Web-based Tool for the Dissemination of Evidence-Based Interventions for ATOD Pre

描述（由申请人提供）：在过去的几十年里，大量基于证据的酒精，烟草和其他药物（ATOD）使用的预防措施已经过严格的测试，并证明是有效的。然而，尽管可用，循证干预措施（EBI），以防止ATOD使用很少在学校和社区服务环境的日常实践中采用。此外，即使采用这些EBI，也很少严格遵守原始设计，并且往往无法长期维持。越来越多的文献表明，实施质量如何直接关系到EBI将嵌入日常实践的可能性，以及EBI实现其预期治疗结果的可能性。最有效的EBI如果不能在其“真实世界的服务环境”中高质量地实施和持续下去，就不会产生积极的结果。国家艾滋病研究所的战略计划明确指出，需要采取有效的方法，帮助缩小循证预防举措的制定与其在学校和社区服务环境中的采用和长期可持续性之间的差距。第一阶段SBIR项目的目标是测试的可行性，可接受性，并将ATOD EBI纳入一个基于网络的工具（Centervention）的效用，目前旨在支持传播和质量实施的心理健康EBI的青年在学校设置。这种灵活的技术基础设施提供了一套可定制的在线工具和服务，包括具有成本效益的高质量培训和监督资源，对干预提供者的持续实施援助，依从性监测以及可能适用于学校和社区服务环境中的ATOD EBI的结果跟踪。通过该项目的第一阶段，将实现三个具体目标：（1）ATOD EBI示例（项目选择）将被纳入中心框架，以确定传播ATOD EBI所需的修改;（2）将与利益相关者团体一起对项目选择原型进行可行性测试;以及（3）根据第一阶段的调查结果和建议，将制定一项计划，在第二阶段纳入和测试多种ATOD EBI的传播。主要的商业应用将是一个技术基础设施，提供专门设计的工具和服务，以支持在学校或社区服务环境中高质量地实施ATOD EBI。如果成功增加ATOD EBI在日常实践中被采用、按预期使用和持续的可能性，则申报产品具有显著的社会效益潜力。

DESCRIPTION (provided by applicant): Over the past several decades, a large number of evidence-based prevention initiatives for alcohol, tobacco, and other drug (ATOD) use have been rigorously tested and shown to be efficacious. However, despite availability, evidence-based interventions (EBIs) for prevention of ATOD use are rarely adopted in everyday practice within school and community service settings. Further, even when adopted, these EBIs are seldom implemented with strong adherence to the original design and often fail to be sustained over time. A growing body of literature demonstrates how implementation quality is directly related to the likelihood an EBI will be embedded into everyday practice, as well as the likelihood that the EBI achieves its intended treatment outcomes. The most effective EBI will not produce positive results if it is not implemented with quality and sustained within its "real-world service setting. NIDA's Strategic Plan specifically identifies the need for effective methods to help close the gap between development of evidence-based prevention initiatives and their adoption and long-term sustainability in school and community service settings. The goal of this Phase I SBIR project is to test the feasibility, acceptability, and utility of incorporating ATOD EBIs into a web-based tool (Centervention) currently designed to support dissemination and quality implementation of mental health EBIs for youth within school settings. This flexible technology infrastructure offers a suite of customizable online tools and services, including cost-efficient, high quality training and supervision resources, ongoing implementation assistance for intervention providers, adherence monitoring, and outcomes tracking that might be applicable to ATOD EBIs within school and community service settings. Three specific aims will be accomplished through Phase I of this project: (1) an example ATOD EBI (Project CHOICE) will be incorporated into the Centervention framework to establish needed modifications for dissemination of ATOD EBIs; (2) a feasibility test of the Project CHOICE prototype will be conducted with stakeholder groups; and (3) based on Phase I findings and recommendations, a plan for incorporating and testing the dissemination of multiple ATOD EBIs during Phase II will be generated. The primary commercial application will be a technology infrastructure that provides tools and services specifically designed to support quality implementation of ATOD EBIs within school- or community-based service settings. If successful in increasing the likelihood that ATOD EBIs are adopted, used as intended, and sustained in everyday practice, the proposed product offers the potential for significant societal benefits.