Training and Fidelity Monitoring of Alcohol Treatment Interventions Integrated Into Routine Tuberculosis Care in Tomsk, Russia: the IMPACT Effectiveness Trial

被引:4
|
作者
Connery, Hilary [1 ,2 ]
Greenfield, Shelly [1 ,2 ]
Livchits, Viktoriya [3 ]
McGrady, Lana [4 ]
Patrick, Nickolette [5 ]
Lastimoso, Charmaine S. [6 ]
Heney, Jessica H. [6 ]
Nelson, Adrianne Katrina [6 ]
Shields, Alan [1 ]
Stepanova, Yekaterina P. [7 ]
Petrova, Lidia Y. [7 ]
Anastasov, Oleg V. [7 ]
Novoseltseva, Olga I. [7 ]
Shin, Sonya S. [6 ]
机构
[1] McLean Hosp, Alcohol & Drug Abuse Treatment Program, Belmont, MA 02478 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Partners Hlth, Representat Off Russian Federat, Tomsk, Russia
[4] E Tennessee State Univ, Johnson City, TN 37614 USA
[5] Northeastern Reg Training & Med Consultat Consort, Newark, NJ USA
[6] Brigham & Womens Hosp, Div Global Hlth Equ, Boston, MA 02115 USA
[7] Tomsk Oblast Clin TB Hosp, Tomsk, Russia
基金
美国国家卫生研究院;
关键词
alcohol interventions; alcohol use disorders; behavioral interventions; cross-cultural clinical trials; effectiveness trials; fidelity monitoring; tuberculosis; BEHAVIORAL INTERVENTIONS; PREVENTION; MANAGEMENT; EFFICACY; MODEL;
D O I
10.3109/10826084.2013.793715
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
IMPACT (Integrated Management of Physician-Delivered Alcohol Care for Tuberculosis patients) is a randomized, controlled effectiveness trial based in Tomsk, Russia, that assesses the effect of oral naltrexone and brief behavioral counseling on tuberculosis outcomes and alcohol use in 200 patients. Tuberculosis physicians without addiction experience delivered interventions as part of routine care over a 6-month period, focusing on alcohol intake reduction to support successful tuberculosis treatment. We describe design, training, and fidelity monitoring using a Russian and American team of physicians, bilingual coders, and supervisors. Culturally appropriate adaptations, limitations, and implications for future trials are discussed. The clinical trial identification number is NCT00675961. Funding came from the National Institutes of Health and National Institute on Drug Abuse.
引用
收藏
页码:784 / 792
页数:9
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