Moving Research to Practice for Child Health

将研究转化为儿童健康实践

基本信息

批准号：
8757205
负责人：
Michael Silverstein
金额：
$ 17.63万
依托单位：
BOSTON MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-08-20 至 2019-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8757205
关键词：
Address Administrator Adopted Adoption Award Behavior Boston Case Manager Case Study Child Child Development Child health care Clinical Trials Design Communities Community Hospitals Development Plans Developmental Disabilities Dimensions Discipline Distal Early Intervention Education Effectiveness Environment Evidence based intervention Evidence based practice Faculty Failure Family Fellowship Five-Year Plans Funding Generations Goals Head Start Program Health Health Services Research Healthcare Healthcare Systems Hospitals Individual Institute of Medicine (U.S.)Institutes Intervention Interview Learning Light Link Longitudinal Studies Low income Maternal and Child Health Mental Health Mentors Modeling Mothers National Institute of Child Health and Human Development Neonatal Intensive Care Units Nursery Schools Organizational Change Outcome Participant Patient-Focused Outcomes Performance Premature Infant Prevention strategy Problem Solving Process Program Development Provider Publications Publishing Quality of Care Relative (related person)Reporting Research Research Design Research Personnel Science Seminal Series Site Staging Structure System Testing Time Universities Work Writing base behavior change behavioral health career career development depression prevention design dissemination research effectiveness trial efficacy testing efficacy trial health care delivery high risk implementation research implementation science improved innovation insight intervention program maternal depression meetings prevent programs public health relevance randomized trial research to practice screening skills theories therapy design uptake

项目摘要

DESCRIPTION (provided by applicant): Since the Institute of Medicine's seminal 2001 publication, Crossing the Quality Chasm, many have written about the 'research-practice gap' - whereby efficacious health innovations consistently fail to be adopted within real world practice settings. Addressing this gap is particularly important in the realm of maternal-child health, where implementing evidence-based practice has been more elusive than in other fields. The purpose of this K24 mid-career award is to apply the principles of dissemination and implementation science to family-based mental health, and to promote the adoption and spread of evidence-based interventions for maternal depression. Over the past nine years, Dr. Silverstein has developed and demonstrated the efficacy of Problem Solving Education (PSE) as a depression prevention strategy for low-income mothers. This K24 outlines a five year plan, whereby Dr. Silverstein will learn the theory and practice of dissemination and implementation science; conduct new research that embeds early implementation studies within a series of ongoing, R01- funded trials of PSE; and expand the reach and scope of his mentoring capacity. Dr. Silverstein's K24 career development activities include structured meetings with a team of experts in the fields of dissemination and implementation science, applied health services research, and child development; a two-year 'fellowship' with the Institute for Healthcare Improvement; and participation in didactic courses focusing on organizational behavior and innovation spread. This career development plan comes at a critical time in the course of Dr. Silverstein's research trajectory. Within the timeframe of the proposed K24, he will complete three depression prevention trials in diverse community-based and hospital settings. This presents a unique opportunity to compare the capacity of each setting to support essential program processes necessary for PSE's implementation and sustainability. The proposed K24 research plan includes 1) a Failure Modes and Effects Analysis to identify performance gaps in PSE's implementation across study settings; 2) a series of qualitative interviews with stakeholders in each setting to provide insight into barriers and facilitators to PSE's implementation; and 3) a pilot test of an implementation strategy to promote fidelity to the PSE model in the neonatal intensive care unit - the site of a recently NICHD-funded multisite trial of PSE. Lastly, Dr. Silverstein will leverage his K24 research plans to expand the scope and reach of his mentoring capacity. His specific mentoring objectives are to assemble interdisciplinary mentoring teams with other researchers across the Boston University campus to guide junior investigators in conducting their work; expand the scope of his mentoring content to encompass dissemination and implementation research; and expand the reach of his mentoring to accommodate additional postdoctoral and junior faculty mentees. Dr. Silverstein's ultimate goal is to conduct - and to guide junior investigators in conducting - research that leads to the sustainable implementation of effective, generalizable programs for children and families.

描述（由申请人提供）：由于医学研究所的开创性2001年出版物跨越了质量的鸿沟，因此许多人写了关于“研究实践差距”的文章 - 从而有效的健康创新始终在现实世界实践环境中始终被采用。解决这一差距在孕产妇健康领域尤为重要，在母亲健康的境界中，实施循证实践比其他领域更难以捉摸。这项K24中期奖的目的是将传播和实施科学的原则应用于基于家庭的心理健康，并促进基于证据的孕产妇抑郁症的采用和传播。在过去的九年中，Silverstein博士开发并证明了解决问题教育（PSE）作为低收入母亲的抑郁症策略的功效。该K24概述了一个五年的计划，西尔弗斯坦博士将学习传播和实施科学的理论和实践；进行新的研究，将早期实施研究嵌入一系列正在进行的R01资助的PSE试验中；并扩大他的指导能力的影响力和范围。 Silverstein博士的K24职业发展活动包括与传播和实施科学，应用健康服务研究和儿童发展领域的专家团队的结构化会议；与医疗保健改善研究所的“奖学金”为期两年；并参加着专注于组织行为和创新传播的教学课程。在西尔弗斯坦博士的研究轨迹过程中，这项职业发展计划是在一个关键的时刻。在拟议的K24的时间范围内，他将在不同的社区和医院环境中完成三项预防抑郁症试验。这是一个独特的机会，可以比较每种设置的能力，以支持PSE实施和可持续性所必需的基本程序流程。拟议的K24研究计划包括1）跨研究环境中PSE实施中PSE实施中的性能差异的失败模式和效果分析； 2）在每种环境中对利益相关者进行的一系列定性访谈，以洞悉PSE实施的障碍和促进者； 3）对新生儿重症监护室中PSE模型的实施策略的试点测试，这是最近由NICHD资助的PSE多站点试验的地点。最后，Silverstein博士将利用他的K24研究计划来扩大其指导能力的范围和范围。他的具体指导目标是与波士顿大学校园的其他研究人员组成跨学科的指导团队，以指导初级调查人员进行工作；扩大他的指导内容范围，以涵盖传播和实施研究；并扩大他的指导范围，以容纳其他博士后和初级教师。 Silverstein博士的最终目标是进行 - 并指导初级研究人员进行研究，从而导致可持续实施针对儿童和家庭的有效，可概括的计划。