The Impact Integrated Data System for Quality and Outcomes Tracking of Prevention Programs

在制定以证据为基础的预防方案（EBPPs）以预防危险行为和促进青年的积极结果方面取得了实质性进展。不幸的是，在现实世界的服务环境中，它们的采用、质量实施、长期可持续性和可扩展性仍然远远落后，导致无法实现预期的大规模公共影响。SBIR快速通道项目将解决大规模采用和持续使用EBPP的关键实施障碍，即需要持续跟踪和记录EBPP在现实条件下如何（过程数据）和在多大程度上（结果数据）产生预期的青年成果。在3C研究所和宾夕法尼亚州立大学预防研究中心EPISCenter现有合作的基础上，我们将开发Impact，这是一个易于使用、成本和时间效率高的技术平台，用于收集相关过程和结果数据，并在供应商、服务设置和全州范围内生成有意义的实时报告。拟议的项目将实现五个具体目标：第一阶段：(1)根据3C和EPISCenter在先前研究期间从供应商和管理员收集的反馈创建一个功能齐全的原型。先前开发的线框图将具有完整的功能，并将为EPISCenter支持的五个ebpp开发完整的系统蓝图。(2)对目前正在实施EPISCenter支持的一个或多个ebpp的供应商和机构/州管理员进行可行性测试。阶段II:(3)与利益相关者一起开发完整的产品，包括五个episcenter支持的ebpp的所有建议的影响功能，通过迭代的开发-测试-修订过程，以确保软件为预期的最终用户实现最佳可用性。(4)与EBPP供应商进行实地研究，以评估过程和结果跟踪的可行性、可用性和价值。供应商将被分配到以下两种条件之一：(a)使用EPISCenter当前的方法（Excel电子表格和异步报告），然后(b)使用Impact。我们预计Impact将在所有领域带来重大改善。(5)通过与EBPP供应商和管理者进行焦点小组讨论，审查试点测试结果，收集利益相关者反馈，最终确定完整的产品，为商业化做好准备。第三阶段商业运作的准备工作亦包括为最终用户开发所有所需的演示、培训材料和资源，以及将电子商务功能整合到网站内。Impact的技术基础设施将能够容纳各种ebpp，提供一种急需的具有成本效益的机制，以支持服务环境中的大规模传播和使用。此外，管理人员将能够跟踪实施情况，从而加强问责制并提供持续的质量保证，同时还可以提供数据分析，以快速有效地监测影响和成本效益，从而增加长期坚持项目核心特征的可能性，并最大限度地提高青年的治疗效益。

There has been substantial progress in developing evidence-based prevention programs (EBPPs) for preventing risky behaviors and promoting positive outcomes for youth. Unfortunately, their adoption, quality implementation, long-term sustainability, and scalability in real world service settings continues to lag far behind, resulting in an inability to achieve the intended broad scale public impact. This SBIR Fast Track project will address a key implementation barrier to broad scale adoption and sustained use of EBPPs—the need for ongoing tracking and documentation of how (process data) and to what extent (outcomes data) an EBPP results in intended youth outcomes under real-world conditions. Building on the existing collaboration between 3C Institute and Penn State University Prevention Research Center's EPISCenter, we will develop Impact, an easy to use, cost- and time-efficient technology platform to gather relevant process and outcome data and produce meaningful real-time reports at provider, service setting, and state-wide levels. The proposed project will accomplish five specific aims: Phase I: (1) Create a fully-functional prototype based on feedback gathered from providers and administrators during prior research by 3C and EPISCenter. Previously developed wireframes will be made fully functional and a complete system blueprint will be developed for five of EPISCenter's supported EBPPs. (2) Conduct a feasibility test with providers and agency/state administrators currently implementing one or more EBPPs supported by EPISCenter. Phase II: (3) Develop the full product with stakeholders, including all proposed Impact functionality for five EPISCenter-supported EBPPs, through an iterative development-testing-revision process to ensure the software achieves optimal usability for intended end users. (4) Conduct a field study with EBPP providers to assess the feasibility, usability, and value of process and outcomes tracking. Providers will be assigned to one of two conditions: (a) using EPISCenter's current methods (Excel spreadsheet & asynchronous reporting) and then (b) using Impact. We expect Impact will result in significant improvements in all areas. (5) Prepare Impact for commercialization by conducting focus groups with EBPP providers and administrators to review pilot test results and gather stakeholder feedback to finalize the complete product. Preparation for Phase III commercial launch will also include development of all needed demos, training materials, and resources for end users and integration of e-commerce functions into the website. Impact's technology infrastructure will be able to accommodate a wide array of EBPPs, providing a much needed cost-effective mechanism to support broad-scale dissemination and use in service settings. In addition, administrators will be able to track implementation, thus enhancing accountability and providing on-going quality assurance, while also providing data analytics to quickly and effectively monitor impact and cost-effectiveness, thereby increasing the likelihood a program's core features are adhered to over time and maximizing treatment benefits for youth.