@Article{信息:doi 10.2196 / / jmir。2034年，作者=“Feil, Edward G和Sprengelmeyer, Peter G和Davis, Betsy和Chamberlain, Patricia”，标题=“基于多媒体互联网的多维治疗寄养的保真和监测系统的开发和测试”，期刊=“J医学互联网研究”，年=“2012”，月=“10月”，日=“16”，卷=“14”，数=“5”，页=“e139”，关键词=“心理健康;保真度;临床监督;多维治疗寄养;背景:心理健康、儿童福利和青少年司法领域共同面临着减少青少年反社会行为流行的挑战。在过去的20年里，品行障碍已经从被认为是棘手的困难转变为具有复杂但可用的解决方案。现在，对青少年长期犯罪行为的治疗已经得到了充分的记录，并得到了越来越多令人信服的证据的支持。这些经经验验证的干预措施正在广泛传播，但在社区环境中临床试验结果的复制尚未被记录在案。这些疗法在研究背景下产生了令人印象深刻的效果，如果没有开发人员对保真度的严密监控，就很难复制。 Such monitoring is a barrier toward adoption; as the distance between the adopter and developer increases, so does cost. At the same time, states, communities, and agencies are under increasing pressure to implement those intervention services that have been shown to be most effective. The use of the Internet offers a potential solution in that existing reporting and data collection by clinicians can be subject to remote supervision. Such a system would have the potential to provide dissemination teams with more direct access to higher-quality data and would make adopters more likely to be able to implement services at the highest possible conformity to research protocols. Objective: To create and test such an innovative system for use with the Multidimensional Treatment Foster Care (MTFC) program, which is an in-home treatment (alternative to a residential- or group-home setting) for antisocial youths. This research could advance the knowledge base about developing innovative infrastructures in community settings to disseminate empirically validated treatments. Methods: The fidelity system was used and reviewed by parent and professional users: 20 foster parent users of the Parent Daily Report function, 9 professional MTFC program supervisors, and 4 MTFC consultants. All participants rated the system's ease of use, quality of the website, and observational videos recorded at agency meetings. In addition, foster parents entered data on child behavior. Results: All professionals and foster parents rated the system as very easy to use. We found particularly high levels of use by parents. Professionals rated the computer-collected videos of clinical meetings as being of high quality and easily codeable. Conclusions: The project developed a user-friendly and secure Web-based system using state-of-the-art computer-based protocols for recording questionnaire and observational data generated by community-based MTFC staff and foster parents, with positive satisfaction and utilization results. ", issn="1438-8871", doi="10.2196/jmir.2034", url="//www.mybigtv.com/2012/5/e139/", url="https://doi.org/10.2196/jmir.2034", url="http://www.ncbi.nlm.nih.gov/pubmed/23073495" }