Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model

通过实施反馈促进维持：SIC 辅导模型

• 批准号: 9750380
• 负责人: Lisa Saldana
• 金额: $ 17.69万
• 依托单位: OREGON SOCIAL LEARNING CENTER, INC.
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-15 至 2019-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9750380
• 关键词: Achievement; Address; Adopted; Adoption; Alcohol or Other Drugs use; Alcohols; Behavior; Certification; Child; Client; Clinical; Communities; Competence; Consultations; Cost Allocation; Country; Data; Data Collection; Development; Effectiveness; Ensure; Evaluation; Evidence based practice; Evidence based program; Excision; Family psychotherapy; Feedback; Fostering; Funding; Goals; Grant; Home environment; International; Intervention; Knowledge; Measurement; Measures; Methods; Modeling; Monitor; National Institute of Drug Abuse; Online Systems; Oregon; Outcome; Pattern; Phase; Plague; Population; Prevention program; Probability; Problem behavior; Process; Program Sustainability; Property; Public Health; Randomized; Research Infrastructure; Resource Allocation; Resources; Risk; Services; Site; Standardization; System; Technology; Testing; Time; Training; United States; United States National Institutes of Health; Youth; adolescent substance abuse; adolescent substance use; base; behavior test; behavioral health intervention; child services; clinical research site; community setting; cost; cost effective; data archive; effective therapy; evidence base; experience; foster care; high risk behavior; implementation science; implementation strategy; innovation; intervention cost; intervention program; program costs; programs; prospective; quality assurance; recruit; response; substance abuse treatment; success; tool; trend; web site

PROJECT SUMMARY/ABSTRACT This proposal, in response to PAR-16-455, aims to test the impact of an empirically derived implementation strategy—under real-world conditions and across multiple child service systems—on successful adoption and sustainment of two evidence-based programs that address adolescent substance abuse: Treatment Foster Care Oregon (TFCO; formerly Multidimensional Treatment Foster Care) and Multidimensional Family Therapy (MDFT), both developed with funding from NIDA. Methods for this study utilize “technology-based approaches” for “implementing large-scale change.” Leveraging previous data focused on developing and testing the 8- staged Stages of Implementation Completion (SIC) tool—a measure of implementation progress from Engagement (Stage 1) to development of Competency (Stage 8)—a randomized evaluation of a SIC Coaching Strategy (SIC-CS) is proposed. Study activities include extending the SIC into the Sustainment Phase and testing the SIC-CS to support the adoption of new evidence-based programs. Previous findings with the SIC suggest its potential utility as a measure of implementation fidelity. The overarching goal of this proposal is to evaluate if the integration of implementation fidelity (fidelity to the implementation process) with intervention fidelity (fidelity to the clinical intervention) can increase the probability that a new organizational site not only successfully adopts a program but develops the infrastructure to ensure it can sustain. Patterns of cost and resource allocation will be examined using the Cost of Implementing New Strategies (COINS) cost mapping tool, an adjunct to the SIC, to assess how resource use impacts program sustainability. A web-based SIC and COINS tool provides feedback about a site's implementation behavior relative to other successful sites and will be used in the current study as part of the SIC-CS. Purveyors for TFCO and MDFT will be trained to integrate SIC coaching into their existing coaching activities with newly adopting sites randomized to receive the SIC-CS. SIC data and feedback will be withheld from sites randomized to Standard (STAND) Consultation. Within a rapid audit and feedback system, it is hypothesized that sites that receive integrated implementation and intervention fidelity feedback as part of their technical assistance will more likely develop sustainable programs than sites that receive standard support. Study targets include the following specific aims: (a) evaluate the effect of SIC-CS on outcomes of program adoption and sustainment, (b) extend the SIC to include measurement of sustainment, and (c) examine cost and resource patterns most likely to yield sustainable programs. This data-driven approach to guide new sites has the potential to help them to implement sustainable evidence-based programs for adolescent substance abuse and other high-risk behaviors. If successful, the study will have a significant impact for organizations adopting new programs and has the potential to have a substantial public health impact by increasing the availability of evidence-based programs for costly public health problems.

项目摘要/摘要 该提案响应于16-455 par，旨在测试经验得出的实施的影响 策略 - 在现实世界中以及多个儿童服务系统中 - 成功采用和 维持两个基于证据的计划，这些计划解决青少年滥用药物：治疗寄养 俄勒冈州护理（TFCO；以前是多维治疗寄养）和多维家庭疗法 （MDFT），均通过NIDA的资金而开发。这项研究的方法利用“基于技术的方法” 用于“实施大规模变更”。利用以前的数据着重于开发和测试8- 实施完成（SIC）工具的分阶段阶段 - 衡量实施进度 参与（第1阶段）与能力的发展（第8阶段） - 对SIC教练的随机评估 提出了策略（SIC-CS）。研究活动包括将SIC扩展到维持阶段和 测试SIC-CS以支持采用新的基于证据的计划。 SIC先前的发现表明其潜在的效用是实施忠诚度的衡量标准。这 该提案的总体目标是评估实施忠诚的整合（忠诚度 实施过程）具有干预保真度（对临床干预的保真度）可以增加 新的组织网站不仅成功适应程序，而且开发基础架构的概率 确保它可以维持。成本和资源分配的模式将使用成本进行检查 实施新策略（硬币）成本映射工具，即SIC的辅助工具，以评估资源使用方式 影响计划的可持续性。基于Web的SIC和硬币工具提供了有关网站的反馈 相对于其他成功站点的实施行为，将在当前研究中使用 sic-cs。 TFCO和MDFT的提供者将接受培训，以将SIC教练整合到现有的教练中 新采用的站点随机接收SIC-CS的活动。 SIC数据和反馈将被保留 从随机分配到标准咨询的站点。在快速审核和反馈系统中，它是 假设接受集成实施和干预忠实反馈作为其一部分的站点 与获得标准支持的网站相比，技术援助更有可能制定可持续计划。 研究目标包括以下特定目的：（a）评估SIC-CS对程序结果的影响 采用和维持，（b）扩展了SIC以包括维持量的测量，（c）检查成本 以及最有可能产生可持续计划的资源模式。这种指导新网站的数据驱动方法 有可能帮助他们为青少年底物实施可持续的循证计划 虐待和其他高风险行为。如果成功，该研究将对组织产生重大影响 采用新计划，并有可能通过增加公共卫生的影响 可用性的循证计划来解决昂贵的公共卫生问题。