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“Many people have questions or concerns about alcohol and other drug use — and don’t know where to turn. Our research focuses on practical ways to integrate care for alcohol, cannabis, 和其他药物使用纳入日常医疗保健,这样人们就可以轻松获得信息和以患者为中心的治疗选择.”

Katharine A. Bradley, MD, MPH
Senior Investigator, 利记官网 Washington Health Research Institute
Physician, Washington Permanente Medical Group, Internal Medicine

Research overview

华盛顿凯撒医疗机构的利记官网人员正在探索如何改善因酒精和其他药物使用而引起的健康问题的预防和治疗. 成瘾利记官网小组进行创新利记官网,以帮助患者及其提供者预防和治疗酒精引起的问题, cannabis, opioids, and other drugs in health settings.

成瘾利记官网小组的一个主要焦点是如何将以病人为中心的酒精和其他药物使用护理纳入医疗环境. For more than 3 decades, 他们的工作重点是卫生系统需要常规测量和处理酒精和其他药物使用,作为整个人健康的一部分, in nonjudgmental, patient-centered ways.

"Our alcohol-related research has built tools — such as a brief videohandout, and a patient decision aid — that help overcome stigma so that patients and families can find the help they want and need," said Katharine A. Bradley, MD, MPH, 利记官网 Washington Health Research Institute (利记官网)的高级利记官网员和Washington Permanente Medical Group的内科医生.

成瘾利记官网小组正在进行各种利记官网,以改进医疗记录中物质使用的措施和文件. “我们正在努力寻找方法,以便在电子健康记录中轻松记录医疗和非医疗用途的大麻暴露程度," said Gwen Lapham, PhD, MSW, a 利记官网 assistant investigator. Finding innovative ways to provide treatment is also a focus. "We are testing how to get proven online treatments for addiction into the hands of patients who could benefit," said Joseph E. Glass, PhD, MSW, 他是利记官网的副利记官网员,他在该利记官网所的利记官网部分由早期职业奖资助,该奖项旨在利记官网初级保健中酒精使用障碍治疗的有效性.

These are among the group’s current studies:

  • 初级保健阿片类药物使用障碍(PROUD)是一项测试阿片类药物使用障碍协作护理的实施试验.
  • 物质使用障碍的数字治疗(DIGITS)是一项将在线物质使用障碍治疗纳入初级保健的战略试验.
  • DIGITS公平试验正在评估提高药物使用障碍患者在线治疗公平性的策略.
  • 更个性化的护理:通过参与评估和恢复(MI-CARE)利记官网是一项实用的试验,用于测试共同发生的阿片类药物使用障碍和抑郁症的初级保健合作护理计划的有效性.
  • Dr. Bradley and Associate Biostatistics Investigator Jennifer F. Bobb, PhD — in collaboration with 利记官网 affiliate Kevin Hallgren, PhD, 华盛顿大学的利记官网人员正在展示DSM-5酒精症状检查表和物质使用症状检查表的心理测量效度和可靠性,这是初级保健的实用工具.
  • Associate Investigator David S. Carrell, PhD, is leading the Implementing Routine Screening for Cannabis and Other Drug Use Disorders in Primary Care study. Funded by the National Institute on Drug Abuse, 这项随机实用试验在22家华盛顿凯撒医疗机构诊所评估筛查对药物使用障碍诊断和治疗的影响.

These are among the studies that the addictions research group has completed:

  • 持续以患者为中心的酒精相关护理(SPARC)试验发现,在初级保健中实施综合心理健康改善了以证据为基础的酒精相关护理的持续实施.
  • 医用大麻利记官网通过电子健康记录(EHR)和调查数据探讨了初级保健患者使用医用大麻的模式.
  • Dr. Lapham与利记官网 Washington心理健康和保健的领导者合作,设计并试点实施基于证据的青少年初级保健药物使用护理.
  • In collaboration with Emily Williams, PhD, MPH, a 利记官网 affiliate investigator at Veterans Affairs Puget Sound Health Care System, 利记官网 researchers found that patients with unhealthy alcohol use who had HIV were less likely to receive evidence-based alcohol-related care than those without HIV.
  • The Choosing Healthier Drinking Options in Primary Care (CHOICE) trial found that, with nurse care management, collaborative care 对于高危饮酒患者来说,他们对酒精相关护理的参与程度提高了,但并没有减少重度饮酒或相关问题. However, 对于没有酒精使用障碍症状的高危饮酒患者,常规护理可能有好处.
  • The Options study developed a patient-centered decision aid for thinking about drinking and learning about options for making changes in drinking. 现在,国家酒精滥用和酒精中毒利记官网所在其医疗提供者核心课程中提供了这一资源.

Sparc trial tools

Resources for behavioral health integration

The SPARC trial successfully implemented behavioral health care into primary care. On our website, you can access tools for behavioral health integration, as well as frequently asked questions and publications.

Recent Publications on Addictions

Rush AJ, Gore-Langton RE, Bart G, Bradley KA, Campbell CI, McKay J, Oslin DW, Saxon AJ, Winhusen TJ, Wu LT, Moran LM, Tai B. 在阿片类药物使用障碍(OUD)治疗中实施基于测量的护理(MBC)的工具:达成共识.  Addict Sci Clin Pract. 2024;19(1):14. doi: 10.1186/s13722-024-00446-w.  PubMed

Yarborough BJH, Stumbo SP, Schneider JL, Ahmedani BK, Daida YG, Hooker SA, Lapham GT, Negriff S, Rossom RC. 患者对阿片类药物处方期间所需和接受的心理健康和疼痛管理支持的看法. J Pain. 2024 Feb 2:S1526-5900(24)00367-5. doi: 10.1016/j.jpain.2024.01.350. [Epub ahead of print]. PubMed

Hallgren KA, Matson TE, Oliver M, Wang X, Williams EC, Bradley KA. 在初级保健和精神卫生保健机构中使用的DSM-5物质使用症状检查表的重测信度.  Drug Alcohol Depend. 2024;256:111108. doi: 10.1016/j.drugalcdep.2024.111108. Epub 2024 Jan 24.  PubMed

Simon CB, McCabe CJ, Matson TE, Oliver M, Bradley KA, Hallgren KA. 初级保健患者在常规护理中完成的酒精使用障碍识别测试-消费(AUDIT-C)问卷的高重测信度. Alcohol Clin Exp Res (Hoboken). 2023 Dec 15. doi: 10.1111/acer.15245. [Epub ahead of print]. PubMed

Yarborough BJH, Stumbo SP, Schneider JL, Ahmedani BK, Daida YG, Hooker SA, Negriff S, Rossom RC, Lapham G. 阿片类药物剂量减少对患者报告的心理健康和自杀相关行为的影响以及与患者在减量决策中的选择的关系. LID - S1526-5900(23)00614-4 [pii] LID - 10.1016/j.jpain.2023.11.002 [doi]  J Pain. 2023 Nov 10:S1526-5900(23)00614-4. doi: 10.1016/j.jpain.2023.11.002 [Epub ahead of print] PubMed

Researchers in Addictions

Jennifer F. Bobb, PhD

Associate Biostatistics Investigator
206-287-2190
Jennifer.F.Bobb@kp.org

Curriculum vitae (CV)

Katharine A. Bradley, MD, MPH

Senior Investigator
206-287-2151
Katharine.A.Bradley@kp.org

Curriculum vitae (CV)

Joseph E. Glass, PhD, MSW

Associate Investigator
206-287-4266
Joseph.E.Glass@kp.org

Curriculum vitae (CV)

Clarissa Hsu, PhD

Associate Investigator
206-287-4276
Clarissa.W.Hsu@kp.org

Curriculum vitae (CV)

Gwen Lapham, PhD, MPH, MSW

Assistant Investigator
206-287-2021
Gwen.T.Lapham@kp.org

Curriculum vitae (CV)

Jennifer B. McClure, PhD

Director, Investigative Science
206-287-2737
Jennifer.B.Mcclure@kp.org

Curriculum vitae (CV)

Julie E. Richards, PhD, MPH

Assistant Investigator
206-287-2100
Julie.E.Richards@kp.org

Curriculum vitae (CV)

Paige D. Wartko, PhD, MPH

Senior Collaborative Scientist
206-442-5230
Paige.D.Wartko@kp.org

Curriculum vitae (CV)

Yu-Ru Su, PhD

Associate Biostatistics Investigator
206-287-2948
yuru.su@kp.org

Curriculum vitae (CV)

Leah K. Hamilton, PhD

Senior Collaborative Scientist
206-287-2515
Leah.K.Hamilton@kp.org

Curriculum vitae (CV)

Noorie Hyun, PhD

Associate Biostatistics Investigator
Noorie.Hyun@kp.org

Curriculum vitae (CV)

Jess Mogk, MPH

Collaborative Scientist
Jessica.M.Mogk@kp.org

Curriculum vitae (CV)

Morgan Justice, MA

Collaborative Scientist
Morgan.J.Fuoco@kp.org

Curriculum vitae (CV)

Theresa E. Matson, PhD, MPH

Collaborative Scientist
Tessa.E.Matson@kp.org

Curriculum vitae (CV)


 

Affiliate researcher in addictions 

Kevin Hallgren, PhD
Associate Professor
Department of Psychiatry and Behavioral Sciences
University of Washington

Emily Williams, PhD, MPH
Investigator
Health Services Research & Development
VA Puget Sound Health Care System

Edwin Wong, PhD
Associate Professor
Department of Health Services and Population Health
University of Washington