Web-Based Dissemination of Evidence-Based Prevention to U.S. Military

此第一阶段SBIR拨款申请要求六个月的资金，以开发和可行性测试一个创新的基于Web的分销渠道，以增加美国军事人员循证药物使用预防计划的传播，采用，实施和可持续性（DAIS）。物质的使用和滥用，特别是酗酒和吸烟，在军队中仍然是一个问题，对健康、安全、军事健身水平、部署准备、现役产生不利影响，并增加医疗保健费用。在循证预防方案（EBPP）的开发和测试方面取得了重大进展;然而，这些方案在军事环境中未得到充分利用。需要有一个系统的机制，向关键的军事决策者传播军事优先事项。酒精和药物控制官员（ADCO）和类似人员监督向军事人员提供各种方案和服务，是军事环境中的重要决策者。事实上，ADCO和相关人员有很大的潜力成为EBPP的传播代理人和项目冠军。因此，本拟议项目的目标是为ADCO和相关人员开发一个基于Web的分发渠道，以促进军事人员EBPP的DAIS。在拟议的第一阶段项目中，我们将开发基于网络的分销渠道的关键组成部分的原型，其中将包括循证方案的信息资源、促进方案实施和可持续性的培训和技术援助资源、营销工具包、电子通讯和决策支持机制。工作场所的预防方案将得到重视。在原型开发之前，我们将与陆军的ADCO进行关键线人访谈，以获得有关优化分销渠道组件以满足当地陆军人员需求的方法的信息。在原型开发之后，我们将与目前服务于新兵和年轻成年陆军人员的ADCO进行焦点小组讨论，以获得他们关于促进EBPP DAIS的组件的可行性和实用性的反馈。在第二阶段，我们将全面开发和填充基于Web的组件，并进行涉及美国军方五个分支（陆军，海军，海军陆战队，空军和海岸警卫队）的大规模有效性试验。 公共卫生相关性：该项目涉及一个基于技术的分销渠道的开发和可行性测试，以增加对美国军事人员服务提供商的循证药物使用预防计划的传播、采用、实施和可持续性。在美国陆军酒精和药物控制官员（ADCOs）以及军事心理学家专家的投入下，将开发一个多组件、基于网络的分发渠道原型，并提供有关循证工作场所预防规划的信息。这些组成部分的可行性和效用将在目前为新兵和年轻成年陆军人员服务的ADCO中进行重点小组测试，以确定这些组成部分在促进循证方案的DAIS方面的效用。

DESCRIPTION (provided by applicant): This Phase I SBIR grant application requests six months of funding to develop and feasibility test an innovative Web-based distribution channel for increasing the dissemination, adoption, implementation, and sustainability (DAIS) of evidence-based substance use prevention programs to United States military personnel. Substance use and abuse, particularly heavy alcohol and tobacco use, remain problematic in the military and adversely affect health, safety, military fitness levels, deployment readiness, active service, and increase health care costs. Significant progress has been made in the development and testing of evidence-based prevention programs (EBPPs); however, these programs are underutilized in military settings. A systematic mechanism is needed to disseminate EBPPs to key military decision-makers. Alcohol and Drug Control Officers (ADCOs) and similar personnel oversee the provision of a variety of programs and services to military personnel and are important decision-makers in military settings. Indeed, ADCOs and related personnel have great potential to become dissemination agents and program champions for EBPPs. Accordingly, the goal of this proposed project is to develop a Web-based distribution channel for ADCOs and related personnel that will facilitate the DAIS of EBPPs to military personnel. In the proposed Phase I project, we will develop prototypes of the key components of the Web-based distribution channel, which will include informational resources on evidence- based programs, training and technical assistance resources to facilitate the implementation and sustainability of programs, a marketing toolkit, an electronic newsletter, and a decision support mechanism. Prevention programs for the workplace will be featured. Prior to prototype development, we will conduct key informant interviews with ADCOs from the Army to obtain input regarding ways to optimize the distribution channel components to meet the needs of local Army personnel. Following prototype development, we will conduct focus groups with ADCOs currently serving new recruits and young adult Army personnel to obtain their feedback regarding the feasibility and utility of the components in facilitating the DAIS of EBPPs. In Phase II, we will fully develop and populate the Web-based components and conduct a large-scale effectiveness trial involving the five branches of the U.S. military (Army, Navy, Marine Corps, Air Force, and Coast Guard). PUBLIC HEALTH RELEVANCE: This project involves the development and feasibility testing of a technology-based distribution channel for increasing the dissemination, adoption, implementation, and sustainability (DAIS) of evidence-based substance use prevention programs to service providers for United States Military personnel. Incorporating input from Alcohol and Drug Control Officers (ADCOs) from the US Army, as well as from an expert military psychologist, a prototype of a multi-component, Web-based distribution channel will be developed and populated with information about evidence-based workplace prevention programming. The feasibility and utility of the components will be focus group tested among ADCOs currently serving new recruits and young adult Army personnel in terms of the utility of the components in facilitating the DAIS of evidence-based programs.