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

家庭治疗培训和实施平台 (FTTIP)：一种基于网络的创新工具，用于长期实践改进

• 批准号: 10594561
• 负责人: David Santisteban
• 金额: $ 77.14万
• 依托单位: TRAINING AND IMPLEMENTATION ASSOCIATES, LLC
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-09 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10594561
• 关键词: Address; Adolescent; Aftercare; Applications Grants; Behavior; Behavioral; Caregivers; Child; Child Care; Chronic; Client; Clinical; Clinical Trials; Collaborations; Competence; Conduct Disorder; Consultations; Country; Data; Dedications; Dissemination and Implementation; Educational process of instructing; Environment; Evidence based treatment; Exposure to; Extended Family; Failure; Family; Family psychotherapy; Feedback; Fostering; Goals; Health; International; Intervention; Knowledge; Latin America; Learning; Measures; Mental Health; Mental disorders; Modeling; Nature; Online Systems; Outcome; Parents; Personal Satisfaction; Persons; Phase; Problem behavior; Procedures; Process; Provider; Randomized, Controlled Trials; Readiness; Records; Research; Self-Injurious Behavior; Shapes; Site; Small Business Innovation Research Grant; Spain; Step training; Students; Substance Use Disorder; Technology; Testing; Therapeutic; Time; Training; United States National Institutes of Health; animation; commercial application; cost; cost effective; design; efficacious intervention; evidence base; experience; flexibility; health goals; implementation barriers; implementation science; improved; individualized medicine; innovation; meetings; organizational readiness; phase 1 study; phase 2 study; randomized, clinical trials; research to practice; response; simulation; skills; success; treatment services; web-based tool

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.

项目摘要/摘要 家庭疗法已成为儿童和青少年行为最有效的干预措施之一 和精神病问题以及慢性健康状况。但是，家庭的宽度实施 高训练费用，重新培训需求在员工流动之后，低培训，低位机构，通常会受到治疗的阻碍 准备支持新实践和缺乏持续实施支持的培训策略，并且 过于昂贵。更好地满足儿童和家庭的治疗需求，并长期解决 常规培训和实施挑战，我们开发了创新的家庭疗法培训和 实施平台（FTTIP）。 FTTIP：1）以实施科学的进步为指导 准备就绪，以及维持基于证据的治疗所需的知识； 2）使用自适应培训 以及提供动态和数据驱动程序的咨询过程，其中能力是 学习，测量以及学习的成功或失败会实时培训的下一步； 3） 提供互动练习技能，在这些技能中，学员记录了干预措施，以响应模拟和 收到个性化的反馈； 4）提供可选的学习路径，使学习者能够探索 掌握技能的其他方法。我们的I阶段研究证明了FTTIP的可行性，并设定了舞台 对于全功率的多站点II期随机对照试验，该试验将调查FTTIP是否为“不是 在所有关键领域的传统面对面培训，包括学员能力，代理机构 准备和客户结果。第二阶段研究的目的是：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择并提高动态性质 平台; 2）证明75名FTTIP受训者在所有核心家庭治疗能力方面表现出改善 不如75名接受传统家庭家庭治疗培训的提供者，该提供者使用Pre 和临床试验中的培训后措施； 3）证明150个家庭（子女/父母二元）接收 CIFFTA家庭疗法显示出足够的治疗，治疗联盟和重要的前 对家庭环境的治疗改善和提出问题； 4）建立过程（例如， 在培训新员工的启动和延迟）和与培训相关的两个条件中的成本； 5） 证明15位接受FTTIP代理机构准备就绪咨询的代理商领导人显示了更多的预科 与15位领导人相比，代理机构准备和知识的变化像往常一样接受代理参与。 fttip 商业应用是国家，州和地方治疗服务基金和提供者会发现 FTTIP是一种高度成本效益，灵活和引人入胜的方法，以提高其循证基于证据的质量 治疗（EBT）。通过更好地在EBT上准备国家的劳动力，并提供支持和 他们需要完全掌握他们需要进行的指导，我们的FTTIP产品有可能显着改善 我们国家和国际上的福祉和心理健康。