Hybrid type 1 randomized controlled trial of a tablet-based application to improve quality of care in child mental health treatment.
Hybrid type 1 randomized controlled trial of a tablet-based application to improve quality of care in child mental health treatment.
复制标题
基于平板电脑的应用程序的混合 1 型随机对照试验，旨在提高儿童心理健康治疗的护理质量。
DOI：
10.1016/j.cct.2020.106010
复制
发表时间：
2020
影响因子：
2.2
通讯作者：
Ruggiero,KennethJ
中科院分区：
文献类型：
--
作者：
Anton,MargaretT;Ridings,LeighE;Hanson,Rochelle;Davidson,Tatiana;Saunders,Benjamin;Price,Matthew;KmettDanielson,Carla;Chu,Brian;Dismuke,ClaraE;Adams,ZacharyW;Ruggiero,KennethJ
儿童精神卫生保健的质量在社区实践环境中变化很大。可以利用基于创新技术的解决方案来提高护理质量，进而改善治疗结果。这是一份协议文件，描述了一项创新的研究设计，我们严格评估了片剂辅助干预的有效性，支持提供者和接触儿童（SPARK）。SPARK包括一系列互动游戏和活动，旨在提高提供者的忠诚度和儿童对循证心理治疗的参与度。该方法还允许我们在二十多个社区实践环境中探索技术增强干预的实施和可持续性。本文包括样本选择和招募程序的描述和理由，评估措施和方法的选择，干预的设计，以及关键结果的统计评估。该设计的新颖特点包括基于平板电脑的工具包方法，该方法对一系列儿童心理健康干预措施具有很强的适用性，并使用混合类型1的有效性-实施试验，该试验允许同时调查干预措施的有效性和实施背景。讨论了在现有精神卫生诊所实施技术增强干预的挑战，以及对未来研究和实践的影响。
The quality of child mental health care is highly variable in community practice settings. Innovative technology-based solutions may be leveraged to improve quality of care and, in turn, treatment outcomes. This is a protocol paper that describes an innovative study design in which we rigorously evaluate the effectiveness of a tablet-assisted intervention, Supporting Providers and Reaching Kids (SPARK). SPARK consists of a collection of interactive games and activities that are designed to improve provider fidelity and child engagement in evidence-based psychotherapies. The methodology also allows us to explore the implementation and sustainability of a technology-enhanced intervention in more than two dozen community practice settings. This paper includes a description and justification for sample selection and recruitment procedures, selection of assessment measures and methods, design of the intervention, and statistical evaluation of critical outcomes. Novel features of the design include the tablet-based toolkit approach that has strong applicability to a range of child mental health interventions and the use of a hybrid type 1 effectiveness-implementation trial that allows for the simultaneous investigation of the effectiveness of the intervention and the implementation context. Challenges related to the implementation of a technology-enhanced intervention in existing mental health clinics are discussed, as well as implications for future research and practice.