Web-based Dissemination Tool (WDT) for Community Mental Health

描述（由申请人提供）：本申请是对通知编号（NOT-OD-10-034）和通知标题的回应：NIH通过NIH基本行为和社会科学机会网络（OppNet）宣布恢复法案资金的可用性，用于小企业创新研究和小企业转让技术研究赠款（R34/R44和R41/R42）的竞争性修订申请。目前的父母补助金，NIMH第一阶段补助金#1R43MH086983-01，正在创建和测试一个基于网络的传播工具箱（WDT），该工具箱由一套创新的工具和服务组成，将支持以社区为基础的心理健康（MH）的高质量实施，以青年为基础的循证干预措施（EBI）。在第一阶段的父母补助金的开始，焦点小组与干预开发人员和上层社区MH管理员进行了收集反馈意见的初始WDT原型设计。这些重点小组的调查结果显示，一致建议增加一个治疗结果模块。因此，考虑到这一建议以及支持治疗保真度和干预结局之间关键关系的文献（格雷欣，2009年; Sanetti & Kratochwill，2009年; Shadish，Cook，&坎贝尔，2002年），拟议补充的目的是开发和测试一个治疗结局模块，以整合到完整的I期WDT原型中。治疗结果模块将允许研究人员，MH管理员和MH提供者跟踪治疗保真度和干预结果之间的关系。该提案将实现两个具体目标：1）根据咨询委员会成员的建议和要求，创建WDT治疗结果模块原型; 2）与MH管理员，社区MH提供者和青年MH干预开发人员/研究人员一起对原型进行可行性测试。考虑到治疗保真度和干预结果之间的关键关系，该产品的潜在影响是显著的。3-C ISD在开发治疗结果模块方面具有独特的优势，因为它在为研究人员、管理人员和心理健康提供者开发、测试和商业化基于网络的工具方面取得了相当大的成功。 公共卫生相关性：随着心理健康研究与实践之间的差距越来越明显，许多联邦报告呼吁采取行动，更好地将研究结果与临床实践联系起来[例如，总统的新自由委员会报告（2003年）;卫生局局长关于精神健康的报告（美国卫生与公众服务部，1999年）、关于青年暴力的报告（美国卫生与公众服务部，2001年a）、关于文化、种族和族裔的报告（美国卫生与公众服务部，2001年b）;以及关于全国儿童行动呼吁的报告（美国卫生与公众服务部，2000年）]。在“加强临床和转化科学学科”会议（2005年5月）期间，临床和研究社区成员的建议的基础上，美国国立卫生研究院（NIH）确定了将科学与实践联系起来的研究工作作为NIH路线图的主要目标。拟议的研究直接涉及NIH的路线图优先事项以及这些联邦行动呼吁。每年，大约6%的美国儿童和青少年接受某种形式的MH护理，每年花费超过110亿美元。此外，每年NIMH和其他基金会资助超过3亿美元用于青年MH研究，其中大部分用于治疗研究。拟议研究的结果将促进我们对如何成功地将循证干预措施（EBI）纳入社区青年MH服务环境中的日常实践的理解。提高EBI在日常实践中被采用、按预期使用和持续的可能性，反过来也会增加青年和整个社会从循证实践中受益的可能性。

DESCRIPTION (provided by applicant): This application is in response to Notice Number (NOT-OD-10-034) and Notice Title: NIH Announces the Availability of Recovery Act Funds for Competitive Revision Applications for Small Business Innovation Research and Small Business Transfer Technology Research Grants (R34/R44 and R41/R42) through the NIH Basic Behavioral and Social Science Opportunity Network (OppNet). The current parent grant, NIMH Phase I Grant #1R43MH086983-01, is creating and testing a web-based dissemination toolbox (WDT) comprised of an innovative suite of tools and services that will support quality implementation of community-based mental health (MH) evidence-based interventions (EBIs) for youth. During the onset of the Phase I parent grant, focus groups with intervention developers and upper level community MH administrators were conducted to gather feedback on initial WDT prototype designs. Findings from these focus groups revealed a unanimous recommendation for the addition of a treatment outcomes module. Therefore, given this recommendation, as well as the literature supporting the critical relationship between treatment fidelity and intervention outcomes (Gresham, 2009; Sanetti & Kratochwill, 2009; Shadish, Cook, & Campbell, 2002), the purpose of the proposed supplement is to develop and test a treatment outcomes module to be integrated into the full Phase I WDT prototype. The treatment outcomes module will allow researchers, MH administrators, and MH providers to track the relationship between treatment fidelity and intervention outcomes. This proposal will accomplish two specific aims: 1) create WDT treatment outcomes module prototype based on input from recommendations and requirements of Advisory Board members and 2) conduct feasibility test of the prototype with MH administrators, community-based MH providers, and youth MH intervention developers/researchers. The potential impact of this product is significant given the critical relationship between treatment fidelity and intervention outcomes. 3-C ISD is uniquely equipped to develop the treatment outcomes module due to its considerable success in developing, testing, and commercializing web-based tools for researchers, administrators, and mental health providers. PUBLIC HEALTH RELEVANCE: As the mental health research-practice gap has become increasingly evident, numerous federal reports have called for action to better connect research findings to clinical practice [e.g., The President's New Freedom Commission Report (2003); Reports of the Surgeon General on Mental Health (U.S. Department of Health and Human Services, 1999), Youth Violence (HHS, 2001a), and Culture, Race, and Ethnicity (HHS, 2001b); and the National Children's Call to Action (HHS, 2000)]. Building on the recommendations of clinical and research community members during the "Enhancing the Discipline of Clinical and Translational Sciences" meeting (May, 2005), the National Institutes of Health (NIH) identified research efforts to bridge science and practice as a primary objective of NIH's Roadmap. The proposed research directly addresses NIH's Roadmap priorities as well as these federal calls for action. Each year, about 6% of America's children and adolescents receive some form of MH care, at an annual cost of more than $11 billion. In addition, each year NIMH and other foundations fund more than $300 million for youth MH research, much of it devoted to treatment studies. The findings from the proposed research will advance our understanding of how to successfully integrate evidence-based interventions (EBIs) into everyday practice within community MH service settings for youth. Increasing the likelihood that EBIs will be adopted, used as intended, and sustained in everyday practice, in turn, increases the likelihood that youth and society at large will benefit from evidence-based practices.