Behavioral Health QUERI Implementation Facilitation Training Hub

行为健康 QUERI 实施促进培训中心

• 批准号: 10308526
• 负责人: Katherine Dollar
• 金额: --
• 依托单位: CENTRAL ARKANSAS VETERANS HLTHCARE SYS
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10308526
• 关键词: Academic Detailing; Address; Adopted; Adult; Area; Clinical; Collection; Consultations; Data; Development; Diffusion; Effectiveness; Evaluation; Evidence based practice; Exercise; Feedback; Funding; Gold; Health Professional; Human Resources; Instruction; Interpersonal Relations; Knowledge; Learning; Literature; Manuals; Marketing; Mentors; Methods; Morale; Persons; Play; Primary Health Care; Problem Solving; Process; Professional Education; Promoting Action on Research Implementation in Health Services framework; Request for Proposals; Research; Research Personnel; Resources; Role; Suicide prevention; Testing; Time; Training; Training Programs; Update; Work; base; behavioral health; evidence base; evidence based guidelines; experience; implementation facilitation; improved; innovation; medication-assisted treatment; operation; opioid use disorder; programs; rapid technique; skills; systematic review; tool; uptake; virtual; virtual platform

Background/Overview: This proposal requests full, 3-year funding for the Behavioral Health (BH) QUERI Implementation Facilitation Training Hub. Implementation facilitation (IF) is a multifaceted strategy involving interactive problem-solving and support that occurs in a context of a recognized need for improvement and supportive interpersonal relationships. IF bundles an integrated set of activities to support uptake of effective practices, including but not limited to: engaging stakeholders, identifying champions, action planning, staff training, problem-solving, providing technical support, audit/feedback and marketing. An increasing volume of literature supports IF as an evidence-based strategy for implementing evidence-based practices (EBPs) and other clinical innovations. Systematic reviews have found that primary care practices were almost 3 times more likely to adopt evidence-based guidelines through use of facilitation; and multiple studies inside and outside VA show IF to be an effective strategy for implementing new clinical programs/practices. As the evidence for effectiveness of IF grows, so has the demand for IF training from VA operations leaders and research staff. Guided by the integrated–Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, BH QUERI leaders have developed substantial experience and expertise in applying and testing the impact of IF strategies to support implementation of EBPs and other clinical innovations. Over the past 8+ years, we have systematically transferred this knowledge to VACO leaders, frontline clinical managers, other QUERI/VA researchers, and non-VA researchers through development and ongoing refinement of our IF Training Program. To date, this work has been done as an ‘add-on’ to project-specific work in our QUERI programs, which we have accommodated despite limited resources because we know first-hand the value and impact of IF. Training Hub funding will allow us to expand and sustain our IF Training Program, affording us the opportunity to enhance our efforts to increase training capacity and efficiency to meet ever-increasing demand. Specific Aims and Methods: 1) Provide Implementation Facilitation (IF) training to VA and non-VA trainees to improve knowledge of and confidence in using IF to implement EBPs and other clinical innovations. Components of the 2-day in-person IF Training Program include preparatory work, didactic sessions, instruction on key IF roles/activities, interactive role-plays and group exercises. Post-training mentoring and consultation is provided to trainees, and our IF Learning Collaborative is also available to trainees for ongoing learning. 2) Conduct independent evaluation to assess impact on trainee’s IF knowledge/skills and identify training strategies/resources that work well and areas for improvement. Fundamental to our IF Training Program is an ongoing independent evaluation conducted by our South Central MIRECC partners, with rapid PDSA cycles (incorporating collection/analysis of quantitative and qualitative data) around each training for continuous quality improvement. Findings from this evaluation will directly inform incremental ‘real-time’ changes in the training program, as well as efforts to address Specific Aims 3 and 4. 3) Develop, pilot and evaluate virtual IF training components. To expand reach and impact of our IF Training program, we will continue to develop and evaluate (based on Aim 2 data) new tools/resources for providing IF training and mentoring through virtual platforms (e.g., V-Tel and online platforms). 4) Revise and update the IF training program to integrate new knowledge. In Year 3, we will revise and update the IF Training Program based on (a) results from the ongoing evaluation (Aim 2); (b) findings from applying IF in BH QUERI projects and other VA/non-VA projects/initiatives; (c) the updated IF Training Manual to be completed in Year 2 of the Training Hub as part of BH QUERI Implementation Core activities; and (d) consultation with a Healthcare Professional Education expert on best practices in adult learning.

背景/概述：该提案要求为行为健康 (BH) QUERI 提供为期 3 年的全额资助 实施促进培训中心。实施促进（IF）是一项涉及多方面的策略。 在认识到需要改进和支持的背景下进行交互式问题解决和支持 支持性人际关系。IF 捆绑了一系列综合活动来支持有效性的吸收。 实践，包括但不限于：让利益相关者参与、确定支持者、行动规划、工作人员 培训、解决问题、提供技术支持、审核/反馈和营销。 文献支持 IF 作为实施循证实践 (EBP) 的循证策略，并且 其他临床创新发现初级保健实践几乎增加了 3 倍。 可能通过利用协助以及 VA 内外的多项研究来采用基于证据的指南； 表明 IF 是实施新临床计划/实践的有效策略 作为证据。 IF 的有效性不断提高，VA 运营领导者和研究人员对 IF 培训的需求也随之增加。 以卫生服务研究实施综合促进行动 (i-PARIHS) 为指导 框架，BH QUERI 领导者在应用和测试方面积累了丰富的经验和专业知识 过去 8 年以上 IF 策略对支持 EBP 和其他临床创新实施的影响。 多年来，我们已系统地将这些知识传授给 VACO 领导者、一线临床经理和其他人员 QUERI/VA 研究人员和非 VA 研究人员通过开发和不断完善我们的 IF 迄今为止，这项工作已作为 QUERI 中特定项目工作的“附加”完成。 尽管资源有限，我们还是提供了这些计划，因为我们了解第一手的价值和 IF 培训中心资金的影响将使我们能够扩大和维持我们的 IF 培训计划，为我们提供 我们有机会加强努力，提高培训能力和效率，以满足不断增长的需求。 具体目标和方法： 1) 为 VA 和非 VA 学员提供实施促进 (IF) 培训，以提高知识水平 使用 IF 实施 EBP 和其他临床创新组件的信心和信心。 为期 2 天的现场 IF 培训计划包括准备工作、教学课程、关键 IF 指导 角色/活动、互动角色扮演和小组练习是培训后的指导和咨询。 提供给学员，我们的 IF 学习协作也可供学员持续学习。 2) 进行独立评估，评估对受训者的IF知识/技能的影响，并确定 有效的培训策略/资源以及我们 IF 的基础改进领域。 培训计划是由我们中南部 MIRECC 合作伙伴持续进行的独立评估， 围绕每个项目进行快速的 PDSA 循环（包括定量和定性数据的收集/分析） 持续质量改进的培训将直接为增量提供信息。 培训计划的“实时”变化，以及实现具体目标 3 和 4 的努力。 3) 开发、试点和评估虚拟 IF 培训组件，扩大 IF 的覆盖面和影响力。 培训计划，我们将继续开发和评估（基于目标 2 数据）新工具/资源 通过虚拟平台（例如 V-Tel 和在线平台）提供 IF 培训和指导。 4）修改和更新IF培训计划以整合新知识 在第3年，我们将修改和更新IF培训计划。 根据 (a) 持续评估（目标 2）的结果更新 IF 培训计划； 将 IF 应用于 BH QUERI 项目和其他 VA/非 VA 项目/举措 (c) 更新的 IF 培训； 作为 BH QUERI 实施核心活动的一部分，将在培训中心的第二年完成手册； (d) 向医疗保健专业教育专家咨询成人学习的最佳实践。