UW ALACRITY Center for Psychosocial Interventions Research

抽象的。UW快捷性中心的目的是解决实施 非专科服务环境中的循证心理社会临床干预(CI)(例如，心理治疗) 未得到充分服务的社区(即初级保健诊所和学校)可获得的服务。CI的使用受到以下限制 这些配置项和实施的可用性、上下文匹配和参与度方面的长期问题 战略(IS)(例如，咨询模型)支持它们。这种情况也会导致较高的反应性 在部署CI/IS的许多环境中，其目标用户对CI/IS的改编。以我们的学习为基础 和过去4年的成功，我们的跨学科研究团队将从人类- 以设计为中心(Munson，Fogarty博士)，实现科学(Lyon，Bennett，Locke，Fortney，Bruns， Van Draanen)、心理社会顺位(Arán、Raue、McCauley、Bearss、Walker博士)和研究方法/数据 分析(Pullmann博士、多普博士)。该中心代表着医学院之间独特的伙伴关系 精神病学和家庭医学系，以人为中心的设计和工程系， 计算机科学系、社会工作学院、公共卫生学院和学院 教育部。该中心还连接了威斯康星州大学的许多资源：转化健康科学研究所 (UW CTSA)、AIMS中心(UW协作护理实施中心)、SMART中心(UW 教育部门服务实施中心)、WWAMI-区域实践研究网络(WPRN、 华盛顿、怀俄明州、阿拉斯加、蒙大拿州和爱达荷州的初级保健实践)，以及MHTTC西北学校 心理健康网络(华盛顿、俄勒冈、阿拉斯加、爱达荷州的公立学区)。行政部门 核心(AC)将作为中心核心和咨询委员会之间的通信枢纽；监督选择 开展试点研究；协调指导、评估和传播。Core(MC)将提供的方法 为项目研究基础设施，并支持使用我们的发现、设计/构建、测试(DDBT)框架 与当地利益相关者合作，解决CI/IS的可用性、参与性和适当性问题。管理委员会将会 还编辑项目数据，以更新和改进我们的CI/IS修改目标和重新设计库的类型 DDBT驱动的重新设计的传播和成本评估的解决方案。研究项目将收集共同的 结果数据，以确定修改CI/IS目标的影响。签名R01将测试DDBT设计的 决策支持工具，用于解决大型初级保健诊所网络中的治疗问题。R34#1将创建 一项新的研究是支持为自闭症学生提供循证课堂支持。R34 #2将修改一个经过充分研究的青年创伤CI，以用于教育环境。R34#3将改编现有的 有效的是加强学校心理健康评估和分流的交付。所有四个项目，以及未来的试点 项目，将测试重新设计对可用性、适当性、参与度、实施结果和 病人的结果。

ABSTRACT. The purpose of the UW ALACRITY Center is to address critical problems in the implementation of evidence-based psychosocial clinical interventions (CI) (e.g., psychotherapies) in nonspecialty service settings that are accessible to underserved communities (i.e., primary care clinics and schools). Use of CI is inhibited by longstanding problems with the usability, contextual fit, and engagement of both those CI and the implementation strategies (IS) (e.g., consultation models) the support them. This situation also results in high rates of “reactive adaptations” of CI/IS by their intended users in many settings where they are deployed. Building on our learnings and successes over the past 4 years, our interdisciplinary research team will draw from the fields of human- centered design (Drs. Munson, Fogarty), implementation science (Drs. Lyon, Bennett, Locke, Fortney, Bruns, van Draanen), psychosocial CIs (Drs. Areán, Raue, McCauley, Bearss, Walker), and research methods/data analysis (Drs. Pullmann, Dopp). The Center represents a unique partnership between the School of Medicine’s Departments of Psychiatry and Family Medicine, the Department of Human-Centered Design and Engineering, the Department of Computer Science, the School of Social Work, the School of Public Health, and the College of Education. The Center also bridges UW’s many resources: The Institute for Translational Health Sciences (the UW CTSA), the AIMS Center (UW implementation center for collaborative care), the SMART Center (UW implementation center for education sector services), the WWAMI-region Practice Research Network (WPRN, primary care practices in Washington, Wyoming, Alaska, Montana and Idaho), and the MHTTC Northwest School Mental Health Network (public school districts across Washington, Oregon, Alaska, Idaho). The Administrative Core (AC) will serve as the communication hub between Center cores and advisory boards; oversee the selection of pilot studies; and coordinate mentoring, evaluation, and dissemination. The Methods Core (MC) will provide research infrastructure to projects and support use of our Discover, Design/Build, Test (DDBT) framework to address CI/IS usability, engagement, and appropriateness in partnership with local stakeholders. The MC will also compile project data to update and refine our Typology of CI/IS Modification Targets and Library of Redesign Solutions for dissemination and assess costs of DDBT-driven redesign. Research projects will collect common outcome data to determine the impact of modifying CI/IS targets. The Signature R01 will test a DDBT-designed decision support tool for Problem Solving Treatment in a large network of primary care clinics. R34 #1 will create a novel IS to support delivery of evidence-based classroom supports for students on the autism spectrum. R34 #2 will modify a well-researched CI for youth trauma for use in education settings. R34 #3 will adapt an existing effective IS to enhance delivery of school mental health assessment and triage. All four projects, and future pilot projects, will test effects of redesign on usability, appropriateness, engagement, implementation outcomes, and patient outcomes.