Family Therapy Training and Implementation Platform (FTTIP): An innovative web-based tool for long-term practice improvement

项目摘要/摘要 家庭治疗已经成为对儿童和青少年行为最有效的干预措施之一 和精神问题，以及慢性健康问题。然而，家庭的广泛实施 治疗往往受阻于高昂的培训成本、员工离职后的再培训需求、机构数量少 准备支持新的做法，以及缺乏持续实施支持的培训战略 贵得离谱。为了更好地满足儿童和家庭的治疗需求，并解决长期 经受住培训和实施的挑战，我们开发了创新的家庭治疗培训和 实施平台(FTTIP)。FTTIP：1)以实施科学、机构的进步为指导 准备情况，以及维持循证治疗所需的知识；2)使用适应性培训 和咨询流程，提供动态和数据驱动的流程，其中能力是 被教授的、衡量的、以及学习的成功或失败实时通知下一步的培训；3) 提供技能的交互式实践，受训者在其中记录响应模拟和 接收个性化反馈；以及4)提供允许学习者探索的可选学习路径 掌握这些技能的其他方法。我们的第一阶段研究论证了FTTIP的可行性，并为 进行一项完全有效的多部位II期随机对照试验，该试验将调查FTTIP是否 低于所有关键领域的传统面对面培训，包括受训人员能力、机构 就绪性和客户结果。第二阶段研究的目标是：1)完成学习、实践和能力- 测试路径，为学习者提供多个学习选项，并增加 平台；2)证明75名FTTIP受训人员在所有核心家庭治疗能力方面都有所提高 不逊于75个接受传统面对面家庭治疗培训的提供者，这些培训使用Pre 和临床试验中的培训后措施；3)证明150个家庭(儿童/父母二人组)获得 CIFFTA家庭治疗显示在治疗中有足够的保留、治疗联盟和重要的治疗前 改善家庭环境和提出问题的治疗；4)建立流程(例如， 培训新工作人员的启动和延迟)以及与两种情况下的培训有关的费用；5) 展示接受FTTIP机构准备咨询的15个机构领导人在接受FTTIP机构准备咨询之前和之后表现出更多 机构准备和知识的变化比15位领导人照常接受机构参与的情况要好。FTTIP的 商业应用是国家、州和地方治疗服务的资助者和提供者将找到的 FTTIP是一种极具成本效益、灵活且引人入胜的方式，可提高其循证质量 治疗(EBTS)。通过更好地让国家劳动力在EBTS方面做好准备，并提供支持和 教练他们需要达到完全掌握，我们的FTTIP产品有潜力显著提高 在我们国家和国际上的幸福和心理健康。

Project Summary/Abstract Family therapy has emerged as one of the most efficacious interventions for child and adolescent behavioral and psychiatric issues and for chronic health conditions. However, widespread implementation of family therapy is often hampered by high training costs, re-training needs following staff turnover, low agency readiness to support new practices, and training strategies that lack ongoing implementation support and are prohibitively expensive. To better address the treatment needs of children and families, and to address long standing training and implementation challenges, we developed an innovative Family Therapy Training and Implementation Platform (FTTIP). FTTIP: 1) is guided by advances in implementation science, agency readiness, and knowledge of what it takes to sustain an evidence-based treatment; 2) uses adaptive training and consultation processes that provide a dynamic and data-driven procedure in which a competency is taught, measured, and the success or failure of the learning informs the next step of training in real time; 3) provides interactive practice of skills in which the trainee records interventions in response to simulation and receives personalized feedback; and 4) provides optional learning paths that allow the learner to explore additional ways to master the skills. Our Phase I study demonstrated the feasibility of FTTIP and set the stage for a fully-powered multisite Phase II Randomized Controlled Trial that will investigate whether FTTIP is “not inferior” to traditional face-to-face training on all key domains, including trainee competencies, agency readiness, and client outcomes. The Phase II study aims to: 1) Complete learning, practice and competency- testing paths that provide the learner multiple learning options and to increase the dynamic nature of the platform; 2) Demonstrate that 75 FTTIP trainees show improvement in all core family therapy competencies that are not inferior to 75 providers receiving traditional in-person family therapy training as tested using pre and post training measures in a clinical trial; 3) Demonstrate that 150 families (child/parent dyad) receiving CIFFTA family therapy show adequate retention in treatment, therapeutic alliance, and significant pre-post treatment improvements on family environment and presenting problems; 4) Establish the process (e.g., initiation and delays in training new staff) and cost associated with training in each of the two conditions; 5) Demonstrate that 15 agency leaders receiving FTTIP agency readiness consultations show more pre and post change in agency readiness and knowledge than 15 leaders receiving agency engagement as usual. FTTIP’s commercial application is that national, state, and local treatment services funders and providers will find FTTIP to be a highly cost effective, flexible, and engaging way to improve the quality of their evidence-based treatments (EBTs). By better preparing the nation’s workforce on EBTs, and providing the support and coaching they need to reach full mastery, our FTTIP product has the potential to significantly improve the wellbeing and mental health in our nation and internationally.