Technology-based Treatmentsfor Substance Use Disorders

 描述(由申请人提供)：使用技术(网络、移动设备)提供针对物质使用障碍(SUD)和相关问题(包括艾滋病毒风险行为和精神合并症)的循证行为改变干预措施，可以显著改善获得护理的机会、护理质量和治疗结果，同时降低成本，在不同环境中的广泛受众。我们的跨学科小组在3.5年前从NIDA获得了P30“卓越中心”的拨款，成立了一个新的研究中心(技术和行为健康中心[CTBH])。CTBH通过提高科学研究的质量、实现速度和影响，引领了这一领域，科学研究的重点是针对SUDS和相关问题的技术交付干预措施的开发、实证测试和可持续实施。在这一续订申请中，我们建议在这项工作的基础上，根据CTBH研究人员和更广泛的科学家、临床医生、项目管理员、消费者和教育工作者的需求和优先事项，以及不断发展的行为健康技术领域，在几个新方向上扩展项目研究路线。为此，P30核心中心的总体目标是：整合跨多个学科的专业知识，并提供基础设施，以提高创新科学研究的质量、实现速度和影响，将基于科学的行为改变干预措施与最先进的科学技术相结合，以创建、评估和传播针对SUD和相关问题的基于技术的干预措施。CTBH将通过5个核心(包括1个新的核心)实现这一目标：(1)治疗开发和评价核心将作为CTBH跨学科团队的资源，以提高其研究项目的质量、效率和影响，并促进科学地了解基于技术的干预措施如何有效以及对谁有效(通过整合CTBH项目的方法和结果以及审查未探索的经验问题)；(2)传播和实施核心将向广大利益攸关方传播研究项目方法和结果，并促进在不同环境中采用和持续使用技术干预措施(通过干预措施的在线“工具包”；(3)新的新兴技术和数据分析核心将增加教育和研究机会，侧重于将新兴技术和数据分析应用于技术干预措施的开发和评估，并支持共享资源，以加快开发步伐，从而提高这类干预措施的效力；(4)试点核心将支持开发新研究领域的“管道”，然后可在试点阶段后通过外部供资机制进行更严格的实证测试；(5)行政核心将提供方案领导，确保成功协调各核心和基础设施之间的活动，以加强我们的专家小组之间的协同作用。

 DESCRIPTION (provided by applicant): Using technology (web, mobile devices) to deliver evidence-based, behavior change interventions targeting substance use disorders (SUDs) and related issues (including HIV risk behavior and psychiatric comorbidities) can markedly improve access to care, quality of care, and treatment outcomes, while reducing costs, for a wide array of audiences in diverse settings. Our interdisciplinary group received a P30 "Center of Excellence" grant from NIDA 3.5 years ago to launch a new research center (the Center for Technology and Behavioral Health [CTBH]). CTBH has led the field by enhancing the quality, pace of achievement, and impact of scientific research focused on the development, empirical testing, and sustainable implementation of technology- delivered interventions targeting SUDs and related issues. In this renewal application, we propose to build upon this work and expand a programmatic line of research in several new directions, based on the needs and priorities of CTBH investigators and a broader community of scientists, clinicians, program administrators, consumers, and educators, as well as the evolving field of behavioral health technology. To this end, the Overall Aim of the P30 Core Center is: To integrate expertise across multiple disciplines and provide an infrastructure to enhance the quality, pace of achievement, and impact of innovative scientific research that combines science-based behavior change interventions with state-of-the-science technologies to create, evaluate, and disseminate technology-based interventions targeting SUDs and related issues. CTBH will achieve this Aim via 5 Cores (which includes 1 new Core): (1) The Treatment Development and Evaluation Core will serve as a resource to CTBH's interdisciplinary team to enhance the quality, efficiency, and impact of their research projects and promote a scientific understanding of how, and for whom, technology-based interventions are effective (by integrating methods and results across CTBH projects and examining unexplored empirical questions), (2) The Dissemination and Implementation Core will disseminate research project methods and findings to a broad audience of stakeholders and facilitate adoption and sustained use of technology interventions in diverse settings (via online "toolkits" of interventions, "roadmaps" for their adoption, and metrics to evaluate their impact in community systems), (3) The new Emerging Technologies and Data Analytics Core will enhance educational and research opportunities focused on the application of emerging technologies and data analytics to the development and evaluation of technology interventions and to support shared resources to enhance the pace of development, and resulting potency of such interventions, (4) The Pilot Core will support the development of a "pipeline" of new areas of research that could then progress to more rigorous empirical testing via external funding mechanisms after the pilot phase, and (5) The Administrative Core will provide programmatic leadership that ensures successful coordination of activities across Cores and an infrastructure to enhance synergy among our expert team.