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(由申请者提供)：本申请涉及广泛的挑战领域15翻译科学和具体挑战主题15-DA-102：NIH研究计划中的合作伙伴：翻译研究的途径。拟议研究的目标是提高家庭体检的实施效果，这是一种基于生态的儿童和家庭干预措施，旨在减少药物使用、问题行为和强制性家庭互动。这一目标将通过开发基于因特网的技术和媒体支助系统来加强FCU协议来实现。FCU建立在15年方案研究的基础上，这项研究始于青少年过渡方案育儿课程的设计和测试，最终形成了对儿童和家庭干预的一般生态方法(Dishion&Kavanagh，2003；Dishion&Stormshak，2007)。在这项研究中，我们计划与精神健康提供者和学校合作，通过设计和实施FCU模式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个人随机试验，这些试验正在社区系统中测试FCU模型。对于这一申请，50名从业者将接受为期4天的关于FCU的研讨会，并在他们的社区机构接受实施该模式的培训。将从从业者那里收集措施，以评估在基线、培训后和评估后与真实家庭和从业者技能实施的忠诚度。所有从业者将接受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，这将为干预模式中与精神健康服务环境和学校最相关的所有方面提供支持。特别令人感兴趣的是，治疗师越来越有可能把重点放在家庭管理技能上，以提高儿童的成功适应能力，并减少与药物使用有关的强制性家庭过程。值得关注的结果将包括治疗师成功采用FCU模式、实施的保真度、计划中增加的家庭登记和保留、网站的使用以及社区对FCU模式的接受。该项目的长期目标是为FCU创建一个可持续的网站和因特网支持系统，以增加这一循证做法在现实世界社区中的传播和接受。根据《恢复法》的目标，这项研究将支持雇用儿童和家庭中心的现有工作人员和几名新工作人员，他们将开发网站并分析结果。本申请涉及广泛的挑战领域15翻译科学和具体挑战主题15-DA-102：NIH研究计划中的合作伙伴：翻译研究的途径。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，当家庭检查由为儿童和家庭提供服务的真实世界的社区机构实施时，将提高家庭检查的接受度、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的社区中传播。该项目与公共卫生和公共政策具有重大相关性，因为它将使我们能够创造一种手段，支持社区合作伙伴广泛分发和采用循证做法。