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
• 负责人: Andria B Eisman
• 金额: $ 17.11万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-15 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10250564
• 关键词: Address; Behavioral; Clinical; Communities; Consolidated Framework for Implementation Research; Economic Factors; Educational workshop; Ensure; Evidence based program; Face; Fostering; Foundations; Goals; Intervention; Intervention Studies; Investments; Knowledge; Mentors; Mentorship; Methods; Michigan; Outcome; Pilot Projects; Population; Prevention program; Program Development; Program Effectiveness; Public Health; Replicating Effective Programs; Research; Resources; Retrospective Studies; Schools; Training; Translational Research; Translations; Universities; Youth; adolescent alcohol, tobacco and other drug use; adolescent substance use; alcohol, tobacco, and other drug use; base; behavioral economics; behavioral outcome; community engaged research; community setting; compare effectiveness; cost; cost effective; cost effectiveness; cost estimate; economic evaluation; economic impact; economic implication; evidence base; implementation determinants; implementation evaluation; implementation framework; implementation intervention; implementation outcomes; implementation research; implementation science; implementation strategy; improved; innovation; meetings; prevent; prevent ATOD use; programs; research to practice; skills; skills training; substance use prevention; theories; therapy development

Quality implementation of evidence-based programs (EBPs) in community settings for youth is critical for re- ducing the burden of alcohol, tobacco and other drug use (ATOD) and its consequences. EBPs delivered in schools are an efficient way to reach large populations of young people, including those underserved by other settings, and reduce and prevent ATOD use. Yet, youth rarely receive EBPs as intended in community set- tings, including schools. Research is needed that applies implementation theories and frameworks to better understand factors related to program delivery, approaches to enhancing quality delivery through implementa- tion strategies, and the economic implications of these strategies in school settings. This training and research plan will prepare Dr. Eisman to become an independent scholar in implementing ATOD programs for youth in community settings. To address these challenges, Dr. Eisman, with the guidance of her dedicated mentorship team and institutional resources at the University of Michigan, will engage in activities, including coursework, workshops, meetings and mentored research, to achieve the following training goals: 1) Create expertise in implementation science; 2) Become proficient in economic evaluation of implementation; 3) Develop skills to foster effective community-engaged research. Dr. Eisman's long-term goal is to reduce ATOD use and its con- sequences among youth through facilitating effective delivery of EBPs in community settings. The plan in- cludes the following specific aims: 1) Identify relevant factors associated with implementation for school-based EBPs, 2) Compare the effectiveness of two implementation strategies on implementation and behavioral (ATOD use) outcomes, and 3) Conduct economic evaluation of implementation strategies. As part of the pro- posed research, Dr. Eisman will apply the CFIR (Consolidated Framework for Implementation Research) framework to studying implementation factors for EBPs in schools; this will expand the application of CFIR and inform approaches to enhancing effective EBP delivery (e.g., implementation strategies). The proposed re- search also includes a retrospective study investigating two intensities of an evidence-based implementation strategy, Replicating Effective Programs (REP) applied in a clinical setting and a pilot study comparing two in- tensities of REP with a school-based substance use prevention program. The retrospective and pilot studies will also include economic evaluation of implementation strategies on ATOD use and implementation out- comes. The pilot will investigate feasibility, appropriateness and acceptability of using REP in a school context that will be the basis of an R01. The proposed training and research plan extends current implementation re- search to focus applying implementation theories, frameworks and strategies in other community settings (schools) and on economic evaluation of implementation strategies. The results are expected to facilitate effec- tive and efficient delivery of EBPs in diverse community settings and aid in applying evidence-based imple- mentation strategies in the school context to ultimately reduce and prevent ATOD use among youth.

在青年社区环境中，基于循证计划（EBP）的质量实施对于重新进行至关重要 划分酒精，烟草和其他吸毒（ATOD）及其后果的负担。 EBP交付 学校是吸引大量年轻人的有效方法，包括其他人服务不足的人 设置，并减少和防止使用ATOD。然而，青年很少收到社区套装的EBP- 包括学校，包括学校。需要研究实施理论和框架以更好的研究 了解与计划交付有关的因素，通过实施来增强质量交付的方法 - 这些策略以及这些策略在学校环境中的经济影响。这项培训和研究 计划将使Eisman博士成为在为青年实施ATOD计划的独立学者 社区设置。为了应对这些挑战，Eisman博士在她的专门指导的指导下 密歇根大学的团队和机构资源将从事包括课程的活动， 讲习班，会议和指导研究，以实现以下培训目标：1）创建专业知识 实施科学； 2）精通实施经济评估； 3）发展技能 培养有效的社区参与研究。 Eisman博士的长期目标是减少ATOD的使用及其结局 通过促进在社区环境中有效交付EBP，在青年之间进行序列。计划中的计划 Cludes以下具体目的：1）确定与基于学校的实施相关的相关因素 EBP，2）比较两种实施策略对实施和行为的有效性 （ATOD使用）结果，以及3）对实施策略进行经济评估。作为专业的一部分 提出的研究，Eisman博士将应用CFIR（用于实施研究的合并框架） 研究学校中EBP的实施因素的框架；这将扩大CFIR的应用和 告知增强有效EBP交付的方法（例如，实施策略）。拟议的重新 搜索还包括一项回顾性研究，研究了两个基于证据的实施的强度 策略，复制在临床环境中应用的有效计划（REP）和一项试点研究，以比较两个In- 销售代表的紧张局势具有基于学校的药物使用预防计划。回顾性和试点研究 还将包括对ATOD使用和实施实施策略的经济评估 - 来。飞行员将调查在学校环境中使用代表的可行性，适当性和可接受性 那将是R01的基础。拟议的培训和研究计划扩展了当前的实施 搜索以专注于应用其他社区环境中的实施理论，框架和策略 （学校）和实施策略的经济评估。结果有望促进 在不同的社区环境中进行EBP的效率和有效交付，并有助于应用基于证据 在学校背景下的策略，最终减少和防止青年人使用ATOD。