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: 7935288
• 负责人: ELIZABETH A STORMSHAK
• 金额: $ 45.72万
• 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 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7935288
• 关键词: Address; Adolescent; Adopted; Adoption; Affect; Alcohol or Other Drugs use; Area; Centers for Disease Control and Prevention (U.S.); Characteristics; Child; Communities; Complement; Country; Data; 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 Depression; 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; 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 decision-making; clinical practice; community setting; design; dissemination research; dosage; experience; family management; high risk; improved; instrument; interest; meetings; programs; randomized trial; 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）：本申请涉及广泛的挑战领域15转化科学和具体的挑战主题15- DA-102: NIH合作伙伴研究计划：转化研究途径。本研究的目的是提高家庭检查的实施效果，家庭检查是一种基于生态学的儿童和家庭干预措施，旨在减少药物使用、问题行为和强制性家庭互动。透过发展一套以互联网为基础的技术及媒体支援系统，加强FCU协议，以达致上述目标。FCU建立在15年的程序性研究的基础上，从设计和测试青少年过渡计划育儿课程开始，最终以儿童和家庭干预的一般生态方法告终（Dishion & Kavanagh, 2003; Dishion & Stormshak, 2007）。在这项研究中，我们计划与心理健康提供者和学校合作，通过设计和实施技术增强和更新版本的FCU模型，改善他们对家庭的服务。该项目将补充目前资助的四个个人随机试验，这些试验正在社区系统中测试FCU模型。在这项申请中，50名从业人员将接受为期4天的FCU工作坊，以及在社区机构实施该模式的培训。将从从业人员那里收集措施，评估在基线、培训后和评估后对真实家庭和从业人员技能实施的保真度。所有从业人员都将在精神卫生服务中心模式中接受强化培训和支持，其中包括使用新的互联网服务基础设施，这将为与精神卫生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，以增加成功的儿童适应能力，减少与药物使用有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，增加家庭登记和保留项目，网站的使用，以及社区对FCU模型的吸收。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，以促进这种基于证据的实践在现实世界社区的传播和吸收。与《恢复法案》的目标一致，这项研究将支持儿童与家庭中心现有工作人员的就业，以及几名将开发网站并分析结果的新工作人员。此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合作伙伴在研究计划：途径转化研究。本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，以便在现实世界中为儿童和家庭提供服务的社区机构实施家庭检查时，提高家庭检查的吸收率、保真度和有效性。这项研究将建立在四个独立的随机试验的基础上，以创建基于网络的系统，这将促进研究在全国各地社区的传播。该项目对公共卫生和公共政策具有重大意义，因为它将使我们能够创造一种手段，支持社区伙伴广泛传播和采用循证做法。