KIIDS: Knowing about intervention implementation in Detention Sites

描述（由申请人提供）：对涉及少年司法的青少年实施基于证据的药物滥用和艾滋病毒预防干预措施，这是一个明确、令人信服和令人信服的紧迫性；青少年群体未得到充分的服务和研究，在实施科学领域很少受到关注。为了解决这一明显而持久的健康差距，我们建议成立KiiDS（了解拘留场所干预措施实施）研究中心，这是一个由emory领导的学术机构联盟，乔治亚州少年司法部门（DJJ）和社区机构提供药物滥用和艾滋病毒预防和治疗服务，参与并为试验合作社做出贡献。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、药物滥用和艾滋病毒预防和治疗提供者的长期合作，开发、管理和评估多地点实施科学研究。作为一个最先进的实施科学中心，儿童问题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基于证据的药物使用和艾滋病毒预防干预措施的采用率、保真度、质量、覆盖范围、可持续性和成本效益。KiiDS研究中心的任务是与其他试验点密切合作，并与格鲁吉亚dj和社区药物滥用和艾滋病毒预防和治疗提供者协同工作，管理跨站点实施科学研究协议，制定方法上严格的措施和研究设计，这将用于系统地评估我们的理论驱动的多层次和多组件实施策略的有效性和成本效益，这些策略旨在对青少年司法系统的上下文变化敏感。因此，我们选择探索、准备、实施、维持（EPIS）模型来提供理论框架，以支持实施策略的制定，这是基于该模型对复杂服务系统（如少年司法系统）的适用性，它对识别多种实施因素的指导在实施研究中可能是重要的。它在为多组件实施策略的制定提供信息方面具有足够的特殊性。作为儿童发展研究中心的一部分，我们提出了一个研究概念，开发和评估多地点、多层次和多组成部分的实施战略，强调在组织层面，领导力发展培训和组织技能，在执行人员层面，适应背景的儿童发展战略，更可行，更适用于少年司法系统。以及提供药物滥用和艾滋病毒预防干预服务的社区组织。我们的愿景是，这种多系统的方法可以促进以证据为基础的干预措施更迅速和可持续地融入少年司法和社区机构，预测涉及少年司法的青少年健康轨迹的改善。

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.