UW ALACRITY Center for Psychosocial Interventions Research

摘要。UW ALACRITY中心的目的是解决实施中的关键问题， 为服务不足的社区提供循证心理社会干预（EBPI）， 初级保健医疗机构。根据国际移民组织最近关于心理社会干预标准的报告， EBPI受到以下因素的阻碍：（1）临床医生培训不足，（2）干预设计复杂，（3）支持不足 来维持护理质量。我们将尝试通过创建一个研究团队来解决这些问题， 以人为本的设计（福格蒂博士，冈萨雷斯，曼森，波波维奇），教育（劳埃，波波维奇）， 实施科学（班尼特和里昂博士）、心理社会干预（艾森伯格、阿雷安、凯森 Raue）、卫生服务研究（Fortney博士、Ratzliff和Unutzer）和研究方法（阿特金斯博士和 Hoeft）。该中心代表了医学院各部门之间的独特伙伴关系， 精神病学/行为科学和家庭医学，计算机科学与工程系， 通信系和社会工作学院。该中心还桥梁华盛顿大学的许多 资源：CoMotion（华盛顿大学健康技术创新中心），转化健康研究所 科学（UW CTSA），AIMS中心（UW合作护理实施和培训中心）， 和WWAMI地区实践研究网络（WPRN，一个初级保健实践的合作组织 通过华盛顿、怀俄明州、阿拉斯加、蒙大拿州和爱达荷州，促进创新社区- 基于研究）。行政核心将作为中心核心之间的通信枢纽，我们的两个 咨询委员会，并将监督征求和选择的R03级的概念研究证明。的 方法核心（MC）将为项目提供研究基础设施。每个项目都将使用我们的发现， 设计、构建和测试框架，以解决临床医生能力、干预可用性和干预问题 持续发展管理委员会还将汇编这些项目的数据，以创建EBPI目标类型和 EBPI修改矩阵，将通过我们与UW内外的其他研究人员共享 在线研究社区。研究项目将收集共同的核心成果以确定影响 修改EBPI的目标，对临床医生的质量提供的护理和病人报告的结果。第一台R34 本研究拟借由设计与建置智慧型导师系统，以提升临床医师的EPBI能力 基于自适应训练。第二个R34项目将与WPRN合作，以简化问题解决 治疗（PST），使用以用户为中心的设计原则。第三个R34项目将与华盛顿 行为健康整合计划（BHIP），以开发电子健康记录支持的行为 健康模块和注册表，以支持临床医生在初级保健中提供PST持续技能。所有三 项目和未来的R03，将测试实施结果的效果修改目标（培训时间， 临床医生技能漂移）、系统可用性、EBPI系统负担、系统可接受性和患者报告结局。

ABSTRACT. The UW ALACRITY Center purpose is to address critical problems in the implementation of evidence-based psychosocial interventions (EBPIs) for underserved communities as they are delivered in primary care medicine settings. Per a recent IOM report on psychosocial intervention standards, access to EBPIs is hampered by (1) poor clinician training, (2) intervention design complexity, and (3) insufficient support to sustain quality of care. We will attempt to solve these problems by creating a team of researchers from human centered design (Drs. Fogarty, Gonzalez, Munson, Popovic), education (Raue, Popovic), implementation science (Drs. Bennett and Lyon), psychosocial interventions (Drs. Aisenberg, Arean, Kaysen, Raue), health services research (Dr. Fortney, Ratzliff and Unutzer) and research methods (Dr. Atkins and Hoeft). The Center represents a unique partnership between the School of Medicine’s Departments of Psychiatry/Behavioral Sciences and Family Medicine, the Department of Computer Science and Engineering, the Department of Communications, and the School of Social Work. The Center also bridges UW’s many resources: CoMotion (UW’s center for health technology innovation), the Institute for Translational Health Sciences (the UW CTSA), the AIMS Center (UW implementation and training center for collaborative care), and the WWAMI-region Practice Research Network (WPRN, a collaborative group of primary care practices through the states of Washington, Wyoming, Alaska, Montana and Idaho to facilitate innovative community- based research). The Administrative Core will serve as the communication hub between center cores, our two advisory boards, and will oversee the solicitation and selection of R03 level proof of concept studies. The Methods Core (MC) will provide research infrastructure to the projects. Each project will use our Discover, Design, Build and Test framework to address clinician capacity, intervention usability and intervention sustainability. The MC will also compile data from these projects to create a Typology of EBPI Targets and a Matrix of EBPI Modifications that will be shared with other researchers within and outside of UW through our online research community. Research projects will collect a common core of outcomes to determine the impact of modifying EBPI targets on clinicians’ quality delivery of care and patient-reported outcomes. The first R34 project proposes to improve clinician EPBI capacity by designing and building an Intelligent Tutor System based on adaptive training. The second R34 project will partner with the WPRN to simplify problem-solving therapy (PST), using user-centered design principles. The third R34 project will partner with the Washington Behavioral Health Integration Program (BHIP) to develop an electronic health record-supported behavioral health module and registry to support sustained clinician skill in delivering PST in primary care. All three projects, and future R03s, will test the effects modification targets of implementation outcomes (time to training, clinician skill drift), system usability, EBPI system burden, system acceptability, and patient-reported outcomes.