Texas Process & Practice Improvement Initiative

德克萨斯进程

• 批准号: 6941058
• 负责人: STACEY STEVENS MANSER
• 金额: $ 14.08万
• 依托单位: TX COMM ON ALCOHOL AND DRUG ABUSE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-15 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6941058
• 关键词: behavioral /social science research tag; clinical research; cost effectiveness; counseling; drug abuse therapy; focus groups; health care model; health care personnel performance; health care policy; health care quality; health care service evaluation; health care service organization; health services research tag; human subject; information display; outcomes research; patient care personnel relations; questionnaires; training; workshop

DESCRIPTION (provided by applicant): The Texas Process and Practice Improvement (PPI) study will examine utilization of science-based practices and improved proximal client outcomes as influenced by organizational feedback on practices and outcomes, and by an organizational change process intervention. Specific Aims: 1. Measure the effects of strategic graphic outcome and management feedback as it may influence utilization of science-based practices and improved during-treatment outcomes' 2. Determine whether there is an additional benefit of adding a change process enhancement protocol. Two organizational interventions will be implemented: 1) graphic feedback on program trends on a few key during-treatment proximal-outcome measures, and 2) an organizational change process protocol offered through a structured workshop, followed by individualized team consultation and support. The conceptual framework integrates concepts from complexity science as well as the literature on innovation diffusion and technology transfer. The Texas Christian University (TCU) treatment process model (Simpson et al) is also utilized in the design. The study will involve block grant funded treatment programs throughout the state, as well as programs with special emphasis on science-to-service initiatives of CSAT. Data will be obtained from the States' web-based clinical reporting system as well as through supplemental instruments measuring during-treatment treatment processes, organizational functioning, and utilization of science-based practices. In addition to other analyses, cost comparisons will be conducted to determine whether the added costs of intervention #2 are justified in terms of improved proximal client outcomes.

描述(由申请人提供)： 德克萨斯流程和实践改进(PPI)研究将检查基于科学的实践的利用情况，以及受组织对实践和结果的反馈以及组织变革过程干预的影响而改善的近端客户结果。 具体目标： 1.衡量战略图形结果和管理反馈的效果，因为它可能影响以科学为基础的实践的利用和改善治疗期间的结果 2.确定添加变更过程增强协议是否还有额外的好处。 将实施两种组织干预措施：1)关于治疗过程中几个关键的近期结果衡量标准的项目趋势的图形反馈；2)通过有组织的研讨会提供组织变革过程协议，随后是个性化的团队咨询和支持。该概念框架整合了复杂性科学的概念以及关于创新扩散和技术转让的文献。设计中还使用了德克萨斯基督教大学(TCU)的治疗过程模型(Simpson等人)。这项研究将涉及全州的整笔赠款资助的治疗计划，以及特别强调CSAT从科学到服务的倡议的计划。数据将从各州基于网络的临床报告系统以及通过测量治疗过程中的治疗过程、组织职能和科学做法的利用情况的补充工具获得。除了其他分析外，还将进行成本比较，以确定2号干预措施增加的成本是否合理，以改善近端患者的结果。