Recovery Enhancement With Awards Enhancement With Awards Research Dissemination (

描述(由申请人提供)：应急管理(CM)干预在改善药物滥用患者的预后方面是有效的。对CM的兴趣正在增长，研究项目、资金和出版物的增加证明了这一点。隶属于本中心的研究人员目前有五个与CM有关的R01资助项目，以及两个5年计划项目和一个R21；另外两个R01预计将在今年获得资助。这些研究正在25个以上的社区诊所进行。随着CM的证据基础越来越多，提供商表示有兴趣了解CM的实现。目前，没有中央机制来监督跨地点进行CM或交叉协调数据收集和分析，也没有经验丰富的CM调查员小组提供培训和技术援助，以便在实践环境中使用CM。因此，这个翻译研究中心的首要目标是改进和更有效地管理和分析现有和未来的CM研究。此外，我们会发展一间中医药培训及督导学院，提供面对面及远距离(例如网上)的培训，并监督实际的中医药发展及实施。为了实现这些目标，提出了一个P30中心，该中心包括三个核心和一个试点项目计划。行政核心将制定集中机制，以监督和确保与该中心有关的现有和未来研究的顺利运作。该核心还将与我们的科学咨询委员会一起征集和选择试点项目。数据管理和分析核心将建立跨项目的质量保证措施；创建已完成和正在进行的CM研究的“主”CM数据库；并对这些数据进行分析，以回答与CM的传播和成本效益有关的问题，其样本比任何单一CM研究使用的样本大得多。这些分析的最终目标是扩大CM的长期效果，并增加从这些程序中受益的患者数量。传播核心将开发CM培训材料。我们将与我们自己的工作人员一起开展培训和监督工作，目前有40多名研究助理、助理和治疗师，培训也将针对基于社区的临床医生进行面对面和基于网络的培训。到5年资助周期结束时，我们预计已经培训了100多名临床医生进行CM交付，从而加强了这一经经验验证的干预措施的传播。 公共卫生相关性：应急管理(CM)是一种经验性验证的治疗方法，我们有8个由美国国立卫生研究院资助的项目检查CM的疗效。该中心将协调和更有效地管理这些项目，将我们先前和正在进行的研究的数据结合起来，以解决感兴趣的主题，并为临床医生提供第一个中医培训和认证机构。CM目前是一种未得到充分利用的干预措施，我们中心将努力成为研究人员和临床医生在CM方面的全国性资源。 中心特征

DESCRIPTION (provided by applicant): Contingency management (CM) interventions are efficacious in improving outcomes of substance abusing patients. Interest in CM is growing, as evidenced by increases in research projects, funding, and publications. Investigators affiliated with our Center presently have five funded R01s related to CM, along with two 5-year program projects and an R21; two other R01s are expected to be funded this year. These studies are being conducted at over 25 community-based clinics. With the increasing evidence basis of CM, providers are expressing interest in learning about CM implementation. Currently, no centralized mechanism exists for overseeing the conduct of CM across sites or for the cross-coordination of data collection and analyses, and no group of experienced CM investigators is available to provide training and technical assistance in the adoption of CM for use in practice settings. Thus, this translational research Center has the overarching goal of improving and more efficiently managing and analyzing existing and future CM studies. In addition, we will develop a CM training and supervision institute, which will provide in-person and distal (e.g., web-based) trainings and oversight in the development and implementation of CM in practice. To accomplish these aims, a P30 Center is proposed, which comprises three Cores and a pilot project program. An Administrative Core will develop centralized mechanisms to oversee and ensure smooth operations of existing and future studies associated with this Center. This Core will also solicit and select, in conjunction with our Scientific Advisory Board, pilot projects. A Data Management and Analysis Core will institute quality assurance measures across projects; create a "master" CM database of completed and ongoing CM studies; and conduct analysis of these data to answer questions related to dissemination and cost-effectiveness of CM in samples much larger than those utilized in any single CM study. The ultimate goals of these analyses are to extend the long-term effects of CM and increase the number of patients who benefit from these procedures. The Dissemination Core will develop CM training materials. Training and supervisory efforts will be instituted with our own staff, presently exceeding 40 research assistants, associates, and therapists, and training will also be targeted toward community-based clinicians for both in person as well as web-based trainings. By the end of the 5-year funding cycle, we expect to have trained over 100 clinicians in CM delivery, thereby enhancing dissemination of this empirically validated intervention. PUBLIC HEALTH RELEVANCE: Contingency management (CM) is an empirically-validated treatment, and we have 8 NIH-funded projects examining the efficacy of CM. This Center will coordinate and more efficiently manage these projects, combine data from our prior and ongoing studies to address topics of interest, and make widely available the first CM training and certification institute for clinicians. CM is presently an under-utilized intervention, and our Center will strive to become a national resource in CM for researchers and clinicians. CENTER CHARACTERISTICS