KIIDS: Knowing about intervention implementation in Detention Sites

说明(由申请人提供)：在青少年司法领域实施基于证据的药物滥用和艾滋病毒预防干预措施具有明显、令人信服和令人信服的紧迫性；青少年群体服务不足、研究不足，在实施科学领域很少受到关注。为了解决这一显著和持续的健康差距，我们建议成立KIIDs(了解拘留场所干预措施的实施情况)研究中心，这是一个由埃默里领导的学术机构联盟，佐治亚州少年司法部(DJJ)和提供药物滥用和艾滋病毒预防和治疗服务的社区机构，通过参与和促进试验合作社。我们建议利用我们专业知识的多样性以及我们与实施科学家以及药物滥用和艾滋病毒预防和治疗提供者的长期合作来开发、管理和评估多站点实施科学研究。作为一家最先进的实施科学中心，KIIDs研究中心的目标是制定实施战略，以提高青少年司法系统中青少年循证药物使用和艾滋病毒预防干预措施的采用率、保真度、质量、覆盖面、可持续性和成本效益。KIIDs研究中心的任务是与其他审判地点密切合作，并与佐治亚州司法部长和社区药物滥用和艾滋病毒预防和治疗提供者合作，管理跨地点实施科学研究方案，制定方法上严格的措施和研究设计，用于系统评价我们的理论驱动的多层次和多组成部分实施战略的效力和成本效益，这些战略旨在对少年司法系统中的背景变化敏感。因此，我们选择探索、准备、实施、维持(EPIS)模式来提供支持执行战略制定的理论框架，是基于该模式对青少年司法系统等复杂服务系统的适用性，它在确定可能在执行研究中很重要的多种执行因素方面的指导，以及它在为制定多组成部分执行战略提供信息方面的足够专用性。作为KIIDs研究中心的一部分，我们阐述了一个研究概念，该概念开发和评估多站点、多层次和多组成部分的实施战略，在组织一级、领导力发展培训和组织技能以及实施人员一级强调对青少年司法系统以及提供药物滥用和艾滋病毒预防干预服务的社区组织更可行和更相关的适应背景的EBI。我们的愿景是，这种多系统办法可以促进将循证干预措施更迅速和可持续地纳入少年司法和社区机构，这些机构预测涉及青年的少年司法的健康轨迹有所改善。

DESCRIPTION (provided by applicant): There is a clear, cogent and compelling urgency to implement evidence-based substance abuse and HIV prevention interventions for juvenile justice involved youth; an adolescent population that is underserved and understudied, and receiving sparse attention in the field of implementation science. To address this marked and persistent health disparity, we propose the KiiDS (Knowing about intervention implementation in Detention Sites) Research Center, an Emory-led coalition of academic institutions, the Georgia Department of Juvenile Justice (DJJ) and community agencies providing substance abuse and HIV prevention and treatment services, by participating in and contributing to the TRIALS Cooperative. We propose to capitalize on the diversity of our expertise and the longevity of our collaborations with implementation scientists and substance abuse and HIV prevention and treatment providers to develop, administer, and evaluate multisite implementation science research. As a state-of-the art implementation science center, the goal of the KiiDS Research Center is to develop implementation strategies that enhance the adoption, fidelity, quality, reach, sustainability and cost-effectiveness of evidence-based substance use and HIV prevention interventions for youth in the juvenile justice system. The mission of the KiiDS Research Center is to closely collaborate with other TRIALS sites and, work in concert with the Georgia DJJ and community substance abuse and HIV prevention and treatment providers, to administer cross-site implementation science research protocols, develop methodologically rigorous measures and research designs, which will be used to systematically evaluate the efficacy and cost-effectiveness of our theory-driven multilevel and multicomponent implementation strategies designed to be sensitive to contextual variability in the juvenile justic system. Thus, our selection of the Exploration, Preparation, Implementation, Sustainment (EPIS) model to provide the theoretical scaffolding to support development of implementation strategies is based on the applicability of the model to complex service systems such as the juvenile justice system, its guidance in identification of multiple implementation factors likely t be important in implementation research, and its sufficient specificity in informing the development of multi-component implementation strategies. As part of the KiiDS Research Center we articulate a Research Concept that develops and evaluates multisite, multi-level, and multicomponent implementation strategies, emphasizing at the organizational-level, leadership development training and organizational skills, and at the implementation staff level, contextually adapted EBIs that are more feasible and relevant for juvenile justice systems, as well as for community organizations providing substance abuse and HIV prevention intervention services. Our vision is that this multi-systemic approach may promote a more rapid and sustainable integration of evidence-based interventions into juvenile justice and community agencies forecasting improved health trajectories for juvenile justice involved youth.