmentsubstance usersymposiumsynergismsynthetic opioidtheoriestreatment adherencetreatment armtreatment effecttreatment programtreatment trialyoung adultyoung man
中文摘要
运用综合数据分析检验心理社会治疗对精神分裂症患者的影响
黑人可卡因使用者参加NIDA药物滥用治疗临床试验网络
(CTN)
具体目标
最近的报告显示,黑人与阿片类药物有关的过量死亡的加速
现在超过了白人。1这一增长归因于合成材料的存在
在大约三分之一的阿片类药物过量死亡中,可卡因供应中的阿片类药物(芬太尼)。
有限的可用工作表明,治疗效果可能会因种族而异
种族群体。然而,这些研究中只有一小部分专门研究了可卡因的使用。这个
CTN提供了一个独特但未被探索的研究集合,可以提高我们的知识
关于对使用可卡因的黑人进行有效的心理社会治疗。拟议的研究将
结合来自7项CTN治疗研究的数据(总计N=1442名黑人参与者)
两者的组合呈现出混合的结果。使用多种新兴测量/数据分析
框架(综合数据分析(IDA)、个体患者数据元分析(MIPD)、
因果缓和分析),拟议研究的目标是评估
物质使用障碍治疗对使用可卡因的黑人的有效性。
该项目有三个具体目标:
目标1:在考虑研究水平的同时,估计可卡因使用严重程度的量表分数
测量非不变性。
目的2:比较可卡因使用严重程度的循证治疗模式的有效性。
目标3:探索个人和研究水平的调节因素,如伴随的阿片类药物使用、年龄、
性别、职业、治疗前精神状态和留存以评估亚组
治疗效果的差异。
英文摘要
Using Integrative Data Analysis to Examine the Impact of Psychosocial Treatments for
Black Cocaine Users Enrolled in the NIDA Drug Abuse Treatment Clinical Trials Network
(CTN)
Specific Aims
Recent reports reveal that the acceleration of opioid-involved overdose deaths for Black people
now outpaces that of White people.1 This increase is attributable to the presence of synthetic
opioids (fentanyl) in the cocaine supply in approximately one third of opioid overdose deaths.
The limited body of work available suggests that treatment effectiveness may vary across racial-
ethnic groups. Yet, only a subset of these studies have specifically looked at cocaine use. The
CTN provides a unique but underexplored collection of studies that can improve our knowledge
on effective psychosocial treatments for Black people who use cocaine. The proposed study will
combine data from 7 CTN treatment studies (total N = 1442 Black participants) that in
combination present mixed findings. Using multiple emerging measurement/data analysis
frameworks (integrative data analysis (IDA), meta-analysis of individual patient data (MIPD),
causal moderation analysis), the goal of the proposed study is to evaluate the
effectiveness of substance use disorder treatments for Black people who use cocaine.
The project has three specific aims:
Aim 1: Estimate scale scores of cocaine use severity while considering study-level
measurement non-invariance.
Aim 2: Compare the effectiveness of evidence-based treatment models for cocaine use severity.
Aim 3: Explore individual- and study-level moderators, such as concomitant opioid use, age,
sex, employment, pre-treatment psychiatric status, and retention to evaluate subgroup
differences in treatment effectiveness.
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会议论文
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海外基金