Implementation and Translation Research Project Core

实施和翻译研究项目核心

基本信息

批准号：
10696068
负责人：
Faye S Taxman
金额：
$ 40.27万
依托单位：
GEORGE MASON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-06-15 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10696068
关键词：
Adoption Affect Area Attitude Behavioral Client Clinic Clinical Communication Communities Community Healthcare Consolidated Framework for Implementation Research Criminal Justice Data Databases Diffusion Dissemination and Implementation Dose Educational workshop Effectiveness Elements Event Evidence based treatment Exploration, Preparation, Implementation, and Sustainment Feedback Goals HIV Health Health system Influentials Intention Intervention Investigational Therapies Investments Justice Knowledge Longitudinal Studies Maintenance Measures Methods Modality Modeling National Institute of Drug Abuse Outcome Measure Participant Patients Policies Process Production Prospective Studies Quality of life Quasi-experiment Questionnaires Randomized Reach, Effectiveness, Adoption, Implementation, and Maintenance Reaction Research Research Methodology Research Project Grants Safety Sampling Shapes Source Surveys System Techniques Testing Time Training Translating Translation Process Translational Research Translations United States National Institutes of Health United States Substance Abuse and Mental Health Services Administration Universities Visualization Wisconsin Work addiction arm behavioral health care outcomes comparative effectiveness cost design effectiveness study effectiveness testing evidence base experience health communication implementation evaluation implementation intervention implementation outcomes implementation research implementation science implementation strategy implementation study improved instrument intervention cost medication for opioid use disorder offender opioid use disorder organizational readiness pilot test practice setting product development programs rearrest recruit research and development skills sound symposium tool trial planning uptake webinar

项目摘要

The Implementation and Translational Research (I/Trans) Core of the Mason Coordination and Translation Center (MCTC) will study the effectiveness of Dissemination and Implementation (D/I) strategies to facilitate use and uptake of JCOIN scientific findings into widespread practice in criminal justice (CJ) and health settings. The CJ system, just as clinical settings, experiences a large gap between the development of research evidence and actual adoption into practice. With few rigorous, prospective studies examining mechanisms of implementation strategies in CJ settings, the time is now to examine mechanisms of D/I strategies to advance the adoption, implementation, and maintenance of behavioral health evidence-informed practice, treatments, and policy in CJ health. The I/Trans Core, led by Drs. Faye Taxman (George Mason University [Mason]) and Todd Molfenter (University of Wisconsin-Madison, NIATx), with health communications scholar Dr. Xiaoquan Zhao (Mason) will be theoretically grounded in the Exploration, Preparation, Implementation, Sustain (EPIS) and CJ Evidence-based Interagency Implementation Model (CJ-IIM), using Re-AIM and the HIV Cascade to measure impact. The goal is to test implementation mechanisms of action to better understand effective D/I strategies that affect the effectiveness of JCOIN scientific messages, and adoption and effective use of evidence-based treatments and practices. One large RCT trial is planned for Aim One to determine the optimal approach to low cost interventions of coaching and Extension for Community Healthcare Outcomes (ECHO) model in 44 settings that work with CJ-OUD clients. Aim Two is devoted to advancing the materials used to communicate JCOIN findings by systematically assessing what sources, channels, and messages used by the Dissemination and Engagement Stakeholder (D/SE) Core in routine trainings, workshops, presentations, webinars, and other events are effective. This will entail exploring issues related to message appeal, credible sources, appropriate communication channels, and audience-specific framing production modalities. A longitudinal feedback questionnaire of participants at D/SE events will be used to assess how the material was received, knowledge gained, and likely action using the Perceived Argument Strength Scale and Behavioral Intention Scales. Aim Three will conduct up to three low-cost trials each year, with Steering Committee and NIDA approval, to test key D/I strategies and actionable messages that stakeholders use to make practice changes. Examples of possible D/I strategies include message effectiveness for different audiences, tools to build champions, mediums to build constituent confidence in scientific evidence, tools to assess and use implementation drivers, and techniques to better use academic-practitioner partnerships. JCOIN provides opportunities for researching content and mediums for diffusion of scientific findings. I/Trans will use these studies to advance a core set of translational and diffusion principles. The implementation science field emphasizes the importance of identifying mechanisms of implementation (i.e., the experimental therapeutics of implementation science) which this Core will address.

梅森协调和转化研究（I/Trans）核心翻译中心 (MCTC) 将研究传播和实施 (D/I) 策略的有效性促进 JCOIN 科学发现在刑事司法 (CJ) 和健康领域的广泛实践中的使用和吸收设置。 CJ系统与临床环境一样，与研究的发展之间存在着巨大的差距。证据和实际采用付诸实践。很少有严格的前瞻性研究来检验其机制 CJ环境中的实施战略，现在是时候检查D/I战略的机制以推进采用、实施和维持行为健康循证实践、治疗、和 CJ 健康政策。 I/Trans 核心，由博士领导。 Faye Taxman（乔治梅森大学 [梅森]）和 Todd Molfenter（威斯康星大学麦迪逊分校，NIATx）与健康传播学者晓泉博士赵（梅森）的理论基础是探索、准备、实施、维持（EPIS）和 CJ 循证机构间实施模型 (CJ-IIM)，使用 Re-AIM 和 HIV Cascade 来衡量影响。目标是测试行动的实施机制，以更好地了解有效的 D/I 策略，影响 JCOIN 科学信息的有效性以及基于证据的采用和有效使用治疗和实践。计划针对 Aim One 进行一项大型随机对照试验，以确定降低低血压的最佳方法 44 种环境中的辅导和社区医疗保健成果扩展 (ECHO) 模型的成本干预与 CJ-OUD 客户合作。目标二致力于改进用于传播 JCOIN 的材料通过系统地评估传播和传播所使用的来源、渠道和信息来得出结论日常培训、研讨会、演示、网络研讨会和其他活动中的利益相关者参与 (D/SE) 核心是有效的。这将需要探索与信息吸引力、可靠来源、适当的信息相关的问题。沟通渠道和针对特定受众的框架制作方式。纵向反馈 D/SE 活动参与者的调查问卷将用于评估材料的接收方式、知识使用感知论证强度量表和行为意图量表获得的结果以及可能采取的行动。目的经指导委员会和 NIDA 批准，其中三个每年将进行最多 3 次低成本试验，以测试关键利益相关者用来进行实践改变的 D/I 策略和可操作的消息。可能的例子 D/I 策略包括针对不同受众的信息有效性、打造冠军的工具、打造的媒介选民对科学证据、评估和使用实施驱动因素的工具以及技术的信心更好地利用学术与实践者的伙伴关系。 JCOIN 提供研究内容和传播科学发现的媒介。 I/Trans 将利用这些研究来推进一套核心的转化和扩散原理。实施科学领域强调识别机制的重要性本核心将解决的实施问题（即实施科学的实验疗法）。