Web-based Tool for the Dissemination of Evidence-Based Interventions for ATOD Pre

描述（由申请人提供）：在过去的几十年里，大量以证据为基础的预防酒精、烟草和其他药物（ATOD）使用的举措已经经过严格的测试，并证明是有效的。然而，尽管有可用性，但在学校和社区服务机构的日常实践中很少采用以证据为基础的干预措施（ebi）来预防吸毒。此外，即使采用了这些ebi，也很少在严格遵守原始设计的情况下实现，并且经常不能随着时间的推移而持续下去。越来越多的文献表明，实施质量与EBI嵌入日常实践的可能性以及EBI实现预期治疗结果的可能性直接相关。如果在“真实世界的服务环境”中没有高质量的实施和持续，最有效的EBI也不会产生积极的结果。NIDA的战略计划明确指出，需要有效的方法来帮助缩小基于证据的预防举措的发展与在学校和社区服务环境中采用和长期可持续性之间的差距。第一阶段SBIR项目的目标是测试将ATOD ebi纳入基于网络的工具（Centervention）的可行性、可接受性和实用性，该工具目前旨在支持学校环境中青少年心理健康ebi的传播和高质量实施。这种灵活的技术基础设施提供了一套可定制的在线工具和服务，包括经济高效、高质量的培训和监督资源、对干预提供者的持续实施援助、依从性监测和结果跟踪，这些可能适用于学校和社区服务环境中的ATOD ebi。通过该项目的第一阶段将实现三个具体目标：(1)将把一个ATOD EBI（项目选择）示例纳入中心框架，以确定传播ATOD EBI所需的修改；(2)与利益相关团体进行Project CHOICE原型的可行性测试；(3)根据第一阶段的研究结果和建议，制定一项在第二阶段纳入和测试多种ATOD ebi传播的计划。主要的商业应用将是提供专门设计的工具和服务的技术基础设施，以支持在学校或社区服务环境中高质量地实施ATOD ebi。如果成功地增加了ATOD ebi被采用的可能性，按预期使用，并在日常实践中持续使用，那么提议的产品将提供显著的社会效益。

DESCRIPTION (provided by applicant): Over the past several decades, a large number of evidence-based prevention initiatives for alcohol, tobacco, and other drug (ATOD) use have been rigorously tested and shown to be efficacious. However, despite availability, evidence-based interventions (EBIs) for prevention of ATOD use are rarely adopted in everyday practice within school and community service settings. Further, even when adopted, these EBIs are seldom implemented with strong adherence to the original design and often fail to be sustained over time. A growing body of literature demonstrates how implementation quality is directly related to the likelihood an EBI will be embedded into everyday practice, as well as the likelihood that the EBI achieves its intended treatment outcomes. The most effective EBI will not produce positive results if it is not implemented with quality and sustained within its "real-world service setting. NIDA's Strategic Plan specifically identifies the need for effective methods to help close the gap between development of evidence-based prevention initiatives and their adoption and long-term sustainability in school and community service settings. The goal of this Phase I SBIR project is to test the feasibility, acceptability, and utility of incorporating ATOD EBIs into a web-based tool (Centervention) currently designed to support dissemination and quality implementation of mental health EBIs for youth within school settings. This flexible technology infrastructure offers a suite of customizable online tools and services, including cost-efficient, high quality training and supervision resources, ongoing implementation assistance for intervention providers, adherence monitoring, and outcomes tracking that might be applicable to ATOD EBIs within school and community service settings. Three specific aims will be accomplished through Phase I of this project: (1) an example ATOD EBI (Project CHOICE) will be incorporated into the Centervention framework to establish needed modifications for dissemination of ATOD EBIs; (2) a feasibility test of the Project CHOICE prototype will be conducted with stakeholder groups; and (3) based on Phase I findings and recommendations, a plan for incorporating and testing the dissemination of multiple ATOD EBIs during Phase II will be generated. The primary commercial application will be a technology infrastructure that provides tools and services specifically designed to support quality implementation of ATOD EBIs within school- or community-based service settings. If successful in increasing the likelihood that ATOD EBIs are adopted, used as intended, and sustained in everyday practice, the proposed product offers the potential for significant societal benefits.