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A Virtual Learning Collaborative for Alcohol Screening, Brief Intervention and Treatment in Primary Care

初级保健中酒精筛查、简短干预和治疗的虚拟学习合作

基本信息

批准号：
9300821
负责人：
Lynne S. Nemeth
金额：
$ 23.64万
依托单位：
MEDICAL UNIVERSITY OF SOUTH CAROLINA
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-06-20 至 2019-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9300821
关键词：
Adopted Adoption Adult Affect Alcohol consumption Alcohols Behavior Therapy Chronic Clinical Disease E-learning Education Education Projects Evaluation Faculty Future Guidelines Heavy Drinking Individual Intervention Knowledge Learning Medical Mission National Institute on Alcohol Abuse and Alcoholism Nurses Online Systems Patient Care Patients Pharmacotherapy Play Population Primary Health Care Process Recommendation Reporting Research Personnel Resources Role Sampling South Carolina Testing Translating United States Universities alcohol intervention alcohol screening alcohol screening and brief intervention alcohol use disorder base brief intervention collaborative approach comparative effectiveness compare effectiveness design experience illicit drug use improved innovation member novel podcast practice-based research network programs randomized trial research to practice screening and brief intervention screening, brief intervention, referral, and treatment webinar

项目摘要

ABSTRACT This application builds upon previous studies by investigators at Medical University of South Carolina (MUSC) that resulted in significant improvements in alcohol screening and brief interventions, and modest improvements in adoption of pharmacotherapy for alcohol disorders in primary care practices across the United States. While PPRNet accomplished these improvements in a crossover randomized trial, effective strategies are still needed to more widely disseminate findings and approaches practices used, and develop mechanisms to make a larger national impact in the adoption of and effective implementation of the NIAAA recommended clinical guidelines. The proposed R25 education program implements an innovative virtual learning collaborative (VLC) approach to disseminating evidence, guidelines and strategies for implementation of screening, brief intervention, and referral to treatment (SBIRT) to primary care clinicians, nurses and other clinical staff nationwide that participate in PPRNet, a practice based research network with 15 years of experience in translating research into practice (TRIP). The proposed project tests the comparative effectiveness of participating in ALC-TRIP (Alcohol Learning Collaborative–Translating Research into Practice) compared to practices that have not participated in this VLC. This study will be the first use of an innovative VLC that involves learner participation in web-based discussions/planning to improve alcohol screening and intervention in primary care, with the potential to reach a large number of primary care practices throughout the US. The primary aims of this alcohol education project proposal are to: 1) Develop and implement ALC-TRIP, a multi-component VLC designed to educate primary care staff and clinicians to develop practice approaches to improve alcohol screening, brief intervention and alcohol pharmacotherapy for alcohol use disorders; 2) Compare the effectiveness of practice participation in ALC-TRIP on alcohol screening, brief intervention and use of alcohol pharmacotherapy to non-participation in this learning collaborative, in a nationwide sample of 10 practices in each group; and 3) Conduct a process evaluation of this learning collaborative to examine the strengths, weaknesses, opportunities and threats related to this approach from the perspective of the stakeholders. Findings from this project will advance the educational mission of the NIAAA and inform future dissemination and implementation programs for alcohol SBIRT. If ALC-TRIP is more effective than passive dissemination of guidelines through an educational webinar and quarterly practice reports, VLCs might play a critical role in primary care-focused alcohol and illicit drug use initiatives.

抽象的该应用程序建立在南卡罗来纳医科大学 (MUSC) 研究人员之前的研究基础上这导致酒精筛查和简短干预方面的显着改善，以及适度的全国各地初级保健实践中酒精障碍药物治疗的采用情况有所改善美国。虽然 PPRNet 在交叉随机试验中实现了这些改进，但有效仍然需要制定战略，更广泛地传播调查结果和所采用的做法，并制定在通过和有效实施 NIAAA 方面产生更大全国影响的机制推荐的临床指南。拟议的 R25 教育计划实施了创新的虚拟学习协作（VLC）方法传播证据、指南和实施策略向初级保健临床医生、护士和其他人员进行筛查、简短干预和转诊治疗 (SBIRT) 参与 PPRNet 的全国临床工作人员，PPRNet 是一个拥有 15 年历史的基于实践的研究网络将研究转化为实践（TRIP）的经验。拟议项目测试比较参与 ALC-TRIP（酒精学习协作 - 将研究转化为实践）的有效性与未参加此 VLC 的实践相比。这项研究将是首次使用创新的 VLC 涉及学习者参与基于网络的讨论/计划，以改进酒精筛查和对初级保健的干预，有可能在整个世界范围内影响大量初级保健实践我们。该酒精教育项目提案的主要目标是： 1) 制定并实施 ALC-TRIP，多组件 VLC 旨在教育初级保健人员和临床医生开发实践方法改进针对酒精使用障碍的酒精筛查、简短干预和酒精药物治疗； 2）比较 ALC-TRIP 实践参与对酒精筛查、简短干预和在全国范围内 10 个样本中，使用酒精药物疗法导致不参加本次学习合作每组练习； 3) 对本次学习协作进行过程评估，以检查从该方法的角度来看，与该方法相关的优势、劣势、机遇和威胁利益相关者。该项目的研究结果将推进 NIAAA 的教育使命并为未来提供信息酒精 SBIRT 的传播和实施计划。如果 ALC-TRIP 比被动更有效通过教育网络研讨会和季度实践报告传播指南，VLC 可能会发挥作用在以初级保健为重点的酒精和非法药物使用举措中发挥着关键作用。