Feasibility of an Internet-Based Model for Implementation of a Prevention Program

基于互联网的预防计划实施模型的可行性

• 批准号: 8243243
• 负责人: Carol Edmisten MacKinnon-Lewis
• 金额: $ 33.53万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-02-15 至 2014-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8243243
• 关键词: Acute; Address; Adherence; African American; Alcohol consumption; Behavior; Caregivers; Characteristics; Climate; Collaborations; Collection; Communities; Community Networks; Competence; County; Development; Economics; Effectiveness; Family; Family Research; Florida; Future; Genetic Predisposition to Disease; Goals; Healthcare; Internet; Intervention; Investments; Knowledge; Lead; Life; Marijuana Smoking; Mental Depression; Methods; Minority; Mission; Modeling; Online Systems; Outcome; Participant; Pilot Projects; Prevention; Prevention program; Preventive; Preventive Intervention; Process; Protocols documentation; Public Health; Public Health Schools; Randomized; Research Personnel; Resources; Rural; Science; Self Efficacy; Services; Site; Supervision; System; Technology; Testing; Tobacco use; Training; Training Programs; Universities; Youth; adolescent alcohol; base; behavioral health; college; comparative effectiveness; cost; cost effectiveness; design; effectiveness trial; expectation; health disparity; innovation; intervention program; member; preference; programs; rural area; universal prevention

DESCRIPTION (provided by applicant): Despite huge investments in health care, barriers to the delivery and utilization of effective services often lead to limited access to preventive behavioral health programs, especially for minorities and the poor living in rural areas, resulting in health disparities for these groups, an issue relevant to NIDA's mission. The purpose of the proposed pilot study is to test the feasibility of an innovative implementation model that utilizes technology to deliver live, on-line training and TA in the dissemination of the Strong African American Families Program (SAAF), a universal preventive intervention shown to be effective in reducing rural AA youths' alcohol, tobacco and marijuana use, and addressing other challenges. Thus SAAF has the potential of making a significant public health impact on the lives of millions of AA youth and their families living in the rural south. If effective, the proposed web-based approach will facilitate dissemination and implementation of SAAF, and potentially other empirically-based preventive interventions, to rural areas where it is difficult to provide the on-site support that a web approach can deliver. The efficacy of SAAF is tied to the effectiveness of its community-based implementation system, which has hinged on the training of lay AA community members as facilitators that to date has been conducted face-to-face, which significantly limits more widespread dissemination. Therefore, the next step in developing SAAF's public health impact is to examine the feasibility of an innovative internet-based implementation model in disseminating live, on-line SAAF training and TA in a rural southern county using a two-wave pre-post design. Contingent on the findings, a randomized comparative effectiveness trial of two delivery models (internet-based; standard face-to-face) in the implementation of SAAF with families will be conducted in an RO1 application. Our specific aims are to: 1) test the feasibility of training facilitators with fidelity in the implementation o the SAAF intervention model using an internet-based approach; 2) test the feasibility that internet-based SAAF training and TA will contribute to fidelity-promoting implementer processes in the facilitators; 3) explore the extent to which facilitator characteristics impact the relationship between the team implementation climate and fidelity-promoting implementer processes; and 4) pilot methods for the collection of cost and resource information needed for implementation of SAAF-TDM to be used in future applications for the development of cost effectiveness studies. PUBLIC HEALTH RELEVANCE: Barriers to the delivery of preventive behavioral health programs often lead to disparities for minorities and the poor living in rural areas. This pilot study tests the feasibility of an innovative model that utilizes technology for the delivery of Strong African American Families (SAAF), a universal preventive intervention shown to be effective in reducing rural AA youths' alcohol, tobacco and marijuana use, and addressing other challenges. If effective, SAAF has the potential of making a significant public health impact on the lives of millions of African American youth and their families living in the rural south.

描述（由申请人提供）：尽管在医疗保健上进行了巨大投资，对有效服务的交付和利用障碍通常会导致对预防行为健康计划的机会有限，尤其是对于少数民族和农村地区的贫困人口，导致 在这些群体的健康差异方面，这是与NIDA的使命相关的问题。拟议的试点研究的目的是测试利用创新实施模型的可行性 在传播强大的非裔美国家庭计划（SAAF）中提供现场，在线培训和TA的技术，这是一种普遍的预防性干预措施，可有效减少AA青年的酒精，烟草和大麻的使用，并解决其他挑战。因此，SAAF有可能对数百万AA青年及其家庭生活在南部农村地区的生活产生重大影响。如果有效，则提出的基于Web的方法将有助于SAAF的传播和实施，以及可能基于经验的预防干预措施，以便难以提供网络方法可以提供的现场支持。 SAAF的功效与其基于社区的实施体系的有效性有关，该系统取决于培训AA社区成员，作为迄今为止已经面对面进行的促进者，这显着限制了更广泛的传播。因此，开发SAAF的公共卫生影响的下一步是研究基于Internet的创新实施模型在使用两波前邮政post设计中传播现场，在线SAAF培训和在南部乡村的TA中传播现场实施模型的可行性。取决于调查结果，将在RO1应用程序中进行两种交付模型（基于互联网的标准面对面面对面）的随机比较有效性试验。我们的具体目的是：1）测试使用基于Internet的方法在SAAF干预模型实施方面具有忠诚度的培训促进者的可行性； 2）测试基于互联网的SAAF培训和TA将有助于促进者的实施者流程的可行性； 3）探索促进者特征在多大程度上影响团队实施环境与富达促进的实施者流程之间的关系； 4）用于收集实施SAAF-TDM所需的成本和资源信息的试点方法，该方法将用于未来的应用程序开发成本效益研究。 公共卫生相关性：提供预防行为健康计划的障碍通常会导致少数民族和农村地区贫困人口的差异。这项试点研究测试了一种创新模型的可行性，该模型利用技术来提供强大的非洲裔美国家庭（SAAF），这是一种普遍的预防性干预措施，可有效减少AA青年的酒精，烟草和大麻的使用，并应对其他挑战。如果有效，SAAF有可能对数百万非裔美国人青年及其家人的生活产生重大影响。