Fast-track: Scalable digital delivery of evidence-based training for addiction professionals to maximize treatment admission and retention rates of opioid use disorder in affected families.

快速通道：为成瘾专业人士提供可扩展的数字化循证培训，以最大限度地提高受影响家庭阿片类药物使用障碍的治疗入院率和保留率。

• 批准号: 10482203
• 负责人: Jane Macky
• 金额: $ 25.96万
• 依托单位: WE THE VILLAGE, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-15 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10482203
• 关键词: Address; Admission activity; Adopted; Adoption; Affect; American; Audiotape; Behavioral; Certification; Code; Collaborations; Communities; Continuing Education; Cost efficiency; Data; Development; Educational Status; Educational workshop; Employment; FDA approved; Family; Family member; Feedback; Goals; Health Personnel; Healthcare Systems; Individual; Knowledge; Learning; Life; Methods; Modeling; Multimedia; Outcome; Outcome Measure; Persons; Pharmaceutical Preparations; Phase; Pilot Projects; Price; Procedures; Process; Professional counselor; Psychological reinforcement; Randomized Controlled Trials; Readiness; Recovery; Research; Resistance; Secure; Standardization; Suggestion; Surveys; Testing; Time; Training; Training Programs; Translations; Validation; Videoconferencing; Work; acceptability and feasibility; addiction; base; commercialization; comparison group; digital; digital delivery; effective therapy; evidence base; expectation; improved; loved ones; medical specialties; opioid use disorder; overdose death; prevent; programs; prototype; randomized trial; retention rate; satisfaction; supervised learning; trial comparing; usability

Effective medication-based treatment could prevent overdose deaths and help over 2 million Americans recover from opioid use disorder (OUD), but only a fraction access specialty treatment or receive an FDA-approved medication. Community Reinforcement and Family Training (CRAFT) works with family members to get treatment resistant individuals (Identified Persons; IPs) into treatment, and 68% of families coached in CRAFT achieve treatment entry for their IP; about twice as many as comparison groups. However, most addiction professionals (counselors) are not trained in CRAFT or deliver it with questionable fidelity. The goal of this project is to develop and evaluate the technical feasibility and commercial viability of a scalable digital counselor training program for CRAFT. The Counselor product would be tailored to prepare counselors to work with family members of individuals with OUD. It will allow counselors to deliver high-fidelity CRAFT and significantly benefit IPs and their families affected by OUD by addressing the critical barrier of access to a leading evidence-based approach to family involvement in addiction recovery. Current methods for training counselors and disseminating ESTs, including CRAFT, rely on brief online or in-person workshops. However, research shows this format is minimally effective in facilitating adoption and implementation of ESTs. A more efficacious model includes ongoing counselor training with feedback and coaching. This project will develop an enhanced training model for CRAFT and digitize it to maximize scalability. In this project, we will: Produce the digital counselor training prototype and coaching process, tailored to OUD - with stakeholder input (Aim 1); Conduct a pilot study of 3 levels of digital training (Level 1 -Digital tutorial only [T]; Level 2 -Tutorial & digital training materials for self-study [TM]; Level 3 – Tutorial, digital materials, feedback and coaching [TMC]) to establish feasibility, acceptability, and examine the effects of training on CRAFT knowledge, fidelity, and treatment entry and retention (Aim 2). Validation of feasibility and commercial merit in the Phase I pilot study will provide substantiation to advance to Phase II. In addition to optimizing the product based on Phase I learnings and stakeholder input, Phase II goals will include completing development of a supervised machine learning (SML) automated coding system that will score counselor-submitted digital audiotapes of CRAFT sessions and generate written feedback including suggestions for improvement. This will allow us to demonstrate digital training efficacy at scale and commercial readiness (Aim 3). We will conduct a fully-powered randomized control trial comparing all piloted outcomes for the 3 training level conditions (Aim 4). These studies form the basis to demonstrate commercial readiness and value to purchasers.

有效的药物治疗可以防止过量死亡并帮助200多万美国人 从阿片类药物使用障碍（OUD）中康复，但只有一小部分人获得专业治疗或接受 FDA批准的药物。社区强化和家庭培训（CRAFT）与家庭合作 68%的家庭接受治疗， 接受CRAFT培训的受试者实现IP治疗入组;约为对照组的两倍。然而，在这方面， 大多数成瘾专业人员（辅导员）没有接受过CRAFT的培训，或者提供的忠诚度值得怀疑。的 该项目的目标是开发和评估技术可行性和商业可行性， CRAFT的可扩展数字辅导员培训计划。Counselor产品将针对 准备辅导员与OUD个人的家庭成员一起工作。它将允许辅导员提供 高保真的CRAFT，并通过解决关键的问题， 在家庭参与成瘾康复方面，获得领先的循证方法的障碍。电流 培训辅导员和传播包括CRAFT在内的EST的方法依赖于在线或面对面的简报 工作坊.然而，研究表明，这种形式在促进采用方面的效果微乎其微， 实施无害环境技术。一个更有效的模式包括持续的辅导员培训与反馈， 教练该项目将为CRAFT和CRAMIT开发一个增强型培训模式， 可伸缩性在本项目中，我们将：制作数字化辅导员培训原型和辅导流程， 根据OUD量身定制-利益相关者参与（目标1）;对3个级别的数字培训进行试点研究（级别1 - 仅数字教程[T]; 2级-自学和数字培训材料[TM]; 3级-自学，数字 材料、反馈和指导[TMC]），以确定可行性、可接受性，并检查 关于CRAFT知识、保真度以及治疗进入和保留的培训（目标2）。可行性验证和 第一阶段试验性研究的商业价值将为推进第二阶段提供依据。除了 根据第一阶段的学习和利益相关者的投入优化产品，第二阶段的目标将包括 完成监督机器学习（SML）自动编码系统的开发， 辅导员提交CRAFT课程的数字录音带，并生成书面反馈，包括 改进建议。这将使我们能够在规模和商业上展示数字培训的功效 准备就绪（目标3）。我们将进行一项完全有效的随机对照试验， 3个训练水平条件（目标4）。这些研究构成了证明商业就绪性的基础， 对购买者的价值。