Mobile technology intervention to improve care coordination between HIV and substance use treatment providers: development, training, and evaluation protocol.
Addict Sci Clin Pract. 2017 03 14; 12(1):8.AS

Abstract

BACKGROUND

People living with HIV (PLWH) with a substance use disorder (SUD) tend to receive inadequate medical care in part because of a siloed healthcare system in which HIV and substance use services are delivered separately. Ideal treatment requires an interdisciplinary, team-based coordinated care approach, but many structural and systemic barriers impede the integration of HIV and SUD services. The current protocol describes the development and preliminary evaluation of a care coordination intervention (CCI), consisting of a tablet-based mobile platform for HIV and SUD treatment providers, an interagency communication protocol, and a training protocol. We hypothesize that HIV and SUD treatment providers will find the CCI to be acceptable, and that after receipt of the CCI, providers will: exhibit higher retention in dual care among patients, report increased frequency and quality of communication, and report increased rates of relational coordination.

METHODS/DESIGN

A three phase approach is used to refine and evaluate the CCI. Phase 1 consists of in-depth qualitative interviews with 8 key stakeholders as well as clinical audits of participating HIV and SUD treatment agencies. Phase 2 contains functionality testing of the mobile platform with frontline HIV and SUD treatment providers, followed by refinement of the CCI. Phase 3 consists of a pre-, post-test trial with 30 SUD and 30 HIV treatment providers. Data will be collected at the provider, organization, and patient levels. Providers will complete assessments at baseline, immediately post-training, and at 1-, 3-, and 6-months post-training. Organizational data will be collected at baseline, 1-, 3-, and 6-months post training, while patient data will be collected at baseline and 6-months post training.

DISCUSSION

This study will develop and evaluate a CCI consisting of a tablet-based mobile platform for treatment providers, an interagency communication protocol, and a training protocol as a means of improving the integration of care for PLWH who have a SUD. Results have the potential to advance the field by bridging gaps in a fragmented healthcare system, and improving treatment efficiency, work flow, and communication among interdisciplinary providers from different treatment settings.

TRIAL REGISTRATION

NCT02906215.

Links

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Authors+Show Affiliations

Claborn K

Department of Medicine, Division of General Internal Medicine, Rhode Island Hospital, 111 Plain Street, Providence, RI, 02903, USA. kasey_claborn@brown.edu. The Warren Alpert Medical School, Brown University, Box G-BH, Providence, RI, 02912, USA. kasey_claborn@brown.edu.

Becker S

The Warren Alpert Medical School, Brown University, Box G-BH, Providence, RI, 02912, USA. Center for Alcohol and Addiction Studies, Brown University School of Public Health, 121 South Main Street, Box G-121-5, Providence, RI, 02912, USA.

Ramsey S

Department of Medicine, Division of General Internal Medicine, Rhode Island Hospital, 111 Plain Street, Providence, RI, 02903, USA. The Warren Alpert Medical School, Brown University, Box G-BH, Providence, RI, 02912, USA.

Rich J

The Warren Alpert Medical School, Brown University, Box G-BH, Providence, RI, 02912, USA. Miriam Hospital, Providence, RI, 02906, USA.

Friedmann PD

Office of Research, Department of Medicine, University of Massachusetts - Baystate and Baystate Health, Springfield, MA, USA.

MeSH

Clinical ProtocolsFemaleHIV InfectionsHumansInservice TrainingMaleOrganizational InnovationPatient Care ManagementPatient-Centered CarePrimary Health CareSubstance-Related DisordersTelemedicine

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28288678

Clinical Trial Links

Clinical trial which this article describes [1]

Clinical trial which this article describes [2]

Citation

Claborn, Kasey, et al. "Mobile Technology Intervention to Improve Care Coordination Between HIV and Substance Use Treatment Providers: Development, Training, and Evaluation Protocol." Addiction Science & Clinical Practice, vol. 12, no. 1, 2017, p. 8.

Claborn K, Becker S, Ramsey S, et al. Mobile technology intervention to improve care coordination between HIV and substance use treatment providers: development, training, and evaluation protocol. Addict Sci Clin Pract. 2017;12(1):8.

Claborn, K., Becker, S., Ramsey, S., Rich, J., & Friedmann, P. D. (2017). Mobile technology intervention to improve care coordination between HIV and substance use treatment providers: development, training, and evaluation protocol. Addiction Science & Clinical Practice, 12(1), 8. https://doi.org/10.1186/s13722-017-0073-1

Claborn K, et al. Mobile Technology Intervention to Improve Care Coordination Between HIV and Substance Use Treatment Providers: Development, Training, and Evaluation Protocol. Addict Sci Clin Pract. 2017 03 14;12(1):8. PubMed PMID: 28288678.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Mobile technology intervention to improve care coordination between HIV and substance use treatment providers: development, training, and evaluation protocol. AU - Claborn,Kasey, AU - Becker,Sara, AU - Ramsey,Susan, AU - Rich,Josiah, AU - Friedmann,Peter D, Y1 - 2017/03/14/ PY - 2016/11/05/received PY - 2017/02/09/accepted PY - 2017/3/15/entrez PY - 2017/3/16/pubmed PY - 2017/11/29/medline KW - Addiction KW - Communication KW - HIV KW - Mobile technology KW - Treatment providers SP - 8 EP - 8 JF - Addiction science & clinical practice JO - Addict Sci Clin Pract VL - 12 IS - 1 N2 - BACKGROUND: People living with HIV (PLWH) with a substance use disorder (SUD) tend to receive inadequate medical care in part because of a siloed healthcare system in which HIV and substance use services are delivered separately. Ideal treatment requires an interdisciplinary, team-based coordinated care approach, but many structural and systemic barriers impede the integration of HIV and SUD services. The current protocol describes the development and preliminary evaluation of a care coordination intervention (CCI), consisting of a tablet-based mobile platform for HIV and SUD treatment providers, an interagency communication protocol, and a training protocol. We hypothesize that HIV and SUD treatment providers will find the CCI to be acceptable, and that after receipt of the CCI, providers will: exhibit higher retention in dual care among patients, report increased frequency and quality of communication, and report increased rates of relational coordination. METHODS/DESIGN: A three phase approach is used to refine and evaluate the CCI. Phase 1 consists of in-depth qualitative interviews with 8 key stakeholders as well as clinical audits of participating HIV and SUD treatment agencies. Phase 2 contains functionality testing of the mobile platform with frontline HIV and SUD treatment providers, followed by refinement of the CCI. Phase 3 consists of a pre-, post-test trial with 30 SUD and 30 HIV treatment providers. Data will be collected at the provider, organization, and patient levels. Providers will complete assessments at baseline, immediately post-training, and at 1-, 3-, and 6-months post-training. Organizational data will be collected at baseline, 1-, 3-, and 6-months post training, while patient data will be collected at baseline and 6-months post training. DISCUSSION: This study will develop and evaluate a CCI consisting of a tablet-based mobile platform for treatment providers, an interagency communication protocol, and a training protocol as a means of improving the integration of care for PLWH who have a SUD. Results have the potential to advance the field by bridging gaps in a fragmented healthcare system, and improving treatment efficiency, work flow, and communication among interdisciplinary providers from different treatment settings. TRIAL REGISTRATION: NCT02906215. SN - 1940-0640 UR - https://www.unboundmedicine.com/medline/citation/28288678/Mobile_technology_intervention_to_improve_care_coordination_between_HIV_and_substance_use_treatment_providers:_development_training_and_evaluation_protocol_ L2 - https://ascpjournal.biomedcentral.com/articles/10.1186/s13722-017-0073-1 DB - PRIME DP - Unbound Medicine ER -

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Mobile technology intervention to improve care coordination between HIV and substance use treatment providers: development, training, and evaluation protocol.Addict Sci Clin Pract. 2017 03 14; 12(1):8.AS