TAPS-ESP: Tobacco, Alcohol, Prescription Drug, and Illicit Substance Use - Electronic Spanish Platform: Technologies to Increase Screening in Primary Care to Reduce Behavioral Health Disparities

ABSTRACTTAPS ESP Language accessibility and cultural awareness are essential elements of quality healthcareLimited English ProficiencyLEPindividuals are less likely to self identify a need for behavioral health serviceswhich results in longer duration of untreated disordersAccurate identificationdiagnosisand treatment are entirely dependent on a linguistically accurate screening and assessmentespecially for sensitive topics such as substance useRecentlythe National Institute on Drug Abuse Clinical Trials NetworkNIDA CTNdeveloped and validated the TobaccoAlcoholPrescription drugand illicit Substance useTAPSToola two stage screening and brief assessment tool to detect substance use problems in primary careThe current study will develop a technology platform for delivering the TAPS Tool to a Spanish speakinghealth disparity populationThis PhaseSTTR project will involve the research driven adaptation of the TAPS into Spanish using cognitive interviewing methodsits deployment on a self administered mobile tablet technology platformand an empirical study of the platform s feasibilityacceptabilityand preliminary validity in a Spanish speaking primary care sampleWe refer to this novel adaptation of the TAPS Tool as the TAPS Electronic Spanish Platformor TAPS ESPThe project will lead to a technology application that could expand access to evidence basedlinguisticallyaccurate substance use screening and assessment for an underserved health disparity populationThe technology could have significant public health impact and commercial viability given the growing Hispanic population in the US and the increasingly prominent role of primary care practices in addressing substance use problemsThis Phasestudy will lay the groundwork for a PhaseSTTR focused on the broader validation and implementation of the TAPS ESP platformand its full integration into electronic health records systems Project NarrativeTAPS ESP The TAPS Tool is a newly validated two stage screening and brief assessment to identify substance use problems in primary careThis PhaseSTTR project will develop and test a Spanish language version of the TAPS Tool in a self administered mobile tablet technology platformthe TAPS Electronic Spanish Platformor TAPS ESPThis technology could expand access to evidence basedlinguistically accurateand culturallyrelevant substance use screening and assessment for an underserved health disparity population