Rosa Carmen, Ghitza Udi, Tai Betty
Center for the Clinical Trials Network, National Institute on Drug Abuse, Bethesda, MD, USA.
Subst Abuse Rehabil. 2012 Jul 17;3(1):81-89. doi: 10.2147/SAR.S31836.
Based on recommendations from a US Institute of Medicine report, the National Institute on Drug Abuse established the National Drug Abuse Treatment Clinical Trials Network (CTN) in 1999, to accelerate the translation of science-based addiction treatment research into community-based practice, and to improve the quality of addiction treatment, using science as the vehicle. One of the CTN's primary tasks is to serve as a platform to forge bi-directional communications and collaborations between providers and scientists, to enhance the relevance of research, which generates empirical results that impact practice. Among many obstacles in moving research into real-world settings, this commentary mainly describes challenges and iterative experiences in regard to how the CTN develops its research protocols, with focus on how the CTN study teams select and utilize assessment instruments, which can reasonably balance the interests of both research scientists and practicing providers when applied in CTN trials. This commentary also discusses the process by which the CTN further selects a core set of common assessment instruments that may be applied across all trials, to allow easier cross-study analyses of comparable data.
根据美国医学研究所一份报告的建议,美国国家药物滥用研究所于1999年设立了国家药物滥用治疗临床试验网络(CTN),以加速将基于科学的成瘾治疗研究转化为社区实践,并以科学为手段提高成瘾治疗的质量。CTN的主要任务之一是充当一个平台,促进提供者与科学家之间的双向沟通与合作,以增强研究的相关性,从而产生影响实践的实证结果。在将研究转化为实际应用的诸多障碍中,本评论主要描述了CTN在制定其研究方案方面所面临的挑战和反复实践的经验,重点关注CTN研究团队如何选择和使用评估工具,这些工具在应用于CTN试验时能够合理平衡研究科学家和执业提供者双方的利益。本评论还讨论了CTN进一步选择一套可应用于所有试验的核心通用评估工具的过程,以便更轻松地对可比数据进行跨研究分析。