Development of Wraparound Team Monitoring System (Wrap-TMS)

开发环绕式团队监控系统（Wrap-TMS）

基本信息

批准号：
8202992
负责人：
ERIC J. BRUNS
金额：
$ 12.06万
依托单位：
ACCOUNTABILITY SOLUTIONS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-15 至 2012-09-14
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8202992
关键词：
Accountability Achievement Administrator Behavior Disorders Businesses Caring Child Client Clinical Clinical Research Communities Data Aggregation Databases Decision Making Development Emotional Emotional disorder Evaluation Evaluation Research Family Feedback Goals Health Services Healthcare Impact evaluation Individual Intervention Link Managed Care Mental Health Mental Health Services Methods Modeling Monitor National Institute of Mental Health Online Systems Outcome Outcomes Research Patient Preferences Persons Phase Population Process Provider Psychometrics Reporting Research Research Personnel Research Project Grants Services Site Small Business Technology Transfer Research Solutions System Technology Technology Transfer Testing Time United States Universities Washington Youth base clinical decision-making commercial application commercialization evidence base flexibility improved innovation meetings member new technology programs prototype research to practice theories

项目摘要

DESCRIPTION (provided by applicant): The wraparound service model (WSM) is an individualized care planning and management process for children and youth with serious emotional and behavioral disorders (SEBD) that is implemented in nearly 1000 sites in the United States. The purpose of this Phase I Small Business Technology Transfer (STTR) proposal is to develop and pilot test a web-based monitoring and feedback system (MFS) that will support decision management and overall implementation of WSM. The Wraparound Team Monitoring System (Wrap-TMS) will consist of four assessment components that are linked by theory and research to achievement of improved fidelity and outcomes of WSM: (1) Goal Setting and Tracking, (2) Team Functioning, (3) Family Connection to Natural and Community Supports, and (4) Youth Outcomes. Each Wrap-TMS component will have a manageable number of inputs (5-8) that make it feasible for staff persons and supervisors. The MFS will produce client-level "dashboard" reports to support fidelity and clinical decision-making by WSM staff and teams, as well as program-level reports that aggregate these data to meet evaluation and quality improvement needs. During this Phase I STTR project, the research team will determine the feasibility and utility of the proposed Wrap-TMS and its prototype reporting features. During the project, the research team will: (1) Conduct user testing of the four components that comprise the Wrap-TMS with a diverse group of users nationwide; (2) Assess psychometrics of Wrap-TMS items and scales; (3) Pilot test and evaluate the utility of the "team dashboard" reporting function of Wrap-TMS with actual WSM teams; (4) Pilot test and evaluate utility of a prototype program-level reporting function of the Wrap-TMS; and (5) Use results from all the above activities to determine additional methods for supporting Wrap-TMS dissemination and develop a Phase II STTR proposal and commercialization plan. This project is highly innovative in that it will mobilize research on WSM and MFS technologies to provide an important function that is needed but not currently available to hundreds of WSM sites nationally: A clinical decision support technology that facilitates delivery of high-quality, model-adherent wraparound care management. By developing such technologies for use by provider organizations, state and local oversight agencies, managed care entities, regional and national trainers, and researchers, this project will serve as an important part of the effort to bridge the "research to practice" gap, while also facilitating research on this model and this population. PUBLIC HEALTH RELEVANCE: This Phase I STTR project will develop and pilot test a web-based monitoring and feedback system (MFS) that will support decision management and overall implementation of the wraparound service model (WSM), an individualized care management intervention for children with serious emotional and behavioral disorders. Such a system will mobilize research on WSM and MFS technologies to provide an important function that is needed but not currently available to hundreds of WSM sites nationally: A clinical decision support technology that facilitates delivery of high-quality, model-adherent WSM. By developing such technologies for use by provider organizations, state and local oversight agencies, managed care entities, regional and national trainers, and researchers, this project will serve as an important part of the effort to bridge the "research to practice" gap, while also facilitating research on this model and this population.

描述（由申请人提供）：环绕式服务模型（WSM）是针对在美国近1000个地点实施的严重情感和行为障碍（SEBD）的儿童和青少年的个性化护理计划和管理过程。 I阶段小型企业技术转移（STTR）建议的目的是开发和试点测试基于Web的监视和反馈系统（MFS），该系统将支持WSM的决策管理和整体实施。环绕型团队监测系统（WRAP-TMS）将由四个评估组成部分组成，这些评估组件与理论和研究联系在一起，与WSM的改善忠诚度和成果相关联：（1）目标设定和跟踪，（2）团队功能，（3）家庭与自然和社区支持的家庭联系，以及（4）年轻人。每个Wrap-TMS组件都将具有可管理数量的输入（5-8），使其对员工和主管可行。 MFS将制作客户级“仪表板”报告，以支持WSM员工和团队的保真度和临床决策，以及计划级别的报告，这些报告汇总了这些数据以满足评估和质量改进的需求。在此阶段I STTR项目中，研究团队将确定拟议的Wrap-TMS及其原型报告功能的可行性和实用性。在项目期间，研究团队将：（1）对四个组件进行用户测试，这些组件包括全国各种用户的Wrap-TMS；（2）评估Wrap-TMS项目和量表的心理计量学；（3）试点测试并评估与实际WSM团队的Wrap-TMS“团队仪表板”报告功能的实用性；（4）试点测试和评估Wrap-TMS原型程序级报告功能的实用性；（5）使用上述所有活动的结果来确定支持Wrap-TMS传播并制定II期STTR建议和商业化计划的其他方法。该项目具有很高的创新性，因为它将动员对WSM和MFS技术的研究，以提供重要的功能，但目前在全国数百个WSM网站上尚未使用：一种临床决策支持技术，可促进高质量，模型支持的型号的型号护理护理管理。通过开发提供者，州和地方监督机构，托管护理实体，地区和国家培训师以及研究人员使用的技术，该项目将成为弥合“研究以实践”差距的重要组成部分，同时还促进了对该模型和该人群的研究。公共卫生相关性：此I阶段的STTR项目将开发和试点测试基于Web的监控和反馈系统（MFS），该项目将支持决策管理以及环绕式服务模型（WSM）的整体实施，这是针对患有严重情绪和行为障碍儿童的个性化护理管理干预措施。这样的系统将动员对WSM和MFS技术的研究，以提供重要的功能，但目前在全国数百个WSM网站上不可用：一种临床决策支持技术，可促进提供高质量的模型，贴型WSM的临床决策。通过开发提供者，州和地方监督机构，托管护理实体，地区和国家培训师以及研究人员使用的技术，该项目将成为弥合“研究以实践”差距的重要组成部分，同时还促进了对该模型和该人群的研究。