Developing a CQI intervention to Implement EBP within a CBO

制定 CQI 干预措施以在 CBO 内实施 EBP

• 批准号: 7162275
• 负责人: Debra Cherry-ann Pantin
• 金额: $ 17.49万
• 依托单位: PALLADIA, INC.
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-11 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7162275
• 关键词: automated medical record system; behavior prediction; behavioral /social science research tag; clinical research; community mental health services; data collection methodology /evaluation; data quality /integrity; drug abuse therapy; health care policy; health care service evaluation; health services research tag; human subject; longitudinal human study; mental health organization; mental health personnel; method development; outpatient care; patient care management; patient care personnel attitude; questionnaires; training

DESCRIPTION (provided by applicant): An important challenge for the next generation of substance abuse intervention research is to explore strategies that increase the implementation of evidence-practices within community-based treatment programs. This application proposes to address this issue by employing a continuous quality improvement (CQI) management intervention to improve concordance with guidelines for treating mental health problems. The application will develop the intervention, assess implementation feasibility, and test preliminary efficacy of the intervention to improve organizational and client constructs hypothesized to be key to the successful adoption of innovation. In addition, a wealth of information will be gathered on CQI implementation issues that can yield important lessons about improving organizational capacity for future innovation adoption efforts. The study will be implemented within two Palladia outpatient treatment programs with similar staff and client bases. During Year 1, an existing electronic chart system will be customized to collect study data at both sites as well as provide near-real time feedback to staff. In this same period, senior organizational leaders along with research consultants will develop a guideline for CQI implementation. Using both the electronic data monitoring system and questionnaire methods, an initial snapshot of client mental health problems and services received (n = 60 per program) along with an assessment of the staff attitudes on relevant organizational variables (n = 20 per program) will be gathered. Once this baseline pre-assessment is completed at the beginning of Year 2, sites will be randomized to receive either the standard or CQI implementation intervention. The experimental condition will involve the implementation of the 4 steps of CQI. The control condition will consist of the provision of state mandated input on brief screening for mental heath disorders and a one-time training. Following the implementation and successful utilization of the CQI intervention, during Year 3 a post-intervention assessment phase will commence. The client assessment will be sampled from a new group (n=60 per program) of clients. This data will be analyzed to determine the impact of CQI on guideline concordant behaviors (e.g., number mental health sessions attended by client). In addition, a repeated measurement (n=20) of program staff attitudes will be evaluated to determine the impact of CQI on organizational constructs hypothesized to be predictive of guideline adoption. Finally, qualitative data will be collected on the process of CQI implementation on relevant organizational variables.

描述（由申请人提供）：下一代药物滥用干预研究的一个重要挑战是探索增加基于社区治疗计划中证据实践的策略。该申请建议通过采用持续的质量改进（CQI）管理干预来解决此问题，以改善与治疗心理健康问题指南的一致性。该应用程序将开发干预，评估实施可行性并测试干预措施的初步疗效，以改善被认为是成功采用创新的关键的组织和客户构造。此外，将收集大量有关CQI实施问题的信息，这些信息可以为提高组织能力以实现未来的创新采用工作而产生重要的教训。这项研究将在两个帕拉迪亚门诊治疗计划中实施，并具有相似的员工和客户群。在第一年，将定制现有的电子图表系统，以在两个站点收集研究数据，并为员工提供近乎真实的时间反馈。在同一时期，高级组织领导者与研究顾问将制定CQI实施指南。使用电子数据监控系统和问卷方法，将收集对相关组织变量（每个程序n = 20）的员工态度的最初收到的客户心理健康问题和服务（n = 60）的快照（n = 60）。一旦该基线预评估在第二年初完成，将随机分配站点以接受标准或CQI实施干预措施。实验条件将涉及CQI的4个步骤的实施。控制条件将包括在简短筛选精神荒地疾病和一次性培训的情况下提供国家规定的意见。在实施和成功利用CQI干预之后，在第3年进行干预后评估阶段将开始。客户评估将从一个新组（每个程序n = 60）的客户端进行采样。将对此数据进行分析，以确定CQI对指南一致行为的影响（例如，客户参加的数量心理健康会议）。此外，将评估对计划人员态度的重复测量（n = 20），以确定CQI对假设可以预测指南采用的组织结构的影响。最后，将在相关组织变量的CQI实施过程中收集定性数据。