Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model

通过实施反馈促进维持：SIC 辅导模型

• 批准号: 10159240
• 负责人: Lisa Saldana
• 金额: $ 15.01万
• 依托单位: OREGON SOCIAL LEARNING CENTER, INC.
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-04-01 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10159240
• 关键词: 2019-nCoV; Achievement; Address; Administrative Supplement; Adopted; Adoption; Alcohol or Other Drugs use; Alcohols; Behavior; Child Welfare; Clinical; Communities; Competence; Cost Allocation; Criminal Justice; Data; Data Set; Development; Ensure; Evidence based practice; Evidence based program; Failure; Family psychotherapy; Feedback; Funding; Goals; Impact evaluation; Individual; Infrastructure; Intervention; Literature; Measurable; Measurement; Measures; Methods; Modeling; Monitor; National Institute of Drug Abuse; Online Systems; Operating System; Oregon; Outcome; Output; Parents; Pattern; Phase; Plague; Population; Preparation; Prevention program; Probability; Process; Program Sustainability; Protocols documentation; Provider; Public Health; Randomized; Reporting; Resource Allocation; Resources; Service setting; Services; Site; Substance abuse problem; Sustainable Development; System; Technology; Testing; Time; Training; United States; Vulnerable Populations; Youth; adolescent substance abuse; base; behavioral health; child services; cohort; cost; cost effective; design; effective therapy; evidence base; foster care; high risk behavior; implementation science; implementation strategy; innovation; pandemic disease; parent grant; prevent; program costs; programs; repository; response; substance abuse prevention; substance abuse treatment; success; tool

PARENT GRANT PROJECT SUMMARY/ABSTRACT This proposal, in response to PAR-16-455, aims to test the impact of an empirically derived implementation strategy—under real-world conditions and across multiple child service systems—on successful adoption and sustainment of two evidence-based programs that address adolescent substance abuse: Treatment Foster Care Oregon (TFCO; formerly Multidimensional Treatment Foster Care) and Multidimensional Family Therapy (MDFT), both developed with funding from NIDA. Methods for this study utilize “technology-based approaches” for “implementing large-scale change.” Leveraging previous data focused on developing and testing the 8- staged Stages of Implementation Completion (SIC) tool, a measure of implementation progress from Engagement (Stage 1) to development of Competency (Stage 8), a non-randomized cohort design is proposed. Study activities include extending the SIC into the Sustainment Phase and testing a SIC Coaching strategy to support the adoption of new evidence-based programs. Previous findings with the SIC suggest its potential utility as a measure of implementation fidelity. The overarching goal of this proposal is to evaluate if the integration of implementation fidelity (fidelity to the implementation process) with intervention fidelity (fidelity to the clinical intervention) can increase the probability that a new organizational site not only successfully adopts a program but, develops the infrastructure to ensure it can sustain. Patterns of cost and resource allocation will be examined, using the Cost of Implementing New Strategies (COINS) cost mapping strategy, an adjunct to the SIC, to assess how resource use impacts program sustainability. A web-based SIC and COINS tool provides feedback about a site's implementation behavior relative to other successful sites and will be used in the current study as part of the SIC Coaching strategy. Purveyors for TFCO and MDFT will be trained to integrate SIC Coaching into their existing coaching activities with sites that are adopting new programs. Within a rapid audit and feedback system, it is hypothesized that sites that receive integrated implementation and intervention fidelity feedback as part of their purveyor-site technical assistance will be more likely to develop sustainable programs than sites that receive standard purveyor-driven implementation support. Study targets include the following specific aims: (a) evaluate the effect of SIC Coaching on outcomes of program adoption and sustainment, (b) extend the SIC to include measurement of sustainment, and (c) examine cost and resource patterns most likely to yield sustainable programs. This data-driven approach to guide new sites has the potential to help them to achieve the development of sustainable evidence-based programs for adolescent substance abuse and other high-risk behaviors. If successful, the study will have a significant impact for organizations adopting new programs and has the potential to have a substantial public health impact by increasing the availability of evidence-based programs for costly public health problems.

家长赠款项目摘要/摘要 该提案响应于16-455 par，旨在测试经验得出的实施的影响 策略 - 在现实世界中以及多个儿童服务系统中 - 成功采用和 维持两个基于证据的计划，这些计划解决青少年滥用药物：治疗寄养 俄勒冈州护理（TFCO；以前是多维治疗寄养）和多维家庭疗法 （MDFT），均通过NIDA的资金而开发。这项研究的方法利用“基于技术的方法” 用于“实施大规模变更”。利用以前的数据着重于开发和测试8- 实施完成阶段（SIC）工具，对实施进度的衡量 参与（第1阶段）发展能力（第8阶段），非随机队列设计是 建议的。研究活动包括将SIC扩展到维持阶段并测试SIC教练 支持采用新的循证计划的策略。 SIC先前的发现表明其潜在的效用是实施忠诚度的衡量标准。这 该提案的总体目标是评估实施忠诚的整合（忠诚度 实施过程）具有干预保真度（对临床干预的保真度）可以增加 新的组织网站不仅成功适应程序，而且开发了 基础设施以确保其能够维持。使用成本和资源分配的模式将使用 实施新策略（硬币）成本映射策略（SIC）的成本成本映射策略，以评估如何评估 资源使用会影响计划的可持续性。基于网络的SIC和硬币工具提供了有关 站点相对于其他成功站点的实施行为，并将在当前研究中使用 SIC教练策略。 TFCO和MDFT的供应商将接受培训，以将SIC教练整合到他们的 现有的教练活动与采用新计划的网站。在快速审核和反馈中 系统，可以假设，接收集成实施和干预保真反馈的网站作为 与网站相比 获得标准的购买者驱动的实施支持。 研究目标包括以下具体目标：（a）评估SIC教练对结果的影响 计划采用和维持计划，（b）扩展SIC以包括维持量的测量，（c） 检查最有可能产生可持续计划的成本和资源模式。这种数据驱动的方法 指导新网站有可能帮助他们实现可持续证据的发展 青少年药物滥用和其他高风险行为的计划。如果成功，研究将有一个 对采用新计划的组织的重大影响，并有可能使大量公众 通过增加昂贵的公共卫生问题的循证计划的可用性来影响健康。