Web Tool to Disseminate Empirically-based Interventions to Schools Phase II

说明（由申请人提供）：学校是儿童接受心理健康服务的主要场所。MH项目的有效性已被反复证明可以解决一系列MH问题，包括行为和情绪障碍、药物滥用、ADHD和自杀。然而，尽管他们的可用性，以及最近的教育和联邦财政激励使用经验证据支持的项目，基于证据的MH干预（ebi）很少在学校的日常实践中使用。此外，在严格的研究条件下证明有效的学校MH ebi，在“现实世界”中交付时，往往无法达到预期的结果。大量的研究表明，EBI实施的质量直接关系到：1)干预在学校环境中整合和持续的可能性；2)其治疗效果的强度。第二阶段SBIR的目标是继续研究和开发CenterVention，这是一种基于网络的技术基础设施，旨在促进学校MH ebi的大规模高质量实施。CenterVention将提供具有成本效益的高质量培训、持续的实施援助、干预资源和遵守情况监测，以支持学校实施EBI和可持续发展。第一阶段的原型开发和关键利益相关者的可行性测试已经成功完成，为CenterVention产品提供了实质性的支持，并为第二阶段的开发提供了具体的建议。第二阶段的第一个目标是修改每个CenterVention组件，以增强其可用性和价值。一旦完整的技术基础设施完成，我们将集成第三个独立学校MH EBI，并与学校MH提供者、教师、管理人员和干预开发人员一起检查这个新的CenterVention应用程序的可用性。第二阶段的第二个目标是对CenterVention产品进行严格的纵向测试，比较两种随机情况：常规实施（IAU，即不支持CenterVention的传统EBI实施）和增强实施（EI，即支持CenterVention的实施）。将检查五个实施结果：(1)实施EBI的准备情况，(2)遵守EBI协议，(3)对EBI及其实施支持的满意度，(4)随着时间的推移EBI的可持续性，以及(5)学生的治疗效益。第二阶段的第三个目标是根据第二阶段的发现和评估完成所有产品组件，并为第三阶段的商业化做好准备。这个SBIR项目将产生一个灵活的、可扩展的技术基础设施，可以应用于任何学校的MH EBI，从而有效地降低学校和干预措施开发商的成本（时间、财务和人员），提高EBI在学校环境中实施的完整性，并增加EBI在现实世界的日常实践中的传播。拟议的WDT不仅提供了巨大的社会效益，而且还解决了一个巨大的、目前尚未开发的市场。

DESCRIPTION (provided by applicant): Schools are the primary setting within which children receive mental health (MH) services. The effectiveness of MH programs has been repeatedly demonstrated for a wide array of MH problems, including behavioral and emotional disorders, substance abuse, ADHD, and suicidality. However, despite their availability, as well as recent education and federal financial incentives for use of programs supported by empirical evidence, MH evidence-based interventions (EBIs) are rarely used in everyday practice by schools. Further, school MH EBIs that have proven effective under strict research conditions often fail to achieve their intended outcomes when delivered in the "real world". A wealth of research indicates the quality of EBI implementation is directly related to 1) the likelihood the intervention will be integrated and sustained within the school setting and 2) the strength of its treatment effects. The goal of this Phase II SBIR is to continue the research and development of CenterVention, a web-based technology infrastructure designed to promote broad-scale quality implementation of school MH EBIs. CenterVention will provide cost-effective high quality training, on-going implementation assistance, intervention resources, and adherence monitoring to support EBI implementation and sustainability within schools. Phase I prototype development and feasibility testing with key stakeholders were successfully completed, providing substantial support for the CenterVention product as well as specific recommendations for Phase II development. The first aim of Phase II is to revise each CenterVention component to enhance its usability and value. Once the full technology infrastructure is complete, we will integrate a third, independent school MH EBI and examine the usability of this new CenterVention application with school MH providers, teachers, administrators, and intervention developers. The second aim of Phase II is to conduct a rigorous, longitudinal test of the CenterVention product comparing two randomized conditions: Implementation-As-Usual (IAU; i.e., traditional EBI implementation with no CenterVention support) and Enhanced Implementation (EI; i.e., CenterVention-supported implementation). Five implementation outcomes will be examined: (1) readiness for EBI implementation, (2) adherence to EBI protocol, (3) satisfaction with the EBI and its implementation support, (4) sustainability of the EBI over time, and (5) treatment benefits for students. The third aim of Phase II is to finalize all product components based on Phase II findings and evaluations and prepare CenterVention for Phase III commercialization. This SBIR project will yield a flexible, scalable technology infrastructure that can be applied to any school MH EBI to effectively decrease costs (time, financial, personnel) to both schools and intervention developers, enhance the integrity with which EBIs are implemented in the school setting, and increase dissemination of EBIs into real world everyday practice. The proposed WDT not only offers the potential for significant societal benefits, but also addresses a large, currently untapped market.