Principal Research Core

在主要研究核心(中国)，发展项目解决在特定点上的问题 我们的概念模型(参见图1中的项目1-3)。项目1的重点是访问和参与 在循证酒精治疗中，初级保健的酒精依赖患者可以增加 通过使用非专科护理方法，并考虑患者的偏好和修改 对无反应者的治疗。这种模式被称为酒精护理管理，包括电话- 基于评估和监测、药物治疗和心理社会支持。因此，项目1 阐述了我们概念模型中初级保健中的识别、初始参与和 急诊护理。另一方面，项目2的重点是增加患者的参与度和保留率 在特殊护理计划中接受招生评估。该项目将决定是否为患者提供 没有从事特殊护理的人选择几种替代方法会产生更高的发病率 参与和持续参与，而不是进一步的努力，让他们只参与专科护理。这个项目 还将测试一种基于电话的程序，用于重新接触那些在专科领域取得初步参与的患者 但后来退学了。这两个项目还将检查实验条件 导致更好的短期饮酒结果，除了更好的参与度和记忆力。此外， 这两个项目现在都采用了墨菲等人推荐的序贯随机设计。(2007) 用于开发自适应算法。项目3是对该项目的可行性和利用的初步评估 由哈泽尔登基金会开发的高度创新的、基于网络的适应性持续护理计划 明尼苏达州首屈一指的非营利性住宿治疗提供者。

In the Principal Research Core (PRC), the Developmental Projects address issues at specific points in our conceptual model (see Projects 1-3 in Figure 1). Project 1 is focused on whether access to and engagement in evidence-based alcohol treatment for primary care patients with alcohol dependence can be increased through the use of a nonspecialty care approach, and consideration of patient preference and modifications to treatment for nonresponders. This model, referred to as Alcohol Care Management, includes telephone- based assessment and monitoring, pharmacotherapy, and psychosocial support. Therefore, Project 1 addresses the links in our conceptual model between identification in primary care, initial engagement, and acute care. Project 2, on the other hand, is focused on increasing engagement and retention in patients who undergo an intake evaluation in a specialty care program. This project will determine whether offering patients who fail to engage in specialty care the choice of several alternative approaches produces higher rates of engagement and continued participation than further efforts to engage them in specialty care only. This project will also test a telephone-based procedure for re-engaging patients who achieved initial engagement in specialty care but subsequently dropped out. Both projects will also examine whether the experimental conditions lead to better short-term alcohol use outcomes, in addition to better engagement and retention. Moreover, both projects now feature sequential randomizations designs, which are recommended by Murphy et al. (2007) for the development of adaptive algorithms. Project 3 is an initial evaluation of the feasibility and utilization of a highly innovative, web-based adaptive continuing care program developed by the Hazelden Foundation, a premier non-profit provider of residential treatment in Minnesota.