Improving Quality of Care in Child Mental Health Service Settings
提高儿童心理健康服务机构的护理质量
基本信息
- 批准号:9980712
- 负责人:
- 金额:$ 74.78万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-08-01 至 2024-05-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAdherenceBehavior DisordersBehavioralBenchmarkingCaregiversChildChild Mental HealthClinicClinicalCodeCognitive TherapyCommunity PracticeComplementCost SavingsDataDevelopmentDiseaseEducationEffectivenessEmotional disorderFamilyFeedbackFloridaFocus GroupsFutureHealth PersonnelHealthcareInterventionInterviewInvestmentsKnowledgeLearningLibrariesMaintenanceMediatingMediationMental DepressionMental HealthMental Health ServicesMental disordersModelingMotivationNational Institute of Mental HealthOnline SystemsOutcomeParentsPatientsPhasePilot ProjectsPost-Traumatic Stress DisordersProcessProtocols documentationProviderPsychiatric HospitalsQuality of CareRandomizedRandomized Controlled TrialsReactionRecommendationResourcesRestRuralSamplingSeriesService settingStructureSymptomsTabletsTechniquesTechnologyTestingTherapeuticTimeTrainingTraumaTreatment ProtocolsUnited States National Institutes of HealthVideo RecordingWorkYouthagedbaseblindchild mental health servicecommunity based servicecostcost effectivenesscost estimatedesigneffectiveness implementation studyeffectiveness implementation trialexperienceexternalizing behaviorfeasibility trialhealth care deliveryimprovedinformantinnovationnovelpractice settingprogramsrecruittouchscreenurban settingusability
项目摘要
PROJECT SUMMARY/ABSTRACT
Assuring children access to the highest quality mental health care is a top national priority. Yet, quality of care
continues to be highly variable in traditional service settings. Novel, scalable solutions are needed to address
modifiable quality-of-care indicators in sustainable ways. To this end, provider fidelity and children's
engagement are key correlates of clinical outcome and practical targets for intervention. There is tremendous
opportunity to address both through technology. Studies in child education show that interactive games, touch-
screen learning, and demonstration videos enhance engagement, knowledge, motivation, and learning. These
benefits also may extend to the therapeutic context, where strategic integration of technology-based activities
may enhance children's learning, strengthen the therapeutic alliance, and keep providers on protocol. We are
in the final stages of an NIMH R34 in which we piloted a patient- and provider-informed tablet-based toolkit
designed to facilitate delivery of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) – a treatment that
was selected because it addresses a wide range of symptoms using techniques shared by other treatments for
emotional and behavioral disorders. The tablet-based toolkit consists of numerous components (e.g., videos,
interactive games, drawing applications) that are designed to facilitate provider-patient interactions in a way
that enhances children's engagement and supports adherence to the treatment model. The tablet-based toolkit
was very well received by children, caregivers, and providers in our pilot work. Moreover, all benchmarks for
feasibility outlined in our NIMH R34 application were met or exceeded. We now propose to conduct a
hybrid effectiveness-implementation trial to examine the extent to which the tablet intervention may improve
fidelity, engagement, and children's mental health outcomes. We will conduct a randomized controlled trial with
120 mental health providers and 360 families in partnership with dozens of clinics in the Carolinas and Florida.
Providers will be assigned randomly to tablet-facilitated vs. standard TF-CBT. Youth aged 8-16 years with
clinically elevated symptoms of PTSD will be recruited. Baseline and 3-, 6-, 9-, and 12-month post-baseline
assessments will be conducted by independent, blind evaluators. Sessions will be videorecorded for
observational coding of engagement and fidelity by independent raters blind to study hypotheses. We will also
examine costs and conduct semi-structured interviews with families, providers, supervisors, and agency
leaders to inform future dissemination and implementation initiatives. Technology-based resources that are
scalable, easy to use, and designed for efficient integration into everyday practice may have sustained national
impact. The return on investment of these initiatives will ultimately rest on their potential to improve the spread
of best-practice treatments and the quality with which they are delivered to the children who need them.
项目摘要/摘要
确保儿童获得最高质量的精神卫生保健是全国重中之重。但是,护理质量
在传统的服务环境中,仍然是高度可变的。需要新颖的可扩展解决方案来解决
可持续方式修改的护理质量指标。为此,提供者保真度和儿童
参与是临床结果和干预实践目标的关键相关性。有很多
通过技术解决这两者的机会。儿童教育研究表明,互动游戏,触摸 -
筛选学习和演示视频可以增强参与,知识,动机和学习。这些
收益也可能扩展到治疗环境,在此基于技术活动的战略整合
可能会增强儿童的学习,增强治疗联盟,并使提供者遵守协议。我们是
在NIMH R34的最后阶段,我们试行了一个基于病人和提供商的平板电脑工具包
旨在促进以创伤为重点的认知行为疗法(TF-CBT)的送达 - 一种治疗方法
之所以选择,是因为它使用其他治疗方法共享的技术解决了广泛的症状
情绪和行为障碍。基于平板电脑的工具包由许多组件组成(例如,视频,
互动游戏,绘制应用程序),旨在以某种方式促进提供者的互动
这可以增强儿童的参与度并支持遵守治疗模型。基于平板电脑的工具包
在我们的飞行员工作中,儿童,看护人和提供者受到了很好的欢迎。而且,所有基准
在我们的NIMH R34申请中概述的可行性被满足或超过。我们现在建议进行
混合有效性实施试验,以检查片剂干预的程度
忠诚,敬业度和儿童心理健康成果。我们将与
120个心理健康提供者和360个家庭与卡罗来纳州和佛罗里达州的数十个诊所合作。
提供商将被随机分配给平板电脑易和标准TF-CBT。年龄8-16岁的青年
将招募PTSD的临床症状升高。基线和3-,6-,9-和12个月的基线
评估将由独立的盲目评估者进行。会议将进行视频记录
独立评估者对研究假设视而不见的参与和忠诚的观察编码。我们也会
检查成本并与家庭,提供者,主管和代理商进行半结构化访谈
领导者为未来的传播和实施计划提供信息。基于技术的资源
可扩展,易于使用并设计用于有效整合到每天的练习中可能会持续国家
影响。这些举措的投资回报最终将取决于他们改善利差的潜力
最佳练习治疗及其质量交付给需要他们的孩子。
项目成果
期刊论文数量(2)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
A Comparison of the Readiness of Youth Service Agencies to Implement a Technology-Based Toolkit to Support Treatment Delivery.
青年服务机构实施基于技术的工具包以支持治疗提供的准备情况比较。
- DOI:10.1007/s10597-023-01099-w
- 发表时间:2023
- 期刊:
- 影响因子:2.7
- 作者:Shanholtz,CarolineE;Ridings,LeighE;Espeleta,HannahC;Anton,MargaretT;Hanson,RochelleF;Saunders,Benjamin;Ruggiero,Kenneth;Davidson,Tatiana
- 通讯作者:Davidson,Tatiana
Leveraging Technology to Address the Quality Chasm in Children's Evidence-Based Psychotherapy.
利用技术解决儿童循证心理治疗中的质量鸿沟。
- DOI:10.1176/appi.ps.201600548
- 发表时间:2017
- 期刊:
- 影响因子:0
- 作者:Ruggiero,KennethJ;Saunders,BenjaminE;Davidson,TatianaM;LewskyCook,Danna;Hanson,Rochelle
- 通讯作者:Hanson,Rochelle
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Kenneth J Ruggiero其他文献
Kenneth J Ruggiero的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Kenneth J Ruggiero', 18)}}的其他基金
Testing a Scalable Model of Care to Improve Patients’ Access to Mental Health Services after Traumatic Injury
测试可扩展的护理模式,以改善患者在创伤后获得心理健康服务的机会
- 批准号:
10364918 - 财政年份:2022
- 资助金额:
$ 74.78万 - 项目类别:
Testing a Scalable Model of Care to Improve Patients’ Access to Mental Health Services after Traumatic Injury
测试可扩展的护理模式,以改善患者在创伤后获得心理健康服务的机会
- 批准号:
10602428 - 财政年份:2022
- 资助金额:
$ 74.78万 - 项目类别:
Whole Assessment of Trauma Recovery-2 (WATR2)
创伤恢复整体评估-2 (WATR2)
- 批准号:
9244324 - 财政年份:2016
- 资助金额:
$ 74.78万 - 项目类别:
Technology-based Tools to Enhance Quality of Care in Mental Health Treatment
基于技术的工具提高心理健康治疗的护理质量
- 批准号:
8446020 - 财政年份:2012
- 资助金额:
$ 74.78万 - 项目类别:
Technology-based Tools to Enhance Quality of Care in Mental Health Treatment
基于技术的工具提高心理健康治疗的护理质量
- 批准号:
8545899 - 财政年份:2012
- 资助金额:
$ 74.78万 - 项目类别:
PE-Web: Online Training for VA Providers in Prolonged Exposure for PTSD
PE-Web:为 VA 提供者提供长期暴露于 PTSD 的在线培训
- 批准号:
8195223 - 财政年份:2010
- 资助金额:
$ 74.78万 - 项目类别:
PE-Web: Online Training for VA Providers in Prolonged Exposure for PTSD
PE-Web:为 VA 提供者提供长期暴露于 PTSD 的在线培训
- 批准号:
7752328 - 财政年份:2009
- 资助金额:
$ 74.78万 - 项目类别:
PE-Web: Online Training for VA Providers in Prolonged Exposure for PTSD
PE-Web:为 VA 提供者提供长期暴露于 PTSD 的在线培训
- 批准号:
7893765 - 财政年份:2009
- 资助金额:
$ 74.78万 - 项目类别:
Web-based Intervention for Disaster-affected Adolescents and Families
针对受灾青少年和家庭的网络干预
- 批准号:
7689738 - 财政年份:2008
- 资助金额:
$ 74.78万 - 项目类别:
Web-based Intervention for Disaster-affected Adolescents and Families
针对受灾青少年和家庭的网络干预
- 批准号:
8081837 - 财政年份:2008
- 资助金额:
$ 74.78万 - 项目类别:
相似国自然基金
坚持还是转型?反馈驱动的创业者机会信念认知更新及响应决策机理
- 批准号:
- 批准年份:2022
- 资助金额:45 万元
- 项目类别:面上项目
坚持还是转型?反馈驱动的创业者机会信念认知更新及响应决策机理
- 批准号:72272131
- 批准年份:2022
- 资助金额:45.00 万元
- 项目类别:面上项目
不确定性下创业团队能量和抗逆力对创业坚持的权变影响研究
- 批准号:72162025
- 批准年份:2021
- 资助金额:29 万元
- 项目类别:地区科学基金项目
创造性思维中灵活性和坚持性动态交互的神经基础
- 批准号:
- 批准年份:2021
- 资助金额:30 万元
- 项目类别:青年科学基金项目
创造性思维中灵活性和坚持性动态交互的神经基础
- 批准号:32100850
- 批准年份:2021
- 资助金额:24.00 万元
- 项目类别:青年科学基金项目
相似海外基金
Biobehavioral Intervention to Reduce PTSD Symptoms After an ICD Shock
生物行为干预可减少 ICD 电击后的 PTSD 症状
- 批准号:
10722157 - 财政年份:2023
- 资助金额:
$ 74.78万 - 项目类别:
A type II hybrid implementation-effectiveness study of BECOME (BEhavioral Community-based COmbined Intervention for MEntal Health and Noncommunicable Diseases) delivered by community health workers
由社区卫生工作者开展的 BECOME(基于行为社区的心理健康和非传染性疾病联合干预措施)的 II 型混合实施效果研究
- 批准号:
10658312 - 财政年份:2023
- 资助金额:
$ 74.78万 - 项目类别:
Improving sleep and circadian functioning, daytime functioning, and well-being for midlife and older adults by improving patient memory for a transdiagnostic sleep and circadian treatment
通过改善患者对跨诊断睡眠和昼夜节律治疗的记忆,改善中年和老年人的睡眠和昼夜节律功能、日间功能和福祉
- 批准号:
10708424 - 财政年份:2023
- 资助金额:
$ 74.78万 - 项目类别:
A Training Development Plan for HIV-associated Behavioural Medicine
HIV 相关行为医学培训发展计划
- 批准号:
10688316 - 财政年份:2023
- 资助金额:
$ 74.78万 - 项目类别:
Abriendo Caminos: Engaging Latinx Communities Through Culturally Responsive Peer Delivered Motivational Interviewing
阿布里恩多·卡米诺斯(Abriendo Caminos):通过文化敏感的同伴进行励志访谈来吸引拉丁裔社区
- 批准号:
10664589 - 财政年份:2023
- 资助金额:
$ 74.78万 - 项目类别: