ASU Prevention Research Center for Families in Stress

描述(由申请人提供)：该提案旨在资助亚利桑那州立大学的高级干预和服务研究中心。该中心的重点是为那些因父母离婚、父母死亡和市中心墨西哥裔美国儿童在过渡到高中期间的高压力情况下而有可能出现心理健康问题的儿童进行预防性干预。这些应激源增加了患严重精神健康问题的风险，如抑郁症、品行问题、药物滥用和社会适应问题。该提案建立在对这些人群9年的生产性研究历史的基础上，这些研究已经证明了在减少精神健康问题、精神障碍的诊断、药物使用和提高学习成绩方面的有效性。该提案的总体目标是从以大学为基础的预防性干预措施有效性研究过渡到对社区机构实施的方案的有效性进行评估。引导这一转变的是一种创新模式，它将疗效试验的结果与营销和质量功能部署的概念和方法相结合。由此产生的主动预测和解决社区机构高质量实施预防方案的障碍的系统过程可以作为加快将有效干预措施输送到可能影响公共健康的环境中的模式。该中心由四个核心组成。主要研究核心利用跨学科方法来准备在社区机构提供的干预措施。服务营销、质量管理和教育设计的概念和方法被用来重新设计项目，然后在社区机构实施。跨文化适应方面的专家合作进行干预，这些干预措施既具有文化敏感性又具有文化广泛性。多学科团队与家庭法院和机构中的关键利益攸关方合作，这些机构与失去亲人的儿童和经验丰富的有效性研究人员合作。研究方法核心发展由方法学家和实质性研究人员组成的协作工作组，专注于五个方法论问题：计量、结果的可变性、干预措施的实施和遵守、多层次数据和经济分析。研究网络发展核心与家庭法院、提供机构和丧亲机构合作，在社区环境中实施基于证据的预防方案。业务核心为中心决策和管理、基于网络的数据收集、数据管理、统计分析、道德问题分析和培训提供关键基础设施。 运营核心

DESCRIPTION (provided by applicant): This proposal is to fund an Advanced Center for Intervention and Services Research at Arizona State University. The Center focuses on preventive interventions for children who are at risk for developing mental health problems because of exposure to the high stress situations of parental divorce, parental death and inner-city, Mexican American children in transition to high school. These stressors increase risk for development of serious mental health problems such as depression, conduct problems, substance abuse and social adaptation problems. The proposal builds on a 9-year history of productive research with these populations, which has demonstrated efficacy to reduce mental health problems, diagnosis of mental disorder, substance use and to improve academic achievement. The overall objective of the proposal is transition from University-based studies of the efficacy of preventive interventions to the evaluation of effectiveness of programs implemented in community agencies. Guiding this transition is an innovative model that integrates findings from efficacy trials with marketing and quality function deployment concepts and methods. The resulting systematic process of proactively anticipating and resolving barriers to high quality implementation of prevention programs in community agencies can serve as a model to speed the transportation of efficacious interventions into settings where they can affect public health. The Center consists of four Cores. The Principal Research Core utilizes an interdisciplinary approach to prepare the interventions for delivery in community agencies. Concepts and methods from service marketing, and quality management and educational design are used to redesign the programs fore implementation in community agencies. Experts on cross-cultural adaptation collaborate to make interventions that are culturally sensitive yet culturally broad. The multidisciplinary teams work with key stakeholders in Family Courts and agencies that work with bereaved children and experienced effectiveness researchers. The Research Methods Core develops collaborative workgroups of methodologists and substantive researchers to focus on five methodological issues; measurement, variability in outcomes, implementation and compliance with interventions, multilevel data, and economic analysis. The Research Network Development Core develops collaborations with Family Courts, provider agencies and Bereavement Agencies to implement evidence based prevention programs in community settings. The Operations Core provides critical infrastructure for Center decision making and management, web-based data collection, data management, statistical analysis, analysis of ethical issues and training. OPERATIONS CORE