Interagency Collaboration to Implement Effective Behavioral Interventions

机构间合作实施有效的行为干预措施

• 批准号: 9131425
• 负责人: Rogerio M. Pinto
• 金额: $ 35.76万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9131425
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adopted; Adoption; Affect; Behavior Therapy; Behavioral; Centers for Disease Control and Prevention (U.S.); Child Welfare; Collaborations; Communication; Data; Decision Making; Development; Diffusion; Diffusion of Innovation; E-learning; Education; Epidemic; Evaluation; Future; Goals; HIV; HIV Infections; Individual; Infection; Intention; Intervention; Interview; Knowledge; Measurable; Measures; Methods; National Institute of Mental Health; New York; Outcome; Ownership; Palliative Care Nursing; Policies; Policy Maker; Process; Professional counselor; Provider; Public Health; Recruitment Activity; Reporting; Research; Research Personnel; Resources; Risk; Sampling; Science; Services; System; Testing; Time; Training; Work; base; behavior change; cost; cost effectiveness; evidence base; flexibility; follow-up; improved; innovation; neglect; prevention service; programs; scale up; theories

DESCRIPTION (provided by applicant): Policymakers, researchers and the public have called for interagency collaboration - service providers' mutual referrals, information sharing, service evaluation and outcome dissemination. Interagency collaboration improves communication between counselors, program workers, educators, and service coordinators, thus improving integration of services and overall cost effectiveness. To advance HIV-prevention practice, we must examine interagency collaboration impact on providers' delivery of CDC's Diffusion of Effective Behavioral Interventions (DEBIs). Cross-sectional research shows negative associations between providers' perceived lack of agency resources and DEBI implementation, but positive associations between interagency collaboration and implementation. Cross-sectional data limit our understanding of temporal associations between these variables. The study of interagency collaboration has been neglected as a strategy to improve DEBI implementation. We propose the first longitudinal, mixed method study to examine the impact of interagency collaboration on providers' delivery of DEBIs. This study is grounded in diffusion of innovations, institutional and behavioral theories. Providers (n=350) recruited from 30 agencies will provide baseline before receiving training and Web-based education about interagency collaboration. A 12-month follow-up will capture immediate changes in providers' intentions to deliver DEBIs, and a 30-month follow-up will capture changes in DEBI implementation. The study will identify predictors of interagency collaboration changes and examine associations between these changes and providers' intentions and the number of DEBIs they implement over time. Qualitative data will be collected after both follow-ups to establish additional barriers to implementation and how providers overcome these barriers. This study has significant public health impact by informing future structural interventions to promote interagency collaboration. Knowing how interagency collaboration influences DEBI implementation, policy makers can intervene across HIV-prevention delivery systems. The knowledge produced by studying DEBI implementation further informs implementation of other evidence-based methods - e.g., HIV rapid testing - shown to slow HIV spread. Improving DEBI implementation will increase the proportion of consumers receiving science-based HIV prevention.

描述（由申请人提供）：政策制定者、研究人员和公众呼吁机构间合作——服务提供者的相互推荐、信息共享、服务评估和结果传播。机构间协作改善了辅导员、项目工作人员、教育工作者和服务协调员之间的沟通，从而提高了服务的整合和整体成本效益。为了推进艾滋病毒预防实践，我们必须研究机构间合作对提供者提供 CDC 有效行为干预措施 (DEBI) 的影响。横断面研究表明，提供商认为缺乏机构资源与 DEBI 实施之间存在负相关关系，但机构间协作与实施之间存在正相关关系。横截面数据限制了我们对这些变量之间时间关联的理解。机构间协作的研究作为改善 DEBI 实施的策略而被忽视。我们提出第一个纵向、混合方法研究，以检验机构间合作对提供商交付 DEBI 的影响。这项研究以创新、制度和行为理论的传播为基础。从 30 个机构招募的提供者 (n=350) 将在接受有关机构间协作的培训和基于网络的教育之前提供基线。 12 个月的后续行动将捕捉提供商提供 DEBI 意图的立即变化，30 个月的后续行动将捕捉 DEBI 实施的变化。该研究将确定机构间合作变化的预测因素，并检查这些变化与提供商的意图以及他们随时间推移实施的 DEBI 数量之间的关联。两次后续行动后将收集定性数据，以确定实施的额外障碍以及提供商如何克服这些障碍。这项研究通过为未来的结构性干预措施提供信息以促进机构间合作，对公共卫生产生了重大影响。了解机构间合作如何影响 DEBI 实施后，政策制定者可以干预艾滋病毒预防服务系统。通过研究 DEBI 实施产生的知识进一步为其他循证方法的实施提供信息 - 例如 HIV 快速检测 - 已证明可以减缓 HIV 传播。改善 DEBI 实施将增加接受基于科学的艾滋病毒预防的消费者比例。