UW ALACRITY Center for Psychosocial Interventions Research

摘要。UW ALACRITY中心的目的是解决实施中的关键问题， 基于证据的心理社会临床干预（CI）（例如，心理治疗）在非专业服务设置 服务不足的社区可以获得的服务（即，初级保健诊所和学校）。CI的使用受到以下因素的抑制： 长期存在的可用性问题，上下文匹配，以及这些CI和实施的参与 战略（IS）（例如，咨询模式）支持他们。这种情况也导致高比率的“反应性” CI/IS在许多部署环境中的预期用户对CI/IS的“适应性”。基于我们的学习 在过去的4年中，我们的跨学科研究团队将从人类- 中心设计（Munson博士，Fogarty博士），实施科学（里昂博士，班尼特博士，Locke博士，Fortney博士，Bruns博士， 货车Draanen）、心理社会CI（Areán、Raue、McCauley、Bearss、步行者博士）和研究方法/数据 Pullmann，Dopp博士）。该中心代表了医学院与 精神病学和家庭医学系，以人为本的设计和工程系， 计算机科学系、社会工作学院、公共卫生学院和学院 教育的该中心还连接了华盛顿大学的许多资源：转化健康科学研究所 (the 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地区实践研究网络（WPRN， 华盛顿、怀俄明州、阿拉斯加、蒙大拿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（横跨华盛顿、俄勒冈州、阿拉斯加、爱达荷州的公立学区）。行政 核心（AC）将作为中心核心和顾问委员会之间的沟通枢纽;监督选择 协调指导、评估和传播。方法核心（MC）将提供 研究基础设施的项目，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、参与度和适当性问题。MC将 我还编制项目数据，以更新和完善我们的CI/IS修改目标类型和重新设计库 DDBT驱动的重新设计的传播和评估成本的解决方案。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。Signature R 01将测试DDBT设计的 决策支持工具，用于大型初级保健诊所网络中的问题解决治疗。R34 #1将创建 一个新的是，以支持提供证据为基础的课堂支持自闭症谱系的学生。R34 #2将修改一个经过充分研究的青少年创伤CI，用于教育环境。R34 #3将适应现有的 有效的资讯系统，以加强学校精神健康评估和分流服务。所有四个项目和未来试点 项目，将测试重新设计对可用性，适当性，参与度，实施结果的影响， 患者结局。

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.