Refining and Pilot Testing a Decision Support Intervention to Facilitate Adoption of Evidence-Based Programs to Improve Parent and Child Mental Health

完善和试点测试决策支持干预措施，以促进采用循证计划来改善父母和儿童的心理健康

基本信息

批准号：
10869705
负责人：
Gracelyn Cruden
金额：
$ 18.13万
依托单位：
CHESTNUT HEALTH SYSTEMS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-01 至 2027-07-31
项目状态：
未结题

项目摘要

PROJECT SUMMARY Over 268,000 children entered foster care in the United States during fiscal year 2019 despite the existence of evidence-based programs (EBPs) that can successfully prevent child maltreatment. Evidence-informed decision-making (EIDM) can lead to the adoption of EBPs that are likely to be successfully implemented and result in the intended impacts. Despite the existence of EBPs to prevent child maltreatment, EBPs are underutilized in child welfare. Proposed study activities in this career development award respond to NIMH Objective 4.2.c by developing, refining, and piloting an implementation strategy to increase EIDM when decision makers are adopting EBPs to improve mental health and child welfare services. Activities leverage an unprecedented federal policy opportunity to prevent child maltreatment and test implementation decision support strategies in the real world: The Family First Prevention Services Act (FFPSA). FFPSA aims to prevent child maltreatment and foster care entries by providing federal funding to states for implementing EBPs that support child and parent mental health, reduce parental substance misuse, and improve parenting skills. This project engages decision makers from four states implementing FFPSA to extend the candidate’s prior work developing an innovative EIDM tool to support EBP adoption: Optimizing Responses through Collaborative Assessments (ORCA). ORCA is based in multi-criteria decision analysis, which provides a structured approach to reach quality, evidence-informed group decisions. Given that group decisions with tools such as ORCA benefit from facilitation, this study will develop and test two facilitation modalities to accompany ORCA: automated (ORCA-A) and live (ORCA-L). In addition, a web-based platform to host the ORCA tool and the ORCA-A facilitation strategy will be developed with decision makers’ input (Aim 1). The impact of ORCA-A and ORCA-L on quality of decision experiences, processes, and outcomes then will be tested (Aim 2). Implementation process quality for each EBP adopted with ORCA-A and ORCA-L will be monitored (Aim 3). To enhance her strong foundation in the implementation, decision, and systems sciences, the candidate, Dr. Gracelyn Cruden, will leverage these research activities and training activities to expand her skillset to include: leading implementation studies in service systems, employing a continuum of methods for engaging community members, leveraging interdisciplinary approaches for eliciting members’ preferences, conducting advanced simulation model testing, and using advanced statistics for multilevel, longitudinal studies. Cruden will be mentored by an outstanding team led by Primary Mentor Dr. Lisa Saldana, who is accompanied by Mentors Dr. Jason Chapman, Dr. Lindsey Zimmerman, Dr. R. Christopher Sheldrick, Dr. Jonathan Purtle, and Consultants Dr. David Vanness, and Ms. Clare Anderson. Upon completion of these activities, Cruden will be equipped to lead an interdisciplinary research team that will support quality mental health and child welfare services by increasing decision makers’ use of EIDM.

项目概要 2019 财年，美国仍有超过 268,000 名儿童进入寄养家庭，尽管存在可以成功防止虐待儿童的循证计划 (EBP)。决策（EIDM）可以导致采用可能成功实施的 EBP 尽管存在 EBP 来防止虐待儿童，但 EBP 仍然无法实现预期的效果。该职业发展奖中拟议的研究活动响应 NIMH。目标 4.2.c 通过制定、完善和试点实施策略来增加 EIDM 决策者正在采用 EBP 来改善心理健康和儿童福利服务。防止虐待儿童的前所未有的联邦政策机会并测试实施决定现实世界中的支持策略：《家庭优先预防服务法》(FFPSA) 旨在预防。通过向各州提供联邦资金以实施 EBP，儿童虐待和寄养条目支持儿童和父母的心理健康，减少父母滥用药物，并提高育儿技能。该项目吸引了来自实施 FFPSA 的四个州的决策者参与，以扩展候选人之前的工作开发创新的 EIDM 工具来支持 EBP 的采用：通过协作优化响应评估 (ORCA) 基于多标准决策分析，它提供了一种结构化方法。鉴于使用 ORCA 等工具进行小组决策，以达成高质量、基于证据的小组决策。为了从促进中受益，本研究将开发和测试两种伴随 ORCA 的促进模式：自动化 (ORCA-A) 和实时 (ORCA-L) 此外，还有一个基于 Web 的平台来托管 ORCA 工具和 ORCA-A 促进战略将根据决策者的意见制定（目标 1）。然后将测试关于决策经验、流程和结果质量的 ORCA-L（目标 2）。将监控 ORCA-A 和 ORCA-L 采用的每个 EBP 的实施过程质量（目标 3）。为了增强她在实施、决策和系统科学方面的坚实基础，候选人博士。 Gracelyn Cruden 将利用这些研究活动和培训活动来扩展她的技能，包括：领导服务系统的实施研究，采用连续的方法来吸引社区成员，利用跨学科方法来征求成员的偏好，进行先进的模拟模型测试，并使用先进的统计进行多层次、纵向研究。将由首席导师 Lisa Saldana 博士领导的优秀团队进行指导，并由导师 Jason Chapman 博士、Lindsey Zimmerman 博士、R. Christopher Sheldrick 博士、Jonathan Purtle 博士和顾问 David Vanness 博士和 Clare Anderson 女士完成这些活动后，Cruden 将被任命为顾问。有能力领导一个跨学科研究团队，支持高质量的心理健康和儿童福利通过增加决策者对 EIDM 的使用来提供服务。