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

C-dias总体：项目摘要/摘要 这是关于NIDA P50卓越中心的修订提案：传播和 在斯坦福大学实施(C-DIAS)。我们的总体目标说起来很简单，但如果 实现：公平获得循证成瘾治疗。C-DIAS联合已确定的成瘾 传播和实施(D&I)研究专家，优势互补。C-DIAS 研究核心成员在措施、方法、设计方面最好地利用了当前的研发科学方法 和建模，以及在卫生经济学和政策翻译方面。三个协同研究项目 作为研究工具，通过减少变异和增加来改善成瘾的D&I科学 标准化的措施和方法，翻译和协调跨研究的数据，并使用代理- 以经济建模为基础，科学地应对，而不仅仅是对与物质相关的事件做出反应 流行病和卫生保健方面的差距。 除了作为C-DIAS的组织中心，行政核心还将提供一个平台，以 培养成瘾研究方面的专家能力，提供分层次的培训教育和 咨询服务，为尽可能广泛的受众开放获取在线资源和工具。 C-DIAS将通过提高评估执行情况的精确度和严谨性来促进D&I科学 战略--这是建立或扩大循证治疗的努力的“干预”。 已证实的药理学或心理社会成瘾治疗是任何实施努力的“什么”， 鉴于实施战略与“如何”最有效地转化这些干预措施和 规模化生产。政策制定者和系统领导者寻求基于经验的工具来做出明智的决策 不仅是关于实施什么，而且是关于如何有效地实施以及以什么代价做到这一点。 C-DIAS总部设在斯坦福大学，但旨在成为一个开放、充满活力和高知名度的全国性 没有墙的中心。它将利用已建立的关系，并在 由地理上分散的不同实体中的个人组成的独立的多学科团队。 C-DIAS将开发人力资本，促进协同作用，促进专业、科学和公共卫生 影响，否则如果没有它，结果是无法实现的。我们提出了一个迫切需要和激进的 方法，有一个极其重要和紧迫的目标：通过使最好的成瘾来改善公共健康 为最有需要的人提供公平的治疗。

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.