Refining and Pilot Testing a Decision Support Intervention to Facilitate Adoption of Evidence-Based Programs to Improve Parent and Child Mental Health

完善和试点测试决策支持干预措施，以促进采用循证计划来改善父母和儿童的心理健康

基本信息

批准号：
10869705
负责人：
Gracelyn Cruden
金额：
$ 18.13万
依托单位：
CHESTNUT HEALTH SYSTEMS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-01 至 2027-07-31
项目状态：
未结题

项目摘要

PROJECT SUMMARY Over 268,000 children entered foster care in the United States during fiscal year 2019 despite the existence of evidence-based programs (EBPs) that can successfully prevent child maltreatment. Evidence-informed decision-making (EIDM) can lead to the adoption of EBPs that are likely to be successfully implemented and result in the intended impacts. Despite the existence of EBPs to prevent child maltreatment, EBPs are underutilized in child welfare. Proposed study activities in this career development award respond to NIMH Objective 4.2.c by developing, refining, and piloting an implementation strategy to increase EIDM when decision makers are adopting EBPs to improve mental health and child welfare services. Activities leverage an unprecedented federal policy opportunity to prevent child maltreatment and test implementation decision support strategies in the real world: The Family First Prevention Services Act (FFPSA). FFPSA aims to prevent child maltreatment and foster care entries by providing federal funding to states for implementing EBPs that support child and parent mental health, reduce parental substance misuse, and improve parenting skills. This project engages decision makers from four states implementing FFPSA to extend the candidate’s prior work developing an innovative EIDM tool to support EBP adoption: Optimizing Responses through Collaborative Assessments (ORCA). ORCA is based in multi-criteria decision analysis, which provides a structured approach to reach quality, evidence-informed group decisions. Given that group decisions with tools such as ORCA benefit from facilitation, this study will develop and test two facilitation modalities to accompany ORCA: automated (ORCA-A) and live (ORCA-L). In addition, a web-based platform to host the ORCA tool and the ORCA-A facilitation strategy will be developed with decision makers’ input (Aim 1). The impact of ORCA-A and ORCA-L on quality of decision experiences, processes, and outcomes then will be tested (Aim 2). Implementation process quality for each EBP adopted with ORCA-A and ORCA-L will be monitored (Aim 3). To enhance her strong foundation in the implementation, decision, and systems sciences, the candidate, Dr. Gracelyn Cruden, will leverage these research activities and training activities to expand her skillset to include: leading implementation studies in service systems, employing a continuum of methods for engaging community members, leveraging interdisciplinary approaches for eliciting members’ preferences, conducting advanced simulation model testing, and using advanced statistics for multilevel, longitudinal studies. Cruden will be mentored by an outstanding team led by Primary Mentor Dr. Lisa Saldana, who is accompanied by Mentors Dr. Jason Chapman, Dr. Lindsey Zimmerman, Dr. R. Christopher Sheldrick, Dr. Jonathan Purtle, and Consultants Dr. David Vanness, and Ms. Clare Anderson. Upon completion of these activities, Cruden will be equipped to lead an interdisciplinary research team that will support quality mental health and child welfare services by increasing decision makers’ use of EIDM.

项目摘要 2019财年，有超过268,000名儿童在美国进入美国的寄养循证计划（EBP）可以成功防止儿童虐待。循证信息决策（EIDM）可以导致采用可能成功实施的EBP，并且导致预期的影响。尽管存在EBP，以防止儿童虐待，但EBP是在儿童福利中未充分利用。该职业发展奖的拟议研究活动对NIMH做出了回应目标4.2.c通过制定，完善和试行实施策略，以增加EIDM 决策者正在采用EBP来改善心理健康和儿童福利服务。活动利用AN 前所未有的联邦政策机会预防儿童虐待和测试实施决定支持现实世界中的策略：《家庭第一预防服务法》（FFPSA）。 FFPSA旨在防止通过向各州提供联邦资金来实施EBP，虐待儿童和寄养服务支持孩子和父母的心理健康，减少父母的药物滥用并提高育儿技能。这项目与实施FFPSA的四个州的决策者参与，以扩大候选人的先前工作开发一种创新的EIDM工具来支持EBP采用：通过协作优化响应评估（ORCA）。 ORCA基于多标准决策分析，该决策提供了一种结构化方法为了达到质量，有证据的小组决策。鉴于使用ORCA等工具的小组决策设施的好处，这项研究将开发和测试两种设施方式以适应Orca：自动化（ORCA-A）和LIVE（ORCA-L）。此外，基于网络的平台托管ORCA工具和 ORCA-A设施策略将通过决策者的投入制定（AIM 1）。 Orca-A和然后，将测试对决策经验，过程和成果的质量的逆点（AIM 2）。将监视使用ORCA-A和ORCA-L采用的每个EBP的实施过程质量（AIM 3）。到候选人博士在实施，决策和系统科学方面增强她的坚实基础。 Gracelyn Cruden，将利用这些研究活动和培训活动来扩展其技能，包括：在服务系统中领先的实施研究，采用持续参与的方法社区成员，利用跨学科方法来引起成员的喜好高级仿真模型测试，并使用高级统计数据进行多级纵向研究。克鲁登由小学导师Lisa Saldana博士领导的一支杰出团队的指导导师Jason Chapman博士，Lindsey Zimmerman博士，R。ChristopherSheldrick博士，Jonathan Purtle博士和顾问David Vanness博士和Clare Anderson女士。完成这些活动后，Cruden将是设备领导一个跨学科研究团队，该团队将支持优质的心理健康和儿童福利通过增加决策者使用EIDM来服务。