Interagency Collaboration to Implement Effective Behavioral Interventions - DEBIs

机构间协作实施有效的行为干预措施 - DEBI

• 批准号: 8847399
• 负责人: Rogerio M. Pinto
• 金额: $ 29.09万
• 依托单位: COLUMBIA UNIV NEW YORK MORNINGSIDE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-17 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8847399
• 关键词: AIDS prevention; AIDS/HIV problem; Address; Adopted; Adoption; Affect; Behavior Therapy; Behavioral; Centers for Disease Control and Prevention (U.S.); Child Welfare; Collaborations; Communication; Data; Decision Making; Development; Diffusion; Diffusion of Innovation; E-learning; Education; Epidemic; Evaluation; Future; Goals; HIV; HIV Infections; Individual; Infection; Intention; Intervention; Interview; Knowledge; Measurable; Measures; Methods; National Institute of Mental Health; New York; Outcome; Ownership; Palliative Care Nursing; Policies; Policy Maker; Process; Professional counselor; Provider; Public Health; Recruitment Activity; Reporting; Research; Research Personnel; Resources; Risk; Sampling; Science; Services; System; Testing; Time; Training; Work; base; behavior change; cost; cost effectiveness; evidence base; flexibility; follow-up; improved; innovation; neglect; prevention service; programs; scale up; theories

DESCRIPTION (provided by applicant): Policymakers, researchers and the public have called for interagency collaboration - service providers' mutual referrals, information sharing, service evaluation and outcome dissemination. Interagency collaboration improves communication between counselors, program workers, educators, and service coordinators, thus improving integration of services and overall cost effectiveness. To advance HIV-prevention practice, we must examine interagency collaboration impact on providers' delivery of CDC's Diffusion of Effective Behavioral Interventions (DEBIs). Cross-sectional research shows negative associations between providers' perceived lack of agency resources and DEBI implementation, but positive associations between interagency collaboration and implementation. Cross-sectional data limit our understanding of temporal associations between these variables. The study of interagency collaboration has been neglected as a strategy to improve DEBI implementation. We propose the first longitudinal, mixed method study to examine the impact of interagency collaboration on providers' delivery of DEBIs. This study is grounded in diffusion of innovations, institutional and behavioral theories. Providers (n=350) recruited from 30 agencies will provide baseline before receiving training and Web-based education about interagency collaboration. A 12-month follow-up will capture immediate changes in providers' intentions to deliver DEBIs, and a 30-month follow-up will capture changes in DEBI implementation. The study will identify predictors of interagency collaboration changes and examine associations between these changes and providers' intentions and the number of DEBIs they implement over time. Qualitative data will be collected after both follow-ups to establish additional barriers to implementation and how providers overcome these barriers. This study has significant public health impact by informing future structural interventions to promote interagency collaboration. Knowing how interagency collaboration influences DEBI implementation, policy makers can intervene across HIV-prevention delivery systems. The knowledge produced by studying DEBI implementation further informs implementation of other evidence-based methods - e.g., HIV rapid testing - shown to slow HIV spread. Improving DEBI implementation will increase the proportion of consumers receiving science-based HIV prevention.

描述（由申请人提供）：政策制定者，研究人员和公众呼吁进行机构间协作 - 服务提供商的相互推荐，信息共享，服务评估和结果传播。机构间协作改善了辅导员，计划工作者，教育工作者和服务协调员之间的沟通，从而改善了服务的整合和整体成本效益。为了推进预防艾滋病毒的实践，我们必须研究机构间协作对提供商的交付有效行为干预措施（DEBIS）的扩散的影响。横断面研究表明，提供者认为缺乏代理资源和DEBI实施之间的负面关联，但机构间协作与实施之间的积极关联。横截面数据限制了我们对这些变量之间时间关联的理解。对机构间协作的研究已被忽略为改善DEBI实施的策略。我们提出了第一项纵向混合方法研究，以研究机构间协作对提供商DeBis提供的影响。这项研究基于创新，制度和行为理论的扩散。从30个机构招募的提供者（n = 350）将在接受有关机构间协作的培训和基于Web的教育之前提供基线。为期12个月的随访将立即捕捉提供者提供DEBIS的意图的立即变化，而30个月的随访将捕捉DEBI实施的变化。该研究将确定机构间协作变化的预测指标，并检查这些变化与提供者的意图以及它们随着时间的推移实施的DEBIS数量。两次随访后将收集定性数据，以建立实施的额外障碍以及提供者如何克服这些障碍。这项研究通过告知未来的结构干预措施以促进机构间合作，从而产生了重大的公共卫生影响。知道机构间协作如何影响DEBI实施，政策制定者可以在HIV预防递送系统中进行干预。通过研究DEBI实施而产生的知识进一步告知其他基于证据的方法的实施，例如HIV快速测试 - 显示出慢慢的HIV蔓延。改善DEBI实施将增加接受基于科学艾滋病毒的艾滋病毒的消费者的比例。