A Virtual Learning Collaborative for Alcohol Screening, Brief Intervention and Treatment in Primary Care

摘要 该应用程序建立在南卡罗来纳州医科大学（MUSC）研究人员以前的研究基础上。 这导致酒精筛查和简短干预的显着改善， 在初级保健实践中对酒精障碍采用药物治疗的改进 美国的虽然PPRNet在交叉随机试验中实现了这些改进，但有效 仍然需要制定战略，更广泛地传播研究结果和采用的方法和做法， 在通过和有效执行《国家独立评估和行动纲领》方面产生更大全国影响的机制 推荐的临床指南拟议的R25教育计划实施了一个创新的虚拟 采用学习协作方法传播执行工作的证据、准则和战略 筛查，短暂干预和转诊治疗（SBIRT）的初级保健临床医生，护士和其他 全国各地的临床工作人员参加PPRNet，这是一个基于实践的研究网络， 将研究转化为实践（TRIP）。拟议项目测试比较 ALC-TRIP（酒精学习合作-将研究转化为实践） 与没有参加VLC的公司相比。这项研究将是第一次使用一个创新的 VLC涉及学习者参与基于网络的讨论/规划，以改善酒精筛查， 初级保健干预措施，有可能在整个国家推广大量初级保健做法， 我们本酒精教育项目提案的主要目标是：1）制定和实施酒精控制-TRIP， 多组分VLC旨在教育初级保健人员和临床医生制定实践方法， 改善酒精使用障碍的酒精筛查、短暂干预和酒精药物治疗; 2） 比较实践参与ALC-TRIP对酒精筛查、短暂干预和 使用酒精药物治疗，以不参与这种学习合作，在全国范围内的样本10 3）对本次学习协作活动进行过程性评价， 从发展中国家的角度分析与这一办法有关的长处、弱点、机会和威胁 持份者该项目的研究结果将推进NIAAA的教育使命，并为未来提供信息。 酒精SBIRT的传播和实施方案。如果ALC-TRIP比被动更有效 通过教育网络研讨会和季度实践报告传播指导方针，VLC可能会发挥 在以初级保健为重点的酒精和非法药物使用倡议中发挥关键作用。

ABSTRACT This application builds upon previous studies by investigators at Medical University of South Carolina (MUSC) that resulted in significant improvements in alcohol screening and brief interventions, and modest improvements in adoption of pharmacotherapy for alcohol disorders in primary care practices across the United States. While PPRNet accomplished these improvements in a crossover randomized trial, effective strategies are still needed to more widely disseminate findings and approaches practices used, and develop mechanisms to make a larger national impact in the adoption of and effective implementation of the NIAAA recommended clinical guidelines. The proposed R25 education program implements an innovative virtual learning collaborative (VLC) approach to disseminating evidence, guidelines and strategies for implementation of screening, brief intervention, and referral to treatment (SBIRT) to primary care clinicians, nurses and other clinical staff nationwide that participate in PPRNet, a practice based research network with 15 years of experience in translating research into practice (TRIP). The proposed project tests the comparative effectiveness of participating in ALC-TRIP (Alcohol Learning Collaborative–Translating Research into Practice) compared to practices that have not participated in this VLC. This study will be the first use of an innovative VLC that involves learner participation in web-based discussions/planning to improve alcohol screening and intervention in primary care, with the potential to reach a large number of primary care practices throughout the US. The primary aims of this alcohol education project proposal are to: 1) Develop and implement ALC-TRIP, a multi-component VLC designed to educate primary care staff and clinicians to develop practice approaches to improve alcohol screening, brief intervention and alcohol pharmacotherapy for alcohol use disorders; 2) Compare the effectiveness of practice participation in ALC-TRIP on alcohol screening, brief intervention and use of alcohol pharmacotherapy to non-participation in this learning collaborative, in a nationwide sample of 10 practices in each group; and 3) Conduct a process evaluation of this learning collaborative to examine the strengths, weaknesses, opportunities and threats related to this approach from the perspective of the stakeholders. Findings from this project will advance the educational mission of the NIAAA and inform future dissemination and implementation programs for alcohol SBIRT. If ALC-TRIP is more effective than passive dissemination of guidelines through an educational webinar and quarterly practice reports, VLCs might play a critical role in primary care-focused alcohol and illicit drug use initiatives.