Pilot Testing of an E-Learning Strategy for Housing First Implementation

描述(由申请人提供)：目前缺乏关于有效实施药物滥用治疗和预防的循证实践战略的知识。住房优先技术援助和培训方案(HFTAT)是称为住房优先模式(HFM)的EBP的一项实施战略。HFM是一种安置长期无家可归者的方法，已证明有助于改善物质使用结果，但由于其复杂性，在许多情况下很难实施。虽然与HFTAT有关的初步评价和质量保证工作证明了其作为一项执行战略的有效性，但其内容的面对面交付形式需要大量时间和资源，这限制了其对寻求实施HFTAT的组织的吸引力。本研究有三个目的。目标1是调整HFTAT，以便远距离交付，从而减少组织利用的时间和资源。适应进程将以现有的关于有效执行做法、HFM保真措施以及教育领域的理论和最佳做法的经验知识为指导。我们将在住房从业者的样本中对调整后的HFTAT进行阿尔法测试。为阿尔法测试收集的数据将主要是定性的，调查结果将指导执行战略的改进。目标2是开发一种工具，用来衡量影响HFM执行的结构性因素。我们将对现有的执行情况和HFM研究进行文献审查，以确定要纳入这一衡量工具的项目。目标3是进行一项试点研究，以评估一项更大规模的研究的可行性，该研究将测试HFTAT作为一项执行战略的有效性。我们将采用准实验、混合方法设计，从四个组织收集与培训和实施成果有关的数据。该项目将产生的更大规模的研究将测试不同的HFM实施战略的效用，以影响计划、员工和消费者层面的变化。这两个项目都将增加关于循证药物滥用做法执行战略的有限科学知识，通过这项研究获得的知识有可能应用于制定和测试类似执行战略的其他努力。此外，鉴于该模式已被置于解决无家可归问题的国家和地方战略的中心，制定一项以证据为基础的HFM执行战略将引起广泛的利益攸关方的兴趣。

DESCRIPTION (provided by applicant): There is currently a lack of knowledge regarding effective implementation strategies for evidence-based practices (EBPs) for substance abuse treatment and prevention. The Housing First Technical Assistance and Training program (HFTAT) is an implementation strategy for an EBP known as the Housing First Model (HFM). The HFM is an approach to housing the chronically homeless that has been demonstrated to lead to a number of improved substance use outcomes, but has proven difficult to implement in many instances due to its complexity. While an initial evaluation and quality assurance work related to the HFTAT has demonstrated its effectiveness as an implementation strategy, the face-to-face format in which its content is delivered requires a large amount of time and resources, which limits its attractiveness to organizations seeking to implement the HFM. This study has three aims. Aim 1 is to adapt the HFTAT to be delivered over a distance, thus requiring less time and resources for organizations to utilize. The adaptation process will be guided by existing empirical knowledge regarding effective implementation practices, HFM fidelity measures, and theory and best practices from the field of education. We will conduct an alpha test of the adapted HFTAT among a sample of housing practitioners. Data collected for the alpha test will be primarily qualitative, and findings will guide refinement of the implementation strategy. Aim 2 is to develop an instrument to measure structural-level factors affecting HFM implementation. We will conduct a literature review of existing implementation and HFM studies to identify items to include in this measurement tool. Aim 3 is to conduct a pilot study to assess the feasibility for a larger study that will test the HFTAT's effectiveness as an implementation strategy. We will employ a quasi- experimental, mixed methods design to collect data related to training and implementation outcomes from four organizations. The larger study that will result from this project will test the utility of different HFM implementation strategiesto affect change at the program-, staff-, and consumer-levels. Both of these projects will increase the limited scientific knowledge regarding implementation strategies for evidence-based substance abuse practices, and knowledge acquired through this study can potentially be applied to other efforts to develop and test similar implementation strategies. Additionally, development of an evidence-based HFM implementation strategy will be of interest to a wide range of stakeholders given that the model has been placed at the center of national and local strategies for addressing homelessness.