Web Tool to Disseminate Empirically-based Interventions to Schools

描述（由申请人提供）：学校是青少年的主要心理健康（MH）服务环境。以学校为基础的心理健康计划的有效性已被反复证明为一系列广泛的儿童行为和情绪障碍，包括多动症，自杀，情绪障碍和行为障碍。然而，不幸的是，青年MH护理和青年MH研究的世界显示出非常少的重叠。尽管学校环境中的健康教育干预措施，以及最近的教育问责运动和联邦财政激励措施支持的经验证据，健康教育为基础的干预措施（EBIs）很少在日常实践中使用的学校。此外，在严格的研究条件下证明有效的学校干预措施在“真实的世界”中实施时往往无法达到预期效果。“越来越多的文献表明，实施的质量与EBI在学校环境中被采用和维持的可能性以及其治疗效果的强度直接相关。拟议的SBIR项目的目标是开发和测试基于网络的传播工具（WDT），以支持青少年MH的校本EBI的质量实施。拟议的网络传播工具（WDT）将建立在研究文献的建议，以创建一套工具和服务，可用于支持广泛传播校本EBI。目前还没有类似的产品。拟议的WDT将利用3-C ISD的技术专长和经验创建一个灵活、可扩展的网络工具，该工具将减少学校和干预开发人员的成本（时间、财务、人员），提高在学校环境中实施EBI的完整性，并增加EBI在“真实的世界”日常实践中的传播。该项目的第一阶段将实现三个具体目标：（1）将创建基于网络的传播工具原型;（2）将通过利益相关者团体对原型进行评估，以测试拟议的传播工具的可行性、可用性和价值;（3）将根据第一阶段的调查结果和建议制定第二阶段的全面实施计划。公共卫生相关性随着心理健康研究与实践之间的差距越来越明显，许多联邦报告呼吁采取行动，更好地将研究结果与临床实践联系起来[例如，总统的新自由委员会报告（2003年）;卫生局局长关于精神健康的报告（美国公共卫生署，1999年）、关于青年暴力的报告（美国公共卫生署，2001年a）和关于文化、种族和族裔的报告（美国公共卫生署，2001年b）;以及全国儿童行动呼吁（美国公共卫生署，2000年）]。在“加强临床和转化科学学科”会议（2005年5月）期间，临床和研究社区成员的建议的基础上，美国国立卫生研究院（NIH）确定了将科学与实践联系起来的研究工作作为NIH路线图的主要目标。这项研究直接涉及NIH的路线图优先事项以及这些联邦行动呼吁。每年，大约6%的美国儿童和青少年接受某种形式的MH护理，每年花费超过110亿美元。每年，NIMH和其他基金会为青年MH研究提供超过3亿美元的资金，其中大部分用于治疗研究。这项研究的结果将促进我们对如何成功地将EBI融入青年初级MH服务环境中的日常实践的理解，即，学校提高EBI在学校的日常实践中被采用、按预期使用和持续的可能性，反过来也会增加青年从循证实践中受益的可能性。

DESCRIPTION (provided by applicant): Schools are the primary mental health (MH) service setting for youth. The effectiveness of school-based MH programs has been repeatedly demonstrated for a wide array of child behavioral and emotional disorders, including ADHD, suicidality, mood disorders, and conduct disorders. Unfortunately, however, the worlds of youth MH care and youth MH research show remarkably little overlap. Despite availability of empirically-based MH interventions for the school setting, as well as the recent accountability movement in education and federal financial incentives for use of programs supported by empirical evidence, empirically-based interventions (EBIs) are rarely used in everyday practice by schools. In addition, school-based interventions that have proven effective under strict research conditions often fail to achieve their intended outcomes when delivered in the "real world." A growing body of literature indicates the quality of implementation is directly related to the likelihood that an EBI will be adopted and sustained within the school setting as well as the strength of its treatment effects. The goal of the proposed SBIR project is to develop and test a web-based dissemination tool (WDT) that supports quality implementation of school-based EBIs for youth MH. The proposed web-based dissemination tool (WDT) will build on recommendations from the research literature to create a suite of tools and services that can be applied in support of disseminating school-based EBIs on a broad scale. Currently, no comparable product exists. The proposed WDT will leverage 3-C ISD's technological expertise and experience to create a flexible, scalable web tool that will decrease costs (time, financial, personnel) to both schools and intervention developers, enhance the integrity with which EBIs are implemented in the school setting, and increase dissemination of EBIs into "real world" everyday practice. Three specific aims will be accomplished through Phase I of this project: (1) the prototype of the web-based dissemination tool (WDT) will be created; (2) the prototype will be evaluated through stakeholder groups to test the feasibility, usability, and value of the proposed WDT; and (3) a full implementation plan for Phase II will be generated based on Phase I findings and recommendations. PUBLIC HEALTH RELEVANCE As the mental health research-practice gap has become increasingly evident, numerous federal reports have called for action to better connect research findings to clinical practice [e.g., The President's New Freedom Commission Report (2003); Reports of the Surgeon General on MentalHealth (U.S. Public Health Service, 1999), Youth Violence (USPHS, 2001a), and Culture, Race, and Ethnicity (USPHS, 2001b); and the National Children's Call to Action (USPHS, 2000)]. Building on the recommendations of clinical and research community members during the "Enhancing the Discipline of Clinical and Translational Sciences" meeting (May, 2005), the National Institutes of Health (NIH) identified research efforts to bridge science and practice as a primary objective of NIH's Roadmap. This research directly addresses NIH's Roadmap priorities as well as these federal calls for action. Each year, about 6% of America's children and adolescents receive some form of MH care, at an annual cost of more than $11 billion. And each year, NIMH and other foundations fund more than $300 million for youth MH research, much of it devoted to treatment studies. The findings from this research will advance our understanding of how to successfully integrate EBIs into everyday practice within the primary MH service setting for youth, i.e., schools. Increasing the likelihood that EBIs will be adopted, used as intended, and sustained in everyday practice in schools, in turn, increases the likelihood that youth will benefit from evidence-based practices.