An Internet Infrastructure for Quality Implementation of the Family Check-Up

高质量实施家庭体检的互联网基础设施

• 批准号: 7832490
• 负责人: ELIZABETH A STORMSHAK
• 金额: $ 48.97万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7832490
• 关键词: Address; Adolescent; Adopted; Adoption; Affect; Alcohol or Other Drugs use; Area; Centers for Disease Control and Prevention (U.S.); Characteristics; Child; Classification; Clinical; Communities; Complement; Country; Data; Decision Making; Development; Educational Curriculum; Educational workshop; Effectiveness; Enrollment; Evidence based practice; Family; Family Process; Funding; Goals; Health Personnel; Hour; Human Resources; Individual; Internet; Intervention; Intervention Trial; Link; Measures; Mental Health; Mental Health Services; Modeling; Nature; Online Systems; Outcome; Parenting behavior; Pathway interactions; Portal System; Prevention; Principal Investigator; Problem behavior; Process; Protocols documentation; Provider; Public Health; Public Policy; Randomized Controlled Clinical Trials; Recovery; Research; Research Infrastructure; Resources; Schools; Science; Scientist; Secure; Services; Support System; Supported Employment; System; Testing; Training; Training Support; Translating; Translational Research; Translations; United States National Institutes of Health; Update; Videotape; Work; base; checkup examination; clinical practice; community setting; depression; design; dissemination research; dosage; experience; family management; high risk; improved; instrument; interest; meetings; programs; response; skills; therapy design; uptake; user-friendly; web site

DESCRIPTION (provided by applicant): This application addresses broad Challenge Area 15 Translational Science and specific Challenge Topic 15- DA-102: NIH Partners in Research Program: Pathways for Translational Research. The goal of the proposed research is to improve the implementation effectiveness of the Family Check-Up, an ecologically based child and family intervention designed to reduce substance use, problem behavior, and coercive family interactions. This goal will be accomplished by enhancing the FCU protocol through the development of an Internet-based technological and media support system. The FCU builds on 15 years of programmatic research that began with the design and testing of the Adolescent Transitions Program parenting curriculum and has culminated in a general ecological approach to child and family intervention (Dishion & Kavanagh, 2003; Dishion & Stormshak, 2007). In this research we plan to collaborate with mental health providers and schools to improve their services for families by designing and implementing a technologically enhanced and updated version of the FCU model. This project will complement four individual, currently funded randomized trials that are testing the FCU model in community systems. For this application, 50 practitioners will receive a 4-day workshop about the FCU and training in implementing the model at their community agency. Measures will be collected from practitioners that assess fidelity of implementation with real families and practitioner skills at baseline, after the training, and at postassessment. All practitioners will receive intensive training and support in the FCU model that include access to the new Internet service infrastructure, which will provide support for all facets of the intervention model most relevant to mental health service settings and schools. Of particular interest is increasing the potential for therapists to focus on family management skills known to increase successful child adjustment and to decrease the coercive family processes associated with substance use. Outcomes of interest will include successful therapist adoption of the FCU model, fidelity of implementation, increased family enrollment and retention in the program, usage of the web site, and community uptake of the FCU model. The long-term goal of this project is to create a sustainable web site and Internet support system for the FCU that will increase dissemination and uptake of this evidence-based practice in real-world communities. Consistent with the goals of the Recovery Act, this research will support the employment of current staff at the Child and Family Center and several new staff who will develop the web site and analyze outcomes. This application addresses broad Challenge Area 15 Translational Science and specific Challenge Topic 15- DA-102: NIH Partners in Research Program: Pathways for Translational Research. The goal of this research is to develop a web-based infrastructure and video-support system that will improve the uptake, fidelity, and effectiveness of the Family Check-Up when implemented by real-world, community agencies that provide services for children and families. This research will build upon four separate randomized trials to create the web-based system, which will facilitate dissemination of the research in communities across the country. The project has significant relevance to public health and public policy in that it will allow us to create a means to support wide-scale distribution and uptake of evidenced-based practices by community partners.

描述（由申请人提供）：本申请解决广泛的挑战领域 15 转化科学和具体的挑战主题 15-DA-102：NIH 研究计划合作伙伴：转化研究途径。拟议研究的目标是提高家庭检查的实施效果，这是一种基于生态的儿童和家庭干预措施，旨在减少物质使用、问题行为和强制性家庭互动。这一目标将通过开发基于互联网的技术和媒体支持系统来增强 FCU 协议来实现。 FCU 建立在 15 年的规划研究基础上，该研究始于青少年过渡计划育儿课程的设计和测试，最终形成了儿童和家庭干预的通用生态方法（Dishion 和 Kavanagh，2003 年；Dishion 和 Stormshak，2007 年）。在这项研究中，我们计划与心理健康服务提供者和学校合作，通过设计和实施 FCU 模型的技术增强和更新版本来改善他们为家庭提供的服务。该项目将补充目前资助的四项单独的随机试验，这些试验正在社区系统中测试 FCU 模型。对于此应用程序，50 名从业者将接受为期 4 天的关于 FCU 的研讨会以及在其社区机构实施该模型的培训。将从从业者那里收集衡量标准，以评估在基线、培训后和后评估时与真实家庭和从业者技能的实施保真度。所有从业者都将接受 FCU 模式的强化培训和支持，包括使用新的互联网服务基础设施，这将为与心理健康服务机构和学校最相关的干预模式的所有方面提供支持。特别令人感兴趣的是，增加治疗师关注家庭管理技能的潜力，这些技能可以提高儿童成功的适应能力，并减少与药物使用相关的强制性家庭过程。感兴趣的结果将包括治疗师成功采用 FCU 模型、实施的保真度、增加家庭参与计划和保留率、网站的使用以及社区对 FCU 模型的采用。该项目的长期目标是为 FCU 创建一个可持续的网站和互联网支持系统，以增加这种基于证据的实践在现实世界社区中的传播和采用。根据《恢复法案》的目标，这项研究将支持儿童和家庭中心现有工作人员的就业以及几名将开发网站和分析结果的新工作人员。该应用程序解决了广泛的挑战领域 15 转化科学和具体的挑战主题 15-DA-102：NIH 研究计划合作伙伴：转化研究途径。这项研究的目标是开发一个基于网络的基础设施和视频支持系统，当由现实世界中为儿童和家庭提供服务的社区机构实施时，该系统将提高家庭检查的采用率、保真度和有效性。这项研究将建立在四项独立的随机试验的基础上，创建一个基于网络的系统，这将促进研究成果在全国各地社区的传播。该项目与公共卫生和公共政策具有重要意义，因为它将使我们能够创建一种手段来支持社区合作伙伴大规模传播和采用循证实践。