A Technology-Enhanced Approach for Implementing Evidence-Based Practices in Child

描述(申请人提供)：与儿童福利有关的受虐待儿童患精神健康问题的风险是普通儿童的2.5倍。减少虐待儿童和儿童福利中精神健康风险的循证做法(EBP)的成功实施很少，成功实施的障碍也得到了很好的证明。工作需求资源模型(JD-R)是一种有用的方法，用于考虑如何在要求苛刻、混乱和资源不足的环境中加强EBPS的吸收，例如儿童福利。JD-R建议，感觉到高工作要求和低资源的员工可能会经历负面的工作表现，并抵制变化，但高工作要求可以通过高水平的感知资源来缓冲。该提案的重点是开发和试行创新技术强化的执行办法，这将增加在执行期间提供给儿童福利提供者的资源，同时也减少相关需求，目的是提高提供者的忠诚度和执行成功率。在种子赠款资金的基础上，我们建议开发和测试一种用于SafeCare的计算机中介方法，这是一种旨在预防CM的EBP。在开发和验证以计算机为媒介的方法之后(第1年的第一部分)，将对30名新培训的SafeCare提供者进行可行性试验，他们将被随机分配到照常实施(IAU-SC)或技术增强型SafeCare实施(TE-SC)。分配给IAU-SC的提供商将按设计提供SafeCare。分配给TE-SC的提供商将把计算机带到会话中，并利用安装的软件帮助向家长提供SafeCare。在可行性试验期间，提供者将分别为两个家庭(N=60)提供服务。提供商感兴趣的结果是SafeCare保真度、在EBP实施期间对工作需求和资源的看法，以及TE-SC软件的可行性/满意度评级。父母和孩子的行为变化，以及父母的满意度，也将在两个实施条件下进行衡量。这些数据将构成R01应用程序的基础，该应用程序将检查技术增强型实施方法对计划有效性、培训成本和具有额外EBP的提供商忠诚度的影响。因此，该项目是朝着创新的实施方法迈出的第一步，这种方法可以扩大循证政策的影响范围，从而对预防保健和相关的精神健康后果产生积极的公共卫生影响。

DESCRIPTION (provided by applicant): Maltreated children involved with child welfare have 2.5 times greater risk for developing mental health problems than children in the general population. There have been few successful implementations of evidence-based practices (EBPs) that reduce child maltreatment (CM) and mental health risk in child welfare, and the barriers to successful implementation are well documented. The Job-Demands Resource Model (JD- R) is a useful approach for considering how to enhance the uptake of EBPs in demanding, chaotic, and under- resourced environments, such as child welfare. JD-R suggests that employees who perceive high job demands and low resources may experience negative job performance and resist change, but that high job demands can be buffered by high levels of perceived resources. This proposal focuses on the development and pilot testing of an innovative-technology enhanced implementation approach, which will increase the resources offered to child welfare providers during implementation, while also reducing associated demands, with the goal of improving provider fidelity and implementation success. Building on seed grant funding, we propose to develop and test a computer-mediated approach for SafeCare, an EBP targeting CM prevention. Following development and validation of the computer-mediated approach (first part of Year1), a feasibility trial will be conducted with 30 newly trained SafeCare providers who will be randomly assigned to either Implementation as usual (IAU-SC) or Technology-Enhanced SafeCare Implementation (TE-SC). Providers assigned to IAU-SC will deliver SafeCare as designed. Providers assigned to TE-SC will bring computers to sessions and utilize the installed software to assist in the delivery of SafeCare to parents. During the feasibility trial, providers will serve two families each (N=60). Provider outcomes of interest are SafeCare fidelity, perceptions of job demands and resources during EBP implementation, and feasibility/satisfaction ratings for the TE-SC software. Parent and child behavior change, and parent satisfaction, will also be measured in the two implementation conditions. These data will form the basis for an R01 application that will examine the impact of the technology-enhanced implementation approaches on program effectiveness, training costs, and provider fidelity with additional EBPs. Thus, this project is the first step towards an innovative implementation approach that can enhance the reach of EBPs, and consequently, make a positive public health impact on CM and related mental health consequences.