Zweben J E, Cohen J B, Obert J, Vandersloot D, Marinelli-Casey P
East Bay Community Recovery Project, Berkeley, California, USA.
J Psychoactive Drugs. 2000 Apr-Jun;32(2):193-9. doi: 10.1080/02791072.2000.10400228.
Providers and their treatment programs are the focus of efforts to translate research into practice. In the best of partnerships, they are more than the recipients of research efforts, because they are actively involved in developing and evaluating healthy links between practice and research . This article reports on experiences in a multisite methamphetamine treatment trial funded in October of 1998 by the Center for Substance Abuse Treatment. The goal of the trial is to generate knowledge about how a comprehensive treatment protocol developed by the Matrix Center in Los Angeles can be effectively transferred to the community drug treatment system. The Matrix model provides a three-times-per-week outpatient treatment experience that combines behavioral, educational, and 12-Step counseling techniques. When complete, the study will compare outcomes of the 16-week Matrix program with the usual treatment offered by the programs at the eight participating sites. The UCLA Drug Abuse Research Center and the Matrix Institute on Addictions coordinate the trial. This article describes factors that have fostered or hindered the development of this partnership. These factors can be divided into three temporal phases, although the circumstances presented may occur at any time during the research process. The first set of factors affecting the development of a healthy research-to-practice relationship exists prior to the establishment of that relationship. A second set of circumstances occurs at the initiation of the collaborative enterprise, and the third set of factors is more involved in the development and maintenance of ongoing productive collaboration between researchers and providers.
医疗服务提供者及其治疗项目是将研究成果转化为实际应用的工作重点。在最佳的合作关系中,他们不仅仅是研究工作的接受者,因为他们积极参与建立和评估实践与研究之间的健康联系。本文报告了1998年10月由药物滥用治疗中心资助的一项多地点甲基苯丙胺治疗试验的经验。该试验的目标是获取关于洛杉矶矩阵中心制定的综合治疗方案如何能有效应用于社区药物治疗系统的知识。矩阵模型提供了一种每周三次的门诊治疗体验,结合了行为、教育和12步咨询技巧。研究完成后,将把为期16周的矩阵项目的结果与八个参与地点的项目所提供的常规治疗的结果进行比较。加州大学洛杉矶分校药物滥用研究中心和成瘾矩阵研究所负责协调该试验。本文描述了促进或阻碍这种合作关系发展的因素。这些因素可分为三个时间阶段,不过所呈现的情况可能在研究过程中的任何时候出现。影响健康的研究到实践关系发展的第一组因素在这种关系建立之前就已存在。第二组情况发生在合作项目启动之时,第三组因素更多地涉及研究人员与医疗服务提供者之间持续有效合作的发展和维持。