Digital treatments for opioids and other substance use disorders (DIGITS) in primary care: A hybrid type-III implementation trial
初级保健中阿片类药物和其他物质使用障碍 (DIGITS) 的数字治疗:混合 III 型实施试验
基本信息
- 批准号:10560538
- 负责人:
- 金额:$ 59.63万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-04-01 至 2025-02-28
- 项目状态:未结题
- 来源:
- 关键词:AbstinenceAcademyAddressAdoptedAdoptionBehavioralBuprenorphineCaringCellular PhoneClassificationClinicCognitiveCognitive TherapyCollaborationsDataDedicationsDoseDrug Use DisorderEducationEffectivenessEnsureEpidemicFDA approvedFaceHealth systemHealthcareHumanHybridsIndividualInterventionKnowledgeLaboratoriesLearningLifeLiteratureMedicalMedicineMethodsModelingObservational StudyOpioidPatientsPearPersonsPopulationPrimary CareRandomizedRandomized, Controlled TrialsResearch DesignResearch PersonnelRunningSubstance Use DisorderSymptomsSystemTestingTherapeuticTractionUnited States Food and Drug AdministrationVisitWashingtonWorld Healthalcohol use disorderbehavioral healthbuprenorphine treatmentcare systemscompare effectivenesscomputerizedcostcost effectivenessdesigndigitaldigital healthdigital treatmenteffective interventioneffective therapyeffectiveness/implementation hybridevidence baseformative assessmentimplementation barriersimplementation costimplementation scienceimplementation strategyimplementation trialimprovedinnovationinstrumentnovel strategiesopioid mortalityopioid use disorderpopulation basedprimary care clinicprimary care patientprimary care teampsychosocialscreeningsmartphone applicationsubstance usesuccess
项目摘要
PROJECT SUMMARY
The proposed study addresses a critical knowledge gap: How to best implement digital treatments for
opioids and other substance use disorders (SUDs) in primary care (PC). In 2017, the US Food and Drug
Administration approved the first ever digital therapeutic for any medical condition. The therapeutic is reSET, a
smartphone-based version of the Therapeutic Educational System, which is a computerized cognitive-
behavioral treatment for SUDs. We will study implementation of reSET into PC to potentially improve care for
people with SUDs, and as a model for how to sustainably implement digital treatments into real-world
healthcare. Digital treatments could extend the reach of SUD therapy to more people and could address the
lack of access to psychosocial treatment, a significant barrier to buprenorphine prescribing (a life-saving
treatment for opioid use disorders [OUD]) in PC. A prior implementation trial found that a digital SUD treatment
in PC was not sustained in part because of workflow and cost burdens so our study design and analytic plan
focus on these issues. Our delivery system partners in Kaiser Permanente Washington are committed to
collaborating with us to study strategies for implementing reSET in 25 PC clinics in Washington State and to
address prior implementation challenges documented in the literature. After piloting in 2 clinics, we will
randomize 23 clinics in a 2x2 factorial design to four approaches: (1) “standard implementation,” which is an
evidence-based implementation strategy previously used by our delivery system partners; (2) “standard
implementation with external facilitation,” a clinician-facing implementation strategy; (3) “standard
implementation with patient coach,” a patient-facing implementation strategy using medical assistants to
support patient adoption and engagement; and (4) “standard implementation with both.” These implementation
strategies have some evidence in PC, but their impact on real-world implementation of a digital treatment has
not been evaluated. Specific Aims are to (1) Estimate the effect of clinician-facing (external facilitation) and
patient-facing (patient coach) implementation strategies in increasing the reach and fidelity of a digital SUD
treatment in PC clinics, and (2) compare the population-level cost-effectiveness of each implementation
strategy in increasing reach, fidelity, and abstinence by patients. IMPACT: Researchers and health systems do
not know how to reach large numbers of patients with OUDs and other SUDs. Digital treatments are
promising, but health systems lack evidence to guide implementation of digital therapies. This study will
estimate and compare the effectiveness of clinician-facing and patient-facing implementation strategies,
providing health system leaders with data on how to best implement digital treatments.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Joseph Edwin Glass其他文献
Joseph Edwin Glass的其他文献
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{{ truncateString('Joseph Edwin Glass', 18)}}的其他基金
C-DIAS RP3: Scaling-out app-based treatments: a multi-level strategy to promote equity across primary care patients with substance use
C-DIAS RP3:扩展基于应用程序的治疗:促进初级保健药物使用患者公平的多层次策略
- 批准号:
10493961 - 财政年份:2022
- 资助金额:
$ 59.63万 - 项目类别:
Multi-level Influences of Alcohol Based Quality and Outcome Measures
酒精质量的多层次影响和结果测量
- 批准号:
10590820 - 财政年份:2022
- 资助金额:
$ 59.63万 - 项目类别:
Multi-level Influences of Alcohol Based Quality and Outcome Measures
酒精质量的多层次影响和结果测量
- 批准号:
10704144 - 财政年份:2022
- 资助金额:
$ 59.63万 - 项目类别:
C-DIAS RP3: Scaling-out app-based treatments: a multi-level strategy to promote equity across primary care patients with substance use
C-DIAS RP3:扩展基于应用程序的治疗:促进初级保健药物使用患者公平的多层次策略
- 批准号:
10668496 - 财政年份:2022
- 资助金额:
$ 59.63万 - 项目类别:
Digital treatments for opioids and other substance use disorders (DIGITS) in primary care: A hybrid type-III implementation trial
初级保健中阿片类药物和其他物质使用障碍 (DIGITS) 的数字治疗:混合 III 型实施试验
- 批准号:
10092143 - 财政年份:2019
- 资助金额:
$ 59.63万 - 项目类别:
Digital treatments for opioids and other substance use disorders (DIGITS) in primary care: A hybrid type-III implementation trial
初级保健中阿片类药物和其他物质使用障碍 (DIGITS) 的数字治疗:混合 III 型实施试验
- 批准号:
10349443 - 财政年份:2019
- 资助金额:
$ 59.63万 - 项目类别:
Digital treatments for opioids and other substance use disorders (DIGITS) in primary care: A hybrid type-III implementation trial
初级保健中阿片类药物和其他物质使用障碍 (DIGITS) 的数字治疗:混合 III 型实施试验
- 批准号:
9902391 - 财政年份:2019
- 资助金额:
$ 59.63万 - 项目类别:
Digital treatments for opioids and other substance use disorders (DIGITS) in primary care: Observational Analysis of Adaptions to the Intervention
初级保健中阿片类药物和其他物质使用障碍 (DIGITS) 的数字化治疗:干预措施适应的观察分析
- 批准号:
10652751 - 财政年份:2019
- 资助金额:
$ 59.63万 - 项目类别:
Decreasing the Engagement Gap for Addiction Treatment in Primary Care
缩小初级保健中成瘾治疗的参与差距
- 批准号:
9981556 - 财政年份:2017
- 资助金额:
$ 59.63万 - 项目类别:
Decreasing the Engagement Gap for Addiction Treatment in Primary Care
缩小初级保健中成瘾治疗的参与差距
- 批准号:
10222485 - 财政年份:2017
- 资助金额:
$ 59.63万 - 项目类别:
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