支持不健康的物质使用护理 通过全人方法和以用户为中心 整合到初级保健 (SUSTAIN):研究方案为2型混合有效性-实施试验试验
Claire B Simon1, Jacqueline B Britz2, Brennan Keiser1
1Department of Family Medicine, University of Washington, United States of America.
Journal of substance use and addiction treatment
|January 27, 2025
概括
SUSTAIN试验实施了在初级保健中共同设计的干预措施,以改善不健康物质使用 (USU) 患者的功能. 这种方法旨在改变USU护理并增强社区福祉.
科学领域:
- 实施科学 实施科学
- 初级保健研究初级保健研究
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 不健康物质使用 (USU) 普遍存在,导致显著的发病率和死亡率.
- 初级保健机构往往缺乏系统的方法来查,诊断和治疗USU.
- 支持不健康物质使用护理通过全人方法和以用户为中心的整合到初级保健 (SUSTAIN) 研究解决了这个差距.
研究的目的:
- 测试一个共同设计的实施方案的有效性,以改善USU患者在初级保健中的患者功能.
- 评估USU变革方案在初级保健机构中的实施情况.
主要方法:
- 一个集群随机对照实施试验,涉及24个初级保健诊所.
- 第一阶段:由实践冠军和具有实践USU经验的患者共同设计USU变革包.
- 第二阶段:测试与常规护理相比的变化包,通过患者调查 (TAPS-1工具) 和电子健康记录收集数据,测量PROMIS-29-v2的主要结果.
主要成果:
- 主要结局侧重于患者报告的精神和身体功能 (PROMIS-29-v2).
- 二次结果包括USU流行率,康复率,医疗保健利用率,查率和治疗提供.
- 通过调查和与患者和实践领导人的定性访谈来评估实施结果.
结论:
- 在SUSTAIN试验中,开发并正在测试USU护理在初级保健中的创新实施方案.
- 这种方法旨在通过改变初级保健实践的USU管理来显著改善患者的治疗结果和社区福祉.
更多相关视频
06:13Author Spotlight: Exploring the Impact of Reduced Resistance Exercise Volume on Metabolic Health
Published on: December 1, 2023
1.0K
00:04A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
10.6K
相关概念视频
Community Based Intervention
30
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
30
Substance Use Disorders Affecting Sleep
158
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
158
Drug Therapy
37
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
37
Nursing Implementation
4.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.9K
Clinical Trials
6.6K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.6K
Clinical Trials: Overview
2.7K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
2.7K
