Texas Process & Practice Improvement Initiative

描述（由申请人提供）： 得克萨斯州的过程和实践改进（PPI）的研究将审查利用科学为基础的做法和改善近端客户的结果，影响组织的反馈意见的做法和结果，并通过组织变革过程的干预。 具体目标： 1.衡量战略图形结果和管理反馈的影响，因为它可能影响基于科学的实践的利用和治疗期间结果的改善。 2.确定添加变更过程增强协议是否有额外的好处。 将实施两项组织干预措施：1）关于几个关键治疗期间近端结局指标的计划趋势的图形反馈，以及2）通过结构化研讨会提供的组织变革过程协议，随后是个性化的团队咨询和支持。概念框架整合了复杂性科学的概念以及创新扩散和技术转移的文献。德克萨斯基督教大学（TCU）的治疗过程模型（辛普森等）也被用于设计。该研究将涉及整个州的整笔赠款资助的治疗计划，以及特别强调CSAT科学服务倡议的计划。数据将从各州基于网络的临床报告系统以及通过补充工具获得，这些工具测量治疗过程中的治疗过程、组织运作和基于科学的做法的利用。除了其他分析外，还将进行成本比较，以确定干预#2的额外成本是否在改善近端客户结局方面合理。

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.