Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model
Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model
批准号:
10348696
负责人:
Lisa Saldana
金额:
$66.23万
依托单位国家:
美国
项目类别:
财政年份:
2018
资助国家:
美国
项目状态:
已结题
起止时间:
2018-04-01 至 2024-01-31
关键词:
AchievementAddressAdoptedAdoptionAlcoholsBehaviorCertificationChildClientClinicalCommunitiesCompetenceConsultationsCost AllocationCountryDataData CollectionDevelopmentEnsureEvaluationEvidence based practiceEvidence based programExcisionFamily psychotherapyFeedbackFosteringFundingGoalsGrantHomeInfrastructureInternationalInterventionKnowledgeMeasurementMeasuresMethodsModelingMonitorNational Institute of Drug AbuseOnline SystemsOregonOutcomePatternPhasePlaguePopulationPrevention programProbabilityProblem behaviorProcessProgram SustainabilityPropertyPublic HealthRandomizedResource AllocationResourcesRiskServicesSiteStandardizationSystemTechnologyTestingTimeTrainingUnited StatesUnited States National Institutes of HealthYouthadolescent substance abuseadolescent substance usearchive dataarchived databasebehavior testbehavioral health interventionchild servicesclinical research sitecommunity settingcostcost effective treatmenteffectiveness evaluationevidence baseexperiencefoster carehigh risk behaviorimplementation costimplementation effortsimplementation evaluationimplementation fidelityimplementation interventionimplementation measuresimplementation outcomesimplementation processimplementation scienceimplementation strategyinnovationintervention costintervention programprogram costsprogramsprospectivequality assurancerecruitresponsesubstance abuse treatmentsubstance usesuccesstelephone coachingtooltrendweb portalweb site
中文摘要
项目总结/摘要
根据PAR-16-455,本提案旨在测试根据经验得出的实施效果
战略-在现实世界的条件下,并在多个儿童服务系统-对成功的收养,
维持两个解决青少年药物滥用问题的循证方案:
照顾俄勒冈州(TFCO;以前的多维治疗寄养)和多维家庭治疗
(MDFT),两者都是由NIDA资助开发的。本研究的方法采用“基于技术的方法”
“实施大规模变革”。利用以前的数据,专注于开发和测试8-
分阶段的实施完成阶段(SIC)工具-衡量从
参与(第1阶段)到能力发展(第8阶段)-SIC教练的随机评估
提出了SIC-CS策略。研究活动包括将SIC扩展到维持阶段,
测试SIC-CS以支持采用新的循证方案。
SIC以前的研究结果表明,它的潜在效用作为一种措施的实施保真度。的
本提案的首要目标是评估实施保真度(对
实施过程)与干预保真度(对临床干预的保真度)的结合可以增加
一个新的组织网站不仅成功地采用了一个程序,而且开发了基础设施的概率
以确保它能够持续下去。成本和资源分配的模式将使用
实施新战略的成本绘图工具,作为标准行业分类的一个辅助工具,用于评估资源使用情况
影响项目的可持续性。一个基于网络的SIC和COINS工具提供有关网站的反馈,
实施行为相对于其他成功的网站,并将用于本研究的一部分,
SIC-CS。TFCO和MDFT的承办人将接受培训,将SIC辅导纳入其现有辅导
新采用研究中心随机接受SIC-CS的活动。SIC数据和反馈将被扣留
随机分配至标准(STAND)会诊的研究中心。在快速审计和反馈系统中,
假设接受综合实施和干预保真度反馈作为其
技术援助将更有可能发展可持续的方案,而不是接受标准支持的网站。
研究目标包括以下具体目标:(a)评估SIC-CS对项目成果的影响
采用和维持,(B)扩展SIC以包括维持的测量,以及(c)审查成本
以及最有可能产生可持续项目的资源模式。这种数据驱动的方法来指导新网站
有可能帮助他们实施针对青少年物质的可持续循证计划
滥用和其他高风险行为。如果成功,该研究将对组织产生重大影响
采用新的方案,并有可能通过增加
为昂贵的公共卫生问题提供循证方案。
英文摘要
PROJECT SUMMARY/ABSTRACT
This proposal, in response to PAR-16-455, aims to test the impact of an empirically derived implementation
strategy—under real-world conditions and across multiple child service systems—on successful adoption and
sustainment of two evidence-based programs that address adolescent substance abuse: Treatment Foster
Care Oregon (TFCO; formerly Multidimensional Treatment Foster Care) and Multidimensional Family Therapy
(MDFT), both developed with funding from NIDA. Methods for this study utilize “technology-based approaches”
for “implementing large-scale change.” Leveraging previous data focused on developing and testing the 8-
staged Stages of Implementation Completion (SIC) tool—a measure of implementation progress from
Engagement (Stage 1) to development of Competency (Stage 8)—a randomized evaluation of a SIC Coaching
Strategy (SIC-CS) is proposed. Study activities include extending the SIC into the Sustainment Phase and
testing the SIC-CS to support the adoption of new evidence-based programs.
Previous findings with the SIC suggest its potential utility as a measure of implementation fidelity. The
overarching goal of this proposal is to evaluate if the integration of implementation fidelity (fidelity to the
implementation process) with intervention fidelity (fidelity to the clinical intervention) can increase the
probability that a new organizational site not only successfully adopts a program but develops the infrastructure
to ensure it can sustain. Patterns of cost and resource allocation will be examined using the Cost of
Implementing New Strategies (COINS) cost mapping tool, an adjunct to the SIC, to assess how resource use
impacts program sustainability. A web-based SIC and COINS tool provides feedback about a site's
implementation behavior relative to other successful sites and will be used in the current study as part of the
SIC-CS. Purveyors for TFCO and MDFT will be trained to integrate SIC coaching into their existing coaching
activities with newly adopting sites randomized to receive the SIC-CS. SIC data and feedback will be withheld
from sites randomized to Standard (STAND) Consultation. Within a rapid audit and feedback system, it is
hypothesized that sites that receive integrated implementation and intervention fidelity feedback as part of their
technical assistance will more likely develop sustainable programs than sites that receive standard support.
Study targets include the following specific aims: (a) evaluate the effect of SIC-CS on outcomes of program
adoption and sustainment, (b) extend the SIC to include measurement of sustainment, and (c) examine cost
and resource patterns most likely to yield sustainable programs. This data-driven approach to guide new sites
has the potential to help them to implement sustainable evidence-based programs for adolescent substance
abuse and other high-risk behaviors. If successful, the study will have a significant impact for organizations
adopting new programs and has the potential to have a substantial public health impact by increasing the
availability of evidence-based programs for costly public health problems.
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DOI:
10.1186/s43058-020-00059-9
发表时间:
2020
期刊:
Implementation science communications
影响因子:
--
作者:
[Dubowitz H, Saldana L, Magder LA, Palinkas LA, Landsverk JA, Belanger RL, Nwosu US]
通讯作者:
Nwosu US
DOI:
10.3389/fpubh.2018.00161
发表时间:
2018
期刊:
Frontiers in public health
影响因子:
5.2
作者:
[Palinkas LA, Campbell M, Saldana L]
通讯作者:
Saldana L
DOI:
10.1186/s13012-023-01285-0
发表时间:
2023-07-21
期刊:
IMPLEMENTATION SCIENCE
影响因子:
7.2
作者:
[Alley, Zoe M. M., Chapman, Jason E. E., Schaper, Holle, Saldana, Lisa]
通讯作者:
Saldana, Lisa
DOI:
10.1177/26334895211033659
发表时间:
2021-01-01
期刊:
Implementation research and practice
影响因子:
--
作者:
[Ford JH 2nd, Kaur A, Rao D, Gilson A, Bolt DM, Garneau HC, Saldana L, McGovern MP]
通讯作者:
McGovern MP
DOI:
10.1080/15504263.2022.2052225
发表时间:
2022-04
期刊:
JOURNAL OF DUAL DIAGNOSIS
影响因子:
2.2
作者:
[Ford, James H., II, Rao, Deepika, Gilson, Aaron, Kaur, Arveen, Garneau, Helene Chokron, Saldana, Lisa, McGovern, Mark P.]
通讯作者:
McGovern, Mark P.
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