Preventing Substance Use Among Youth: Behavioral and Economic Impact of Enhanced Implementation Strategies for Communities

防止青少年吸毒：加强社区实施策略的行为和经济影响

• 批准号: 10217509
• 负责人: Andria B Eisman
• 金额: $ 12.47万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-15 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10217509
• 关键词: Address; Behavioral; Clinical; Communities; Economic Factors; Educational workshop; Ensure; Evidence based program; Face; Fostering; Foundations; Goals; Intervention; Intervention Studies; Investments; Knowledge; Mentors; Mentorship; Methods; Michigan; Outcome; Pilot Projects; Population; Prevention program; Program Development; Program Effectiveness; Public Health; Research; Resources; Retrospective Studies; Schools; Training; Translational Research; Translations; Universities; Youth; adolescent alcohol, tobacco and other drug use; adolescent substance use; alcohol, tobacco, and other drug use; base; behavioral economics; behavioral outcome; community setting; compare effectiveness; cost; cost effective; cost effectiveness; cost estimate; economic evaluation; economic impact; economic implication; evidence base; implementation research; implementation science; implementation strategy; improved; innovation; meetings; prevent; prevent ATOD use; programs; research to practice; skills; skills training; substance use prevention; theories; therapy development

Quality implementation of evidence-based programs (EBPs) in community settings for youth is critical for re- ducing the burden of alcohol, tobacco and other drug use (ATOD) and its consequences. EBPs delivered in schools are an efficient way to reach large populations of young people, including those underserved by other settings, and reduce and prevent ATOD use. Yet, youth rarely receive EBPs as intended in community set- tings, including schools. Research is needed that applies implementation theories and frameworks to better understand factors related to program delivery, approaches to enhancing quality delivery through implementa- tion strategies, and the economic implications of these strategies in school settings. This training and research plan will prepare Dr. Eisman to become an independent scholar in implementing ATOD programs for youth in community settings. To address these challenges, Dr. Eisman, with the guidance of her dedicated mentorship team and institutional resources at the University of Michigan, will engage in activities, including coursework, workshops, meetings and mentored research, to achieve the following training goals: 1) Create expertise in implementation science; 2) Become proficient in economic evaluation of implementation; 3) Develop skills to foster effective community-engaged research. Dr. Eisman's long-term goal is to reduce ATOD use and its con- sequences among youth through facilitating effective delivery of EBPs in community settings. The plan in- cludes the following specific aims: 1) Identify relevant factors associated with implementation for school-based EBPs, 2) Compare the effectiveness of two implementation strategies on implementation and behavioral (ATOD use) outcomes, and 3) Conduct economic evaluation of implementation strategies. As part of the pro- posed research, Dr. Eisman will apply the CFIR (Consolidated Framework for Implementation Research) framework to studying implementation factors for EBPs in schools; this will expand the application of CFIR and inform approaches to enhancing effective EBP delivery (e.g., implementation strategies). The proposed re- search also includes a retrospective study investigating two intensities of an evidence-based implementation strategy, Replicating Effective Programs (REP) applied in a clinical setting and a pilot study comparing two in- tensities of REP with a school-based substance use prevention program. The retrospective and pilot studies will also include economic evaluation of implementation strategies on ATOD use and implementation out- comes. The pilot will investigate feasibility, appropriateness and acceptability of using REP in a school context that will be the basis of an R01. The proposed training and research plan extends current implementation re- search to focus applying implementation theories, frameworks and strategies in other community settings (schools) and on economic evaluation of implementation strategies. The results are expected to facilitate effec- tive and efficient delivery of EBPs in diverse community settings and aid in applying evidence-based imple- mentation strategies in the school context to ultimately reduce and prevent ATOD use among youth.

在青少年社区环境中高质量实施循证计划 (EBP) 对于重新制定计划至关重要。 减少酒精、烟草和其他药物使用（ATOD）的负担及其后果。 EBP 交付于 学校是接触大量年轻人的有效途径，包括那些没有得到其他教育服务的年轻人 设置，并减少和防止 ATOD 使用。然而，青少年很少按照社区环境中的预期获得 EBP—— 廷，包括学校。需要进行研究，应用实施理论和框架来更好地 了解与计划交付相关的因素、通过实施提高交付质量的方法 化策略，以及这些策略在学校环境中的经济影响。本次培训和研究 计划将使艾斯曼博士成为一名独立学者，为青年实施 ATOD 计划 社区设置。为了应对这些挑战，艾斯曼博士在她的专业导师的指导下 密歇根大学的团队和机构资源将参与各种活动，包括课程作业、 研讨会、会议和指导研究，以实现以下培训目标： 1) 培养以下方面的专业知识 实施科学； 2）精通实施的经济评估； 3) 培养技能 促进有效的社区参与研究。艾斯曼博士的长期目标是减少 ATOD 的使用及其危害 通过促进在社区环境中有效实施 EBP，在青少年中进行序列化。该计划在—— 包括以下具体目标： 1) 确定与实施校本教育相关的相关因素 EBP，2) 比较两种实施策略在实施和行为方面的有效性 （ATOD 使用）结果，以及 3) 对实施策略进行经济评估。作为亲的一部分 提出的研究，艾斯曼博士将应用CFIR（实施研究综合框架） 研究学校 EBP 实施因素的框架；这将扩大 CFIR 的应用范围 告知加强有效 EBP 交付的方法（例如实施策略）。建议重新 搜索还包括一项回顾性研究，调查基于证据的实施的两种强度 战略、在临床环境中应用的复制有效计划（REP）以及比较两个研究的试点研究 REP 的强度与基于学校的药物使用预防计划。回顾性和试点研究 还将包括 ATOD 使用和实施结果实施战略的经济评估 来了。该试点项目将调查在学校环境中使用 REP 的可行性、适当性和可接受性 这将成为 R01 的基础。拟议的培训和研究计划扩展了当前的实施重新 寻求重点在其他社区环境中应用实施理论、框架和策略 （学校）和实施策略的经济评估。预计结果将有助于有效 在不同的社区环境中积极有效地提供 EBP，并帮助应用基于证据的实施方案 在学校环境中制定心理策略，最终减少和防止青少年使用 ATOD。