Developing a Robust Evidence-Based Implementation Package for Youth Autism

为青少年自闭症制定强有力的循证实施方案

• 批准号: 9334319
• 负责人: Bryce Douglas McLeod
• 金额: $ 33.92万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-08-17 至 2019-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9334319
• 关键词: Address; Adherence; Adult; Archives; Autistic Disorder; BLase; Behavior; Clinical Trials; Code; Cognitive Therapy; Collaborations; Communities; Competence; Complex; Computer software; Data; Effectiveness; Elements; Employee Strikes; Employment; Equilibrium; Evaluation; Evidence based practice; Evidence based program; Exhibits; Feedback; Friendships; Funding; Future; Goals; Influentials; Institute of Medicine (U.S.); Internet; Intervention; Knowledge; Learning; Measures; Mediating; Mediator of activation protein; Mental Health; Mental Health Services; Methods; Modeling; Motivation; National Institute of Mental Health; Outcome Measure; Outpatients; Population; Procedures; Quality Control; Quality of Care; Recruitment Activity; Research; Research Priority; School-Age Population; Services; Supervision; System; Technology; Testing; Time; Training; Training Support; United States National Institutes of Health; Validity and Reliability; Videotape; Wood material; Work; Youth; associated symptom; autism spectrum disorder; base; community setting; cost; cost effective; design; effectiveness trial; efficacy testing; evidence base; flexibility; functional outcomes; improved; improved outcome; innovation; instrument; learning engagement; mental health center; outcome forecast; primary outcome; programs; success; therapy design; therapy development; tool; treatment center

Project Summary The objective of the proposed study is to develop implementation tools to facilitate an improved quality of care for school-aged youth with autism spectrum disorder (ASD) receiving services in community mental health settings. The NIMH Strategic Research Priorities call for innovative service delivery models to improve the outcomes of mental health services received in diverse communities and populations, including the use of technology-based strategies to make evidence based practices (EBPs) available, deliverable, effective, and scalable in non-specialty settings, and for service system interventions designed to improve functional outcomes for people with ASD (Objective 4). To achieve these goals, EBPs for school-aged youth with ASD need to be prepared and optimized for implementation in the community settings where most youth with ASD receive treatment. Implementation of EBPs for youth with ASD will require effective Quality Control (QC) procedures (therapist training and support procedures and QC instruments to gauge the success of the training/support procedures). As a first step towards these goals, in the proposed project we will accomplish three primary aims: (a) Develop a flexible, internet-based, video supported training and real time therapist guidance application to support clinician implementation of the Modular EBPs for Youth with ASD (MEYA), a compendium of EBPs for school-aged youth with ASD; (b) Develop the MEYA Integrity Scale, a pragmatic treatment integrity scale designed to gauge the success of the MEYA Training System and serve as a feedback tool in supervision; and (c) Assess the feasibility and promise of these MEYA QC procedures to improve therapist delivery of MEYA via key mediators (therapist knowledge, engagement) in a multiple baseline study. A panel of stakeholders comprised of end-users from community treatment centers for youth with autism will advise the research team on design features of the MEYA Training System and Integrity Scale. A software designer and videographer will work with the research team to realize the MEYA Training System, which will include multiple design features to maximize clinician engagement, motivation, and learning guided by contemporary models of implementation and learning (e.g., Proctor et al., 2011). The MEYA Integrity Scale will be refined and validated against a pre-existing archive of 1020 MEYA and comparison treatment sessions from NIH-funded clinical trials. The multiple baseline study will recruit 15 clinicians working with youth with ASD in community settings. The MEYA Training System will be assessed for acceptability and feasibility in this trial, and the primary outcome measure will be therapists' scores on the MEYA Integrity Scale following the onset of the intervention. The MEYA Training System and Integrity Scale will be refined based on stakeholder and clinician feedback and prepared for evaluation in a future R01 effectiveness trial testing the MEYA Training System in conjunction with different training and supervision approaches typically used in community settings.

项目总结

项目成果

Practitioner Adherence and Competence in MEYA, a Free Online Self-Instruction Program in Modular Psychotherapy and Counseling for Children's Autism-Related Clinical Needs.

MEYA 中的从业者依从性和能力，MEYA 是针对儿童自闭症相关临床需求的模块化心理治疗和咨询的免费在线自学项目。

• DOI: 10.1007/s10803-023-06226-w
• 发表时间: 2024
• 期刊: Journal of autism and developmental disorders
• 影响因子: 3.9
• 作者: Wood,JeffreyJ;Wood,KarenS;Rosenau,KashiaA;Cho,AnChuen;Johnson,AmandaR;Muscatello,VirginiaS;Tien,IngridS;Straus,Jolie;Wolpe,Samara;Zeldin,Ari;Kazlauskas,Kristofer;McLeod,BryceD
• 通讯作者: McLeod,BryceD