Pilot Testing of an E-Learning Strategy for Housing First Implementation

住房优先实施电子学习策略试点

• 批准号: 8858607
• 负责人: Dennis Paul Watson
• 金额: $ 20.49万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8858607
• 关键词: Address; Affect; Alcohol or Other Drugs use; Complex; Data; Development; Diagnosis; Diffuse; E-learning; Education; Effectiveness; Evaluation; Evidence based practice; Experimental Designs; Goals; Guidelines; Health; Homelessness; Housing; Individual; Intervention; Knowledge; Lead; Measurement; Measures; Methods; Modeling; Organizational Change; Outcome; Pilot Projects; Prevention; Procedures; Process; Protocols documentation; Provider; Public Health; Research; Research Personnel; Research Project Grants; Research Training; Resources; Review Literature; Sampling; Study models; Substance abuse problem; System; Technology; Telecommunications; Testing; Time; Training; Training Programs; United States; United States Substance Abuse and Mental Health Services Administration; Work; base; cost effective; design; evidence base; improved; instrument; interest; programs; quality assurance; severe mental illness; substance abuse treatment; success; supported housing; theories; tool

DESCRIPTION (provided by applicant): There is currently a lack of knowledge regarding effective implementation strategies for evidence-based practices (EBPs) for substance abuse treatment and prevention. The Housing First Technical Assistance and Training program (HFTAT) is an implementation strategy for an EBP known as the Housing First Model (HFM). The HFM is an approach to housing the chronically homeless that has been demonstrated to lead to a number of improved substance use outcomes, but has proven difficult to implement in many instances due to its complexity. While an initial evaluation and quality assurance work related to the HFTAT has demonstrated its effectiveness as an implementation strategy, the face-to-face format in which its content is delivered requires a large amount of time and resources, which limits its attractiveness to organizations seeking to implement the HFM. This study has three aims. Aim 1 is to adapt the HFTAT to be delivered over a distance, thus requiring less time and resources for organizations to utilize. The adaptation process will be guided by existing empirical knowledge regarding effective implementation practices, HFM fidelity measures, and theory and best practices from the field of education. We will conduct an alpha test of the adapted HFTAT among a sample of housing practitioners. Data collected for the alpha test will be primarily qualitative, and findings will guide refinement of the implementation strategy. Aim 2 is to develop an instrument to measure structural-level factors affecting HFM implementation. We will conduct a literature review of existing implementation and HFM studies to identify items to include in this measurement tool. Aim 3 is to conduct a pilot study to assess the feasibility for a larger study that will test the HFTAT's effectiveness as an implementation strategy. We will employ a quasi- experimental, mixed methods design to collect data related to training and implementation outcomes from four organizations. The larger study that will result from this project will test the utility of different HFM implementation strategiesto affect change at the program-, staff-, and consumer-levels. Both of these projects will increase the limited scientific knowledge regarding implementation strategies for evidence-based substance abuse practices, and knowledge acquired through this study can potentially be applied to other efforts to develop and test similar implementation strategies. Additionally, development of an evidence-based HFM implementation strategy will be of interest to a wide range of stakeholders given that the model has been placed at the center of national and local strategies for addressing homelessness.

描述（由申请人提供）：目前缺乏关于药物滥用治疗和预防循证实践（EBP）的有效实施策略的知识。住房优先技术援助和培训计划 (HFTAT) 是称为住房优先模式 (HFM) 的 EBP 实施策略。 HFM 是一种为长期无家可归者提供住房的方法，已被证明可以改善药物使用结果，但由于其复杂性，在许多情况下难以实施。虽然与 HFTAT 相关的初步评估和质量保证工作已证明其作为实施策略的有效性，但其内容交付的面对面形式需要大量时间和资源，这限制了其对寻求帮助的组织的吸引力。实施 HFM。这项研究有三个目的。目标 1 是使 HFTAT 适应远距离交付，从而减少组织使用的时间和资源。适应过程将以有关有效实施实践、HFM 保真度措施以及教育领域理论和最佳实践的现有经验知识为指导。我们将在住房从业人员样本中对改编后的 HFTAT 进行 alpha 测试。阿尔法测试收集的数据主要是定性的，调查结果将指导实施策略的完善。目标 2 是开发一种工具来衡量影响 HFM 实施的结构层面因素。我们将对现有的实施和 HFM 研究进行文献综述，以确定要包含在该测量工具中的项目。目标 3 是进行一项试点研究，以评估进行更大规模研究的可行性，该研究将测试 HFTAT 作为实施策略的有效性。我们将采用准实验的混合方法设计来收集与四个组织的培训和实施结果相关的数据。该项目将进行更大规模的研究，测试不同 HFM 实施策略对项目、员工和消费者层面变革的影响的效用。这两个项目都将增加关于基于证据的药物滥用实践实施策略的有限科学知识，通过本研究获得的知识有可能应用于其他努力，以制定和测试类似的实施策略。此外，鉴于该模型已被置于解决无家可归问题的国家和地方战略的中心，因此制定基于证据的 HFM 实施战略将引起广泛的利益相关者的兴趣。