Adoption and Implementation Support Innovations for PROSPER Partnership-Based EBI

PROSPER 基于合作伙伴关系的 EBI 的采用和实施支持创新

• 批准号: 7924189
• 负责人: Mark T. Greenberg
• 金额: $ 44.51万
• 依托单位: IOWA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-15 至 2012-09-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7924189
• 关键词: Adoption; Implementation; Support; Innovations; PROSPER

DESCRIPTION (provided by applicant): The purpose of the proposed research is to advance the dissemination of evidence-based interventions (EBIs) targeting youth health-risking behaviors, through a network of state partnerships. Toward this end, the proposed research will evaluate EBI implementation support strategies designed to facilitate broader dissemination of an empirically-validated state partnership model that effectively links existing EBI delivery systems. The need for the proposed research is indicated by epidemiological data on substance use and other health-risking problem behaviors among adolescents and by the dearth of sustained, quality implementation of EBIs designed to prevent such problems. Successful and sustained EBI implementation necessitates sustained partnerships among families, schools, and communities with a proactive technical assistance model to support them. Our PROSPER partnership model links the public school system with the land grant university dissemination system called the Cooperative Extension System and other resources in states for prevention programming. It has evolved through two decades of NIH-funded, randomized-controlled prevention trials, and has demonstrated a range of positive, long-term public health impacts. Because prevention activities offered through public schools and other youth program dissemination systems often do not utilize EBIs, particularly ones that are implemented with quality and in a sustainable way, there is a need to reach more states and communities with our model. Further development and testing of partnership adoption and implementation support components is required. We propose to conduct web-based surveys of key informants representing the land grant university Cooperative Extension, Public School, and Public Health systems from all 50 states, to assess social network and readiness factors potentially influencing the adoption of the PROSPER partnership model and to rank states on level of readiness as early adopters (Aim 1). Using information from the state survey data to select four states, we will conduct an evaluation of a partnership adoption decision-making team support strategy that incorporates motivational coaching (Aim 2). Finally, we will conduct a controlled pilot study with rural community sites in a selected partnership-ready state (Aim 3). This will involve the provision of PROSPER model training and implementation support components, along with a newly-developed web-based implementation process and outcome evaluation system. This pilot work will allow us to evaluate a range of system and organizational factors influencing the quality of EBIs implemented and EBI outcomes. It also will reveal whether PROSPER community sites show higher quality implementation of EBIs and stronger outcomes, as compared with community sites in the same states conducting usual prevention activities supported by state and federal funding, absent our partnership model. PUBLIC HEALTH RELEVANCE: There has been limited randomized, longitudinal study evaluating how to optimally sustain quality implementation of evidence-based interventions (EBIs) for general populations, in order to achieve population- level effects on youth smoking, other substance use, and other problem behaviors, such as aggression. Community-university partnership-based prevention trials conducted by the investigations over the past two decades have resulted in an empirically-validated model that supports high-quality, sustained implementation of general population EBIs. Past pilot work suggests the promise of specific adoption and implementation supports for broader dissemination of the model (called the PROSPER Network Model) in multiple state sites, to be further developed and tested through the proposed research.

描述（由申请人提供）： 拟议研究的目的是通过国家伙伴关系网络，推进针对青年健康风险行为的循证干预措施（EBI）的传播。为此，拟议的研究将评估EBI实施支持战略，旨在促进更广泛的传播，有效地连接现有的EBI交付系统的一个经过验证的国家合作伙伴关系模型。关于青少年中物质使用和其他健康风险问题行为的流行病学数据以及缺乏旨在预防此类问题的持续，高质量的EBI实施表明需要进行拟议的研究。成功和持续的EBI实施需要家庭，学校和社区之间的持续伙伴关系，并提供积极的技术援助模式来支持他们。我们的PROSPER伙伴关系模式将公立学校系统与被称为合作推广系统的赠地大学传播系统和各州的其他资源联系起来，以制定预防方案。它已经通过二十年的NIH资助，随机对照预防试验，并已证明了一系列积极的，长期的公共卫生影响。由于通过公立学校和其他青年项目传播系统提供的预防活动通常不使用EBI，特别是那些以高质量和可持续的方式实施的预防活动，因此需要用我们的模式覆盖更多的州和社区。需要进一步开发和测试伙伴关系的采纳和实施支助组成部分。我们建议进行基于网络的调查，代表来自所有50个州的赠地大学合作推广，公立学校和公共卫生系统的关键信息提供者，以评估可能影响采用PROSPER伙伴关系模型的社会网络和准备因素，并将各州的准备程度列为早期采用者（目标1）。使用信息从国家调查数据选择四个国家，我们将进行评估的伙伴关系采用决策团队支持战略，包括激励教练（目标2）。最后，我们将在选定的准备建立伙伴关系的州（目标3）的农村社区地点进行对照试点研究。这将涉及提供PROSPER模式培训和执行支助部分，以及沿着新开发的基于网络的执行进程和成果评价系统。这项试点工作将使我们能够评估一系列影响EBI实施质量和EBI结果的系统和组织因素。它还将揭示PROSPER社区网站是否显示出更高质量的EBI实施和更强的结果，与在相同州的社区网站进行州和联邦资金支持的常规预防活动相比，没有我们的伙伴关系模式。 公共卫生相关性： 有限的随机、纵向研究评估了如何最佳地维持普通人群循证干预措施（EBI）的质量实施，以实现对青少年吸烟、其他物质使用和其他问题行为（如攻击）的人群水平影响。在过去的二十年里，通过调查进行的基于社区-大学合作的预防试验产生了一个经过验证的模型，该模型支持高质量，持续实施一般人群EBI。过去的试点工作表明，具体的采用和实施支持的承诺，更广泛的传播模型（称为PROSPER网络模型）在多个国家的网站，将进一步发展和测试，通过拟议的研究。