权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Strengthening Addiction Care Continuum through Community Consortium in Vietnam

通过越南社区联盟加强成瘾护理连续性

基本信息

批准号：
10668507
负责人：
Li Li
金额：
$ 53.85万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-30 至 2026-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10668507
关键词：
Address Adherence Attention Caring Chronic Collaborations Communicable Diseases Communities Community Developments Community Health Community Health Aides Community Healthcare Comprehension Continuity of Patient Care Country Data Decision Making Drug usage Epidemiology Evidence based intervention Family Family member Feedback Geography Health Health Services Health Status Health care facility Healthcare Hygiene Infrastructure Intervention Joints Link Long-Term Care Modeling Monitor National Institute of Drug Abuse Nature Neighborhood Health Center Opiate Addiction Opioid Outcome Outcome Measure Participant Phase Play Process Provider Randomized Randomized, Controlled Trials Research Research Activity Research Personnel Role Series Service delivery model Service provision Services Source Specialist Support System Testing Time Treatment Efficacy Treatment outcome Trust United States Public Health Service Vietnam Work addiction care seeking commune community based service comorbidity experience family support health care availability health service use improved marginalization medication-assisted treatment meetings member opioid epidemic opioid overdose opioid use disorder opioid user patient oriented pilot test prevent prevention service process evaluation service delivery service gap service utilization social stigma substance use targeted treatment therapy development treatment program treatment services

项目摘要

Abstract The current opioid epidemic calls for global attention. Opioid use disorder is a chronical condition that requires long-term comprehensive health services, from assessment, treatment, continuous monitoring, to extended care. Medication-assisted therapy, although available as an effective strategy to treat opioid addiction, has been significantly underutilized due to the hard-to-reach nature of people who use opioids (PWUO) and the shortage of addiction specialist. An impetus for expanding and enhancing addiction treatment is to mobilize community-based healthcare agencies and family members of PWUO. The study will take advantage of the existing community health care infrastructure and family support systems in Vietnam to develop and test an intervention to strengthen a continuum of addiction services. The intervention, entitled “Community Care Consortium (CCC),” features community health workers’ joint effort with family members to provide patient-centered, individualized addiction care and support. The intervention will be developed and tested through three phases in three regions of Vietnam (Ninh Binh, Da Nang, and Can Tho). In Phase 1, we will conduct formative studies with community health workers, community representatives, PWUO, and their family members to identify barriers to addiction service utilization and discuss potential strategies to establish a continuum of addiction services. Based on the formative study findings, the CCC intervention and its implementation plans will be developed through workgroup meetings with researchers, community members, and target users. In Phase 2, the CCC Intervention will be piloted in three communes and revised based on acceptability/feasibility data, process evaluation, and feedback from field staff and participants. In Phase 3, a randomized controlled trial of the CCC Intervention will be conducted in 60 communes, which will be randomized to either an intervention condition or a control condition (30 in each condition). A total of 720 PWUO, 720 of their family members, and 180 commune health workers (CHW) will participate in the study. The intervention outcomes on PWUO, CHW, and family members will be assessed with the data collected at baseline, 3-, 6-, 9- and 12-month follow-ups.

摘要