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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.

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1 to 4 of 4 Research Studies Displayed
Hamilton LK, Lapham GT, Day A
Improving alcohol-related care in small-medium primary care practices: an evaluation of an adaptation of the SPARC trial intervention for small-medium sized practices.
The Michigan Sustained Patient-centered Alcohol-Related Care (MI-SPARC) study tested an adaptation of the original SPARC trial to increase identification and treatment of unhealthy alcohol use. Results showed that, despite adaptions for smaller primary care practices and screening improvements, MI-SPARC did not increase brief intervention and AUD medication treatment. The researchers concluded that this reflected a mismatch between intervention complexity and implementation infrastructure in primary care practices.
AHRQ-funded; HS027076.
Citation: Hamilton LK, Lapham GT, Day A . Improving alcohol-related care in small-medium primary care practices: an evaluation of an adaptation of the SPARC trial intervention for small-medium sized practices. J Subst Use Addict Treat 2025 Jun; 173:209697. doi: 10.1016/j.josat.2025.209697..
Keywords: Alcohol Use, Primary Care, Patient-Centered Healthcare
Lee AK, Bobb JF, Richards JE
Integrating alcohol-related prevention and treatment into primary care: a cluster randomized implementation trial.
This study鈥檚 goal was to evaluate an implementation intervention to increase (1) population-based alcohol-related prevention with brief interventions and (2) treatment of alcohol use disorder (AUD) in primary care implemented with a broader program of behavioral health integration. This stepped-wedge cluster randomized trial called the Sustained Patient-Centered Alcohol-Related Care (SPARC) trial included 22 primary care practices in an integrated health system in Washington state. Participants consisted of all adult patients 18 years or older with primary care visits from January 2015 to July 2018. The study included 7 waves, with practices randomly assigned launch dates. A total of 333,596 patients visited primary care (mean age, 48 years; 193,583 [58%] female; 234,764 [70%] White individuals). The proportion of patients with brief intervention was higher during SPARC intervention than usual care periods (57 vs 11 per 10,000 patients per month). The proportion with AUD treatment engagement did not differ during intervention and usual care. However, it did increase intermediate outcomes: screening (83.2% vs 20.8%), new AUD diagnosis (33.8 vs 28.8 per 10,000), and treatment initiation (7.8 vs 6.2 per 10,000).
AHRQ-funded; HS023173.
Citation: Lee AK, Bobb JF, Richards JE . Integrating alcohol-related prevention and treatment into primary care: a cluster randomized implementation trial. JAMA Intern Med 2023 Apr;183(4):319-28. doi: 10.1001/jamainternmed.2022.7083.
Keywords: Alcohol Use, Substance Abuse, Behavioral Health, Primary Care, Patient-Centered Healthcare
Glass JE, Bobb JF, Lee AL
Study protocol: a cluster-randomized trial implementing Sustained Patient-centered Alcohol-related Care (SPARC trial).
Implementation researchers and clinical leaders at Kaiser Permanente Washington (KPWA) partnered to design a high-quality program of evidence-based care for unhealthy alcohol use: the Sustained Patient-centered Alcohol-related Care (SPARC) program. This paper describes the cluster-randomized trial implementing SPARC.

AHRQ-funded; HS023173.
Citation: Glass JE, Bobb JF, Lee AL . Study protocol: a cluster-randomized trial implementing Sustained Patient-centered Alcohol-related Care (SPARC trial). Implement Sci 2018 Aug 6;13(1):108. doi: 10.1186/s13012-018-0795-9..
Keywords: Alcohol Use, Evidence-Based Practice, Patient-Centered Healthcare, Patient-Centered Outcomes Research, Primary Care
Bobb JF, Lee AK, Lapham GT
Evaluation of a pilot implementation to integrate alcohol-related care within primary care.
Researchers and clinical leaders at Kaiser Permanente Washington partnered to design a high-quality Program of Sustained Patient-centered Alcohol-related Care (SPARC). The authors describe the SPARC pilot implementation, evaluate its effectiveness within three large pilot sites, and describe the qualitative findings on barriers and facilitators. They found that alcohol screening increased from 8.9 percent of patients pre-implementation to 62 percent post-implementation.
AHRQ-funded; HS023173.
Citation: Bobb JF, Lee AK, Lapham GT . Evaluation of a pilot implementation to integrate alcohol-related care within primary care. Int J Environ Res Public Health 2017 Sep 8;14(9). doi: 10.3390/ijerph14091030.
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Keywords: Alcohol Use, Patient-Centered Healthcare, Patient-Centered Outcomes Research, Primary Care

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