Comparing two federal financing strategies on penetration and sustainment of the adolescent community reinforcement approach for substance use disorders: protocol for a mixed-method study.
Comparing two federal financing strategies on penetration and sustainment of the adolescent community reinforcement approach for substance use disorders: protocol for a mixed-method study.
复制标题
DOI：
10.1186/s43058-022-00298-y
复制
发表时间：
2022-05-13
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
持续、广泛地提供循证实践（EBP）对于解决青少年物质使用障碍（SUD）的公共卫生和社会影响至关重要。仍然特别需要确定有效的筹资战略，确保和引导财政资源，以支持与环境业务方案的实施和维持有关的费用。该方案描述了一个新的项目，比较了两种类型的美国联邦赠款机制（即，这是一种融资战略），通过以组织为重点或以州为重点的资金赠款，支持实施针对未成年人发展的青少年社区强化办法。探索-准备-实施-维持（EPIS）框架将指导我们的研究目标，假设和措施的选择。我们将采用纵向混合方法（即，网络调查、半结构化访谈、文件审查、焦点小组、行政数据）、准实验设计，以比较赠款类型的结果，并检查理论上知情的调解人和主持人。目标1将检查A-CRA认证的合格临床医生的比例，这些临床医生具有足够的保真度水平（即，（三）在资金到位后。目标2将使用治疗提供和监督活动的10个要素综合衡量标准，审查A-CRA在供资后5年内的可持续性。我们将整合从以州为重点的赠款接受者（19个州的约85个组织）收集的新数据与以前从以组织为重点的赠款接受者收集的数据（Hunter等人，实施Sci 9：104，2014）（26个州的82个组织）进行分析。我们还将使用敏感性分析来描述在我们的准实验设计中观察到的和未观察到的长期趋势的影响。最后，目标3将使用比较案例研究方法（整合不同的定量和定性措施），以确定和传播政策影响的作用，国家和组织为重点的联邦赠款，努力促进青少年可持续发展EBP的实施和维持。拟议的研究将对行为健康管理人员、政策制定者、实施专家和公众产生直接的实际影响。它将提供新的知识，可以直接告知融资策略，以支持大规模，持续的EBP交付行为健康，同时通过使用新的方法来研究融资策略和维持推进实施科学。在线版本包含补充材料，可通过10.1186/s43058-022-00298-y获得。
Sustained, widespread availability of evidence-based practices (EBPs) is essential to address the public health and societal impacts of adolescent substance use disorders (SUD). There remains a particularly significant need to identify effective financing strategies, which secure and direct financial resources to support the costs associated with EBP implementation and sustainment. This protocol describes a new project comparing two types of U.S. federal grant mechanisms (i.e., a type of financing strategy), which supported the implementation of the Adolescent Community Reinforcement Approach (A-CRA) EBP for SUD, through either organization-focused or state-focused granting of funds. The Exploration-Preparation-Implementation-Sustainment (EPIS) framework will guide our study aims, hypotheses, and selection of measures. We will employ a longitudinal, mixed-method (i.e., web surveys, semi-structured interviews, document review, focus groups, administrative data), quasi-experimental design to compare the grant types’ outcomes and examine theoretically informed mediators and moderators. Aim 1 will examine the proportion of eligible clinicians certified in A-CRA with adequate fidelity levels (i.e., penetration outcomes) at the end of grant funding. Aim 2 will examine the sustainment of A-CRA up to 5 years post-funding, using a 10-element composite measure of treatment delivery and supervision activities. We will integrate the new data collected from state-focused grant recipients (~85 organizations in 19 states) with previously collected data from organization-focused grant recipients (Hunter et al., Implement Sci 9:104, 2014) (82 organizations in 26 states) for analysis. We will also use sensitivity analyses to characterize the effects of observed and unobserved secular trends in our quasi-experimental design. Finally, aim 3 will use comparative case study methods (integrating diverse quantitative and qualitative measures) to identify and disseminate policy implications about the roles of state- and organization-focused federal grants in efforts to promote adolescent SUD EBP implementation and sustainment. The proposed research will have direct, practical implications for behavioral health administrators, policymakers, implementation experts, and the public. It will offer new knowledge that can directly inform financing strategies to support large-scale, sustained EBP delivery in behavioral health—while advancing implementation science through the use of novel methods to study financing strategies and sustainment. The online version contains supplementary material available at 10.1186/s43058-022-00298-y.
登录
查看更多内容
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
3.4
作者：
Campos-Melady, Marita;Smith, Jane Ellen;Godley, Mark D.
通讯作者：
Godley, Mark D.
影响因子：
2.8
作者：
Amaya-Jackson, Lisa;Hagele, Dana;Socolar, Rebecca
通讯作者：
Socolar, Rebecca
影响因子：
3.9
作者：
通讯作者：
--
影响因子：
1.7
作者：
Edwards, Jessica M.;Stein-Seroussi, Al;Zhang, Lei
通讯作者：
Zhang, Lei