Mississippi TRIALS Research Center

密西西比试验研究中心

• 批准号: 9098665
• 负责人: Angela A Robertson
• 金额: $ 51.31万
• 依托单位: MISSISSIPPI STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-15 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9098665
• 关键词: AIDS prevention; Adolescent; Adopted; Adoption; Alcohol or Other Drugs use; Attitude; Client; Cognitive Therapy; Communities; Development; Diffusion; Disadvantaged; Drug Courts; Effectiveness; Enrollment; Evaluation; Evaluation Reports; Evidence based practice; Evidence based program; Family; Feedback; Funding; Funding Mechanisms; Goals; Grant; HIV; HIV/STD; Health Personnel; Human immunodeficiency virus test; Intervention; Justice; Knowledge; Leadership; Manuals; Mental Health; Methods; Mississippi; Modeling; Organizational Change; Outcome; Outpatients; Performance; Pharmacotherapy; Prevention program; Preventive Intervention; Process; Program Evaluation; Public Sector; Randomized; Registries; Research; Research Personnel; Resources; Services; Site; Stage Grouping; Staging; Statistical Models; Substance abuse problem; Supervision; System; Teenagers; Test Result; Testing; Texas; Training; U-Series Cooperative Agreements; Universities; Youth; base; community based treatment; cost; cost effectiveness; court; evidence base; experience; family support; implementation research; implementation science; juvenile delinquent; juvenile justice system; motivational enhancement therapy; peer; programs; routine practice; substance abuse treatment; support network; treatment as usual; treatment program

Evidence-based practices (EBPs) are not widely used by drug treatment providers. The goal of this Research Center application for the TRIALS Cooperative Agreement funding mechanism is to promote the adoption and routine practice of two drug treatment EBPs in outpatient settings for juvenile offenders in drug court programs in Mississippi. Drug treatment providers already educate clients about HIV and make referrals for HIV testing. We will also promote the integration of an evidence-based HIV prevention intervention with adolescent drug treatment services. To attain this goal, two state-level agencies, juvenile justice and mental health, collaborated in the development of the proposed research concept. Drawing on implementation frameworks that view organizational change as taking place in stages, requiring intentional and sustained effort to occur, we take a stage-based approach in which different implementation strategies are employed at each stage of the implementation process. Based on our HIV prevention experience with juvenile offenders, our knowledge of the public sector treatment system in Mississippi, and the types of drug treatment interventions desired by youth court judges, we selected the 12 session version of Motivational Enhancement Therapy combined with Cognitive Behavioral Therapy (MET/CBT12), the Family Support Network (FSN) intervention and Becoming a Responsible Teen (BART) HIV/STD prevention program as the EBPs to be implemented. To maximize the likelihood that juvenile drug court programs and treatment providers will participate throughout the 5-year study and will not only implement, but sustain the use of these EBPs after grant funding is withdrawn, we propose to develop a collaborative partnership with each juvenile drug court program and to facilitate local implementation planning groups (stage 1), provide training, coaching and performance feedback to treatment providers (stages 2 & 3), and provide site-specific information to drug court program stakeholders on service delivery, youth outcomes, costs and cost effectiveness (stage 4). We plan to use mixed methods for examining contextual, organizational, and other factors hypothesized to influence implementation and to use various statistical approaches to test a different hypothesized model for each stage of the implementation process. By tracking the progress of drug court programs across all stages of the implementation process and delineating the implementation facilitators and barriers, our research concept will contribute to implementation science. The proposed project has the potential to make a significant impact on the diffusion of EBPs in Mississippi as youth court judges will want to adopt adolescent drug treatment and HIV prevention interventions tried and found effective by their peers. Furthermore, results of implementation research conducted in Mississippi have implications for EBP implementation in other resource-poor settings.

循证实践（EBP）并未被药物治疗提供者广泛使用。该研究中心申请合作协议资金机制的目的是在密西西比州的毒品法庭计划中促进在门诊环境中为少年罪犯提供两种药物治疗EBP的采用和常规实践。药物治疗提供者已经向客户提供有关艾滋病毒的教育，并为艾滋病毒测试进行推荐。我们还将促进基于证据的HIV预防干预与青少年药物治疗服务的整合。为了实现这一目标，两个州级机构，即少年正义与心理健康，在拟议的研究概念的发展中合作。利用实施框架将组织变革视为阶段发生的，需要故意和持续的努力进行，我们采用了一种基于阶段的方法，在该方法中，在实施过程的每个阶段都采用了不同的实施策略。根据我们对少年罪犯的艾滋病毒预防经验，我们对密西西比州公共部门治疗系统的了解以及青年法院法官期望的药物治疗干预措施的类型，我们选择了12个会话版本的动机增强疗法与认知行为疗法相结合的认知行为疗法（MET/CBT12）（MET/CBT12），成为家庭支持网络（FSN）的eb（fsn）hective and the Family Supportion（FSN）HART（BART）HART HART（BART）HIV HART（BART）hiv the BART HART（BART） 实施的。 To maximize the likelihood that juvenile drug court programs and treatment providers will participate throughout the 5-year study and will not only implement, but sustain the use of these EBPs after grant funding is withdrawn, we propose to develop a collaborative partnership with each juvenile drug court program and to facilitate local implementation planning groups (stage 1), provide training, coaching and performance feedback to treatment providers (stages 2 & 3), and provide site-specific information to drug法院计划利益相关者在服务提供，青年成果，成本和成本效益方面（第4阶段）。我们计划使用混合方法来检查假设的上下文，组织和其他因素，以影响实施，并使用各种统计方法来测试实施过程每个阶段的不同假设模型。通过跟踪在实施过程的所有阶段的药物法院计划的进步并描述实施促进者和障碍，我们的研究概念将有助于实施科学。拟议的项目有可能对密西西比州的EBP扩散产生重大影响，因为青年法院法官希望采用青少年药物治疗和预防艾滋病毒预防干预措施，并被同龄人有效。此外，密西西比州进行的实施研究结果对其他资源贫乏的设置中的EBP实施有影响。