A peek behind the curtain: exploring coaching styles within the implementation and sustainment facilitation (ISF) strategy in the substance abuse treatment to HIV care study.

A peek behind the curtain: exploring coaching styles within the implementation and sustainment facilitation (ISF) strategy in the substance abuse treatment to HIV care study.
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DOI:
10.1186/s43058-021-00246-2
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发表时间:
2021-12-20
影响因子:
--
通讯作者:
Garner BR
Garner BR
中科院分区:
其他
文献类型:
--
作者:
Ford JH 2nd;Gilson AM;Maurer MA;Hoffman KA;Garner BR

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Grasha-Riechmann教学风格包括三种教学风格和两种规定风格,已被证明有助于提高教育环境中的学习。尽管Grasha-Riechmann风格分类的适应已经使教练风格被确定为质量改进(QI)计划的一部分,但研究还没有研究教练在QI计划中实际使用的风格,或者当教练指导组织通过变革实施时,风格如何随着时间的推移而变化。教练和艾滋病毒服务组织(HSO)的工作人员参与了一个大型的实施研究实验,称为药物滥用治疗艾滋病毒护理(SAT 2HIV)项目之间的互动进行了评估,开始建立一个证据基础,以解决这一差距的实施研究。教练和HSO工作人员之间的实施和维持促进(ISF)战略会议(n = 137)进行了记录和专业转录。主题编码分类开发的Grasha-Riechmann框架,并施加到一个有目的地选择的样本成绩单(n = 66)。四名编码员使用NVivo独立编码转录本,以便于文本识别,组织和检索分析。教练风格的使用和变化在三个ISF阶段进行了探讨。主持人和正式权威是两种主要使用的教练风格。随着时间的推移,辅导员的分主题从提问和提供支持转向支持独立行动。教练对正式权威子风格的使用随着时间的推移发生了明显的变化,从设定期望或确保准备到对HSO正在实施的变化提供肯定或反馈。委托人或个人模式教练风格的使用很少发生。目前的研究扩展了实施研究对教练的理解。更具体地说,研究结果表明,它是可行的,使用Grasha-Riechmann框架,定性识别教练风格中使用的促进为基础的实施策略。更重要的是,研究结果提供了如何利用不同的教练风格来实施循证实践的见解。需要进一步的研究来研究教练风格如何因组织而异,影响实施保真度,并影响实施结果和客户结果。ClinicalTrials.gov 于2015年7月6日注册。在线版本包含补充材料,可通过10.1186/s43058 - 021 - 00246 - 2获得。
The Grasha-Riechmann teaching styles, which includes three didactic and two prescriptive styles, have been shown to help enhance learning within educational settings. Although an adaption of the Grasha-Riechmann style classification has enabled coaching styles to be identified for use as part of quality improvement (QI) initiatives, research has not examined the styles actually utilized by coaches within a QI initiative or how the styles change overtime when the coach is guiding an organization through change implementation. Interactions between coaches and HIV service organization (HSO) staff participating in a large implementation research experiment called the Substance Abuse Treatment to HIV care (SAT2HIV) Project were evaluated to begin building an evidence base to address this gap in implementation research. Implementation & Sustainment Facilitation (ISF) Strategy meetings (n = 137) between coaches and HSO staff were recorded and professionally transcribed. Thematic coding classifications were developed from the Grasha-Riechmann framework and applied to a purposively selected sample of transcripts (n = 66). Four coders independently coded transcripts using NVivo to facilitate text identification, organization, and retrieval for analysis. Coaching style use and changes across the three ISF phases were explored. Facilitator and formal authority were the two coaching styles predominately used. Facilitator sub-themes shifted from asking questions and providing support to supporting independent action over time. Coaches’ use of formal authority sub-styles shifted notably across time from setting expectations or ensuring preparation to offering affirmation or feedback about changes that the HSO’s were implementing. The use of the delegator or personal model coaching styles occurred infrequently. The current research extends implementation research’s understanding of coaching. More specifically, findings indicate it is feasible to use the Grasha-Riechmann framework to qualitatively identify coaching styles utilized in a facilitation-based implementation strategy. More importantly, results provide insights into how different coaching styles were utilized to implement an evidence-based practice. Further research is needed to examine how coaching styles differ by organization, impact implementation fidelity, and influence both implementation outcomes and client outcomes. ClinicalTrials.gov NCT02495402. Registered on July 6, 2015. The online version contains supplementary material available at 10.1186/s43058-021-00246-2.
DOI: 10.1097/psy.0b013e31816aa0cc
发表时间: 2008-05-01
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