Development, Usability Testing, and Effectiveness Evaluation of the Wraparou

Wraparou 的开发、可用性测试和有效性评估

• 批准号: 8797346
• 负责人: ERIC J. BRUNS
• 金额: $ 49.12万
• 依托单位: ACCOUNTABILITY SOLUTIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-15 至 2016-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8797346
• 关键词: Abnormal coordination; Accountability; Behavior; Behavior Disorders; Businesses; Caring; Cellular Phone; Child; Child Mental Health; Childhood; Clinical; Clinical Services; Clinical assessments; Community Practice; Complex; Data; Data Element; Decision Making; Development; Diagnosis; Diagnostic Services; Drops; Educational Curriculum; Effectiveness; Electronics; Elements; Emotional; Emotional disorder; Enrollment; Evaluation; Evidence based practice; Family; Family member; Federal Government; Feedback; Funding; Goals; Health; Health Information System; Health Resources; Healthcare; Information Management; Internet; Lead; Life; Light; Managed Care; Manuals; Marketing; Mental Health; Modeling; Monitor; Online Systems; Outcome; Perception; Phase; Population; Process; Provider; Psychometrics; Randomized; Randomized Controlled Trials; Recommendation; Reporting; Research; Research Infrastructure; Resources; Schedule; Schools; Services; Site; Small Business Technology Transfer Research; Specific qualifier value; Stream; Supervision; Surveys; System; Tablets; Technology; Technology Transfer; Testing; Training; Validity and Reliability; Work; Youth; base; behavioral health; clinical decision-making; commercialization; cost; evidence base; flexibility; health information technology; improved; interest; interoperability; meetings; member; programs; public health relevance; quality assurance; research and development; research to practice; satisfaction; standardize measure; success; touchscreen; usability

PROJECT SUMMARY The purpose of this Phase II Small Business Technology Transfer (STTR) project is to complete development and evaluate usability and effectiveness of the Wraparound Team Monitoring System (Wrap-TMS), a web- based, electronic behavioral health information system (EBHIS) for the most widely implemented care coordination model in children's behavioral health, the wraparound process. The wraparound process is the only defined, research-based, individualized care coordination process for these children and youth and their families. Wraparound is now implemented for over 100,000 youths annually in nearly 1,000 sites in the U.S. However, despite increased emphasis in health care on use of health information technology to improve efficiency, service quality, and accountability, to date no flexible, locally configurable EBHIS has been developed for wraparound. Moreover, though wraparound is now considered "evidence-based," implementation in the real world often fails to conform to standards of fidelity and/or use objective data to guide management, supervision, and clinical decision making. Availability of such a system will support efficiency, implementation quality and fidelity, and outcomes for youths enrolled in wraparound. In our Phase I STTR project, we successfully specified, developed, programmed, and established the feasibility, utility, reliability, and commercialization potential of Wrap-TMS. Wrap-TMS now features functionality for data entry, management, and basic reporting for the full array of data and information elements needed to manage an integrated care coordination initiative for youths with serious emotional and behavioral disorder (SEBD). In light of our success in Phase I, subsequent partnerships with federal agencies, and inquiries of interest from several states and over 20 provider and managed care organizations, in this Phase II STTR we will: (1) Complete revisions based on Phase I feedback, and expand the information management and reporting capacities of Wrap-TMS, including "Drag and Drop" reporting, program-level aggregate reports, clinical alerts and treatment recommendations from functional assessments, and costs and service tracking; (2) Develop and test support technologies for Wrap-TMS dissemination, including Wrap-TMS User's Manual, quality assurance and support desk models, web-based Wrap-TMS training curriculum, interoperability frameworking infrastructure, and touch screen apps for tablets and smart phones; (3) Continue iterative learnability and usability testing, via lab-based testing and bug tracking of the system and its online user's manual, as well as live tests with real-world end users; and (4) Conduct a randomized controlled effectiveness study comparing n=20 wraparound facilitators who use Wrap-TMS serving n=80 families to 20 non-user staff serving 80 families on practitioner, implementation, and youth/family outcomes.

项目摘要 小企业技术转让（STTR）项目第二阶段的目的是完成开发 并评估环绕式团队监测系统（Wrap-TMS）的可用性和有效性， 基于电子行为健康信息系统（EBHIS），用于最广泛实施的护理 协调模式在儿童行为健康中的概括过程。环绕过程是 只有明确的，基于研究的，个性化的护理协调过程，为这些儿童和青少年， 家庭现在，每年在美国近1，000个地点为超过100，000名青少年实施环绕。 然而，尽管卫生保健越来越强调使用卫生信息技术来改善 效率，服务质量和问责制，到目前为止，还没有灵活的，本地可配置的EBHIS已经 为wraparound而开发。此外，尽管现在认为总结是“以证据为基础的”， 在真实的世界中的实现常常不能符合保真度标准和/或使用客观数据来指导 管理、监督和临床决策。有了这样一个系统将有助于提高效率， 实施质量和忠诚度，以及参加综合方案的青年的成果。在我们的第一阶段STTR中， 项目，我们成功地指定，开发，编程，并建立了可行性，实用性，可靠性， 和Wrap-TMS的商业化潜力。Wrap-TMS现在具有数据输入功能， 管理和基本报告的完整阵列的数据和信息元素，需要管理 为患有严重情绪和行为障碍的青少年提供综合护理协调倡议。鉴于 我们在第一阶段取得的成功、随后与联邦机构的合作以及几个机构感兴趣的询问 美国和20多个提供者和管理式护理组织，在第二阶段STTR中，我们将：（1）完成 根据第一阶段的反馈进行修订，并扩大信息管理和报告能力， Wrap-TMS，包括“拖放”报告、程序级汇总报告、临床警报和治疗 从功能评估、成本和服务跟踪中提出建议;（2）开发和测试支持 传播Wrap-TMS的技术，包括Wrap-TMS用户手册、质量保证和支持 桌面模型、基于Web的Wrap-TMS培训课程、互操作性框架基础设施和触摸 平板电脑和智能手机的屏幕应用程序;（3）通过基于实验室的测试，继续迭代学习和可用性测试 测试和错误跟踪系统及其在线用户手册，以及现场测试与现实世界结束 使用者;以及（4）进行随机对照有效性研究，比较n=20个环绕式促进者 使用Wrap-TMS服务n=80个家庭的20名非用户工作人员为80个家庭提供服务， 执行和青年/家庭成果。