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一项针对国家药物滥用治疗临床试验网络中黑人参与者的研究的系统范围综述。

A systematic scoping review of research on Black participants in the National Drug Abuse Treatment Clinical Trials Network.

机构信息

Department of Psychiatry and Behavioral Neuroscience.

Department of Psychology.

出版信息

Psychol Addict Behav. 2020 Feb;34(1):117-127. doi: 10.1037/adb0000483. Epub 2019 Jun 27.

Abstract

Black individuals experience a disproportionate burden of substance-related disabilities and premature death relative to other racial/ethnic groups, highlighting the need for additional research. The National Drug Abuse Treatment Clinical Trials Network (CTN), a research platform for multisite behavioral, pharmacological, and integrated trials designed to evaluate the effectiveness of substance use treatments in community settings with diversified patient populations, provides a wealth of research knowledge on substance use. Although CTN trials have enrolled over 5,000 Black individuals since its inception in 2000, there has been no synthesis of the findings, discussion of the implications, or suggestions for future research for Black individuals. Members of the Minority Interest Group of the CTN conducted a scoping review of published research on Black participants in CTN trials. Studies were included if the sample was more than 75% Black and/or specific findings pertaining to Black participants were reported. The review yielded 50 articles, with studies that mostly focused on baseline characteristics, followed by substance use treatment outcomes, HIV/risky sex behaviors, retention, comorbid conditions and measurement issues. This review highlighted the importance of several issues that are critical to understanding and treating substance misuse among Black people, such as the characteristics of Black people entering treatment, measurement equivalence, and engaging/retaining adolescents and young adults in treatment. There is still a continued need to identify the most effective treatments for Black individuals who use substances. The CTN offers several untapped opportunities to further advance research on Black individuals who use substances (e.g., secondary analyses of publicly available data). (PsycINFO Database Record (c) 2020 APA, all rights reserved).

摘要

黑人个体在物质相关残疾和过早死亡方面所承受的负担不成比例,相较于其他种族/族裔群体更为严重,这突显了进一步研究的必要性。国家药物滥用治疗临床研究网络(CTN)是一个多地点行为、药理学和综合试验的研究平台,旨在评估在具有多样化患者群体的社区环境中使用物质治疗的有效性,它提供了丰富的关于物质使用的研究知识。尽管自 2000 年成立以来,CTN 试验已经招募了超过 5000 名黑人个体,但针对黑人个体的研究结果没有综合、讨论其意义,也没有为未来的研究提出建议。CTN 的少数民族利益小组的成员对 CTN 试验中黑人参与者的已发表研究进行了范围性综述。如果样本中黑人超过 75%,或者报告了与黑人参与者相关的具体发现,则纳入研究。综述共纳入 50 篇文章,研究主要集中在基线特征上,其次是物质使用治疗结果、HIV/危险性行为、保留率、合并症和测量问题。这项综述强调了几个对理解和治疗黑人物质滥用至关重要的问题的重要性,例如进入治疗的黑人个体的特征、测量等效性,以及如何让青少年和年轻人参与和保留在治疗中。仍然需要确定针对使用物质的黑人个体的最有效治疗方法。CTN 提供了几个尚未开发的机会,可以进一步推进针对使用物质的黑人个体的研究(例如,对公开可用数据进行二次分析)。

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