Internet-based Fidelity Enhancement of MTFC

基于互联网的MTFC保真度增强

• 批准号: 6994552
• 负责人: EDWARD GUSTAV FEIL
• 金额: $ 12.41万
• 依托单位: TFC CONSULTANTS, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6994552
• 关键词: Internet; antisocial personality; behavioral /social science research tag; child behavior disorders; child foster care /adoption; clinical research; computer assisted medical decision making; computer graphics /printing; computer human interaction; computer program /software; computer system design /evaluation; data management; digital imaging; human subject; information dissemination; personal log /diary; telemedicine; video recording system

DESCRIPTION (provided by applicant): The fields of mental health, child welfare, and juvenile justice are jointly faced with the challenge of reducing the prevalence of antisocial behavior among adolescents. In the last 20 years, conduct disorders have moved from being considered intractable difficulties to having difficult but available solutions. Empirically-validated interventions are now being widely disseminated, but the replication of the results from clinical trials in community settings remains problematic. The systems, which produced impressive effects in a research-context, are difficult to replicate without intensive monitoring of fidelity by the intervention developers. Intensive monitoring is a barrier toward adoption, in particular, as the distance between the adopter and developer increases so does cost. At the same time, states, communities, and agencies are under increasing pressure to implement those intervention services that have been shown to be most effective. One possible solution to this problem is to develop feedback mechanisms for supervisors and interventionists as part of the data collection and reporting functions with an Internet-based system. Such a system could link local clinical programs and nationally-based dissemination teams through direct, immediate to high quality data, and would make it more likely that local service organizations are able to implement services at the highest possible fidelity. As fidelity of these empirically-validated treatments has been shown to be related to the quality of their outcomes, it is of critical importance to develop innovative service delivery systems that increase fidelity in the dissemination of these proven treatment approaches. This project would develop and test the feasibility and satisfaction with an enhanced Internet-based supervision/fidelity system among agencies delivering Multidimensional Treatment Foster Care (MTFC). Our proposed system will include: (a) a secure website with multiple levels of access restrictions for data storage, display of reports (both graphical and tabular) and observations for dynamic feedback; (b) computer-mediated forms of clinical (e.g. daily reporting of child behavior) and supervisory ratings and activities (e.g., program tasks such as therapy appointments and clinical meetings) tailored to the participating program with both Internet-based and automated-phone-based response formats; and (c) computer-mediated video observation (clinical meetings & individual sessions). This proposed system would record (via computer digital video camera) essential clinical staff and foster parent meetings, compress and encrypt the video data for transmission via the Internet, and the secure transmission of the video data over the Internet for coding and reporting.

描述（由申请人提供）：心理健康，儿童福利和少年司法领域共同面临着减少青少年反社会行为流行的挑战。在过去的20年里，品行障碍已经从被认为是棘手的困难转变为有困难但可用的解决方案。经经验验证的干预措施目前正在广泛传播，但在社区环境中复制临床试验的结果仍然存在问题。这些系统在研究背景下产生了令人印象深刻的效果，如果不对干预开发人员的保真度进行密集监测，就很难复制。密集的监控是采用的一个障碍，特别是随着采用者和开发者之间的距离增加，成本也会增加。与此同时，各州、社区和机构面临越来越大的压力，要求实施那些已被证明最有效的干预服务。解决这一问题的一个可能办法是为监督者和干预者建立反馈机制，作为互联网系统数据收集和报告职能的一部分。这样的系统可以通过直接、即时和高质量的数据将当地的临床项目和全国性的传播团队联系起来，并使当地的服务组织更有可能以尽可能高的保真度提供服务。由于这些经临床验证的治疗方法的保真度已被证明与其结果的质量有关，因此开发创新的服务提供系统以提高这些经验证的治疗方法传播的保真度至关重要。该项目将在提供多维治疗寄养（MTFC）的机构中开发并测试增强型基于互联网的监督/保真系统的可行性和满意度。我们建议的系统将包括：（a）一个安全的网站，有多个层次的访问限制，用于存储数据、显示报告（包括图形和表格）和观察动态反馈;（B）计算机介导形式的临床（例如儿童行为的每日报告）和监督评级和活动（例如，程序任务，如治疗预约和临床会议），以参与计划为基础的互联网和自动电话为基础的响应格式定制;和（c）计算机介导的视频观察（临床会议和个人会话）。这个拟议系统会（透过计算机数码摄影机）录下重要的临床人员和寄养家长会议的情况，并把录像数据压缩和加密，以供在互联网上传送，以及把录像数据安全地在互联网上传送，以供编码和报告。