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司法社区药物过量创新网络II TCU中心 (JCOIN II TCU)

2026年4月7日 更新者：Jennifer Becan、Texas Christian University

司法社区用药过量创新网络II TCU枢纽：TCU通过加强参与构建偏转弹性倡议项目（TCU BRIDGE至偏转项目）

本研究提出采用混合型3实施研究策略，旨在：1）显著加深我们对与转移和逮捕前分流措施（DPAD，以下简称转移）相关的公共卫生结果[例如，过量事件和物质使用相关紧急医疗服务接触]和公共安全结果（例如，毒品相关逮捕）的理解；2）通过推进涉及社区参与在转移中关键作用的有效实施策略知识，为物质使用和刑事法律系统领域的研究做出持久贡献。 由多位首席研究员、转移和社区行为健康领域的高级合作者、州级评估伙伴、国家利益相关者咨询小组以及各社区内的刑事法律系统和行为健康伙伴组成的经验丰富团队已合作开展拟议项目。 研究采用混合实施-有效性设计，考察改善阿片类和兴奋剂相关结果的策略，特别提出通过核心社区参与包（旨在促进社区利益相关者参与）和增强社区参与包（核心包加上系统纳入社区倡导者的组件）测试两种策略组合的实施-有效性，以促进转移模式，改善实施以及公共安全和健康结果。 拟议的随机对照试验共包括20个地理上独立的临床研究执行点（即覆盖5个州的20个社区；新墨西哥州、伊利诺伊州、威斯康星州、科罗拉多州和宾夕法尼亚州），每个州3-5个社区，每个点包含关键的刑事法律系统和社区行为健康利益相关者。 项目的大范围将最大化研究结果的潜在普适性和实施策略的可持续性。

研究概览

地位

尚未招聘

条件

干预/治疗

研究类型

介入性

注册 (估计的)

1620

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

  • 姓名：Amanda W Sease, Ph.D.
  • 电话号码：817-257-5841
  • 邮箱：a.wiese@tcu.edu

学习地点

  • 美国
    • Texas
      • Fort Worth、Texas、美国、76109
        • Texas Christian University

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

是的

描述

工作人员

纳入标准：

  • 直接参与Deflection服务，包括：
  • 进行转介（例如，执法部门、急救人员、社区机构）以及为参与者提供服务（例如，个案管理员、同伴专家、协调员）；
  • 年龄18岁或以上；
  • 能够用英语完成调查；
  • 愿意提供知情同意

排除标准：

  • 不隶属于参与的Deflection机构；
  • 在Deflection转介或服务提供中无角色；
  • 年龄未满18岁；
  • 无法或不愿意提供知情同意

客户

纳入标准：

  • 年龄18岁或以上；
  • 在参与社区内的Deflection项目中注册；
  • 招募时距注册时间1至12个月；
  • 有物质使用障碍（SUD）史或SUD风险记录；
  • 优先考虑过去一年内报告使用阿片类药物和/或兴奋剂的个体；
  • 能够完成调查和/或访谈；愿意提供知情同意

排除标准：

  • 年龄未满18岁；
  • 未在Deflection项目中注册；
  • Deflection暴露不足（<1个月）；
  • 无法或不愿意提供知情同意

公民

纳入标准：

  • 年龄18岁或以上；
  • 参与社区的居民；
  • 代表一般社区人群（包括有或无SUD/CLS相关生活经历的个体）；
  • 能够参与：调查和/或社区倾听会议；
  • 愿意提供知情同意

排除标准：

  • 年龄未满18岁；
  • 不居住在参与社区；
  • 无法或不愿意提供知情同意

工作组

纳入标准：

  • 年龄18岁或以上；
  • 被识别为参与Deflection规划社区或机构的领导者/利益相关者；
  • 参与社区内DAG的成员；
  • 代表以下必需利益相关者角色之一：执法领导或工作人员、行为健康领导或工作人员、卫生专业人员、社区代表（公民）；
  • 能够参与会议、调查和/或焦点小组；
  • 愿意提供知情同意

排除标准：

  • 非参与社区DAG成员；
  • 不担任与Deflection领导或决策相关的角色；
  • 年龄未满18岁；
  • 无法或不愿意提供知情同意

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：其他
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
其他：核心跨机构社区参与方法
促进了公共卫生与公共安全跨部门协作、社区参与建设的最佳实践，以及跨系统数据驱动的学习
其他：核心跨机构社区参与方法
社区参与方法，包括建立跨机构协作、战略规划、倡导
其他：增强核心加社区参与专家
核心加战略角色发展，并对已知且可信的公民进行辅导，使其成为社区倡导者，促进社区对转移努力的支持，并全面参与转移领导决策
其他：增强型核心及社区参与专员
社区参与方法，包括核心要素，以及促进社区公民在社区参与实践中的认同和全面融入

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
公共卫生与安全协作
大体时间：第10、26和38个月用于Wave1；第14、30和42个月用于Wave2
公共卫生与安全合作是否发生变化？ 使用Brewer等人于2018年开发的调查进行测量，包括战略协同（例如：共同识别社区中未满足的需求）和当前工作协调（例如：共享有助于优化医疗系统服务的信息）。 Brewer等人（2018）的战略协同与工作协调调查采用5点李克特量表进行测量，通过计算各维度所有条目的平均值得出总分。 分数越高 = 合作/协同/协调程度越强
第10、26和38个月用于Wave1；第14、30和42个月用于Wave2
公民意识和感知到的转向效用
大体时间：第1波为第10、26和38个月；第2波为第14、30和42个月
公民对转移计划的认知度和感知效用是否发生变化？ 通过多项调查措施衡量公民对社区内转移执法工作的态度，包括认知度、可接受性、适宜性和可行性。 调查措施通过将量表项目平均计算得出均值，分数越高表明认知度、可接受性、适宜性和可行性水平越高。
第1波为第10、26和38个月；第2波为第14、30和42个月
转向计划中的劳动力推荐和公民注册
大体时间：Wave1 的第 10、26 和 38 个月；Wave 2 的第 14、30 和 42 个月
偏转计划中的劳动力转介和公民注册情况是否有变化？ 使用偏转计划收集的现有数据进行衡量，包括转介和注册到偏转服务的数据，涵盖采纳度（例如，转介客户到偏转计划的劳动力和机构比例）、渗透度（例如，偏转转介和注册的数量）、公平性（例如，少数族裔代表的转介和注册比例）和持续性（例如，持续的采纳度和渗透度）。 各项得分将以计数/数字表示。
Wave1 的第 10、26 和 38 个月；Wave 2 的第 14、30 和 42 个月
过量用药和SU相关死亡率
大体时间：第1波为第4-38个月；第2波为第8-42个月
用药过量和物质使用相关死亡率是否有变化？ 使用国家州立EMS官员协会（NAEMSSO）从五个参与州的EMS机构收集的协调数据，以及通过验尸官/生命统计记录获取的社区死因信息进行测量。 实施前后，用药过量和物质使用相关死亡率以计数/数字表示。
第1波为第4-38个月；第2波为第8-42个月
整个药物使用级联过程中的服务可及性
大体时间：第1波为第4-38个月；第2波为第8-42个月
在整个药物使用级联和复杂需求过程中，服务获取是否发生了变化？ 通过转移项目中现有记录的数据共享进行测量。 将使用数字/计数来测量药物使用级联的每一步。
第1波为第4-38个月；第2波为第8-42个月

次要结果测量

结果测量
措施说明
大体时间
转移劳动力对转移的态度
大体时间：第10、26和38个月（第一波）；第14、30和42个月（第二波）
是否存在对转移态度的转变？ 使用Donnelly等人（2024）的“严厉打击犯罪指数”和Bailey等人（2024）的“对吸毒者污名与警务态度量表”进行测量，项目采用李克特式量表评分并取平均值以创建综合分数，分数越高表示对惩罚性（“严厉打击犯罪”）态度的认同度越高，以及对吸毒者的污名化和限制性警务方法的支持度越大。
第10、26和38个月（第一波）；第14、30和42个月（第二波）
社区居民对执法信任度的评价
大体时间：第10、26和38个月（第一波）；第14、30和42个月（第二波）
社区与执法部门之间的信任是否发生了变化？ 采用Hamm等人（2018年）开发的社区-执法信任量表进行测量，各项目采用李克特式量表评分，取平均值生成综合得分，分数越高表示社区成员与执法部门之间的感知信任度越高。
第10、26和38个月（第一波）；第14、30和42个月（第二波）

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Texas Christian University

合作者

National Institute on Drug Abuse (NIDA)

调查人员

  • 首席研究员：Jennifer E Becan, Ph.D.、Texas Christian University
  • 首席研究员：Kevin Knight, Ph.D.、Texas Christian University

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

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  • Wiese, A. L., Carey, P. D., Becan, J. E., Wood, C., & Knight, K. (2024). Policy Changes to Improve Service Access: Best Practices for Researchers Engaging With Criminal Justice Partners. Journal of Correctional Health Care. https://doi.org/10.1089/jchc.24.09.0075
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研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年7月1日

初级完成 (估计的)

2029年3月1日

研究完成 (估计的)

2029年5月1日

研究注册日期

首次提交

2026年3月30日

首先提交符合 QC 标准的

2026年4月7日

首次发布 (实际的)

2026年4月14日

研究记录更新

最后更新发布 (实际的)

2026年4月14日

上次提交的符合 QC 标准的更新

2026年4月7日

最后验证

2026年4月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • 1RM1DA064502 (美国 NIH 拨款/合同)

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

未定

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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