Implementation and Translation Research Project Core

实施和翻译研究项目核心

• 批准号: 10696068
• 负责人: Faye S Taxman
• 金额: $ 40.27万
• 依托单位: GEORGE MASON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-15 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10696068
• 关键词: Adoption; Affect; Area; Attitude; Behavioral; Client; Clinic; Clinical; Communication; Communities; Community Healthcare; Consolidated Framework for Implementation Research; Criminal Justice; Data; Databases; Diffusion; Dissemination and Implementation; Dose; Educational workshop; Effectiveness; Elements; Event; Evidence based treatment; Exploration, Preparation, Implementation, and Sustainment; Feedback; Goals; HIV; Health; Health system; Influentials; Intention; Intervention; Investigational Therapies; Investments; Justice; Knowledge; Longitudinal Studies; Maintenance; Measures; Methods; Modality; Modeling; National Institute of Drug Abuse; Outcome Measure; Participant; Patients; Policies; Process; Production; Prospective Studies; Quality of life; Quasi-experiment; Questionnaires; Randomized; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Reaction; Research; Research Methodology; Research Project Grants; Safety; Sampling; Shapes; Source; Surveys; System; Techniques; Testing; Time; Training; Translating; Translation Process; Translational Research; Translations; United States National Institutes of Health; United States Substance Abuse and Mental Health Services Administration; Universities; Visualization; Wisconsin; Work; addiction; arm; behavioral health; care outcomes; comparative effectiveness; cost; design; effectiveness study; effectiveness testing; evidence base; experience; health communication; implementation evaluation; implementation intervention; implementation outcomes; implementation research; implementation science; implementation strategy; implementation study; improved; instrument; intervention cost; medication for opioid use disorder; offender; opioid use disorder; organizational readiness; pilot test; practice setting; product development; programs; rearrest; recruit; research and development; skills; sound; symposium; tool; trial planning; uptake; webinar

The Implementation and Translational Research (I/Trans) Core of the Mason Coordination and Translation Center (MCTC) will study the effectiveness of Dissemination and Implementation (D/I) strategies to facilitate use and uptake of JCOIN scientific findings into widespread practice in criminal justice (CJ) and health settings. The CJ system, just as clinical settings, experiences a large gap between the development of research evidence and actual adoption into practice. With few rigorous, prospective studies examining mechanisms of implementation strategies in CJ settings, the time is now to examine mechanisms of D/I strategies to advance the adoption, implementation, and maintenance of behavioral health evidence-informed practice, treatments, and policy in CJ health. The I/Trans Core, led by Drs. Faye Taxman (George Mason University [Mason]) and Todd Molfenter (University of Wisconsin-Madison, NIATx), with health communications scholar Dr. Xiaoquan Zhao (Mason) will be theoretically grounded in the Exploration, Preparation, Implementation, Sustain (EPIS) and CJ Evidence-based Interagency Implementation Model (CJ-IIM), using Re-AIM and the HIV Cascade to measure impact. The goal is to test implementation mechanisms of action to better understand effective D/I strategies that affect the effectiveness of JCOIN scientific messages, and adoption and effective use of evidence-based treatments and practices. One large RCT trial is planned for Aim One to determine the optimal approach to low cost interventions of coaching and Extension for Community Healthcare Outcomes (ECHO) model in 44 settings that work with CJ-OUD clients. Aim Two is devoted to advancing the materials used to communicate JCOIN findings by systematically assessing what sources, channels, and messages used by the Dissemination and Engagement Stakeholder (D/SE) Core in routine trainings, workshops, presentations, webinars, and other events are effective. This will entail exploring issues related to message appeal, credible sources, appropriate communication channels, and audience-specific framing production modalities. A longitudinal feedback questionnaire of participants at D/SE events will be used to assess how the material was received, knowledge gained, and likely action using the Perceived Argument Strength Scale and Behavioral Intention Scales. Aim Three will conduct up to three low-cost trials each year, with Steering Committee and NIDA approval, to test key D/I strategies and actionable messages that stakeholders use to make practice changes. Examples of possible D/I strategies include message effectiveness for different audiences, tools to build champions, mediums to build constituent confidence in scientific evidence, tools to assess and use implementation drivers, and techniques to better use academic-practitioner partnerships. JCOIN provides opportunities for researching content and mediums for diffusion of scientific findings. I/Trans will use these studies to advance a core set of translational and diffusion principles. The implementation science field emphasizes the importance of identifying mechanisms of implementation (i.e., the experimental therapeutics of implementation science) which this Core will address.

梅森协调的实施和翻译研究（I/Trans）核心 翻译中心（MCTC）将研究传播和实施（D/I）战略的有效性， 促进将JCOIN的科学发现用于刑事司法和卫生领域的广泛实践 设置. CJ系统，就像临床设置，经历了很大的差距，研究的发展 证据和实际应用。由于很少有严格的、前瞻性的研究来检查 在CJ环境中实施战略，现在是时候检查D/I战略的机制，以推进 采用，实施和维护行为健康循证实践，治疗， 和CJ健康的政策I/Trans核心，由Faye Taxman博士（乔治梅森大学[梅森]）领导， 托德莫尔芬特（威斯康星大学麦迪逊分校，NIATx），与健康传播学者小泉博士 赵（梅森）将在理论上扎根于探索，准备，实施，维持（EPIS）， CJ循证机构间实施模型（CJ-IIM），使用Re-AIM和HIV级联来衡量 冲击目标是测试行动的实施机制，以更好地理解有效的D/I战略， 影响JCOIN科学信息的有效性，以及采用和有效使用基于证据的 治疗和实践。计划为Aim One进行一项大型RCT试验，以确定降低 在44个环境中进行辅导和社区卫生保健成果推广（ECHO）模式的成本干预 与CJ-OUD客户合作。目标二是致力于推进用于JCOIN通信的材料 通过系统地评估传播所使用的来源、渠道和信息， 参与利益相关者（D/SE）在日常培训、研讨会、演示、网络研讨会和其他活动中发挥核心作用 是有效的。这将需要探讨与信息吸引力、可靠来源、适当 沟通渠道和观众特定的框架生产模式。纵向反馈 D/SE活动参与者的问卷调查将用于评估材料的接收方式、知识 获得，并可能采取的行动，使用知觉论点强度量表和行为意图量表。目的 在指导委员会和NIDA的批准下，三家公司每年将进行多达三次低成本试验， D/I策略和可操作的信息，利益相关者使用这些策略和信息来进行实践变更。可能的例子 D/I战略包括针对不同受众的信息有效性、培养冠军的工具、 成员对科学证据的信心，评估和使用实施驱动因素的工具，以及 更好地利用学术界与从业人员的伙伴关系。JCOIN提供了研究内容的机会， 传播科学发现的媒介。I/Trans将利用这些研究来推进一套核心的翻译 扩散原则。执行科学领域强调确定机制的重要性 实现（即，实施科学的实验治疗学），这一核心将解决。