UW ALACRITY Center for Psychosocial Interventions Research

抽象的。UW快捷性中心的目的是解决实施 为服务不足的社区提供循证心理社会干预(EBPI) 初级保健医疗设置。根据国际移民组织最近一份关于心理社会干预标准的报告，获得 EBPI受阻于(1)糟糕的临床医生培训，(2)干预设计的复杂性，以及(3)支持不足 以维持护理质量。我们将尝试通过创建一个研究团队来解决这些问题 以人为本的设计(福格蒂、冈萨雷斯、曼森、波波维奇博士)，教育(劳伊、波波维奇)， 实施科学(Bennett和Lyon博士)、心理社会干预(Aisenberg、Arean、Kaysen博士、 保健服务研究(Fortney、Ratzliff和Unutzer博士)和研究方法(Atkins博士和Unutzer Hoeft)。该中心代表着医学院各部门之间独特的合作伙伴关系 精神病学/行为科学和家庭医学，计算机科学和工程系， 传播系和社会工作学院。该中心还为密歇根大学的许多 资源：CoMotion(华盛顿大学卫生技术创新中心)，转化性健康研究所 科学(UW CTSA)、AIMS中心(UW协作护理实施和培训中心)、 和WWAMI-区域实践研究网络(WPRN，一个初级保健实践的协作组织 通过华盛顿州、怀俄明州、阿拉斯加州、蒙大拿州和爱达荷州促进创新社区- 基础研究)。管理核心将作为我们的两个中心核心之间的通信枢纽 咨询委员会，并将监督R03级概念验证研究的征求和选择工作。这个 方法核心(MC)将为项目提供研究基础设施。每个项目都将使用我们的发现号， 设计、构建和测试框架，以解决临床医生的能力、干预可用性和干预问题 可持续发展。MC还将汇编这些项目的数据，以创建EBPI目标的类型和 EBPI修改矩阵，将通过我们的 在线研究社区。研究项目将收集共同的核心成果，以确定影响 修改关于临床医生提供优质护理和患者报告结果的EBPI目标。第一辆R34 该项目建议通过设计和构建智能导师系统来提高临床医生的EPBI能力 基于自适应训练。第二个R34项目将与WPRN合作，简化问题解决 治疗(PST)，使用以用户为中心的设计原则。第三个R34项目将与华盛顿合作 行为健康集成计划(BHIP)开发电子健康记录支持的行为 健康模块和注册表，以支持临床医生在初级保健中提供PST的持续技能。三个都是 项目和未来的R03将测试实施成果的效果修改目标(培训时间， 临床医生技能漂移)、系统可用性、EBPI系统负担、系统可接受性和患者报告的结果。

ABSTRACT. The UW ALACRITY Center purpose is to address critical problems in the implementation of evidence-based psychosocial interventions (EBPIs) for underserved communities as they are delivered in primary care medicine settings. Per a recent IOM report on psychosocial intervention standards, access to EBPIs is hampered by (1) poor clinician training, (2) intervention design complexity, and (3) insufficient support to sustain quality of care. We will attempt to solve these problems by creating a team of researchers from human centered design (Drs. Fogarty, Gonzalez, Munson, Popovic), education (Raue, Popovic), implementation science (Drs. Bennett and Lyon), psychosocial interventions (Drs. Aisenberg, Arean, Kaysen, Raue), health services research (Dr. Fortney, Ratzliff and Unutzer) and research methods (Dr. Atkins and Hoeft). The Center represents a unique partnership between the School of Medicine’s Departments of Psychiatry/Behavioral Sciences and Family Medicine, the Department of Computer Science and Engineering, the Department of Communications, and the School of Social Work. The Center also bridges UW’s many resources: CoMotion (UW’s center for health technology innovation), the Institute for Translational Health Sciences (the UW CTSA), the AIMS Center (UW implementation and training center for collaborative care), and the WWAMI-region Practice Research Network (WPRN, a collaborative group of primary care practices through the states of Washington, Wyoming, Alaska, Montana and Idaho to facilitate innovative community- based research). The Administrative Core will serve as the communication hub between center cores, our two advisory boards, and will oversee the solicitation and selection of R03 level proof of concept studies. The Methods Core (MC) will provide research infrastructure to the projects. Each project will use our Discover, Design, Build and Test framework to address clinician capacity, intervention usability and intervention sustainability. The MC will also compile data from these projects to create a Typology of EBPI Targets and a Matrix of EBPI Modifications that will be shared with other researchers within and outside of UW through our online research community. Research projects will collect a common core of outcomes to determine the impact of modifying EBPI targets on clinicians’ quality delivery of care and patient-reported outcomes. The first R34 project proposes to improve clinician EPBI capacity by designing and building an Intelligent Tutor System based on adaptive training. The second R34 project will partner with the WPRN to simplify problem-solving therapy (PST), using user-centered design principles. The third R34 project will partner with the Washington Behavioral Health Integration Program (BHIP) to develop an electronic health record-supported behavioral health module and registry to support sustained clinician skill in delivering PST in primary care. All three projects, and future R03s, will test the effects modification targets of implementation outcomes (time to training, clinician skill drift), system usability, EBPI system burden, system acceptability, and patient-reported outcomes.