Community Utilization of Evidence-Based Program Registers in Behavioral Healthcare

到2020年，估计将有2800亿美元的公共和私人支出用于行为医疗保健 （药物滥用和精神/发育障碍）。因此，人们越来越关注 将基于证据的项目纳入社区行为的日常常规实践的问题 医疗实践。传播循证方案的一个重要组织机制， 医疗保健的实践，特别是行为医疗保健，都是“循证计划 在互联网上注册”（EBPR），如：国家有前途的计划和实践登记册 （NREPP），有效的干预措施：有效的艾滋病毒预防和健康青年发展蓝图。 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EBPR相关组织 行为保健，描述了这些寄存器的特点，分析了相似性， 登记册有效性证据标准的差异，并确定登记册有效性评级在多大程度上 个体行为健康护理程序不一致。 这项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 组织实际上在真实的世界中增加了基于证据的计划和实践的实施 行为医疗保健组织，并制定建议，以提高知名度， 这些登记册的查阅和利用。这一混合方法研究的具体目标是： 1.研究访问者循证注册程序网站，以确定： 用户;查阅登记册的原因;获得的信息;寻找但未找到的信息; 登记册的用途;所获资料的预定用途;资料的用途 实际上是在六个月的随访时间（如采用循证方案或 改进现有方案）;以及关于改进登记册的可获得性和效用的建议。 2.研究由联邦和州政府资助的循证项目的实施授权 行为医疗保健组织，特别注意使用特定EBPR的授权。这将 衡量登记册对主要行为医疗保健规划和资金决策的影响 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 提供者组织），以确定对登记册的认识程度， 登记册已被访问;他们已被使用的原因;信息已被使用的用途 放置（例如，采用电子商务惯例;有关电子商务惯例的新政策）;登记册的预期效用;以及 关于改进登记册的查阅和利用的建议。这将是实现 通过对利益攸关方在以下三个主要内容领域的有目的抽样进行全国电话调查， 行为保健：物质滥用（毒品/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.