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.

项目概要/摘要 该提案是对 PAR-16-455 的回应，旨在测试凭经验得出的实施的影响 策略——在现实条件下和跨多个儿童服务系统——成功收养和 维持两个解决青少年药物滥用问题的循证计划：治疗福斯特 俄勒冈州护理中心（TFCO；以前称为多维治疗寄养）和多维家庭治疗 （MDFT），两者均由 NIDA 资助开发，本研究方法均采用“基于技术的方法”。 “利用以前的数据重点开发和测试 8- 分阶段实施完成阶段 (SIC) 工具——衡量实施进度的指标 参与（第 1 阶段）到能力发展（第 8 阶段）——SIC 辅导的随机评估 提议的战略（SIC-CS）研究活动包括将 SIC 扩展到维持阶段和 测试 SIC-CS 以支持采用新的循证计划。 SIC 之前的研究结果表明其作为实施保真度衡量标准的潜在效用。 该提案的总体目标是评估实施保真度（忠实于 实施过程）与干预保真度（对临床干预的保真度）可以增加 新的组织站点不仅成功采用计划而且开发基础设施的概率 为了确保其能够持续，将使用成本来检查成本和资源分配的模式。 实施新战略 (COINS) 成本映射工具是 SIC 的辅助工具，用于评估资源使用情况 影响计划的可持续性。基于网络的 SIC 和 COINS 工具提供有关站点的反馈。 相对于其他成功网站的实施行为，将在当前研究中用作 SIC-CS 的 TFCO 和 MDFT 供应商将接受培训，将 SIC 辅导融入到他们现有的辅导中。 随机接收 SIC-CS 数据和反馈的新采用站点的活动将被暂停。 从随机到标准（STAND）咨询的地点，它是在快速审核和反馈系统内进行的。 促进接收综合实施和干预保真度反馈作为其一部分的网站 与接受标准支持的网站相比，技术援助更有可能制定可持续的计划。 研究目标包括以下具体目标： (a) 评估 SIC-CS 对计划结果的影响 采用和维持，(b) 扩展 SIC 以包括维持的衡量，以及 (c) 检查成本 这种数据驱动的方法最有可能产生可持续的项目。 有潜力帮助他们实施针对青少年物质的可持续循证计划 如果成功，该研究将对组织产生重大影响。 采取新的计划，并有可能通过增加 针对代价高昂的公共卫生问题提供基于证据的计划。