Peer Recovery Innovation Network (PRIN)

对等恢复创新网络 (PRIN)

• 批准号: 10590310
• 负责人: Robert Ashford
• 金额: $ 186.11万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2025-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10590310
• 关键词: Address; Adoption; American; Area; Caring; Centers for Disease Control and Prevention (U.S.); Clinical Trials Network; Collaborations; Communities; Competence; Complement; Data; Data Set; Development; Discipline; Education; Effectiveness; Ensure; Evaluation; Evidence based practice; Fellowship Program; Fostering; Future; Goals; Growth; Hispanic; Housing; Individual; Infrastructure; Knowledge; Latinx population; Lead; Maintenance; Measures; Medical; Mentors; Mentorship; Methods; Modeling; Monitor; Morbidity - disease rate; National Institute of Drug Abuse; Occupational; Online Systems; Opioid; Outcome; Pharmaceutical Preparations; Phase; Plant Roots; Population; Process; Public Health; Recovery; Recovery Support; Reproducibility; Research; Research Activity; Research Infrastructure; Research Personnel; Research Training; Resources; Rural Population; Science; Scientist; Seeds; Services; Structure; Students; Substance Use Disorder; Technology; Testing; Texas; Training; Training Programs; Translational Research; Work; addiction; base; care systems; collaboratory; community based service; community engagement; design; digital; environmental enrichment for laboratory animals; evidence base; experience; health equity; infrastructure development; innovation; medication-assisted treatment; mortality; novel; opioid overdose; opioid use disorder; overdose death; peer; peer support; programs; stem; substance use; tool

PROJECT SUMMARY/ABSTRACT The US is in the midst of an opioid-related overdose crisis made starkly clear by the unprecedented 100,000 drug overdose deaths in the US in just 12 months (April 2020-April 2021). In addition to the evidence that medication for opioid use disorder (MOUD) reduces morbidity and mortality, data suggest that recovery support services (RSS) enhance treatment initiation and care transitions and may sustain treatment engagement and long-term recovery. Peer RSS (PRSS) are an emerging domain designed to support long-term sustained recovery processes for those with opioid (OUD) and other substance use disorders (SUD). Peers are individuals with lived experience with an SUD who have specialized training in supporting others during their recovery process by providing non-clinical linkages to treatment such as mentorship, referrals for medical illnesses, occupational training, housing, and education. However, the evidence base for PRSS still has gaps in knowledge that hinder their broader adoption of this approach. Addressing PRSS knowledge gaps will inform development and expansion of services and strengthen the system of care that those with OUD may use to initiate and maintain recovery. However, the evidence base for PRSS still has gaps in knowledge that hinder their broader adoption of this approach. The lack of systematic integration and collaboration between researchers and community-based organizations (e.g., PRSS organizations) and an underdeveloped pipeline of future recovery scientists are significant barriers to addressing these empirical and practice gaps. The proposed research network in this application addresses each of these, with a focus on stakeholder engagement in research agenda-setting, enhancing the infrastructure for PRSS recovery science research, and accelerating the growth of the PRSS evidence base in our priority areas and populations, with training and telementoring (i.e., provided through technology) being key approaches to these goals. This application for a Peer Recovery Innovation Network (PRIN) will expand recovery science by developing a research program on PRSS during MOUD treatment using a novel agenda-setting approach and an associated Collaboratory, training and mentoring, and infrastructure development. Our Specific Aims are to: Aim 1: Establish the Recovery Science Collaboratory to include multiple stakeholders, including individuals with lived recovery experience, to accelerate the pace of innovation in recovery science; Aim 2: Establish the Recovery Science Training and Telementoring program within our existing substance use training and telementoring center, to rapidly expand the recovery science workforce; and Aim 3: Conduct process-, outcome-, and implementation-based evaluations of the Peer Recovery Innovation Network and recovery science initiatives in PRIN to optimize the impact, efficiency, and effectiveness for fostering recovery science and monitoring outcomes using defined measures.

项目概要/摘要 美国正处于与阿片类药物相关的过量危机之中，史无前例的 10 万人就清楚地表明了这一点 短短 12 个月内（​​2020 年 4 月至 2021 年 4 月）美国就出现了药物过量死亡事件。除了证据表明 治疗阿片类药物使用障碍 (MOUD) 的药物可降低发病率和死亡率，数据表明康复支持 服务 (RSS) 增强治疗开始和护理过渡，并可能维持治疗参与度和 长期康复。 Peer RSS (PRSS) 是一个新兴领域，旨在支持长期持续的 阿片类药物 (OUD) 和其他物质使用障碍 (SUD) 患者的康复过程。同伴是个人 拥有 SUD 的生活经验，接受过在他人康复期间提供支持的专门培训 通过提供与治疗的非临床联系，例如指导、医疗疾病转诊、 职业培训、住房和教育。然而，PRSS 的证据基础仍然存在知识空白 这阻碍了他们更广泛地采用这种方法。 解决 PR​​SS 知识差距将为服务的发展和扩展提供信息，并加强 OUD 患者可以用来启动和维持康复的护理系统。然而，证据基础 PRSS 仍然存在知识空白，阻碍了他们更广泛地采用这种方法。缺乏系统性 研究人员和社区组织（例如 PRSS 组织）和未来恢复科学家的不发达管道是解决问题的重大障碍 这些经验和实践的差距。本申请中提出的研究网络解决了这些问题， 重点关注利益相关者参与研究议程的制定，加强 PRSS 的基础设施 恢复科学研究，并加速我们优先领域和领域的 PRSS 证据库的增长 人口，培训和远程指导（即通过技术提供）是实现这些目标的关键方法 目标。 同行恢复创新网络 (PRIN) 的这一应用将通过以下方式扩展恢复科学： 在 MOUD 治疗期间使用新颖的议程设定方法制定 PRSS 研究计划， 相关的协作、培训和指导以及基础设施开发。我们的具体目标是： 目标 1：建立包括多个利益相关者在内的恢复科学合作实验室，其中包括患有以下疾病的个人： 亲身体验康复经验，加快康复科学创新步伐；目标 2：建立 我们现有的物质使用培训和远程指导计划中的恢复科学培训和 远程指导中心，迅速扩大恢复科学人员队伍；目标 3：进行过程、结果、 对同行恢复创新网络和恢复科学举措进行基于实施的评估 PRIN 旨在优化促进恢复科学和监测的影响、效率和效果 使用明确的措施得出的结果。