KIIDS: Knowing about intervention implementation in Detention Sites

描述（由申请人提供）：有一个明确的，令人信服的和令人信服的紧迫性，以实施基于证据的药物滥用和艾滋病毒预防干预措施的少年司法涉及青年;青少年人口是服务不足和研究不足，并在执行科学领域受到稀疏的关注。为了解决这一显着的和持久的健康差距，我们建议KiiDS（知道在拘留场所实施干预）研究中心，埃默里领导的学术机构联盟，少年司法（DJJ）的格鲁吉亚部和社区机构提供药物滥用和艾滋病毒预防和治疗服务，通过参与和促进TRIALS合作。我们建议利用我们的专业知识的多样性和我们与实施科学家和药物滥用和艾滋病毒预防和治疗提供者的合作的长期性，以开发，管理和评估多站点实施科学研究。作为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，提高青少年司法系统中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，范围，可持续性和成本效益。KiiDS研究中心的使命是与其他TRIALS网站密切合作，并与格鲁吉亚DJJ和社区药物滥用和艾滋病毒预防和治疗提供者合作，管理跨站点实施科学研究协议，制定严格的方法措施和研究设计，这将被用来系统地评估我们的理论的有效性和成本效益-驱动的多层次和多成分的执行战略，旨在敏感的青少年司法系统的背景变化。因此，我们选择探索、准备、实施、维持（EPIS）模型来提供理论框架，以支持实施战略的制定，是基于该模型对复杂服务系统（如少年司法系统）的适用性，其在识别多个实施因素方面的指导在实施研究中可能并不重要，以及在为制定多组成部分执行战略提供信息方面的充分具体性。作为KiiDS研究中心的一部分，我们阐述了一个研究概念，开发和评估多站点，多层次，多成分的实施战略，强调在组织层面，领导力发展培训和组织技能，并在实施人员层面，适应环境的EBI更可行，更适合少年司法系统，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更快速和可持续地将循证干预措施纳入少年司法和社区机构，预测少年司法所涉青年的健康轨迹得到改善。

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.