Online Buprenorphine Training for Outreach Workers and Case Managers

为外展工作人员和案例经理提供在线丁丙诺啡培训

• 批准号: 7909951
• 负责人: Janie Elizabeth Simmons
• 金额: $ 12.41万
• 依托单位: SOCIAL SCIENCES INNOVATIONS CORPORATION
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-05 至 2011-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7909951
• 关键词: AIDS/HIV problem; Accident and Emergency department; Address; Adult; Arts; Attitude; Buprenorphine; Caring; Case Manager; Clinic; Clinical Trials; Community Services; Computer software; Congresses; Criminal Justice; Dependency; Development; Drops; Drug Addiction; Drug Metabolic Detoxication; Drug user; E-learning; Education; Education and Outreach; Educational Curriculum; Employee Assistance Program (Health Care); Enrollment; Evaluation; Focus Groups; HIV; HIV Seropositivity; Harm Reduction; Health; Health Services Accessibility; Hepatitis C virus; Heroin; Homeless Youth; Homelessness; Hospitals; Human Resources; Individual; Injection of therapeutic agent; Institutes; Institution; Instruction; Internet; Jail; Knowledge; Lead; Learning; Marketing; Measurement; Measures; Medical; Mental Health; Methadone; Modality; National Institute of Drug Abuse; New York; Nonprofit Organizations; Opiate Addiction; Opiates; Opioid; Oxycodone; Pamphlets; Patients; Persons; Pharmaceutical Preparations; Phase; Physicians; Play; Population; Pre-Post Tests; Prisons; Property; Public Health; Qualifying; Regimen; Relative (related person); Reporting; Research; Resistance; Risk; Role; Services; Shelter facility; Social Health Services; Source; Statutes and Laws; Stigmata; Subgroup; Substance Abuse Treatment Centers; System; Techniques; Technology; Testing; Text; Training; United States Food and Drug Administration; Vicodin; Visit; Voice; Work; Youth; addiction; alternative treatment; base; computerized; cost; design; ethnic minority population; flexibility; heroin overdose; innovation; literacy; methadone maintenance; motivational enhancement therapy; named group; opioid abuse; outreach; overdose death; prescription opioid; programs; prototype; public health relevance; social stigma; substance abuse treatment; symposium; treatment center; treatment program; usability; waiver; willingness; young adult

DESCRIPTION (provided by applicant): We propose to develop a low-cost, easily accessible, online training curriculum about buprenorphine treatment for outreach workers and case managers whose responsibilities include locating, motivating, educating, and/or referring to drug treatment youth and adults dependent upon heroin and other opiates. Increasing enrollment in treatment for heroin and other opioid dependency is critically needed. Recent estimates place the population of heroin and other opiate-dependent users in the U.S. at 980,000 -- the highest number since the late 1970's. These numbers have risen across all sociodemographic groups, and have doubled among youth. The abuse of prescribed opiates such as OxyContin(R) and Vicodin(R) has risen remarkably in recent years and the injection of heroin and other drugs (often in combination with heroin) continues to be associated with one-third of all new HIV cases and the majority of HCV cases in the U.S. Yet, only 20 percent of opiate-dependent drug users in need of treatment are actually enrolled in treatment. Fortunately, new legislation enacted in 2000 by Congress has dramatically changed the way opiate dependency can be treated in the U.S. The Drug Addiction Treatment Act permits qualified physicians to treat opiate dependency with drugs approved by the FDA. After nearly two decades of NIDA-sponsored research and clinical trials, a new drug, buprenorphine, was introduced in 2002. Medication-assisted treatment with buprenorphine holds the potential to revolutionize the treatment of opioid dependency by increasing access to and enrollment in drug treatment. However, in order to increase access and enrollment, it is necessary to address a number of barriers, including the knowledge gap regarding this new medication. While physicians and addiction professionals can easily access training online, no such training exists for outreach workers and case managers-- the frontline workers who are often the first contact with "hard-to-reach" opiate dependent youth and adults (including many ethnic minorities). The online training curriculum will include relevant information on the use of buprenorphine for special populations (e.g. youth, HIV+ persons). In Phase I, we will: (1) develop the curriculum in a Computer Assisted Instruction (CAI) format; (2) create a self-directed and interactive prototype of two CAI modules; and (3) evaluate the computerized prototype of the two modules. The curriculum will be marketed to a broad range of profit and non-profit organizations and institutions.

描述(由申请人提供)：我们建议为外展工作人员和个案管理人员开发一个低成本、易于访问的关于丁丙诺啡治疗的在线培训课程，他们的职责包括寻找、激励、教育和/或提到依赖海洛因和其他鸦片类药物的青少年和成年人接受药物治疗。迫切需要增加海洛因和其他阿片类药物依赖的治疗人数。最近的估计显示，美国吸食海洛因和其他鸦片成瘾的人数为98万人，这是自上世纪70年代末S以来的最高数字。在所有社会人口群体中，这一数字都在上升，年轻人中的这一数字翻了一番。近年来，OxyContin(注册商标)和Vicodin(注册商标)等处方鸦片类药物的滥用显著增加，注射海洛因和其他药物(通常与海洛因一起注射)仍然与美国三分之一的新艾滋病毒病例和大多数丙型肝炎病例有关。然而，需要治疗的阿片依赖药物使用者中只有20%实际接受了治疗。幸运的是，国会于2000年颁布的新立法极大地改变了美国治疗阿片依赖的方式。《药物成瘾治疗法案》允许合格的医生使用FDA批准的药物治疗阿片依赖。在NIDA赞助的近20年的研究和临床试验之后，一种新药丁丙诺啡于2002年面世。丁丙诺啡的药物辅助治疗有可能通过增加获得和登记药物治疗的机会来彻底改变阿片依赖的治疗。然而，为了增加获得和登记的机会，有必要解决一些障碍，包括关于这种新药的知识差距。虽然医生和吸毒上瘾专业人员可以很容易地在网上获得培训，但没有为外展工作人员和个案管理人员提供这种培训--这些一线工作人员往往是第一次接触“难以接触”的鸦片依赖青少年和成年人(包括许多少数族裔)。在线培训课程将包括丁丙诺啡对特殊人群(如青年、艾滋病毒感染者)使用的相关信息。在第一阶段，我们会：(1)以电脑辅助教学的形式发展课程；(2)制作两个电脑辅助教学单元的自我导向和互动原型；及(3)评估两个单元的电脑化原型。课程将面向广泛的营利性和非营利性组织和机构进行营销。