Feasibility of an Internet-Based Model for Implementation of a Prevention Program

基于互联网的预防计划实施模型的可行性

• 批准号: 8416351
• 负责人: Carol Edmisten MacKinnon-Lewis
• 金额: $ 31.1万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-02-15 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8416351
• 关键词: Acute; Address; Adherence; African American; Alcohol consumption; Behavior; Caregivers; Characteristics; Climate; Collaborations; Collection; Communities; Community Networks; Competence; County; Development; Economics; Effectiveness; Family; Family Research; Florida; Future; Genetic Predisposition to Disease; Goals; Healthcare; Internet; Intervention; Investments; Knowledge; Lead; Life; Marijuana Smoking; Mental Depression; Methods; Minority; Mission; Modeling; Online Systems; Outcome; Participant; Pilot Projects; Prevention; Prevention program; Preventive; Preventive Intervention; Process; Protocols documentation; Public Health; Public Health Schools; Randomized; Research Personnel; Resources; Rural; Science; Self Efficacy; Services; Site; Supervision; System; Technology; Testing; Tobacco use; Training; Training Programs; Universities; Youth; adolescent alcohol; base; behavioral health; college; comparative effectiveness; cost; cost effectiveness; design; effectiveness trial; expectation; health disparity; innovation; intervention program; member; preference; programs; rural area; universal prevention

DESCRIPTION (provided by applicant): Despite huge investments in health care, barriers to the delivery and utilization of effective services often lead to limited access to preventive behavioral health programs, especially for minorities and the poor living in rural areas, resulting in health disparities for these groups, an issue relevant to NIDA's mission. The purpose of the proposed pilot study is to test the feasibility of an innovative implementation model that utilizes technology to deliver live, on-line training and TA in the dissemination of the Strong African American Families Program (SAAF), a universal preventive intervention shown to be effective in reducing rural AA youths' alcohol, tobacco and marijuana use, and addressing other challenges. Thus SAAF has the potential of making a significant public health impact on the lives of millions of AA youth and their families living in the rural south. If effective, the proposed web-based approach will facilitate dissemination and implementation of SAAF, and potentially other empirically-based preventive interventions, to rural areas where it is difficult to provide the on-site support that a web approach can deliver. The efficacy of SAAF is tied to the effectiveness of its community-based implementation system, which has hinged on the training of lay AA community members as facilitators that to date has been conducted face-to-face, which significantly limits more widespread dissemination. Therefore, the next step in developing SAAF's public health impact is to examine the feasibility of an innovative internet-based implementation model in disseminating live, on-line SAAF training and TA in a rural southern county using a two-wave pre-post design. Contingent on the findings, a randomized comparative effectiveness trial of two delivery models (internet-based; standard face-to-face) in the implementation of SAAF with families will be conducted in an RO1 application. Our specific aims are to: 1) test the feasibility of training facilitators with fidelity in the implementation o the SAAF intervention model using an internet-based approach; 2) test the feasibility that internet-based SAAF training and TA will contribute to fidelity-promoting implementer processes in the facilitators; 3) explore the extent to which facilitator characteristics impact the relationship between the team implementation climate and fidelity-promoting implementer processes; and 4) pilot methods for the collection of cost and resource information needed for implementation of SAAF-TDM to be used in future applications for the development of cost effectiveness studies.

描述（由申请人提供）：尽管在卫生保健方面投入了大量资金，但提供和利用有效服务的障碍往往导致获得预防性行为健康计划的机会有限，特别是对少数民族和农村地区的穷人， 这些群体在健康方面的差距，这是一个与NIDA的使命有关的问题。拟议的试点研究的目的是测试一个创新的实施模式的可行性， 技术提供现场，在线培训和TA在强大的非洲裔美国人家庭计划（SAAF）的传播，普遍的预防性干预表明，有效地减少农村AA青年的酒精，烟草和大麻的使用，并解决其他挑战。因此，SAAF有可能对生活在南部农村的数百万AA青年及其家庭的生活产生重大的公共卫生影响。如果有效的话，拟议的网络方法将有助于向难以提供网络方法所能提供的现场支持的农村地区传播和实施SAAF，并可能促进其他基于医疗的预防干预措施。SAAF的有效性与其基于社区的执行系统的有效性有关，该系统依赖于对非专业AA社区成员作为促进者的培训，迄今为止一直是面对面进行的，这大大限制了更广泛的传播。因此，在发展SAAF的公共卫生影响的下一步是研究的可行性，一个创新的基于互联网的实施模式，在传播现场，在线SAAF培训和TA在南部农村县使用两波前后设计。视调查结果而定，将在RO 1应用程序中对两种交付模式（基于互联网;标准面对面）在家庭实施SAAF方面进行随机比较有效性试验。我们的具体目标是：1）测试在使用基于互联网的方法实施SAAF干预模型时，培训具有忠诚度的促进者的可行性; 2）测试基于互联网的SAAF培训和TA将有助于促进者中的忠诚度促进实施者过程的可行性; 3）探索促进者特征在多大程度上影响团队实施气氛和忠诚度促进实施者过程之间的关系;以及4）收集实施SAAF-TDM所需的成本和资源信息的试验方法，以用于未来开发成本效益研究的应用。