Mapping Approaches to Prepare for Implementation Transfer (MAP-IT)

项目总结/摘要 为了成功实施（和维持）新的干预措施，消除障碍至关重要。 在变更前确定并解决。然而，各机构独立评估其 自己的长处和短处，并制定计划，以改善组织。此外， 促进执行的若干战略使机构领导层难以破译哪些战略是 最适合自己的环境和需要。此应用程序建议开发和试点测试映射 准备实施转移的方法（MAP-IT），这是一项组织干预措施，包括四个方面 关键内容：（1）关于组建执行工作小组以通报和促进执行工作的准则 努力，（2）关于已知影响执行的机制的说明，（3）开展 由机构驱动的对潜在实施障碍的诊断，以及（4）制定 消除已查明障碍的实施蓝图（包括关于消除 在实施之前的潜在障碍）。本申请的前提是重要的，因为MAP-IT将 提供一个低成本（由机构驱动）的机会，以进行审慎的实施准备， 外部辅导）和可持续（组织内多个人的技能发展， 应用于未来的实施工作），以促进组织采用新的做法。 拟议研究的具体目标如下：目标1 -制定全面的 实施干预，以促进机构的审慎实施准备，MAP-IT， 我们以前的工作，通过调整和整合三个既定的研究路线-组织评估 和反馈;实施策略的分类;和视觉空间决策技术， 目的2 -使用12种物质进行MAP-IT干预的2组随机分组疗效试验 滥用治疗机构随机分配到MAP-IT（EBP和MAP-IT培训）或对照条件 (EBP仅培训）。成功完成这些目标有望：（1）为 各机构可以使用的改进执行准备工作的低成本、可持续替代办法的效力 支持和加快实施转移，（2）通过鼓励研究人员改变当前的范式 （设计吸收研究）和卫生保健机构（独立努力实施新的做法）， 更加重视变革的实施前准备工作，（3）提供经验性检查 探索和准备如何能够支持实施，使用已建立的衡量平台， 理论框架，以及（4）提供机构选择实施战略的文件， 促进现实世界的变化。拟议的R21的调查结果将为干预措施的有效性提供信息 未来R 01中的测试和实施战略选择，旨在提高最佳做法的采用率 在行为医疗保健服务中使用全面的随机对照试验。

Project Summary/Abstract For implementation (and sustainment) of new interventions to be successful, it is critical that barriers are identified and addressed prior to change. It is challenging, however, for agencies to independently assess their own strengths and weaknesses and to develop plans for organizational improvement. Furthermore, the sheer number of strategies to promote implementation makes it difficult for agency leadership to decipher which are most appropriate for their own contexts and needs. This application proposes to develop and pilot test Mapping Approaches to Prepare for Implementation Transfer (MAP-IT), an organizational intervention that includes four key elements: (1) guidelines on forming an implementation workgroup to inform and promote implementation efforts, (2) instruction on mechanisms known to impact implementation, (3) tools and instruction for conducting an agency-driven diagnosis of potential implementation barriers, and (4) tools for developing an implementation blueprint to address identified barriers (including instruction on strategies for addressing potential barriers prior to implementation). The premise of this application is significant in that MAP-IT would provide a low-cost (agency-driven opportunity for deliberate implementation preparedness, without ongoing external coaching) and sustainable (skill development for multiple individuals within the organization that can be applied to future implementation efforts) alternative to promoting organizational adoption of new practices. The specific aims of the proposed research are as follows: Aim 1 – developing a comprehensive implementation intervention to promote deliberate agency implementation preparation, MAP-IT, that builds on our previous work by adapting and integrating three established lines of research – organizational assessment and feedback; taxonomy of implementation strategies; and visual-spatial decision making techniques, and AIM 2 – conducting a 2-arm cluster randomized efficacy trial of the MAP-IT intervention, with 12 substance abuse treatment agencies randomized to either MAP-IT (EBP and MAP-IT trainings) or the control condition (EBP training only). Successful completion of the aims is expected to (1) establish preliminary evidence for the efficacy of a low-cost, sustainable alternative for improving implementation preparation that agencies can use to support and expedite implementation transfer, (2) shift the current paradigm by encouraging researchers (designing uptake studies) and health care agencies (independently striving to implement new practices) to place greater emphasis on pre-implementation preparations for change, (3) provide an empirical examination of how exploration and preparation can support implementation, using established measurement platforms and theoretical frameworks, and (4) provide documentation of agency selection of implementation strategies for promoting change in real-world settings. Findings from the proposed R21 will inform intervention effectiveness testing and implementation strategy selection in a future R01 aimed at improving uptake of best practices within behavioral healthcare delivery services using a full-scale randomized control trial.