This proposal responds to NIMH Objective 4.2.c to develop "decision-support tools and technologies that increase the effectiveness and continuous improvement of mental health interventions" by leveraging the Family First Prevention Services Act (FFPSA) policy opportunity. First, a web-based platform to host (a) a decision-support tool and (b) automated facilitation for group decisions with the tool will be developed with state partners' feedback. Next, decision makers leading their states' FFPSA quality improvement efforts will be engaged to pilot a decision-support intervention comprised of the tool and live or automated facilitation, and to evaluate the implementation quality of evidence-based programs adopted with the decision-support intervention.
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Mean changes in decision assumptions, decision goals Pre and Immediately Post-intervention
Timeframe: Baseline; Immediately Post-intervention
Mean changes in decision experience quality pre-post intervention
Timeframe: Baseline; Immediately Post-intervention
Mean changes in decision commitment pre-post intervention
Timeframe: Baseline; Immediately Post-intervention
Mean changes in perceived potential community health impact pre-post intervention
Timeframe: Baseline; Immediately Post-intervention; 12-month follow-up
Descriptive changes in ordinal intervention rankings assisted (with ORCA) compared to unassisted (no ORCA)
Timeframe: Baseline; Immediately Post-intervention
Qualitatively described rationale for program adoption from pre-post intervention
Timeframe: Baseline; Immediately Post-intervention
Descriptive, mean group-level changes in perceived feasibility of intervention Pre-post intervention
Timeframe: Baseline; Immediately Post-intervention; 12-month post-intervention
Descriptive, mean group-level changes in perceived acceptability of intervention for implementation
Timeframe: Baseline; Immediately Post-intervention; 12-month post-intervention
Descriptive, mean group-level changes in perceived appropriateness of intervention for implementation
Timeframe: Baseline; Immediately Post-intervention; 12-month post-intervention
Descriptive differences in implementation process fidelity (activities completed) for interventions adopted with ORCA
Timeframe: Immediately Post-intervention; bi-weekly through 12-month post-intervention
Descriptive differences in implementation process fidelity (timing) for interventions adopted with ORCA
Timeframe: Immediately Post-intervention; bi-weekly through 12-month post-intervention