Implementing and Sustaining a Transdiagnostic Sleep and Circadian Treatment to Improve Severe Mental Illness Outcomes in Community Mental Health.

《多样性摘要》副刊 最近的努力成功地培训了提供者，使其能够提供基于证据的 社区精神卫生中心的治疗(EBT)；然而，许多 母婴健康中心没有维持这些举措。这项拟议的研究正在回应 迫切需要对可持续发展的关键机制进行实证研究 背景。父母R01试图检查TRANS-C、以睡眠和 SMI患者的昼夜节律障碍，可以由社区有效地提供和维持 CMHC内的提供者。培训提供者将使用一种前景看好、但研究不足的 维持机制：培训培训者。将利用两代培训： 第1代，加州大学伯克利分校的专家培训师培训社区提供商提供 TRANS-C；和第二代，在这一代中，一群精选的社区提供者接受培训 在他们的社区站点内培训其他人。拟议的研究补充资料将 通过经验性评估第1代和第1代之间的差异来扩展父代R01 第二代。我们将研究阿拉米达县至少128家供应商的样本 在两年的实施期内实施的母婴健康中心。考虑到这两个问题 学习和社会认同理论，我们将评估第一代之间的差异 和第二代提供商的可接受性、适当性和可行性评级 使用提供商培训后评估的TRANS-C和提供商知识。另外， 我们将制定黄金标准培训清单，并进行探索性分析，以 比较第1代和第2代培训在使用黄金标准培训方面的差异 元素。本增刊将通过提供一种 更深入地了解我们如何在EBT中有效地培训社区提供者 并将其持续提供给我们社区中服务最匮乏的成员。

Abstract of Diversity Supplement Recent efforts have successfully trained providers to deliver evidence-based treatments (EBTs) in community mental health centers (CMHCs); however, many CMHCs have not sustained these initiatives. The proposed research is responding to the urgent calls for empirical investigation on key mechanisms of sustainment in this context. The Parent R01 seeks to examine if TranS-C, an EBT targeting sleep and circadian dysfunction in SMI, can be effectively delivered and sustained by community providers within CMHCs. Providers will be trained using a promising, yet understudied, mechanism of sustainment: train-the-trainer. Two generations of training will be utilized: Generation 1, in which UC Berkeley expert trainers train community providers to deliver TranS-C; and Generation 2, in which a select group of community providers are trained to train others within their community site. The proposed research supplement will extend the Parent R01 by empirically evaluating differences between Generation 1 and Generation 2. We will study a sample of at least 128 providers in Alameda County CMHCs over the 2-year Implementation period. Considering both the transfer of learning and social identity theories, we will evaluate differences between Generation 1 and Generation 2 in provider acceptability, appropriateness and feasibility ratings of TranS-C and provider knowledge using provider post-training evaluations. Additionally, we will develop a Gold Standard Training Checklist and conduct exploratory analyses to compare Generation 1 and Generation 2 trainings in the use of gold standard training elements. This supplement will contribute to the science of sustainment by providing a deeper understanding of how we can effectively train community providers in an EBT and sustain its delivery to reach the most underserved members of our communities.