mosaic (version 0.9-0)

HELPrct: Health Evaluation and Linkage to Primary Care

Description

The HELP study was a clinical trial for adult inpatients recruited from a detoxification unit. Patients with no primary care physician were randomized to receive a multidisciplinary assessment and a brief motivational intervention or usual care, with the goal of linking them to primary medical care.

Usage

data(HELPrct)

format

Data frame with 453 observations on the following variables.

• age

{subject age at baseline (in years)} anysub {use of any substance post-detox: a factor with levels no yes} cesd {Center for Epidemiologic Studies Depression measure at baseline (high scores indicate more depressive symptoms)} d1 {lifetime number of hospitalizations for medical problems (measured at baseline)} daysanysub {time (in days) to first use of any substance post-detox} dayslink {time (in days) to linkage to primary care} drugrisk {Risk Assessment Battery drug risk scale at baseline} e2b {number of times in past 6 months entered a detox program (measured at baseline)} female {0 for male, 1 for female} sex {a factor with levels male female} g1b {experienced serious thoughts of suicide in last 30 days (measured at baseline): a factor with levels no yes} homeless {housing status: a factor with levels housed homeless} i1 {average number of drinks (standard units) consumed per day, in the past 30 days (measured at baseline)} i2 {maximum number of drinks (standard units) consumed per day, in the past 30 days (measured at baseline)} id {subject identifier} indtot {Inventory of Drug Use Consequences (InDUC) total score (measured at baseline)} linkstatus {post-detox linkage to primary care (0 = no, 1 = yes)} link {post-detox linkage to primary care: no yes} mcs {SF-36 Mental Component Score (measured at baseline, lower scores indicate worse status)} pcs {SF-36 Physical Component Score (measured at baseline, lower scores indicate worse status)} pss_fr {perceived social support by friends (measured at baseline, higher scores indicate more support)} racegrp {race/ethnicity: levels black hispanic other white} satreat {any BSAS substance abuse treatment at baseline: no yes} sexrisk {Risk Assessment Battery sex risk score (measured at baseline)} substance {primary substance of abuse: alcohol cocaine heroin} treat {randomized to HELP clinic: no yes}

source

http://www.math.smith.edu/help

Details

Eligible subjects were adults, who spoke Spanish or English, reported alcohol, heroin or cocaine as their first or second drug of choice, resided in proximity to the primary care clinic to which they would be referred or were homeless. Patients with established primary care relationships they planned to continue, significant dementia, specific plans to leave the Boston area that would prevent research participation, failure to provide contact information for tracking purposes, or pregnancy were excluded.

Subjects were interviewed at baseline during their detoxification stay and follow-up interviews were undertaken every 6 months for 2 years. A variety of continuous, count, discrete, and survival time predictors and outcomes were collected at each of these five occasions.

This dataset is a subset of the HELPmiss data which includes an additional 17 subjects with partially observed data on some of the baseline variables. This is also a subset of the HELPfull data which includes 5 timepoints and many additional variables for all subjects.

References

Samet JH, Larson MJ, Horton NJ, Doyle K, Winter M, and Saitz R. Linking alcohol and drug-dependent adults to primary medical care: A randomized controlled trial of a multi-disciplinary health intervention in a detoxification unit. Addiction, 2003; 98(4):509-516.

See Also

HELPmiss, and HELPfull.

Examples

data(HELPrct)