From Workforce Diversity to Key Cultural Competency Strategies to End Racial Disparities in Opioid Treatment Outcomes Across the Nation

从劳动力多元化到关键文化能力战略，以消除全国阿片类药物治疗结果的种族差异

• 批准号: 10531895
• 负责人: Erick Guerrero
• 金额: $ 58.28万
• 依托单位: TEXAS A&M UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-12-01 至 2025-11-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10531895
• 关键词: Address; Affect; African American; Aftercare; Buprenorphine; Characteristics; Client; Competence; Data; Data Set; Decision Making; Dependence; Disparity; Dose; Drug abuse; Health Disparities Research; Health Personnel; Health Services Accessibility; Hispanic; Hispanic Populations; Improve Access; Knowledge; Linguistics; Link; Maintenance; Measurement; Measures; Medicaid; Methadone; Minority Groups; Modeling; Naltrexone; Opioid; Organizational Culture; Pharmaceutical Preparations; Policy Maker; Process; Process Measure; Professional counselor; Property; Psychometrics; Public Health; Quality of Care; Race; Recording of previous events; Recovery; Research; Resources; Respondent; Role; Sampling; Services; Source; Substance Use Disorder; Surveys; System; Testing; Treatment outcome; Variant; Wait Time; Woman; Work; access disparities; cultural competence; disparity elimination; disparity reduction; dosage; ethnic disparity; ethnic diversity; ethnic minority; ethnic minority population; evidence base; improved; instrument; medication-assisted treatment; minority health; minority health disparity; minority patient; opioid epidemic; opioid treatment program; opioid use disorder; payment; programs; racial disparity; racial diversity; racial minority; racial minority population; response; social culture; standard measure; substance use treatment; theories; treatment disparity; treatment program

PROJECT SUMMARY/ABSTRACT In response to PAR-18-747, Addressing the Challenges of the Opioid Epidemic in Minority Health and Health Disparities Research in the U.S. (R01), this study seeks to determine the role of culturally competent strategies, and in particular workforce diversity, to improve treatment access, engagement, and medication- assisted treatment (MAT) maintenance dosage, i.e., methadone, buprenorphine and naltrexone for African- American and Hispanic populations in opioid treatment programs (OTP) nationwide. The study will rely on the National Drug Abuse Treatment System Survey (NDATSS), which is a unique, nationally representative longitudinal data (2005-2017); the study also will collect two waves of new data in 2021 and 2023 to assess the effect of culturally and linguistically appropriate services (CLAS) on OTP process measures [wait time, retention, and adequate MAT dosages). The study seeks to improve measurement of cultural competence using a gold standard instrument - the Cultural Competency Organizational Assessment (COA360 [CLAS]) and assess its predictive validity on process measures in 2021 and 2023. Findings will inform treatment programs’ use of cultural competency strategies to improve OTP wait time, retention and adequate dosage, and with these efforts reduce racial/ethnic disparities in opioid use disorder treatment. Policy-makers will be able to make decisions about how to allocate scarce resources needed to address the opioid epidemic.

项目总结/文摘