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

Testing an occupational stress intervention for harm reduction workers in substance misuse settings

在药物滥用环境中测试对减少危害工作人员的职业压力干预措施

基本信息

批准号：
10812890
负责人：
SUZANNAH K CREECH
金额：
$ 47.29万
依托单位：
UNIVERSITY OF TEXAS AT AUSTIN
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-30 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10812890
关键词：
Acceleration Address Adoption Attention Award Caring Cessation of life Clinical Trials Collaborations Complex Continuity of Patient Care Control Groups Data Diffusion Drug Addiction Drug Controls Drug user Educational Curriculum Exposure to Familiarity Feedback First Aid Focus Groups Funding Goals Harm Reduction Health Healthcare Hybrids Individual International Intervention Learning Link Mental Health Mental Health Services Methods Morbidity - disease rate Occupational Occupational Health Occupations Overdose Participant Patient Care Personal Satisfaction Persons Phase Play Politics Post-Traumatic Stress Disorders Prevention Protocols documentation Public Health Qualitative Methods Quality of Care Randomized Reach, Effectiveness, Adoption, Implementation, and Maintenance Relapse Research Research Methodology Resources Role Self Care Services Social support Stigmatization Stress Stress Tests Structure Substance Use Disorder System Technology Transfer Testing Texas Trainers Training Training Trauma Trust United States Substance Abuse and Mental Health Services Administration Work acceptability and feasibility addiction burnout clinical trial protocol cost design digital effectiveness evaluation effectiveness outcome effectiveness testing efficacy testing efficacy trial experience feasibility testing field study first responder flexibility health care settings high risk hybrid type 1 trial implementation evaluation implementation outcomes improved innovation intervention program mortality occupational stress occupational stressor overdose death overdose prevention overdose risk peer peer support pilot test primary outcome recovery services secondary outcome substance misuse traumatic stress treatment services trial comparing

项目摘要

“This study is part of the NIH’s Helping to End Addiction Long-term (HEAL) initiative to speed scientific solutions to the national opioid public health crisis. The NIH HEAL Initiative bolsters research across NIH to improve treatment for opioid misuse and addiction.” Alongside prevention, treatment, and supply reduction, harm reduction is a cornerstone of the National Drug Control Strategy. However, there is a critical gap in research on the occupational health of Harm Reduction Workers (HRWs), who are exposed to high rates of lifetime and occupational stress and trauma. High rates of unaddressed occupational stress have been shown to have an adverse impact on patient care and are linked to unmet mental health needs, turnover, burnout, and relapse. HRWs need an occupational stress intervention program that addresses both systems and individual occupational challenges while promoting the capacity to engage with the complex demands of delivering safe high-quality harm reduction care to people who use drugs (PWUD). Stress First Aid is a promising intervention that has been implemented with several first responder groups and in healthcare settings, but it requires adaptation to HRWs and it needs to be studied against a control group in a rigorous clinical trial. In the R61 planning phase (Aims 1-4) of this proposal, focus groups comprised of HRWs and leaders from HROs will be convened to adapt the SFA training content and to inform the SFA training delivery methods that will be piloted in a field test (N = 15). Findings will be integrated into a clinical trial protocol. In the R33 phase of this proposal (Aims 5 and 6), we will conduct a cluster-randomized hybrid type I trial (N = 534) testing the effectiveness of participation in an Addiction Technology Transfer Center (ATTC)-facilitated SFA training and learning collaborative support compared to a no treatment control condition on the following primary outcomes: social-support, burnout and use of SFA concepts. Secondary outcomes are secondary traumatic stress, use of mental health care, engagement, and turnover. The long-term goal of our work is to implement a sustainable and effective occupational stress intervention for HRWs nationally in order to strengthen their important role in the substance misuse work force. Key innovations include: 1) use of ATTCs to provide overarching structure to SFA trainings for HRWs in order to strengthen organizational capabilities to implement and to accelerate findings into practice; 2) first ever adaptation of Stress First Aid to unique occupational context and needs of HRWs; 3) use of qualitative methods to co-adapt and co-design Stress First Aid content, training methods and research methods with and for HRWs; 4) potential to enhance trust and engagement with between ATTCs and HRWs which could enhance diffusion of best practices. If effective, widespread adoption of SFA could improve workforce capacity for high quality care for PWUD.

“这项研究是美国国立卫生研究院帮助结束长期成瘾（HEAL）倡议的一部分，该倡议旨在加速科学解决全国阿片类药物公共卫生危机。NIH HEAL倡议支持NIH的研究，以改善对阿片类药物滥用和成瘾的治疗。”