HELPmiss: Health Evaluation and Linkage to Primary Care
In ProjectMOSAIC/mosaicData: Project MOSAIC Data Sets

HELPmiss

R Documentation

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(HELPmiss)

Format

Data frame with 470 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 of depressive symptoms at baseline (higher scores indicate more 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)
avg_drinks: average number of drinks (standard units) consumed per day, in the past 30 days (measured at baseline). Same as i1.
max_drinks: maximum number of drinks (standard units) consumed per day, in the past 30 days (measured at baseline). Same as i2.
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, higher scores are better)
pcs: SF-36 Physical Component Score (measured at baseline, higher scores are better)
pss_fr: perceived social support by friends (measured at baseline)
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

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 superset of the HELPrct data with 17 subjects with partially observed data on some of the baseline variables. This is a subset of the HELPfull data which includes 5 timepoints and many additional variables.

Source

https://nhorton.people.amherst.edu/help/

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.