Buprenorphine

描述(由申请人提供)：存在扩大阿片成瘾治疗的强烈需求，例如使用丁丙诺啡，该药物最近被批准在合格的医生办公室进行治疗。这应该允许扩大海洛因成瘾者的治疗机会。然而，有一种风险是，过于严重地依赖药物，而不进行咨询和预防复发的技能培养，将导致海洛因复吸率高。该项目的目标是开发一个全面和创新的系统，指导医生使用丁丙诺啡，强调与向患者提供在线咨询的护士合作的方法。拟议的系统将包括以下部分，将在第一阶段开发：-护士在线课程，重点是向丁丙诺啡患者提供支持服务的问题，并在这一过程中与医生合作。在线咨询系统将为患者提供支持，回答问题和预防复发等话题。该系统可通过家用计算机或电话访问。医生和护士在使用丁丙诺啡和提供在线咨询时如何协作的协议。在这个项目中，我们组建了一个独特的组织团队来开发和测试拟议的系统：丹雅国际(在线课程的专业知识)、快速改进(在线咨询的专业知识)和马里兰大学护理学院。在第一阶段，我们将进行两项试点研究，以评估在线课程和在线咨询系统的可行性和可接受性。第二个试点研究还将测试拟议的全面评估的设计和程序；我们将在第二阶段进行。将开发的产品具有很高的商业潜力。

DESCRIPTION (provided by applicant): There is a strong need for expanded opioid addiction treatment, such as with the use of Buprenorphine, which was recently approved for treatment in a qualified physician's office. This should allow for expanded treatment access to people addicted to heroin. However, there is a risk that too heavy a reliance on medication alone, without counseling and relapse prevention skill building, will lead to high rates of relapse to heroin use. The goal of this project is to develop a comprehensive and innovative system that will guide physicians in administering Buprenorphine, emphasizing a collaborative approach with nurses who will provide online counseling to the patients. The proposed system will include the following components, which will be developed in Phase I:-Online course for nurses focusing on issues of providing support services to patients on Buprenorphine and working collaboratively with physicians in this process. Online counseling system for patients that will provide support, answer questions and topics such as relapse prevention. This system can be accessed with a home computer or with a phone. Protocols for physicians and nurses on how to work collaboratively when administering Buprenorphine and providing online counseling. For this project, we have put together an outstanding team of organizations who are in a unique position to develop and test the proposed system: Danya International (expertise in online courses), Rapid Improvements (expertise in online counseling) and the University Of Maryland School Of Nursing. During phase I, we will conduct 2 pilot studies to assess the feasibility and acceptability of the online course and online counseling system. The second pilot study will also test the design and procedures of the proposed full scale evaluation; we will conduct during phase II. The products that will be developed have high commercial potential.