Leveraging virtual care strategies to improve access and treatment for individuals with alcohol use disorders

利用虚拟护理策略来改善酒精使用障碍患者的获取和治疗

基本信息

  • 批准号:
    10615089
  • 负责人:
  • 金额:
    $ 70.19万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-05-01 至 2027-02-28
  • 项目状态:
    未结题

项目摘要

Project Summary/Abstract Despite the efficacy of psychotherapies, ~90% of people with alcohol use disorder (AUD) do not receive treatment for this chronic condition and there are notable disparities in care. Access to and involvement in efficacious AUD care is even lower for women, Black/African American individuals, and people from other under-represented groups. Novel virtual care approaches (telephone, video, portal therapies) conceptually rooted in efficacious therapies [e.g., motivational interviewing (MI), cognitive behavioral therapy (CBT)] and theory can potentially improve treatment accessibility and appeal and reduce stigma. Virtual approaches have had limited use in AUD care, recently increasing in COVID-19 to provide ongoing care (telephone/video therapy) for current patients in specialty clinics, while treatment initiation remains low. There is an untapped potential for virtual approaches to engage individuals across health systems, who otherwise do not receive treatment, but could benefit. Virtual strategies, including telephone and video sessions and patient portals, are promising for reaching and engaging substance-using populations, including under-represented individuals, within health systems. Using a portal messaging system and phone calls to virtually engage patients in AUD treatment outside of clinics and in their preferred locations is an innovative treatment model that can potentially be implemented in health systems, but must be tested to inform broader dissemination. We will use a sequential, multiple assignment randomized trial (SMART) to identify critical adaptive intervention (AI) strategies for a virtually-delivered AUD engagement and care model. Adults with AUD (50% women, 25% Black/African American, 5% Latinx) will be randomized to a 1st stage strategy for drinking reduction and AUD care engagement integrating referral for AUD care: 1) a single telephone MI session (T- engage), or 2) 4-weeks of a MI-focused portal messaging (P-engage). At 4 weeks, non-responders will be randomized to a 2nd stage strategy: 1) step up to a video 8-session MI-CBT for AUD (phone delivery as needed), or 2) continued 1st stage (i.e., 4 weeks of P-engage with greater depth, a second T-engage session building on the first). Outcomes will be assessed at 4-, 8-, and 12-months. Aim 1 will compare 1st-stage strategies (T-engage vs. P-engage) on alcohol outcomes and AUD treatment utilization. In Aim 2, among 1st- stage non-responders, we will identify the most efficacious 2nd-stage strategy. Aim 3 includes an implementation planning phase, with cost measures, and key stakeholder interviews and qualitative analysis of barriers and facilitators to implementation and adoption of a virtual care model. Secondary aims include: examining the moderating effects of race/ethnicity and sex on outcomes given our enriched sample and examining the best sequence of AIs. Our proposed project will have high public health impact by evaluating a novel virtual care model focused on increasing both treatment engagement and delivery that can be integrated in health systems to increase AUD treatment appeal and accessibility and help address treatment disparities.
项目总结/文摘

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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Erin E. Bonar其他文献

Risky sexual behavior in Veterans seeking substance use and mental health treatment
  • DOI:
    10.1016/j.abrep.2024.100572
  • 发表时间:
    2024-12-01
  • 期刊:
  • 影响因子:
  • 作者:
    Joseph W. Tu;Rachael J. Shaw;Autumn Rae Florimbio;Kaitlyn McCarthy;Erin E. Bonar;Stephen T. Chermack;Jamie J. Winters;Maureen A. Walton;Minden B. Sexton
  • 通讯作者:
    Minden B. Sexton
Daily patterns of substance use and sexual behavior among urban adolescents and emerging adults
  • DOI:
    10.1016/j.drugalcdep.2015.07.982
  • 发表时间:
    2015-11-01
  • 期刊:
  • 影响因子:
  • 作者:
    Erin E. Bonar;Maureen Walton;Elizabeth Austic;Frederic Blow;Brenda M. Booth;Anne Buu;R.M. Cunningham
  • 通讯作者:
    R.M. Cunningham
Transactional sex among an emergency department sample: Exploring gender, substance abuse and HIV risk
  • DOI:
    10.1016/j.drugalcdep.2014.02.480
  • 发表时间:
    2014-07-01
  • 期刊:
  • 影响因子:
  • 作者:
    Rikki Patton;F.C. Blow;Amy S. Bohnert;Erin E. Bonar;K.L. Barry;M.A. Walton
  • 通讯作者:
    M.A. Walton
Energy drink use by adolescents and emerging adults seeking care in the emergency department: Alcohol, drugs, and other risk behaviors
  • DOI:
    10.1016/j.drugalcdep.2014.09.081
  • 发表时间:
    2015-01-01
  • 期刊:
  • 影响因子:
  • 作者:
    Erin E. Bonar;Rebecca M. Cunningham;Svitlana Polshkova;Stephen T. Chermack;Frederic C. Blow;Maureen A. Walton
  • 通讯作者:
    Maureen A. Walton
Including Community Partners in the Development and Adaptation of Intervention Strategies to Prevent Initiation or Escalation of Opioid Misuse
  • DOI:
    10.1007/s11121-023-01575-5
  • 发表时间:
    2023-08-01
  • 期刊:
  • 影响因子:
    2.700
  • 作者:
    Rebecca Perry;Elvira Elek;Elizabeth D’Amico;Daniel Dickerson;Kelli Komro;Maureen Walton;Erin Becker Razuri;Amy M. Yule;Juli Skinner;Tyra Pendergrass;Kaitlyn Larkin;Carrie Johnson;Erin E. Bonar;Barbara A. Oudekerk;Sara Hairgrove;Shirley Liu;Phillip Graham
  • 通讯作者:
    Phillip Graham

Erin E. Bonar的其他文献

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{{ truncateString('Erin E. Bonar', 18)}}的其他基金

Leveraging virtual care strategies to improve access and treatment for individuals with alcohol use disorders
利用虚拟护理策略来改善酒精使用障碍患者的获取和治疗
  • 批准号:
    10369287
  • 财政年份:
    2022
  • 资助金额:
    $ 70.19万
  • 项目类别:
Harnessing telemedicine to improve alcohol use disorder outcomes in primary care patients
利用远程医疗改善初级保健患者酒精使用障碍的结果
  • 批准号:
    10491370
  • 财政年份:
    2021
  • 资助金额:
    $ 70.19万
  • 项目类别:
Harnessing telemedicine to improve alcohol use disorder outcomes in primary care patients
利用远程医疗改善初级保健患者酒精使用障碍的结果
  • 批准号:
    10276367
  • 财政年份:
    2021
  • 资助金额:
    $ 70.19万
  • 项目类别:
Harnessing telemedicine to improve alcohol use disorder outcomes in primary care patients
利用远程医疗改善初级保健患者酒精使用障碍的结果
  • 批准号:
    10628012
  • 财政年份:
    2021
  • 资助金额:
    $ 70.19万
  • 项目类别:
Optimized Interventions to Prevent Opioid Use Disorder among Adolescents and Young Adults in the Emergency Department
预防急诊科青少年和年轻人阿片类药物使用障碍的优化干预措施
  • 批准号:
    10397259
  • 财政年份:
    2021
  • 资助金额:
    $ 70.19万
  • 项目类别:
Optimized Interventions to Prevent Opioid Use Disorder among Adolescents and Young Adults in the Emergency Department
预防急诊科青少年和年轻人阿片类药物使用障碍的优化干预措施
  • 批准号:
    10212539
  • 财政年份:
    2019
  • 资助金额:
    $ 70.19万
  • 项目类别:
A social media intervention for high-intensity drinking in a national sample of emerging adults
对全国新兴成年人样本中高强度饮酒的社交媒体干预
  • 批准号:
    10006494
  • 财政年份:
    2019
  • 资助金额:
    $ 70.19万
  • 项目类别:
A social media intervention for high-intensity drinking in a national sample of emerging adults
对全国新兴成年人样本中高强度饮酒的社交媒体干预
  • 批准号:
    10241460
  • 财政年份:
    2019
  • 资助金额:
    $ 70.19万
  • 项目类别:
Social Media Intervention for Cannabis Use in Emerging Adults
针对新兴成年人吸食大麻的社交媒体干预
  • 批准号:
    9788380
  • 财政年份:
    2018
  • 资助金额:
    $ 70.19万
  • 项目类别:
Drug Use and Sexual Risk Behaviors Among Emerging Adults in the ER
急诊室新成人的吸毒和性危险行为
  • 批准号:
    9317453
  • 财政年份:
    2013
  • 资助金额:
    $ 70.19万
  • 项目类别:

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