Building System Capacity to Implement EBPs within A Community Based QI Model

构建系统能力以在基于社区的 QI 模型中实施 EBP

• 批准号: 8517065
• 负责人: Coy MAIENZA
• 金额: $ 16.86万
• 依托单位: NEW MEXICO STATE DEPARTMENT OF HUMAN SERVICES
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-30 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8517065
• 关键词: Accounting; Adopted; Adoption; Area; Commit; Communities; Evaluation; Evidence based practice; Family; Funding; Goals; Grant; Health Benefit; Health Services; Health system; Improve Access; Incentives; Individual; Interview; Laboratories; Law Enforcement; Managed Care; Maps; Mental Health; Mexican; Modeling; New Mexico; Population Heterogeneity; Prevention; Process; Provider; Public Health; Research; Research Design; Rural; Schools; Site; Staging; Substance abuse problem; Surveys; System; United States Substance Abuse and Mental Health Services Administration; Variant; Youth; base; behavioral health; comparative; evidence base; frontier; improved; programs; rural area; substance abuse treatment; success

DESCRIPTION (provided by applicant): This study optimizes a naturally occurring laboratory to study EBP adoption and implementation (EBP A&I) within the Total Community Approach (TCA) initiative-- a state-funded project (approximately 3 million dollars per year since FY08) implemented in six rural areas of New Mexico with high rates of substance abuse. TCA is a community-based, collaborative approach emphasizing the involvement of a full range of stakeholders at all levels of substance abuse program planning, implementation, evaluation, and sustainability. A significant finding from the evaluation of the TCA initiative has been that there is great variation in EBP A&I across sites. This purpose of this study is to examine the factors that may account for the variability in EBP A&I, explore the collaborative process by which state, local providers and consumers develop plans to support EBP A&I in TCA and statewide, and examine the impact of this process on improving EBP A&I capacity. This public health impact of this study is the ability to improve EBP implementation in the existing TCA initiative, support the successful expansion statewide of the TCA model, and provide a model for improving EBP A&I that can be implemented in other states facing similar significant challenges to EBP A&I. The proposed research will explore the following questions: (1) What factors impact EBP A&I in the TCA initiative? (2) Do the collaboratively developed EBP A&I Improvement Plans (AIIPs) enhance the capacity to adopt and implement EBPs in the TCA initiative and statewide? The Specific Aims to answer these questions are (1) Refine EBP Capacities Survey (EBPICS) and prepare for system change planning. This comparative design study will be conducted through use of Concept Mapping with state, local providers and consumers to develop and prioritize EBP A&I supports to be used to develop EBP A&I improvement plans (AIIPs) statewide and locally; followed by expert review to finalized the EBPIC survey (2) Examine what state agency, individual provider and consumer level factors are perceived to most impact substance abuse-related EBP A&I and the current level of EBP A&I capacity in local TCA programs through EBPIC survey with state, local provider and consumers, and in-depth interviews; (3). Document and examine the process of collaboratively developed statewide and local TCA EBP Adoption and Implementation Improvement Plans (AIIIPs) through a qualitative study of the impact of the collaborative process on plans developed; and (4) Examine success in the implementation of the TCA EBP AIIPs and improvements in EBP A&I capacity through T2 EBPIC survey, interviews, and reviews of annual TCA site proposals.

描述(由申请人提供)：这项研究优化了一个自然发生的实验室，在全面社区方法(TCA)倡议下研究EBP的采用和实施(EBP A&I)。TCA倡议是一个由州政府资助的项目(自2008财年以来每年约300万美元)，在新墨西哥州六个药物滥用率较高的农村地区实施。TCA是一种以社区为基础的合作方法，强调在药物滥用规划、实施、评估和可持续性的所有级别的利益相关者的参与。从对TCA倡议的评估中得到的一个重要发现是，不同地点的EBP A和I存在很大差异。这项研究的目的是考察可能导致EBP A&I变化的因素，探索州、地方提供商和消费者在TCA和全州制定支持EBP A&I的计划的协作过程，并检验这一过程对提高EBP A&I能力的影响。这项研究的公共卫生影响是能够改进现有TCA计划中的EBP实施，支持TCA模式在全州的成功扩展，并为改善EBP A&I提供了一个模式，可以在面临EBP A&I类似重大挑战的其他州实施。拟议的研究将探索以下问题：(1)哪些因素影响TCA计划中的EBP A&I？(2)合作开发的EBP A&I改进计划(AIIP)是否增强了在TCA计划和全州范围内采用和实施EBP的能力？回答这些问题的具体目的是(1)完善EBP容量调查(EBPICS)并为系统变更计划做准备。这项比较设计研究将通过使用州、地方提供者和消费者的概念图来制定和确定EBP A&I支持的优先顺序，以用于制定全州和地方的EBP A&I改进计划(AIIP)；随后将进行专家审查，以最终完成EBPIC调查；(2)通过对州、地方提供者和消费者的EBPIC调查和深入访谈，检查哪些州机构、个人提供者和消费者被认为对与药物滥用相关的EBP A&I和地方TCA项目的EBP A&I能力水平影响最大；(3)通过对协作过程对制定的计划的影响的定性研究，记录和检查协作制定的全州和地方TCA EBP采用和实施改进计划(AIIIP)的过程；以及(4)通过T2 EBPIC调查、访谈和年度TCA场地提案的审查，检查TCA EBP AIIP的实施成功和EBP A&I能力的改进。