National Institute on Drug Abuse (NIDA)
The aim of this project is to study the effectiveness of the modified SBIRT, where instead of offsite psychiatric referral, depression is treated onsite using SSRIs. Also, we will use ECHO (Extension for Community Healthcare Outcomes), a collaborative learning process, to facilitate mSBIRT activities and reinforce integration of COD services in OAT clinics.To enhance ECHO implementation, evidence-based pay-forperformance (P4P) intervention, aligned with Ukraine’s health reform, will be added to determine if incremental benefits are derived from this EBP, in an effort to strengthen and support ongoing healthcare reform efforts in Ukraine.
1. To compare both service-level (screening and brief intervention adoption and penetration) and patient-level (SSRI initiation, OAT drop-out and psychiatric quality of life) outcomes in 1,350 patients with opioid use disorders receiving OAT from 4 regions (clusters) and 12 clinical settings using a randomized, cluster-controlled design over 24 months. Before site randomization, all OAT clients at each participating site will have baseline assessments followed by site randomization to receive standard of care (N=450) versus integrated care using ECHO-COD facilitation with (N=450) or without (N=450) P4P incentives;
2. Using a multi-level implementation science framework, to examine the contribution of client, clinician and organizational factors that contribute to the primary and secondary outcomes;
3. To conduct a cost-effectiveness analysis (CEA) of integrating COD services into OAT clinics, with or without P4P, compared to a control group of OAT sites.
Fogarty International Center
The aim of this project is to strengthen UIPHP research and training capacity in the areas that are relevant to HIV epidemics in Ukraine. Some topic areas may be in HIV and infectious disease epidemiology; biostatistics; and implementation science, which may include program evaluation and health behavior as relates to HIV/HCV/TB/substance use.
National Institute on Drug Abuse (NIDA)
The aim of this project is to study the effectiveness of the integrated model of health care services in primary care clinics and the interventions for quality improvement of health care services by means of training of physicians and their financial motivation
Our study aims to examine alcohol consumption and the prevalence of alcohol use disorders, as well as comorbidities including smoking, substance use, and mental health of people living with HIV and TB co-infection in Ukraine. This study will also provide data on participants’ willingness to engage in treatment for these comorbidities and explore participants’ readiness for reduction of alcohol intake, addiction treatment and depression treatment.
The Western-Eastern European Partnership Initiative on HIV, Viral Hepatitis and TB
Evaluate feasibility and effectiveness of a simplified HCV care and treatment model integrated into OAT programs in Ukraine.
- To develop SHIM and demonstrate its feasibility.
- Using a multi-level implementation science framework, to examine the client, clinician and organizational factors that contribute to SHIM adoption and clinical outcomes.
Johns Hopkins University
1. Empirically identify and characterize patterns of layered stigma (HIV, drug use, and gender-based) among drug using WLWH in Ukraine.
2. Examine the relationship between patterns of layered stigma identified through LCA and mental health outcomes and engagement in HIV care.
3. Qualitatively explore the association between layered stigma class, mental health, and engagement in HIV care.
National Institute of Health
To develop and test a two-step shared decision-making (SDM) aid, with a focus on HIV+ PWID, to promote OAT entry and retention in PWID who have previously or never been prescribed OAT.
Centers for Disease Control and Prevention (CDC)
The purpose of the project is to develop a coherent system of evaluation and quality improvement which can be used by institutions implementing opioid substitution therapy, as well as by national agencies responsible for the implementation and effectiveness of the program.