Methods Core

项目总结。华盛顿大学敏捷中心方法核心(MC)为以下方面做出了重要贡献 克服在资源不足的卫生领域实施循证临床干预(CI)的挑战 以及使用实施战略(IS)的学校环境。过去四年的成就包括 整合以人为中心的设计和实施科学方法，开发发现、设计/构建、 和测试(DDBT)框架；开发CI/IS修改目标的类型；开发 重新设计解决方案；以及评估重新设计对容量、可用性和质量的影响。在指导下 在Munson博士和Pullmann博士之后，UWAC未来五年的资金将集中在以下目标和活动上： (1)确定和分类配置项/信息系统修改目标，以提高可用性、参与度和适宜性 可访问的非专业设置；(2)与当地团队一起开发重新设计解决方案，以解决CI/IS问题 修改目标；(3)确定重新设计是否会影响可用性、参与度和适宜性的变化 通过更改CI/IS修改目标。从原来的修改目标和重新设计解决方案， 将前四年的集中式DDBT方法与本地DDBT方法进行比较 通过比较定性分析，提出了今后五年的发展方向。管理委员会将通过以下方式实现这些目标 支持DDBT在本地化环境下的应用(即DDBT将由本地项目重新设计进行 团队)，并综合三个R34规模的研究项目的结果，一个R01规模的杂交有效性- 实施研究，多个试点项目。系统、标准化的混合方法评估 所有研究都将收集关于遵守DDBT过程的定量和定性数据，影响 CI/IS的参与度、可用性和适当性，以及对客户功能和结果的影响。成本 将收集数据，以确定DDBT进程对当地资源的影响。MC将提供 为所有项目提供专家方法和技术支持，如有组织的培训和支持，如 每月咨询、模板、学术资源、工作表、数据收集门户和混合方法 分析。MC将致力于增加研究活动和教职员工的多样性、公平性和包容性 发展。将实施强有力的传播计划，以确保产品可供 研究社区。

PROJECT SUMMARY. The UW ALACRITY Center Methods Core (MC) has made important contributions to overcome the challenges of implementing evidence-based clinical interventions (CI) in under-resourced health and school settings using implementation strategies (IS). Accomplishments over the last four years include integrating human-centered design and implementation science methods to develop the Discover, Design/Build, and Test (DDBT) framework; developing a Typology of CI/IS Modification Targets; developing a Library of Redesign Solutions; and evaluating the impact of redesign on capacity, usability, and quality. Under the direction of Drs. Munson and Pullmann, the next five years of UWAC funding will focus on the following aims and activities: (1) Identifying and catalog CI/IS modification targets to improve usability, engagement, and appropriateness in accessible nonspecialty settings; (2) Developing redesign solutions with local teams to address CI/IS modification targets; (3) Determining if redesign affects changes in usability, engagement, and appropriateness through changes in CI/IS modification targets. Modification targets and redesign solutions from the original, centralized DDBT approach from the first four years will be compared to those from the local DDBT approach proposed for the next five years via comparative qualitative analysis. The MC will accomplish these aims by supporting application of DDBT in localized settings (i.e., DDBT will be conducted by local project redesign teams) and synthesizing results from three R34 sized research projects, one R01 sized hybrid effectiveness- implementation study, and multiple pilot projects. Systematic, standardized mixed methods assessments across all studies will collect quantitative and qualitative data on adherence to the DDBT process, impacts on engagement, usability, and appropriateness of the CI/IS, and impacts on client functioning and outcomes. Cost data will be collected to determine the impact of the DDBT process on local resources. The MC will provide expert methodological and technical support to all projects, such as structured trainings and supports such as monthly consultations, templates, academic resources, worksheets, data collection portals, and mixed methods analyses. The MC will work to increase diversity, equity, and inclusion within research activities and faculty development. A strong dissemination plan will be implemented to ensure that products are available to the research community.