UW ALACRITY Center for Psychosocial Interventions Research

华盛顿大学 ALACRITY 心理社会干预研究中心

• 批准号: 10167248
• 负责人: Patricia A. Arean
• 金额: $ 16.56万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-08 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10167248
• 关键词: Action Research; Address; Alaska; Algorithms; Behavior Therapy; Behavioral Sciences; Case Management; Case Manager; Catalogs; Cognitive Therapy; Common Core; Communication; Communities; Community Practice; Complex; Counseling; Data; Discipline; Education; Effectiveness; Electronic Health Record; Engineering; Environment; Face; Faculty; Family Practice; Federally Qualified Health Center; Feedback; Future; Goals; Guidelines; Health; Health Services Research; Health Technology; Healthcare; Human; Idaho; Incubators; Institute of Medicine (U.S.); Institutes; Intervention; Intervention Studies; Learning; Low income; Medicine; Mental Depression; Mental Health; Mentorship; Methodology; Methods; Minority; Modification; Montana; Outcome; Participant; Patient Outcomes Assessments; Patients; Perinatal; Phase; Primary Health Care; Problem Solving; Protocols documentation; Psychiatry; Psychology; Psychotherapy; Quality of Care; Questionnaires; Registries; Reporting; Research; Research Design; Research Infrastructure; Research Methodology; Research Personnel; Research Project Grants; Resources; Rural; Schools; Site-Directed Mutagenesis; Social Work; Social Workers; Supervision; System; Technology; Testing; Time; TimeLine; Training; Training Programs; Typology; Universities; Washington; Wyoming; base; behavioral health; care delivery; care outcomes; care seeking; collaborative care; community based participatory research; computer science; cost; design; disability; effective intervention; effectiveness testing; ethnic minority population; evidence base; experience; implementation science; improved; innovation; intelligent tutoring system; intervention participants; medical schools; meetings; multidisciplinary; novel; problem solving therapy; programs; prototype; psychosocial; racial minority; skills; therapy design; tool; translational health science; usability; user centered design; virtual

ABSTRACT. The UW ALACRITY Center purpose is to address critical problems in the implementation of evidence-based psychosocial interventions (EBPIs) for underserved communities as they are delivered in primary care medicine settings. Per a recent IOM report on psychosocial intervention standards, access to EBPIs is hampered by (1) poor clinician training, (2) intervention design complexity, and (3) insufficient support to sustain quality of care. We will attempt to solve these problems by creating a team of researchers from human centered design (Drs. Fogarty, Gonzalez, Munson, Popovic), education (Raue, Popovic), implementation science (Drs. Bennett and Lyon), psychosocial interventions (Drs. Aisenberg, Arean, Kaysen, Raue), health services research (Dr. Fortney, Ratzliff and Unutzer) and research methods (Dr. Atkins and Hoeft). The Center represents a unique partnership between the School of Medicine’s Departments of Psychiatry/Behavioral Sciences and Family Medicine, the Department of Computer Science and Engineering, the Department of Communications, and the School of Social Work. The Center also bridges UW’s many resources: CoMotion (UW’s center for health technology innovation), the Institute for Translational Health Sciences (the UW CTSA), the AIMS Center (UW implementation and training center for collaborative care), and the WWAMI-region Practice Research Network (WPRN, a collaborative group of primary care practices through the states of Washington, Wyoming, Alaska, Montana and Idaho to facilitate innovative community- based research). The Administrative Core will serve as the communication hub between center cores, our two advisory boards, and will oversee the solicitation and selection of R03 level proof of concept studies. The Methods Core (MC) will provide research infrastructure to the projects. Each project will use our Discover, Design, Build and Test framework to address clinician capacity, intervention usability and intervention sustainability. The MC will also compile data from these projects to create a Typology of EBPI Targets and a Matrix of EBPI Modifications that will be shared with other researchers within and outside of UW through our online research community. Research projects will collect a common core of outcomes to determine the impact of modifying EBPI targets on clinicians’ quality delivery of care and patient-reported outcomes. The first R34 project proposes to improve clinician EPBI capacity by designing and building an Intelligent Tutor System based on adaptive training. The second R34 project will partner with the WPRN to simplify problem-solving therapy (PST), using user-centered design principles. The third R34 project will partner with the Washington Behavioral Health Integration Program (BHIP) to develop an electronic health record-supported behavioral health module and registry to support sustained clinician skill in delivering PST in primary care. All three projects, and future R03s, will test the effects modification targets of implementation outcomes (time to training, clinician skill drift), system usability, EBPI system burden, system acceptability, and patient-reported outcomes.

抽象的。 UW Alacrity Center的目的是解决实施的关键问题 用于服务不足的社区的循证社会心理干预措施（EBPI） 初级保健医学环境。根据IOM的最新报告，有关社会心理干预标准的报告， EBPI受（1）临床训练不良，（2）干预设计的复杂性和（3）支持不足的障碍。 维持护理质量。我们将尝试通过建立一个研究人员的团队来解决这些问题 人类以人为中心的设计（福加蒂博士，冈萨雷斯，芒森，波波维奇），教育（劳埃，波波维奇）， 实施科学（Bennett和Lyon博士），心理心理干预（Aisenberg博士，地区，凯森， Raue），卫生服务研究（Fortney，Ratzliff和Unutz​​er博士）和研究方法（Atkins博士和 hoeft）。该中心代表了医学院部门之间的独特伙伴关系 精神病学/行为科学与家庭医学，计算机科学与工程系， 传播部和社会工作学院。该中心还桥梁UW的许多 资源：Comotion（UW的卫生技术创新中心），转化健康研究所 AIMS中心（UW实施和协作护理培训中心）科学（UW CTSA）， 以及WWAMI-RIGION实践研究网络（WPRN，一组初级保健实践小组 通过华盛顿州，怀俄明州，阿拉斯加，蒙大拿州和爱达荷州，促进创新社区 - 基于研究）。行政核心将用作中心核之间的通信中心，我们两个 咨询委员会，并将监督R03级别概念研究证明的招标和选择。 方法核心（MC）将为项目提供研究基础架构。每个项目都将使用我们的发现， 设计，建立和测试框架以解决临床能力，干预可用性和干预措施 可持续性。 MC还将从这些项目中编译数据，以创建EBPI目标的类型和 EBPI修改的矩阵将通过我们的UW内外的其他研究人员共享 在线研究社区。研究项目将收集结果的共同核心，以确定影响 修改EBPI目标，以临床医生的质量提供护理和患者报告的结果。第一个R34 通过设计和建立智能导师系统来提高EPBI能力的项目建议 基于自适应培训。第二个R34项目将与WPRN合作，以简化解决问题的问题 治疗（PST），使用以用户为中心的设计原理。第三个R34项目将与华盛顿合作 行为健康整合计划（BHIP）开发电子健康记录的行为 健康模块和注册表，以支持在初级保健中提供PST的持续临床技能。这三个 项目和未来R03将测试实施成果的效果修改目标（培训的时间， 临床技能漂移），系统可用性，EBPI系统Burnen，系统可接受性和患者报告的结果。