Community-based, client-centered prevention homes to address the rural opioid epidemic

以社区为基础、以客户为中心的预防之家，解决农村阿片类药物流行问题

• 批准号: 10642563
• 负责人: David W Seal
• 金额: $ 15.31万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-15 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10642563
• 关键词: Acquired Immunodeficiency Syndrome; Address; Affect; Area; Case Management; Case Manager; Characteristics; Client; Clinical; Collaborations; Communicable Diseases; Communities; County; Data; Data Collection; Epidemic; Epidemiology; Evaluation; Geography; Goals; HIV; HIV/HCV; Harm Reduction; Health Information System; Health Service Area; Health Services; Hepatitis C virus; Heroin; Home; Individual; Infrastructure; Injecting drug user; Intervention; Legal; Medical; Methods; Mobile Health Application; Modeling; Names; Needle-Exchange Programs; Needs Assessment; Opiate Addiction; Opioid; Persons; Pharmaceutical Preparations; Phase; Population; Population Surveillance; Prevalence; Prevention; Program Effectiveness; Provider; Public Health; Quantitative Evaluations; Questionnaires; Research; Resources; Respondent; Risk; Rural; Rural Community; Rural Population; Sampling; Service delivery model; Services; Sexually Transmitted Diseases; Site; Source; Syringes; System; Testing; Time; Translating; United States; Viral hepatitis; Wisconsin; World Health Organization; base; comorbidity; ethnographic method; evidence base; experience; geographic inaccessibility; health information technology; high risk; implementation framework; implementation science; innovation; mHealth; marginalized population; medication-assisted treatment; meetings; novel; opioid abuse; opioid abuse prevention; opioid epidemic; opioid injection; opioid mortality; opioid use; opioid user; overdose death; person centered; prescription opioid abuse; prevent; prevention service; preventive intervention; public health relevance; recruit; response; rural counties; rural dwellers; rural residence; service coordination; service delivery; success; treatment services; trend; uptake; vulnerable community

Contact PD/PI: WESTERGAARD, RYAN PROJECT SUMMARY The scope of our supplemental application is consistent with our original submission. The below summary is from our original submission. In response to RFA-DA-17-014, HIV, HCV and Related Comorbidities in Rural Communities Affected by Opioid Injection Drug Epidemics in the United States: Building Systems for Prevention, Treatment and Control (UG3/UH3), we propose a multi-phase, mixed-methods study that aims to implement and evaluate a novel community response model, which we have named the Community-Based, Client-Centered Prevention Home. Using the organizational infrastructure of a large, multi-site syringe service program serving a geographically disperse population of people who inject drugs in rural communities across Northern Wisconsin, we will build locally responsive systems to facilitate uptake of evidence-based prevention services for high-risk clients. The Client-Centered Prevention Home model incorporates prevention case management and mobile health information technology into traditional harm-reduction services delivered at syringe service programs, which we hypothesize will increase use prevention services. During the UG3 phase, we will perform needs assessments in 6 rural Wisconsin counties in partnership with local stakeholders, and use respondent driven sampling to conduct a cross-sectional epidemiologic evaluation to estimate the prevalence of HIV, viral hepatitis and sexually transmitted infections. Contingent upon meeting recruitment and data collection goals, in the UH3 phase of the project we will deploy and evaluate the Client-Centered Prevention Home model in the 3 counties demonstrating highest vulnerability to worsening epidemics of opioid injection. The 3 remaining counties not selected for implementation will serve as comparison sites in a quantitative evaluation of program effectiveness during year 5. The growing problem of opioid injection in rural Wisconsin is highly significant because it exemplifies trends observed nationally indicating severe vulnerability to worsening epidemics of HIV, HCV, and opioid overdose deaths in rural communities that are substantially underserved by evidence- based prevention interventions. This proposal is highly innovative because it will be the first study to use an evidence-based mHealth strategy and a formal implementation science approach to enhance coordination of prevention services in syringe service programs. It has potential for high impact because of our team's state- wide reach, broad access to at-risk individuals, and robust infrastructure for conducting a rigorous, multi-site evaluation of our proposed model. Project Summary/Abstract

联系PD/PI：datafGAARD，RYAN 项目摘要 我们补充申请的范围与我们最初提交的内容一致。下面的总结是 从我们最初的提交。 回复RFA-DA-17-014，受阿片类药物影响的农村社区的HIV、HCV和相关合并症 美国的注射毒品流行病：建立预防、治疗和控制系统 (UG3/UH 3），我们提出了一个多阶段，混合方法的研究，旨在实施和评估一种新的 社区反应模式，我们称之为以社区为基础，以客户为中心的预防之家。 使用一个大型的、多地点的注射器服务项目的组织基础设施， 分散人口的人谁注射毒品在农村社区整个北方威斯康星州，我们将建立 地方应对系统，以促进高风险客户接受循证预防服务。的 以客户为中心的预防之家模式结合了预防病例管理和移动的保健 将信息技术融入注射器服务项目提供的传统减害服务， 我们假设会增加使用预防服务。在UG 3阶段，我们将执行需求 与当地利益相关者合作，在6个威斯康星州农村县进行评估， 抽样进行横断面流行病学评价，以估计艾滋病毒、病毒 肝炎和性传播感染。取决于是否达到招募和数据收集目标， 在项目的UH 3阶段，我们将部署和评估以客户为中心的预防家庭模式， 最易受阿片类注射流行病恶化影响的国家。其余3 未被选中实施的县将作为对计划进行定量评估的比较地点。 第五年的有效性。威斯康星州农村地区阿片类药物注射问题日益严重， 因为它证实了在全国范围内观察到的趋势，表明对日益恶化的流行病的严重脆弱性， 农村社区的艾滋病毒、HCV和阿片类药物过量死亡，这些证据严重不足- 预防干预措施。这项建议极具创新性，因为它将是第一项使用 以证据为基础的移动健康战略和正式的实施科学方法，以加强协调 注射器服务方案中的预防服务。因为我们队的状态，它有很大的影响力- 广泛的覆盖范围，广泛的风险个人，以及强大的基础设施，以进行严格的，多站点 评估我们提出的模型。 项目总结/摘要