Using community-based participatory research and qualitative methods to evaluate

使用基于社区的参与性研究和定性方法进行评估

• 批准号: 7940939
• 负责人: STEPHEN S LEFF
• 金额: $ 19.69万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-27 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7940939
• 关键词: Action Research; Address; Adherence; Administrator; Agreement; Area; Attention; Behavior; Belief; Characteristics; Child; Clinical; Clinical Trials; Communities; Community based prevention; Competence; Complex; Data; Development; Dimensions; Discipline; Effectiveness; Evaluation; Evaluation Research; Family; Feedback; Focus Groups; Funding; Future; Goals; Individual; Interdisciplinary Study; Intervention; Intervention Studies; Interview; Journals; Life; Literature; Location; Measures; Methodology; Methods; Modeling; Monitor; Outcome; Parents; Participant; Philadelphia; Prevention program; Principal Investigator; Procedures; Process; Provider; Psychiatry; Psychology; Publishing; Qualitative Methods; Qualitative Research; Randomized Controlled Trials; Recording of previous events; Recreation; Relative (related person); Research; Research Personnel; Research Project Grants; Safety; Schools; Series; Structure; System; Testing; Therapeutic; Time; Trust; United States National Institutes of Health; Work; Youth; after-school program; anger management; base; community based participatory research; empowerment; expectation; high risk; improved; innovation; insight; member; neglect; novel; programs; public health relevance; success; therapy design; therapy development; violence prevention

DESCRIPTION (provided by applicant): Although researchers have long recognized the importance of developing and evaluating interventions, the monitoring of the implementation process, program integrity, has often been neglected in favor of evaluating program outcomes. In fact, a recent review found that less 4% of randomized control trials published in six leading psychology and psychiatry journals adequately addressed treatment integrity (Perepletchikova et al., 2007). Further, very few studies have examined the relation between program integrity and actual outcomes (Dane & Schneider, 1998) despite the belief that programs implemented with higher levels of integrity should be associated with positive effects. Better understanding what factors contribute to the quality of intervention implementation are extremely important in identifying components of interventions that are critical for success and for monitoring the feasibility and cultural sensitivity of intervention delivery. With funding from NIH the Principal Investigator has developed a school-based integrity monitoring system through a participatory action research model, whereby best-practice, empirically-based strategies were adapted by obtaining key stakeholder feedback and input. This partnership-based research effort has resulted in an integrity monitoring observation system that assesses both therapist adherence and some aspects of the quality of intervention delivery (e.g., therapist competence and participant engagement). However, the current proposal seeks to extend this research by using a series of qualitative research strategies (e.g., focus groups, semi-structured interviews) to better understand additional understudied factors that may contribute to quality intervention delivery (e.g., therapeutic alliance, the therapist's ability to address important cultural issues) within the context of two community-based violence prevention programs being conducted within urban afterschool venues. In addition, we will also preliminarily evaluate how these factors may facilitate or hinder program success. PUBLIC HEALTH RELEVANCE (provided by applicant): Developing and implementing empirically-based and culturally-responsive violence prevention programs within urban after-school settings has the potential to positively impact a number of high risk youth and families. However, researchers and community members need to collaborate on the use of novel methods for better understanding the complex mix of factors that impact the quality of intervention delivery. Results from our study will be useful in uncovering how empirically-based intervention strategies can be optimally effective when conducted in an engaging and culturally-responsive manner.

描述（由申请人提供）：尽管研究人员早已认识到制定和评估干预措施的重要性，但为了评估计划结果，对实施过程和计划完整性的监控往往被忽视。事实上，最近的一项审查发现，在六种领先的心理学和精神病学期刊上发表的随机对照试验中，只有不到 4% 充分讨论了治疗的完整性（Perepletchikova 等，2007）。此外，很少有研究考察项目完整性和实际结果之间的关系（Dane & Schneider，1998），尽管人们相信以更高水平的完整性实施的项目应该与积极的效果相关。更好地了解哪些因素有助于干预措施实施的质量，对于确定对成功至关重要的干预措施组成部分以及监测干预措施实施的可行性和文化敏感性极其重要。 在 NIH 的资助下，首席研究员通过参与性行动研究模型开发了一个以学校为基础的诚信监测系统，通过获取关键利益相关者的反馈和意见，采用最佳实践、基于经验的策略。这种基于伙伴关系的研究工作产生了一个完整性监测观察系统，该系统评估治疗师的依从性和干预实施质量的某些方面（例如治疗师的能力和参与者的参与度）。然而，当前的提案旨在通过使用一系列定性研究策略（例如，焦点小组、半结构化访谈）来扩展这项研究，以更好地了解可能有助于高质量干预实施的其他未充分研究的因素（例如，治疗联盟、治疗师的在城市课后场所开展的两个基于社区的暴力预防项目的背景下，解决重要文化问题的能力）。此外，我们还将初步评估这些因素如何促进或阻碍项目的成功。 公共卫生相关性（由申请人提供）：在城市课外环境中制定和实施基于经验和文化响应的暴力预防计划有可能对许多高风险青少年和家庭产生积极影响。然而，研究人员和社区成员需要合作使用新方法，以更好地理解影响干预实施质量的复杂因素。我们的研究结果将有助于揭示以经验为基础的干预策略在以一种参与性和文化响应的方式进行时如何才能达到最佳效果。