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

• 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
• 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

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 目前的阿片类药物流行病需要全球关注。阿片类药物使用障碍是一种慢性疾病， 需要长期全面的卫生服务，从评估、治疗、持续监测， 延长护理。药物辅助治疗，尽管可作为治疗阿片类药物的有效策略 由于使用阿片类药物的人难以接触， （PWUO）和成瘾专家的短缺。扩大和加强戒毒治疗的动力 是动员社区卫生保健机构和PWUO的家庭成员。这次研究会 利用越南现有的社区卫生保健基础设施和家庭支持系统， 制定和测试干预措施，以加强戒毒服务的连续性。该干预，题为 “社区照顾联盟”的特色是社区医护人员与家庭成员共同努力， 提供以患者为中心的个性化成瘾护理和支持。将制定干预措施， 在越南的三个地区（宁平、岘港和坎托）进行了三个阶段的测试。在第一阶段，我们 将与社区卫生工作者、社区代表、PWUO及其 家庭成员确定成瘾服务利用的障碍，并讨论建立一个 戒毒服务的连续性。根据形成性研究的结果，CCC干预及其 将通过与研究人员，社区成员， 目标用户。在第二阶段，CCC干预措施将在三个社区进行试点，并根据 可接受性/可行性数据、过程评估以及现场工作人员和参与者的反馈。在第三阶段，a CCC干预的随机对照试验将在60个社区进行， 随机分为干预组和对照组（每组30例）。共有720 PWUO、720名家庭成员和180名社区卫生工作者（CHW）将参加这项研究。 对PWUO、CHW和家庭成员的干预结果将使用以下收集的数据进行评估： 基线、3个月、6个月、9个月和12个月随访。