Enhancing the Impact of Evidence-Based Prevention for Youth: The Rapid Adaption to Prevent Drug Use (RAPD) Implementation Strategy
增强青少年循证预防的影响:快速适应预防吸毒 (RAPD) 实施策略
基本信息
- 批准号:10673882
- 负责人:
- 金额:$ 23.1万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-08-01 至 2025-07-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAdolescentAdoptedAttentionCOVID-19CommunitiesCost AnalysisCosts and BenefitsDataDisparityDrug usageEarly InterventionEducational CurriculumEffectivenessEquityEventEvidence based interventionFamilyFoundationsFutureGoalsHealthHealth behaviorHealth educationHealth systemHealth trendsHybridsInequityInfrastructureInterventionLow incomeMethodsMichiganModelingMorbidity - disease rateOutcomePharmaceutical PreparationsPhasePopulationPovertyPreventionProcessPublic HealthRecording of previous eventsReportingResearchResearch ProposalsResourcesRiskSchoolsShapesSocietiesStudentsSubstance Use DisorderSupport SystemSystemTestingTrainingTraumaUpdateYouthacademic standardcomparativecoronavirus diseasecostcost effectivenessdesigndrug abuse preventiondrug misusedrug standardeconomic evaluationevidence baseimplementation evaluationimplementation outcomesimplementation scienceimplementation strategyimprovedinnovationmarginalizationmortalitymultiple drug usenovelnovel therapeuticspilot testprogramsrapid testrapid testingresponserisk perceptionskillsstakeholder perspectivesstemteachertrendvaping
项目摘要
Drug use trends change rapidly among youth, leaving intervention experts struggling to respond to emerging
drugs promptly. We have a critical need to advance implementation strategies to optimize system
responsiveness to these emerging issues. COVID-19 has increased the urgency for implementation science to
facilitate rapid, equitable responses using existing treatment and prevention efforts. Tier 1 evidence-based
interventions (EBIs), such as the Michigan Model for HealthTM (MMH) lend themselves to addressing emerging
trends. Our overall objectives are to 1) Improve the responsiveness of school-based EBIs in addressing urgent
issues and 2) Find ways to support teachers in implementing updated EBIs, attending to unique considerations
of low-resource schools. We will use After Action Review (AAR), to guide the systematic design of RAPD,
Rapid Adaptation to Prevent Drug use, a novel bundle of implementation strategies. AAR is a reflective
process focused on improving public health systems’ rapid response capacity. Key phases of AAR include: 1)
Objective observation; 2) Analyze gaps/best practices, 3) Identify and test suitable implementation strategies to
improve responsiveness to the next event (e.g., COVID-related drug use escalation). Sustainable strategies
are central to achieving our objectives. Thus, we will also conduct a preliminary stakeholder-focused cost
analysis. The rationale for this research is that designing and testing RAPD will enhance schools’ capacity to
respond to urgent drug issues sustainably, and provide up-to-date, relevant resources for effective and
equitable prevention. The proposed research will address the following aims: Aim 1: Identify implementation
gaps and best practices in responding to urgent drug use events. We will use AAR to review the statewide
response to the vaping crisis using the MMH using rapid qualitative analysis and identify gaps to be addressed
with RAPD. Aim 2: Design and pilot test RAPD implementation and effectiveness. We will design a RAPD to
optimize responses to urgent drug use events and pilot test in schools serving low-income students to assess
equity. We will assess implementation outcomes using a convergent mixed methods design, and effectiveness
via a group RCT comparing RAPD and standard MMH implementation. Aim 3: Assess costs and benefits of
RAPD from multiple stakeholder perspectives. We will use an exploratory sequential mixed methods design to
understand and identify key costs and outcomes from key stakeholder perspectives. We will develop a costing
guide and conduct a preliminary cost analysis to inform an economic evaluation for a larger trial. The proposed
research is innovative because to date implementation strategies have not been designed to support systems
in responding to changing public health trends with attention to equity. In addition, this study focuses on
implementation strategies to reduce the health impact of emerging drugs and provide an infrastructure to make
future adaptations that can be applied in other contexts. The proposed research is significant because it will
advance applying implementation science to achieve access, cost and equity for drug use prevention.
青少年吸毒趋势迅速变化,导致干预专家难以应对新出现的药物使用趋势
我们有一个关键的药物需要推进实施策略来优化系统。
对这些新出现的问题的响应增加了实施科学的紧迫性。
利用现有的第一级循证治疗和预防工作促进快速、公平的应对。
密歇根健康模式 (MMH) 等干预措施 (EBI) 有助于解决新兴问题
我们的总体目标是 1) 提高校本 EBI 解决紧急问题的响应能力。
2) 找到支持教师实施更新的 EBI 的方法,并考虑到独特的因素
我们将使用行动后审查(AAR)来指导 RAPD 的系统设计,
快速适应预防吸毒是一套新颖的 AAR 实施策略,是一种反思性的策略。
侧重于提高公共卫生系统快速反应能力的流程包括:1)
客观观察;2) 分析差距/最佳实践,3) 确定并测试合适的实施策略
提高对下一个事件的响应能力(例如,与新冠病毒相关的药物使用升级)。
对于实现我们的目标至关重要,因此,我们还将进行初步的以利益相关者为中心的成本评估。
这项研究的基本原理是设计和测试 RAPD 将提高学校的能力。
可持续地应对紧迫的毒品问题,并提供最新的相关资源,以有效和
拟议的研究将实现以下目标: 目标 1:确定实施情况。
我们将使用 AAR 来审查检察官。
使用 MMH 进行快速定性分析来应对电子烟危机,并确定需要解决的差距
目标 2:设计并试点测试 RAPD 的实施和有效性。
优化对紧急吸毒事件的应对措施,并在为低收入学生服务的学校进行试点测试以评估
我们将使用收敛混合方法设计和有效性来评估成果实施情况。
通过比较 RAPD 和标准 MMH 实施的小组 RCT 目标 3:评估成本和收益。
我们将使用探索性顺序混合方法设计来从多个利益相关者的角度进行 RAPD。
从主要利益相关者的角度理解并确定主要成本和结果。
指导并进行初步成本分析,为更大规模试验的经济评估提供信息。
研究具有创新性,因为迄今为止实施策略尚未设计用于支持系统
此外,本研究还关注公平性,以应对不断变化的公共卫生趋势。
减少新兴药物对健康影响的实施战略并提供基础设施
拟议的研究意义重大,因为它将在未来得到应用。
科学实施,以实现预防吸毒的提前获取、成本和应用公平。
项目成果
期刊论文数量(0)
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Andria B Eisman其他文献
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{{ truncateString('Andria B Eisman', 18)}}的其他基金
Enhancing the Impact of Evidence-Based Prevention for Youth: The Rapid Adaption to Prevent Drug Use (RAPD) Implementation Strategy
增强青少年循证预防的影响:快速适应预防吸毒 (RAPD) 实施策略
- 批准号:
10510068 - 财政年份:2022
- 资助金额:
$ 23.1万 - 项目类别:
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:
10551851 - 财政年份:2019
- 资助金额:
$ 23.1万 - 项目类别:
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:
9524666 - 财政年份:2019
- 资助金额:
$ 23.1万 - 项目类别:
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 - 财政年份:2019
- 资助金额:
$ 23.1万 - 项目类别:
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:
10250564 - 财政年份:2019
- 资助金额:
$ 23.1万 - 项目类别:
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:
10343853 - 财政年份:2019
- 资助金额:
$ 23.1万 - 项目类别:
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