Community Utilization of Evidence-Based Program Registers in Behavioral Healthcare

到2020年，公共和私人部门在行为医疗方面的支出估计将达到2800亿美元 (物质滥用和精神/发育障碍)。因此，越来越多的人注意到 社区行为学循证项目与日常实践的整合问题 医疗保健实践。传播循证方案的一个重要组织机制 一般的医疗实践，特别是行为医疗，都是以证据为基础的计划 在互联网上注册“(EBPR)，例如：国家有前途的方案和实践注册 (NREPP)，有效的干预措施：有效的艾滋病毒预防，以及青年健康发展蓝图。 拟议的研究建立在申请人最近的R21研究的基础上，该研究确定了20个相关的EBPR组织 对于行为医疗，描述了这些登记簿的特点，分析了它们的相似性和 登记册的有效性证据标准的差异，并决定在多大程度上 个别的行为保健计划是不同的。 后续研究的总体目标是确定主要的EBPR在多大程度上具有创新性 组织实际上在现实世界中增加了基于证据的计划和实践的实施 对行为保健组织进行评估，并提出提高可见性的建议， 这些登记册的可及性和利用率。这项混合方法研究的具体目标是： 1.研究循证节目注册网站的访问者，以确定： 用户；查阅登记册的理由；获得的信息；寻求但未找到的信息；感知 登记册的用处；获得的信息的预期用途；信息的用途 实际上是在六个月的随访时(例如采用循证计划或 改进现有程序)；以及改进登记册的可及性和实用性的建议。 2.研究联邦和州基金发布的实施循证项目的任务 行为保健中的组织，特别注意要求使用特定的EBPR。这将是 衡量登记对行为保健规划和主要机构资金决策的影响 全国性的政府组织。 3.研究登记册的主要利益攸关方(即国家和私营部门的方案/政策制定者 提供方组织)以确定对登记册的认识程度、不同的 已访问的登记册；使用它们的原因；信息的用途 PUT(例如，采用EBPS；关于EBPS的新政策)；登记册的预期效用；以及 关于改进登记册的可及性和利用率的建议。这是可以实现的 通过全国电话调查，在三个主要内容领域对利益攸关方进行有目的的抽样 行为保健：药物滥用(药物/酒精)、心理健康和儿童福利。

In 2020 there will be an estimated $280B in public and private expenditures for behavioral healthcare (substance misuse and mental/developmental disorders). Consequently there has been increasing attention to the problem of integrating evidence-based programs into day-to-day regular practice in community behavioral healthcare practice. One important organizational mechanism for disseminating evidence-based programs and practices in healthcare generally and behavioral healthcare in particular are “evidence-based program registers” (EBPRs) on the internet, such as: the National Register of Promising Programs and Practices (NREPP), Effective Interventions: HIV Prevention that Works, and Blueprints for Health Youth Development. The proposed study builds on the applicant’s recent R21 study that identified 20 EBPR organizations relevant to behavioral healthcare, described the characteristics of these registers, analyzed the similarities and differences in the registers’ evidentiary criteria of effectiveness, and determined to what extent the ratings of individual behavioral healthcare programs were discrepant. The overall goal of this follow-on research is to determine to what extent the major EBPRs as innovative organizations actually increase the implementation of evidence-based programs and practices in the real world of behavioral healthcare organizations and to develop recommendations for improving the visibility, accessibility and utilization of these registers. The specific aims of this mixed-methods study are: 1. Study the visitors to evidence-based program register websites to determine: characteristics of the users; reasons for accessing the registers; information obtained; information sought but not found; perceived usefulness of the registers; intended utilization of the information obtained; uses to which the information was actually put at the time of a six-month follow-up (such as adopting evidence-based programs or improving existing programs); and recommendations for improving the registers’ accessibility and utility. 2. Study the mandates for implementing evidence-based programs issued by federal and state funding organizations in behavioral healthcare, with special attention to mandates to use specific EBPRs. This will measure the impact of the registers on behavioral healthcare programming and funding decisions by major governmental organizations nationally. 3. Study key stakeholders of the registers (i.e., program/policy developers in state and private sector provider organizations) to determine the extent of awareness of the registers, the degree to which various registers have been accessed; the reasons they have been used; the uses to which the information has been put (e.g., adoption of EBPs; new policies concerning EBPs); the perceived utility of the registers; and recommendations for improving the registers’ accessibility and utilization. This would be accomplished through national telephone surveys of purposive samples of stakeholders in three major content areas of behavioral healthcare: substance misuse (drugs/alcohol), mental health and child welfare.