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Sergii Dvoriak
01.07.2018 - 31.05.2023

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.

Principal Investigator - Jack DeHovitz; Ukraine Principal Investigator - Tetiana Kiriazova
01.06.2017 - 31.05.2022

Fogarty International Center

The aim of the project is to build capacity in conducting implementation science research that will address gaps in the HIV care cascade in Ukraine through a research training collaboration with the School of Public Health of National Ukraine Kyiv- Mohyla Academy and The State University of New York.

Sergii Dvoriak
15.09.2016 - 30.06.2023

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

1. Introduction opiate agonist maintenance treatment in primary healthcare facilities;
2. Setting up a system of tele-education for physicians of primary care clinics - "Improving the effectiveness of community-based health services" (Intervention with Proven Efficiency - Extension for Community Healthcare Outcome);
3. Working out of the model of increase of payment for quality (P4P);
4. Assess of cost-effectiveness of treatment based on comparing the cost of treatment and its efficacy in specialized institutions and in primary care clinics using a modern methodology of cost-effectiveness calculation.
Tetiana Kiriazova
01.01.2019 - 30.04.2021

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.

Sergii Dvoriak
01.08.2015 - 31.07.2021

National Institute on Drug Abuse (NIDA)

To study the spread of socially dangerous infectious diseases, including HIV, viral hepatitis B and C, syphilis; injecting drug use, the use of other psychoactive substances and mental disorders not related to the use of PS among prisoners in Ukraine.

Frederick L Altice, Lyuba Azbel, Jack Stone, Ellen Brooks-Pollock, Pavlo Smyrnov, Sergii Dvoriak, Faye S Taxman, Nabila El-Bassel, Natasha K Martin, Robert Booth, Heino StÖver, Kate Dolan, Peter Vickerman.  The perfect storm: incarceration and the high-risk environment perpetuating transmission of HIV, hepatitis C virus, and tuberculosis in Eastern Europe and Central Asia. The Lancet. July 14, 2016. (EN)

Azbel L., Wickersham J.W., Wegman M., Polonsky M., Suleymanov M., Ismayilov R., Dvoryak S., Altice F.L. Burden of substance use disorders, mental illness, and correlates of infectious diseases among soon-to-be-released prisoners in Azerbaijan. Drug and Alcohol Dependence. 2015 Mar 19 (EN)

Polonsky, M.; Rozanova, J.; Azbel, L.; Bachireddy, C.; Izenberg, J.; Kiriazova, T.; Dvoryak, S.; Altice, F.L. Attitudes toward addiction, methadone treatment, and recovery among HIV-infected Ukrainian prisoners who inject drugs: Incarceration effects and exploration of mediators.  AIDS and Behavior. 2016 Dec; 20(12) (EN)

Azbel L., Grishaev, Y., Wickersham J.W., Chernova O., Dvoryak S., Polonsky, M., Altice F.L. Trials and tribulations of conduction bio-behavioral surveys in prisons: Implementation science and lessons from Ukraine. International Journal of Prisoner Health. 2016 Jun 13; 12(2) (EN)

Polonsky M, Azbel L, Wickersham JM, Marcus R, Doltu S, Grishaev E, Dvoryak S, Altice FL. Accessing methadone within Moldovan prisons: Prejudice and myths amplified by peers. Int J Drug Policy. 2016; 29 (EN)

Azbel L, Grishaev Y, Wickersham JA, Chernova O, Dvoryak S, Polonsky M, Altice FL. Trials and tribulations of conducting bio-behavioral surveys in prisons: implementation science and lessons from Ukraine. Int J Prison Health. 2016; 12(2) (EN)

Звіт про відвідування м. Суми групою дослідників за проектом «Співпраця із запобігання поширення ВІЛ в місцях позбавлення волі» УІПГЗ, 2018 (UA)