Center for Dissemination and Implementation At Stanford (C-DIAS)

C-DIAS总体：项目总结/摘要 这是NIDA P50卓越中心的修订提案：传播和 在斯坦福大学实施。我们的首要目标说起来很简单，但如果 已实现：公平获得循证成瘾治疗。C-DIAS联合既定成瘾 传播和实施（D&I）研究专家，优势互补。C-DIAS 研究核心成员在测量、方法和设计方面为D&I科学带来最好的当前方法 和建模，以及卫生经济学和政策翻译。三个协调研究项目 作为研究工具，通过减少变异和增加 标准化的措施和方法，翻译和协调数据的研究，并使用代理- 基于和经济的建模，以科学地应对，而不仅仅是对物质相关的 流行病和保健差距。 除了作为C-DIAS的组织中心外，行政核心还将提供一个平台， 在成瘾的D&I研究方面建立专家能力，提供一系列分层的培训教育， 咨询服务，为尽可能广泛的受众开放在线资源和工具。 C-DIAS将通过更精确和更严格地评估实施情况来推进D&I科学 战略-这是一种“干预”的奋进，安装或扩大循证治疗。 药物或心理成瘾治疗是任何实施努力的“内容”， 而实施战略涉及“如何”最有效地转化这些干预措施， 规模化。政策制定者和系统领导者寻求基于实践的工具来做出明智的决策 不仅是关于实施什么，而且是如何有效地实施以及以什么样的代价实施。 C-DIAS总部设在斯坦福大学，但旨在作为一个开放的，充满活力的和高度可见的国家 没有围墙的中心它将利用已建立的关系，并在以下各方之间建立新的联系： 由地理上分散的不同实体的个人组成的独立多学科小组。 C-DIAS将开发人力资本，促进协同作用，并加速专业，科学和公共卫生 如果没有这种影响，就无法取得成果。我们提出了一个迫切需要的激进的 方法，有一个至关重要和紧迫的目标：通过使最好的成瘾改善公共健康 公平地为最需要的人提供治疗。

C-DIAS OVERALL: PROJECT SUMMARY/ABSTRACT This is a revised proposal for a NIDA P50 Center of Excellence: The Center for Dissemination and Implementation At Stanford (C-DIAS). Our overarching goal is simple to say, yet paradigm shifting if achieved: Equitable access to evidence-based addiction treatments. C-DIAS unites established addiction dissemination and implementation (D&I) research experts with complementary areas of strength. C-DIAS Research Core members bring the best of current approaches to D&I science in measures, methods, design and modeling, as well as in health economics and policy translation. Three coordinated Research Projects serve as study vehicles to improve D&I science in addiction by reducing variation and increasing standardization in measures and methods, translating and harmonizing data across studies, and using agent- based and economic modeling to scientifically respond rather than merely react to substance-related epidemics and health care disparities. In addition to serving as the C-DIAS organizational hub, the Administrative Core will provide a platform to build expert capacity in D&I research in addiction, offering a stratified range of Training Education and Consultation Services, with open access to online resources and tools for the broadest possible audiences. C-DIAS will advance D&I science by greater precision and rigor in evaluating implementation strategies— which are the “interventions” of an endeavor to install or scale up evidence-based treatments. Proven pharmacological or psychosocial addiction treatments are the “what” of any implementation effort, whereas implementation strategies pertain to “how” these interventions are most effectively translated and brought to scale. Policymakers and systems leaders seek empirically-based tools to make informed decisions about not only what to implement, but how to do so effectively and at what cost. C-DIAS is based at Stanford but designed to serve as an open, vibrant and highly visible national center without walls. It will leverage established relationships and generate new connections among independent multi-disciplinary teams of individuals across geographically dispersed and diverse entities. C-DIAS will develop human capital, foster synergy, and accelerate professional, scientific and public health impact with outcomes otherwise unachievable in its absence. We propose a sorely needed and radical approach, with one critically significant and urgent goal: To improve public health by making the best addiction treatments equitably available for those most in need.