Moving Research to Practice for Child Health

将研究转化为儿童健康实践

• 批准号: 8757205
• 负责人: Michael Silverstein
• 金额: $ 17.63万
• 依托单位: BOSTON MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-20 至 2019-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8757205
• 关键词: Address; Administrator; Adopted; Adoption; Award; Behavior; Boston; Case Manager; Case Study; Child; Child Development; Child health care; Clinical Trials Design; Communities; Community Hospitals; Development Plans; Developmental Disabilities; Dimensions; Discipline; Distal; Early Intervention; Education; Effectiveness; Environment; Evidence based intervention; Evidence based practice; Faculty; Failure; Family; Fellowship; Five-Year Plans; Funding; Generations; Goals; Head Start Program; Health; Health Services Research; Healthcare; Healthcare Systems; Hospitals; Individual; Institute of Medicine (U.S.); Institutes; Intervention; Interview; Learning; Light; Link; Longitudinal Studies; Low income; Maternal and Child Health; Mental Health; Mentors; Modeling; Mothers; National Institute of Child Health and Human Development; Neonatal Intensive Care Units; Nursery Schools; Organizational Change; Outcome; Participant; Patient-Focused Outcomes; Performance; Premature Infant; Prevention strategy; Problem Solving; Process; Program Development; Provider; Publications; Publishing; Quality of Care; Relative (related person); Reporting; Research; Research Design; Research Personnel; Science; Seminal; Series; Site; Staging; Structure; System; Testing; Time; Universities; Work; Writing; base; behavior change; behavioral health; career; career development; depression prevention; design; dissemination research; effectiveness trial; efficacy testing; efficacy trial; health care delivery; high risk; implementation research; implementation science; improved; innovation; insight; intervention program; maternal depression; meetings; prevent; programs; public health relevance; randomized trial; research to practice; screening; skills; theories; therapy design; uptake

DESCRIPTION (provided by applicant): Since the Institute of Medicine's seminal 2001 publication, Crossing the Quality Chasm, many have written about the 'research-practice gap' - whereby efficacious health innovations consistently fail to be adopted within real world practice settings. Addressing this gap is particularly important in the realm of maternal-child health, where implementing evidence-based practice has been more elusive than in other fields. The purpose of this K24 mid-career award is to apply the principles of dissemination and implementation science to family-based mental health, and to promote the adoption and spread of evidence-based interventions for maternal depression. Over the past nine years, Dr. Silverstein has developed and demonstrated the efficacy of Problem Solving Education (PSE) as a depression prevention strategy for low-income mothers. This K24 outlines a five year plan, whereby Dr. Silverstein will learn the theory and practice of dissemination and implementation science; conduct new research that embeds early implementation studies within a series of ongoing, R01- funded trials of PSE; and expand the reach and scope of his mentoring capacity. Dr. Silverstein's K24 career development activities include structured meetings with a team of experts in the fields of dissemination and implementation science, applied health services research, and child development; a two-year 'fellowship' with the Institute for Healthcare Improvement; and participation in didactic courses focusing on organizational behavior and innovation spread. This career development plan comes at a critical time in the course of Dr. Silverstein's research trajectory. Within the timeframe of the proposed K24, he will complete three depression prevention trials in diverse community-based and hospital settings. This presents a unique opportunity to compare the capacity of each setting to support essential program processes necessary for PSE's implementation and sustainability. The proposed K24 research plan includes 1) a Failure Modes and Effects Analysis to identify performance gaps in PSE's implementation across study settings; 2) a series of qualitative interviews with stakeholders in each setting to provide insight into barriers and facilitators to PSE's implementation; and 3) a pilot test of an implementation strategy to promote fidelity to the PSE model in the neonatal intensive care unit - the site of a recently NICHD-funded multisite trial of PSE. Lastly, Dr. Silverstein will leverage his K24 research plans to expand the scope and reach of his mentoring capacity. His specific mentoring objectives are to assemble interdisciplinary mentoring teams with other researchers across the Boston University campus to guide junior investigators in conducting their work; expand the scope of his mentoring content to encompass dissemination and implementation research; and expand the reach of his mentoring to accommodate additional postdoctoral and junior faculty mentees. Dr. Silverstein's ultimate goal is to conduct - and to guide junior investigators in conducting - research that leads to the sustainable implementation of effective, generalizable programs for children and families.

描述（由申请人提供）：自从医学研究所2001年的开创性出版物《跨越质量鸿沟》以来，许多人都写过关于“研究与实践差距”的文章，即有效的卫生创新始终未能在现实世界的实践环境中得到采用。解决这一差距在妇幼保健领域尤为重要，因为在妇幼保健领域实施循证做法比在其他领域更加难以捉摸。K24职业中期奖的目的是将传播和实施科学的原则应用于以家庭为基础的心理健康，并促进采用和传播以证据为基础的孕产妇抑郁症干预措施。在过去的九年里，Silverstein博士已经开发并证明了问题解决教育（PSE）作为低收入母亲预防抑郁症策略的有效性。这个K24概述了一个五年计划，借此西尔弗斯坦博士将学习传播和实施科学的理论和实践；开展新的研究，将早期实施研究嵌入到一系列正在进行的R01资助的PSE试验中；并扩大他的指导能力的范围和范围。Silverstein博士的K24职业发展活动包括与传播和实施科学、应用卫生服务研究和儿童发展领域的专家团队进行有组织的会议；保健改善研究所的两年“奖学金”；参与以组织行为学和创新为重点的教学课程的人数也在增加。这个职业发展计划是在Silverstein博士研究生涯的关键时刻提出的。在拟议的K24的时间框架内，他将在不同的社区和医院环境中完成三项抑郁症预防试验。这提供了一个独特的机会来比较每个设置的能力，以支持PSE实施和可持续性所必需的基本程序过程。建议的K24研究计划包括1)失效模式和影响分析，以确定PSE在不同研究环境下实施的性能差距；2)对每个环境中的利益相关者进行一系列定性访谈，以深入了解PSE实施的障碍和促进因素；3)在新生儿重症监护室进行实施策略的试点测试，以促进PSE模式的保真度——新生儿重症监护室是最近nichd资助的PSE多地点试验的地点。最后，Silverstein博士将利用他的K24研究计划来扩大他的指导能力的范围和范围。他的具体指导目标是与波士顿大学校园内的其他研究人员组成跨学科指导团队，指导初级研究人员开展工作；扩大其指导内容的范围，包括传播和实施研究；并扩大他的指导范围，以容纳更多的博士后和初级教员学员。西尔弗斯坦博士的最终目标是进行研究，并指导初级研究人员进行研究，从而为儿童和家庭提供有效、可推广的可持续实施方案。