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Community Implementation of Psychosocial Treatment for Bipolar Disorder

双相情感障碍心理社会治疗的社区实施

基本信息

批准号：
8499423
负责人：
Ellen Frank
金额：
$ 17.15万
依托单位：
RAND CORPORATION
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：
2011-02-22 至 2015-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8499423
关键词：
Acute Address Adult Applications Grants Bipolar Disorder Caring Chronic Commit Communities Development Diagnosis Disease remission Effectiveness Environment Evidence based practice Face Future Health Services Impairment Individual Information Technology Internet Intervention Intervention Studies Leadership Learning Mental Health Mental Health Services Mental disorders Modeling National Institute of Mental Health Occupational Pharmaceutical Preparations Pharmacotherapy Provider Psychotherapy Public Health Recurrence Research Personnel Research Project Grants Resources Services Site Speed Symptoms Technology Testing Training Training Support base community setting control trial design effectiveness trial evidence base experience improved improved functioning innovation middle age peer psychosocial research to practice service intervention social suicide rate therapy development treatment as usual

项目摘要

DESCRIPTION (provided by applicant): Bipolar disorder is a devastating, chronically recurring condition with significant public health impact, characterized high rates of suicide and high levels of functional and occupational impairment. In the last 15 years, combined psychosocial intervention and medication has been found to speed remission of acute symptoms, delay recurrences, and reduce inter-episode symptoms in a number of controlled trials, yet these effective psychosocial interventions are seldom implemented in community mental health settings. The proposal seeks to address these challenges by developing and piloting a comprehensive approach to implementation that will support the implementation of an evidence-based psychotherapy (EBP) for bipolar disorder in community mental health settings. The proposal builds on approaches developed during a large multi-site bipolar effectiveness trial (STEP-BD). It enhances those approaches through developing a comprehensive approach to implementation that incorporates technology-supported implementation assistance that targets key organizational factors and individual clinician factors associated with effective implementation. The project will then compare this comprehensive approach to implementation designed to improve effective implementation to an implementation-as-usual strategy in terms of feasibility and acceptability. The results will be used to support the development of a larger grant proposal to examine the effectiveness of a comprehensive approach to implementation, as well as provide important information to the field more generally regarding factors associated with effective implementation of interventions in community mental health settings.

描述(由申请人提供)：双相情感障碍是一种破坏性的、长期反复发作的疾病，对公共健康有重大影响，其特征是高自杀率和高水平的功能和职业损害。在过去的15年里，在一些对照试验中发现，心理社会干预和药物治疗相结合可以加速急性症状的缓解，延缓复发，并减少发作间歇性症状，但这些有效的心理社会干预措施很少在社区精神卫生环境中实施。该提案旨在通过开发和试点一种全面的实施方法来应对这些挑战，该方法将支持在社区精神卫生环境中实施基于证据的双相情感障碍心理治疗(EBP)。该提案建立在一项大型多点双极有效性试验(STEP-BD)期间开发的方法基础上。它通过制定一种全面的执行方法来加强这些方法，该方法包括针对与有效执行相关的关键组织因素和个人临床医生因素的技术支持的执行援助。然后，该项目将在可行性和可接受性方面将这一旨在改进有效执行的综合执行办法与“执行照常”战略进行比较。结果将用于支持制定一项更大的赠款提案，以审查综合执行办法的有效性，并向外地提供更广泛的关于在社区精神卫生环境中有效实施干预措施的因素的重要信息。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Readiness to Implement an Evidence-Based Psychotherapy: Perspectives of Community Mental Health Clinicians and Administrators.

准备实施循证心理治疗：社区心理健康临床医生和管理人员的观点。

DOI：
10.1176/appi.ps.201400424
发表时间：
2015
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
0
作者：
Hamm,Megan;Williams,Kelly;Nikolajski,Cara;Celedonia,KarenL;Frank,Ellen;Swartz,HollyA;Zickmund,SusanL;Stein,BradleyD
通讯作者：
Stein,BradleyD

Psychosocial Treatment of Bipolar Disorder: Clinician Knowledge, Common Approaches, and Barriers to Effective Treatment.

双相情感障碍的心理社会治疗：临床医生知识、常见方法和有效治疗的障碍。

DOI：
10.1176/appi.ps.201400004
发表时间：
2015
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
0
作者：
Stein,BradleyD;Celedonia,KarenL;Swartz,HollyA;Burns,RachelM;Sorbero,MarkJ;Brindley,RayniA;Frank,Ellen
通讯作者：
Frank,Ellen

Implementing a Web-Based Intervention to Train Community Clinicians in an Evidence-Based Psychotherapy: A Pilot Study.

实施基于网络的干预措施来培训社区临床医生进行循证心理治疗：一项试点研究。

DOI：
10.1176/appi.ps.201400318
发表时间：
2015
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
0
作者：
Stein,BradleyD;Celedonia,KarenL;Swartz,HollyA;DeRosier,MelissaE;Sorbero,MarkJ;Brindley,RayniA;Burns,RachelM;Dick,AndrewW;Frank,Ellen
通讯作者：
Frank,Ellen

Facilitators and barriers associated with implementation of evidence-based psychotherapy in community settings.

在社区环境中实施循证心理治疗相关的促进因素和障碍。