An Internet Infrastructure for Quality Implementation of the Family Check-Up

高质量实施家庭体检的互联网基础设施

• 批准号: 7832490
• 负责人: ELIZABETH A STORMSHAK
• 金额: $ 48.97万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7832490
• 关键词: Address; Adolescent; Adopted; Adoption; Affect; Alcohol or Other Drugs use; Area; Centers for Disease Control and Prevention (U.S.); Characteristics; Child; Classification; Clinical; Communities; Complement; Country; Data; Decision Making; Development; Educational Curriculum; Educational workshop; Effectiveness; Enrollment; Evidence based practice; Family; Family Process; Funding; Goals; Health Personnel; Hour; Human Resources; Individual; Internet; Intervention; Intervention Trial; Link; Measures; Mental Health; Mental Health Services; Modeling; Nature; Online Systems; Outcome; Parenting behavior; Pathway interactions; Portal System; Prevention; Principal Investigator; Problem behavior; Process; Protocols documentation; Provider; Public Health; Public Policy; Randomized Controlled Clinical Trials; Recovery; Research; Research Infrastructure; Resources; Schools; Science; Scientist; Secure; Services; Support System; Supported Employment; System; Testing; Training; Training Support; Translating; Translational Research; Translations; United States National Institutes of Health; Update; Videotape; Work; base; checkup examination; clinical practice; community setting; depression; design; dissemination research; dosage; experience; family management; high risk; improved; instrument; interest; meetings; programs; response; skills; therapy design; uptake; user-friendly; web site

DESCRIPTION (provided by applicant): This application addresses broad Challenge Area 15 Translational Science and specific Challenge Topic 15- DA-102: NIH Partners in Research Program: Pathways for Translational Research. The goal of the proposed research is to improve the implementation effectiveness of the Family Check-Up, an ecologically based child and family intervention designed to reduce substance use, problem behavior, and coercive family interactions. This goal will be accomplished by enhancing the FCU protocol through the development of an Internet-based technological and media support system. The FCU builds on 15 years of programmatic research that began with the design and testing of the Adolescent Transitions Program parenting curriculum and has culminated in a general ecological approach to child and family intervention (Dishion & Kavanagh, 2003; Dishion & Stormshak, 2007). In this research we plan to collaborate with mental health providers and schools to improve their services for families by designing and implementing a technologically enhanced and updated version of the FCU model. This project will complement four individual, currently funded randomized trials that are testing the FCU model in community systems. For this application, 50 practitioners will receive a 4-day workshop about the FCU and training in implementing the model at their community agency. Measures will be collected from practitioners that assess fidelity of implementation with real families and practitioner skills at baseline, after the training, and at postassessment. All practitioners will receive intensive training and support in the FCU model that include access to the new Internet service infrastructure, which will provide support for all facets of the intervention model most relevant to mental health service settings and schools. Of particular interest is increasing the potential for therapists to focus on family management skills known to increase successful child adjustment and to decrease the coercive family processes associated with substance use. Outcomes of interest will include successful therapist adoption of the FCU model, fidelity of implementation, increased family enrollment and retention in the program, usage of the web site, and community uptake of the FCU model. The long-term goal of this project is to create a sustainable web site and Internet support system for the FCU that will increase dissemination and uptake of this evidence-based practice in real-world communities. Consistent with the goals of the Recovery Act, this research will support the employment of current staff at the Child and Family Center and several new staff who will develop the web site and analyze outcomes. This application addresses broad Challenge Area 15 Translational Science and specific Challenge Topic 15- DA-102: NIH Partners in Research Program: Pathways for Translational Research. The goal of this research is to develop a web-based infrastructure and video-support system that will improve the uptake, fidelity, and effectiveness of the Family Check-Up when implemented by real-world, community agencies that provide services for children and families. This research will build upon four separate randomized trials to create the web-based system, which will facilitate dissemination of the research in communities across the country. The project has significant relevance to public health and public policy in that it will allow us to create a means to support wide-scale distribution and uptake of evidenced-based practices by community partners.

描述（由申请人提供）：此申请应解决广泛的挑战领域15转化科学和特定挑战主题15- DA-102：NIH研究计划中的NIH合作伙伴：转化研究途径。拟议研究的目的是提高家庭检查的实施效率，这是一种基于生态的儿童和家庭干预措施，旨在减少物质使用，问题行为和强制性家庭互动。通过开发基于Internet的技术和媒体支持系统来增强FCU协议来实现此目标。 FCU建立在15年的编程研究的基础上，始于对青少年过渡计划育儿课程的设计和测试，并以对儿童和家庭干预的一般生态学方法达到顶峰（Dishion＆Kavanagh，2003; Dishion＆Stormshak，2007年）。在这项研究中，我们计划与心理健康提供者和学校合作，通过设计和实施FCU模型的技术增强和更新版本，以改善家庭的服务。该项目将补充四个个人，目前正在资助的随机试验，这些试验正在测试社区系统中的FCU模型。对于此应用程序，有50名从业人员将获得有关FCU和在其社区机构实施模型的培训的为期4天的研讨会。将从从业人员那里收集措施，这些措施在基线，培训后和评估后评估具有真实家庭和从业人员技能的实施忠诚度。所有从业人员将在FCU模型中获得深入的培训和支持，其中包括访问新的Internet服务基础架构，该基础设施将为与心理健康服务环境和学校最相关的干预模型的所有方面提供支持。特别有趣的是，增加了治疗师专注于已知的家庭管理技能，以增加成功的儿童调整并减少与药物使用相关的强制家庭过程。感兴趣的成果将包括成功采用FCU模型，实施的保真度，增加的家庭入学率和保留率，网站的使用以及FCU模型的社区吸收。该项目的长期目标是为FCU创建可持续的网站和互联网支持系统，以增加现实世界中这种循证实践的传播和采用。与《恢复法》的目标一致，这项研究将支持儿童和家庭中心现任员工的雇用，以及将开发网站并分析结果的几名新员工。该申请应对广泛的挑战领域15转化科学和特定挑战主题15- DA-102：研究计划中的NIH合作伙伴：转化研究途径。这项研究的目的是开发一种基于网络的基础架构和视频支持系统，该系统将改善由现实世界实施时家庭检查的吸收，忠诚度和有效性，即为儿童和家庭提供服务的社区机构。这项研究将基于四个独立的随机试验，以创建基于Web的系统，这将有助于全国各地社区的研究传播。该项目与公共卫生和公共政策具有很大的相关性，因为它将使我们能够创建一种支持社区合作伙伴基于证据的实践的大规模分配和采用的方法。