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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：
8471358
负责人：
Ellen Frank
金额：
$ 21.76万
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 2014-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8471358
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、慢性复发的疾病，对公共健康产生重大影响，其特点是自杀率高以及功能和职业损伤程度高。在过去的 15 年中，许多对照试验发现，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、延迟复发并减少发作间期症状，但这些有效的心理社会干预措施很少在社区心理健康环境中实施。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心理健康环境中实施双相情感障碍的循证心理治疗（EBP）。该提案建立在大型多中心双极有效性试验（STEP-BD）期间开发的方法的基础上。它通过开发一种全面的实施方法来增强这些方法，该方法结合了技术支持的实施援助，针对与有效实施相关的关键组织因素和个人临床医生因素。然后，该项目将在可行性和可接受性方面将这种旨在提高有效实施的综合实施方法与照常实施策略进行比较。研究结果将用于支持制定更大规模的拨款提案，以审查综合实施方法的有效性，并为该领域提供更广泛的有关与社区心理健康环境中有效实施干预措施相关因素的重要信息。