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

项目总结/摘要 家庭治疗已成为儿童和青少年行为干预的最有效的方法之一。 和精神问题以及慢性健康状况。然而，广泛实施家庭 治疗往往受到以下因素的阻碍：培训费用高、工作人员更替后需要重新培训、 准备支持新的做法，培训战略缺乏持续的实施支持， 昂贵得令人望而却步。为了更好地满足儿童和家庭的治疗需求， 常设培训和实施的挑战，我们开发了一个创新的家庭治疗培训， 实施平台（FTTIP）。FTTIP：1）以实施科学的进步为指导， 准备就绪，并了解维持循证治疗所需的知识; 2）使用适应性培训 和咨询过程，提供一个动态的和数据驱动的程序，其中的能力是 教学，测量，学习的成功或失败通知真实的时间培训的下一步; 3） 提供技能的交互式练习，其中受训者记录响应模拟的干预措施， 接收个性化的反馈;以及4）提供可选的学习路径，允许学习者探索 掌握技能的其他方法。我们的第一阶段研究证明了FTTIP的可行性， 一项完全有效的多中心II期随机对照试验，将调查FTTIP是否“不是 在所有关键领域，包括受训者的能力、机构能力、 准备和客户成果。第二阶段研究的目的是：1）完成学习，实践和能力- 测试路径，为学习者提供多种学习选择，并增加 平台; 2）证明75名FTTIP学员在所有核心家庭治疗能力方面都有所改善 不低于75名接受传统面对面家庭治疗培训的提供者， 3）证明150个家庭（儿童/父母二人组）接受 CIFFTA家庭治疗在治疗中保持充分，治疗联合， 对家庭环境和存在问题的治疗改善; 4）建立过程（例如， 培训新工作人员的启动和延迟）以及与这两种情况中的每一种情况下的培训有关的费用; 5） 证明15个机构领导人接受FTTIP机构准备磋商显示更多的前和后 与15名领导人照常接受机构参与相比，机构准备和知识的变化。FTTIP 商业应用是国家，州和地方治疗服务资助者和提供者将发现 FTTIP是一种高度成本效益，灵活和参与的方式，以提高其循证医学的质量。 治疗（EBT）。通过更好地准备国家的劳动力在EBT，并提供支持， 教练他们需要达到完全掌握，我们的FTTIP产品有潜力显着提高 健康和心理健康在我们的国家和国际。

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.