Preventing Substance Use Among Youth: Behavioral and Economic Impact of Enhanced Implementation Strategies for Communities

在社区环境中为青年提供高质量的循证方案（EBP）， 酒精、烟草和其他药物使用的负担及其后果。在下列国家交付的EBP 学校是接触大量年轻人的有效途径，包括那些其他学校服务不足的年轻人。 设置，并减少和防止ATOD使用。然而，青年人很少按社区计划接受电子商务方案- 包括学校在内。需要进行研究，将实施理论和框架应用于更好地 了解与项目交付相关的因素，通过实施提高质量交付的方法， 行动策略，以及这些策略在学校环境中的经济影响。这种训练和研究 计划将准备博士艾斯曼成为一个独立的学者在实施ATOD计划的青年， 社区设置。为了应对这些挑战，Eisman博士在她的专业指导下， 密歇根大学的团队和机构资源，将参与活动，包括课程， 讲习班、会议和指导研究，以实现以下培训目标： 实施科学; 2）精通实施的经济评估; 3）培养技能， 促进有效的社区参与研究。Eisman博士的长期目标是减少ATOD的使用及其并发症， 通过促进在社区环境中有效地提供循证优先事项，在青年中推广循证优先事项。计划在- 包括以下具体目标：1）确定与校本课程实施相关的因素 2）比较两种实施策略在实施和行为上的有效性 (ATOD使用）结果，以及3）对实施战略进行经济评估。作为亲- Eisman博士将应用CFIR（实施研究综合框架） 研究在学校推行改善措施的因素的框架，这将扩大CFIR的应用范围， 提高有效EBP交付的知情方法（例如，实施战略）。拟议的重新- 检索还包括一项回顾性研究，调查循证实施的两种强度 战略，复制有效的程序（REP）应用于临床环境和试点研究比较两个在- 以学校为基础的物质使用预防计划。回顾性和试点研究 还将包括对ATOD使用和实施战略的经济评估， 来了试验计划会研究在学校推行教育促进计划的可行性、适当性及可接受性 这将是R 01的基础。拟议的培训和研究计划扩大了目前的执行范围， 在其他社区环境中应用实施理论、框架和战略， （学校）和实施战略的经济评价。预计这些结果将有助于提高效率， 在不同的社区环境中有效和高效地提供循证基础知识， 在学校环境中的心理战略，以最终减少和防止青少年使用ATOD。

Quality implementation of evidence-based programs (EBPs) in community settings for youth is critical for re- ducing the burden of alcohol, tobacco and other drug use (ATOD) and its consequences. EBPs delivered in schools are an efficient way to reach large populations of young people, including those underserved by other settings, and reduce and prevent ATOD use. Yet, youth rarely receive EBPs as intended in community set- tings, including schools. Research is needed that applies implementation theories and frameworks to better understand factors related to program delivery, approaches to enhancing quality delivery through implementa- tion strategies, and the economic implications of these strategies in school settings. This training and research plan will prepare Dr. Eisman to become an independent scholar in implementing ATOD programs for youth in community settings. To address these challenges, Dr. Eisman, with the guidance of her dedicated mentorship team and institutional resources at the University of Michigan, will engage in activities, including coursework, workshops, meetings and mentored research, to achieve the following training goals: 1) Create expertise in implementation science; 2) Become proficient in economic evaluation of implementation; 3) Develop skills to foster effective community-engaged research. Dr. Eisman's long-term goal is to reduce ATOD use and its con- sequences among youth through facilitating effective delivery of EBPs in community settings. The plan in- cludes the following specific aims: 1) Identify relevant factors associated with implementation for school-based EBPs, 2) Compare the effectiveness of two implementation strategies on implementation and behavioral (ATOD use) outcomes, and 3) Conduct economic evaluation of implementation strategies. As part of the pro- posed research, Dr. Eisman will apply the CFIR (Consolidated Framework for Implementation Research) framework to studying implementation factors for EBPs in schools; this will expand the application of CFIR and inform approaches to enhancing effective EBP delivery (e.g., implementation strategies). The proposed re- search also includes a retrospective study investigating two intensities of an evidence-based implementation strategy, Replicating Effective Programs (REP) applied in a clinical setting and a pilot study comparing two in- tensities of REP with a school-based substance use prevention program. The retrospective and pilot studies will also include economic evaluation of implementation strategies on ATOD use and implementation out- comes. The pilot will investigate feasibility, appropriateness and acceptability of using REP in a school context that will be the basis of an R01. The proposed training and research plan extends current implementation re- search to focus applying implementation theories, frameworks and strategies in other community settings (schools) and on economic evaluation of implementation strategies. The results are expected to facilitate effec- tive and efficient delivery of EBPs in diverse community settings and aid in applying evidence-based imple- mentation strategies in the school context to ultimately reduce and prevent ATOD use among youth.