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

防止青少年吸毒：加强社区实施策略的行为和经济影响

• 批准号: 10343853
• 负责人: Andria B Eisman
• 金额: $ 17.11万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-15 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10343853
• 关键词: Address; Behavioral; Clinical; Communities; Consolidated Framework for Implementation Research; Data Analyses; Drug usage; Economic Factors; Educational workshop; Effectiveness; Ensure; Evidence based program; Face; Fostering; Goals; Health; Helping to End Addiction Long-term; Intervention; Intervention Studies; Investments; Life; Mentors; Mentorship; Methods; Michigan; Modeling; Opiate Addiction; Opioid; Outcome; Participant; Persons; Pilot Projects; Population; Prevention program; Program Development; Program Effectiveness; Public Health; Replicating Effective Programs; Research; Resources; Retrospective Studies; Schools; Speed; Training; Translational Research; Translations; United States National Institutes of Health; Universities; Use Effectiveness; Youth; adolescent alcohol tobacco and other drug use; adolescent drug use; adolescent substance use; alcohol tobacco and other drug use; base; behavioral economics; behavioral outcome; collaborative care; community engaged research; community setting; compare effectiveness; cost; cost effective; cost effectiveness; cost estimate; cost-effectiveness evaluation; economic evaluation; economic impact; economic implication; evidence base; implementation determinants; implementation evaluation; implementation framework; implementation outcomes; implementation research; implementation science; implementation strategy; improved; innovation; meetings; opioid misuse; prevent; prevent ATOD use; programs; research to practice; response; skills; stem; substance use prevention; theories; therapy development

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.

在青年社区环境中高质量地实施循证方案(EBP)对于恢复 减轻酒精、烟草和其他药物使用(ATOD)的负担及其后果。EBPS交付日期为 学校是接触到大量年轻人的有效途径，包括那些没有得到足够服务的人 设置，并减少和防止ATOD的使用。然而，年轻人很少在社区环境中获得预期的EBP- 丁丁，包括学校。需要研究将实施理论和框架应用于更好地 了解与计划交付相关的因素、通过实施提高交付质量的方法- 教育战略，以及这些战略在学校环境中的经济影响。这项培训和研究 计划将使艾斯曼博士准备成为一名独立学者，在#年实施青年ATOD计划 社区设置。为了应对这些挑战，艾斯曼博士在她敬业的导师的指导下 密歇根大学的团队和机构资源将参与包括课程工作在内的活动， 研讨会、会议和有指导的研究，以实现以下培训目标：1)在 实施科学；2)精通实施的经济评估；3)发展技能以 培养有效的社区参与研究。艾斯曼博士的长期目标是减少ATOD的使用及其危害。 通过促进在社区环境中有效地提供循证方案，在青年中开展了一系列活动。该计划在- 包括以下具体目标：1)确定与实施校本计划有关的相关因素 EBPS，2)比较两种实施策略在实施和行为上的效果 (ATOD使用)结果，以及3)对实施战略进行经济评估。作为支持的一部分- 提出的研究，艾斯曼博士将应用CFIR(实施研究综合框架) 研究学校循证计划实施因素的框架；这将扩大CFIR和 告知加强有效EBP交付的方法(例如，实施战略)。建议的重行- 搜索还包括一项回顾研究，调查基于证据的实施的两种强度 策略，在临床环境中应用的复制有效程序(REP)，以及一项比较两种方法的先导研究。 以学校为基础的药物使用预防计划的代表能力。回顾性和先导性研究 还将包括对ATOD使用和实施战略的经济评估-- 来了。试点将调查在学校环境中使用REP的可行性、适当性和可接受性 这将是R01的基础。拟议的培训和研究计划延长了目前的实施范围 搜索重点是在其他社区环境中应用实施理论、框架和战略 (学校)和对实施战略进行经济评估。预计研究结果将有助于提高生产效率和生产效率。 在不同的社区环境中积极有效地提供循证政策，并帮助应用循证实施-- 学校背景下的心理健康战略，以最终减少和预防青少年使用兴奋剂。