Pilot Testing of an E-Learning Strategy for Housing First Implementation

描述（由申请人提供）：目前缺乏关于药物滥用治疗和预防的循证实践（ebp）的有效实施策略的知识。住房优先技术援助和培训计划（HFTAT）是EBP的一项实施战略，被称为住房优先模式（HFM）。HFM是一种为长期无家可归者提供住房的方法，已被证明可以改善许多药物使用结果，但由于其复杂性，在许多情况下难以实施。虽然与《人道主义框架公约》有关的初步评估和质量保证工作已证明其作为一项实施战略的有效性，但其内容以面对面的形式交付需要大量时间和资源，这限制了其对寻求实施《人道主义框架公约》的组织的吸引力。这项研究有三个目的。目标1是调整HFTAT，使其能够远距离传送，从而减少组织利用的时间和资源。适应过程将以有关有效实施实践的现有经验知识、HFM保真度措施以及教育领域的理论和最佳实践为指导。我们会以房屋从业员为样本，对经修订的《税则准则》进行初步测试。为alpha测试收集的数据将主要是定性的，结果将指导实施策略的细化。目标2是开发一种工具来衡量影响HFM实施的结构层面因素。我们将对现有的实施和HFM研究进行文献综述，以确定纳入该测量工具的项目。目标3是进行一项试点研究，以评估进行一项更大规模研究的可行性，该研究将检验《公约》作为一项实施战略的有效性。我们将采用准实验的混合方法设计，从四个组织收集与培训和实施结果相关的数据。从这个项目中产生的更大的研究将测试不同HFM实施策略的效用，以影响计划、员工和消费者层面的变化。这两个项目将增加关于以证据为基础的药物滥用做法实施战略的有限科学知识，并且通过本研究获得的知识可以潜在地应用于制定和测试类似实施战略的其他努力。此外，鉴于该模式已被置于解决无家可归问题的国家和地方战略的中心，制定一项基于证据的HFM实施战略将引起广泛利益攸关方的兴趣。

DESCRIPTION (provided by applicant): There is currently a lack of knowledge regarding effective implementation strategies for evidence-based practices (EBPs) for substance abuse treatment and prevention. The Housing First Technical Assistance and Training program (HFTAT) is an implementation strategy for an EBP known as the Housing First Model (HFM). The HFM is an approach to housing the chronically homeless that has been demonstrated to lead to a number of improved substance use outcomes, but has proven difficult to implement in many instances due to its complexity. While an initial evaluation and quality assurance work related to the HFTAT has demonstrated its effectiveness as an implementation strategy, the face-to-face format in which its content is delivered requires a large amount of time and resources, which limits its attractiveness to organizations seeking to implement the HFM. This study has three aims. Aim 1 is to adapt the HFTAT to be delivered over a distance, thus requiring less time and resources for organizations to utilize. The adaptation process will be guided by existing empirical knowledge regarding effective implementation practices, HFM fidelity measures, and theory and best practices from the field of education. We will conduct an alpha test of the adapted HFTAT among a sample of housing practitioners. Data collected for the alpha test will be primarily qualitative, and findings will guide refinement of the implementation strategy. Aim 2 is to develop an instrument to measure structural-level factors affecting HFM implementation. We will conduct a literature review of existing implementation and HFM studies to identify items to include in this measurement tool. Aim 3 is to conduct a pilot study to assess the feasibility for a larger study that will test the HFTAT's effectiveness as an implementation strategy. We will employ a quasi- experimental, mixed methods design to collect data related to training and implementation outcomes from four organizations. The larger study that will result from this project will test the utility of different HFM implementation strategiesto affect change at the program-, staff-, and consumer-levels. Both of these projects will increase the limited scientific knowledge regarding implementation strategies for evidence-based substance abuse practices, and knowledge acquired through this study can potentially be applied to other efforts to develop and test similar implementation strategies. Additionally, development of an evidence-based HFM implementation strategy will be of interest to a wide range of stakeholders given that the model has been placed at the center of national and local strategies for addressing homelessness.