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Clinical Trials Network: Pacific Northwest Node

临床试验网络：太平洋西北节点

基本信息

批准号：
9806827
负责人：
DENNIS Michael DONOVAN
金额：
$ 22.22万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-11-01 至 2019-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9806827
关键词：
Accident and Emergency department Acute Address Affordable Care Act Alaska Alcohol abuse Alcohols Behavior Therapy Belief Caring Chronic Disease Clinic Clinical Research Clinical Treatment Clinical Trials Network Communities Community Health Planning Comorbidity Computerized Medical Record Data Disease Management Drug abuse Early Intervention Early identification Effectiveness Electronic Health Record Evidence based practice Future General Population Health Care Reform Healthcare Healthcare Systems Idaho Illicit Drugs Individual Institutes Intervention Libraries Link Location Medical Medical center Medicine Mental Health Methods Modeling Monitor Montana National Clinical Trials Network National Institute of Drug Abuse Neighborhood Health Center Outcome Pacific Northwest Patients Pediatric Hospitals Pharmacological Treatment Population Heterogeneity Prevalence Primary Health Care Process Provider Public Health Published Comment Registries Research Research Design Research Methodology Research Personnel Research Priority Resources Source Substance Use Disorder System Technology Transfer Testing Tobacco Training Universities Washington Wyoming addiction adolescent substance use base behavioral health care providers chronic care model clinical practice cohort collaborative care comparative effectiveness design dissemination research effective intervention effectiveness trial health care delivery health care settings high-risk adolescents illicit drug use innovation medical specialties member operation parity practice setting practice-based research network prescription opioid misuse prevent programs randomized trial relative effectiveness research data dissemination research study screening, brief intervention, referral, and treatment treatment program

项目摘要

PROJECT SUMMARY/ABSTRACT Changes in the healthcare delivery system have been brought about nationally by the Affordable Care Act and the Mental Health Parity and Addiction Equity Act and locally by a number of Washington State initiatives. As part of these changes substance use disorder (SUD) treatment is being expanded beyond specialty care and integrated into primary care and acute care medical settings where SUD prevalence rates are high. These initiatives have led to an increased focus on SUD screening, brief intervention, and referral to treatment (SBIRT) in these settings. These integrative initiatives are based on collaborative care and chronic disease management approaches. There is an increased need for future research to develop and test the effectiveness of SUD interventions implemented in healthcare settings and linked to specialty SUD treatment programs. This viewpoint also reflects the future direction of the NIDA National Drug Abuse Treatment Clinical Trials Network (CTN) as it expands its research focus beyond community-based specialty treatment programs (CTPs). In order to contribute to the CTN's expanded objectives and research priorities, the Pacific Northwest (PNW) Node proposes the following Specific Aims: (1) Increase the capacity of the PNW Node research team by adding investigators with demonstrated practical and research expertise in developing and coordinating primary care practice-based research networks and collaborative care models, integrating behavioral health and SUD treatment components into primary and acute care settings, and harmonizing and using electronic medical record systems across multiple health care systems; (2) Expand the scope, population, diversity, and focus of research and clinical practice settings affiliated with the PNW Node by adding to our current CTPs a number of large state-wide and regional practice-based primary care clinical and research networks and programs involved in integrated behavioral health collaborative care; (3) Design and conduct pragmatic, comparative effectiveness, registry, and other types of innovative studies, informed bidirectionally by SUD researchers and clinicians and primary and acute care providers, that evaluate SBIRT, integrated behavioral and pharmacological treatments, and components of collaborative care for tobacco, alcohol, illicit drugs, and misused prescription opioid medications; and (4) Through the CTN National Dissemination Library, the Northwest and the Central Rockies Addiction Technology Transfer Centers, and resources within the Alcohol and Drug Abuse Institute provide training to health care and SUD providers about SUDs, collaborative care and chronic disease management models, the integration process, and methods of effective linkage between primary care and specialty SUD CTPs. Such training also provides opportunities for dissemination research.

项目总结/文摘