UW ALACRITY Center for Psychosocial Interventions Research

华盛顿大学 ALACRITY 心理社会干预研究中心

• 批准号: 9914127
• 负责人: Patricia A. Arean
• 金额: $ 168.59万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-15 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9914127
• 关键词: Action Research; Address; Alaska; Algorithms; Behavior Therapy; Behavioral Sciences; Case Management; Case Manager; Catalogs; Cognitive Therapy; Common Core; Communication; Communities; Community Practice; Complex; Counseling; Data; Discipline; Education; Effectiveness; Electronic Health Record; Engineering; Environment; Face; Faculty; Family Practice; Federally Qualified Health Center; Feedback; Future; Goals; Guidelines; Health; Health Services Research; Health Technology; Healthcare; Human; Idaho; Incubators; Institute of Medicine (U.S.); Institutes; Intervention; Intervention Studies; Learning; Low income; Medicine; Mental Depression; Mental Health; Mentorship; Methodology; Methods; Minority; Modification; Montana; Outcome; Participant; Patient Outcomes Assessments; Patients; Perinatal; Phase; Primary Health Care; Problem Solving; Protocols documentation; Psychiatry; Psychology; Psychotherapy; Quality of Care; Questionnaires; Registries; Reporting; Research; Research Design; Research Infrastructure; Research Methodology; Research Personnel; Research Project Grants; Resources; Rural; Schools; Site-Directed Mutagenesis; Social Work; Social Workers; Supervision; System; Technology; Testing; Time; TimeLine; Training; Training Programs; Typology; Universities; Washington; Wyoming; base; behavioral health; care delivery; care outcomes; care seeking; collaborative care; community based participatory research; computer science; cost; design; disability; effective intervention; effectiveness testing; ethnic minority population; evidence base; experience; implementation science; improved; innovation; intelligent tutoring system; intervention participants; medical schools; meetings; multidisciplinary; novel; problem solving therapy; programs; prototype; psychosocial; racial minority; skills; therapy design; tool; translational health science; usability; user centered design; virtual

ABSTRACT. The UW ALACRITY Center purpose is to address critical problems in the implementation of evidence-based psychosocial interventions (EBPIs) for underserved communities as they are delivered in primary care medicine settings. Per a recent IOM report on psychosocial intervention standards, access to EBPIs is hampered by (1) poor clinician training, (2) intervention design complexity, and (3) insufficient support to sustain quality of care. We will attempt to solve these problems by creating a team of researchers from human centered design (Drs. Fogarty, Gonzalez, Munson, Popovic), education (Raue, Popovic), implementation science (Drs. Bennett and Lyon), psychosocial interventions (Drs. Aisenberg, Arean, Kaysen, Raue), health services research (Dr. Fortney, Ratzliff and Unutzer) and research methods (Dr. Atkins and Hoeft). The Center represents a unique partnership between the School of Medicine’s Departments of Psychiatry/Behavioral Sciences and Family Medicine, the Department of Computer Science and Engineering, the Department of Communications, and the School of Social Work. The Center also bridges UW’s many resources: CoMotion (UW’s center for health technology innovation), the Institute for Translational Health Sciences (the UW CTSA), the AIMS Center (UW implementation and training center for collaborative care), and the WWAMI-region Practice Research Network (WPRN, a collaborative group of primary care practices through the states of Washington, Wyoming, Alaska, Montana and Idaho to facilitate innovative community- based research). The Administrative Core will serve as the communication hub between center cores, our two advisory boards, and will oversee the solicitation and selection of R03 level proof of concept studies. The Methods Core (MC) will provide research infrastructure to the projects. Each project will use our Discover, Design, Build and Test framework to address clinician capacity, intervention usability and intervention sustainability. The MC will also compile data from these projects to create a Typology of EBPI Targets and a Matrix of EBPI Modifications that will be shared with other researchers within and outside of UW through our online research community. Research projects will collect a common core of outcomes to determine the impact of modifying EBPI targets on clinicians’ quality delivery of care and patient-reported outcomes. The first R34 project proposes to improve clinician EPBI capacity by designing and building an Intelligent Tutor System based on adaptive training. The second R34 project will partner with the WPRN to simplify problem-solving therapy (PST), using user-centered design principles. The third R34 project will partner with the Washington Behavioral Health Integration Program (BHIP) to develop an electronic health record-supported behavioral health module and registry to support sustained clinician skill in delivering PST in primary care. All three projects, and future R03s, will test the effects modification targets of implementation outcomes (time to training, clinician skill drift), system usability, EBPI system burden, system acceptability, and patient-reported outcomes.

抽象的。华盛顿大学 ALACRITY 中心的目的是解决实施中的关键问题 针对服务不足的社区提供基于证据的心理社会干预措施 (EBPI) 初级保健医学设置。根据国际移民组织最近一份关于心理社会干预标准的报告， EBPI 受到以下因素的阻碍：(1) 临床医生培训不足；(2) 干预设计复杂；(3) 支持不足 以维持护理质量。我们将尝试通过创建一个研究团队来解决这些问题 以人为本的设计（Drs. Fogarty、Gonzalez、Munson、Popovic）、教育（Raue、Popovic）、 实施科学（Bennett 博士和 Lyon 博士）、心理社会干预（Aisenberg、Arean、Kaysen 博士、 Raue）、卫生服务研究（Fortney 博士、Ratzliff 和 Unutz​​er）和研究方法（Atkins 博士和 霍夫特）。该中心代表了医学院各部门之间的独特合作关系 精神病学/行为科学和家庭医学，计算机科学与工程系， 传播系和社会工作学院。该中心还连接了威斯康星大学的许多 资源：CoMotion（华盛顿大学健康技术创新中心）、转化健康研究所 科学（UW CTSA）、AIMS 中心（UW 协作护理实施和培训中心）、 以及 WWAMI 地区实践研究网络（WPRN，一个初级保健实践合作小组） 通过华盛顿州、怀俄明州、阿拉斯加州、蒙大拿州和爱达荷州，促进创新社区- 基础研究）。行政核心将作为中心核心、我们的两个核心之间的通信枢纽 顾问委员会，并将监督 R03 级概念验证研究的征集和选择。这 方法核心（MC）将为这些项目提供研究基础设施。每个项目都会使用我们的 Discover， 设计、构建和测试框架，以解决临床医生的能力、干预可用性和干预问题 可持续性。 MC 还将编译这些项目的数据，以创建 EBPI 目标类型和 EBPI 修改矩阵将通过我们的网站与华盛顿大学内外的其他研究人员共享 在线研究社区。研究项目将收集共同的核心成果以确定影响 修改关于临床医生护理质量和患者报告结果的 EBPI 目标。第一个R34 项目建议通过设计和构建智能导师系统来提高临床医生 EPBI 能力 基于适应性训练。第二个 R34 项目将与 WPRN 合作以简化问题解决 疗法（PST），采用以用户为中心的设计原则。第三个 R34 项目将与华盛顿合作 行为健康整合计划 (BHIP)，旨在开发电子健康记录支持的行为 健康模块和注册表，支持临床医生在初级保健中提供 PST 的持续技能。全部三个 项目和未来的 R03 将测试实施结果的效果修改目标（培训时间、 临床医生技能漂移）、系统可用性、EBPI 系统负担、系统可接受性和患者报告的结果。