Characterizing Shared and Unique Implementation Influences in Two Community Services Systems for Autism: Applying the EPIS Framework to Two Large-Scale Autism Intervention Community Effectiveness Trials
Characterizing Shared and Unique Implementation Influences in Two Community Services Systems for Autism: Applying the EPIS Framework to Two Large-Scale Autism Intervention Community Effectiveness Trials
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DOI：
10.1007/s10488-019-00931-4
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发表时间：
2020-03-01
影响因子：
2.6
通讯作者：
Stahmer, Aubyn
中科院分区：
文献类型：
--
作者：
Brookman-Frazee, Lauren;Chlebowski, Colby;Stahmer, Aubyn
本研究的目的是探讨在心理健康和教育服务背景下，影响自闭症谱系障碍（ASD）儿童两种循证干预措施实施过程的共同和独特因素。本研究前瞻性地收集了两项单独的ASD干预有效性试验背景下干预开发人员和研究人员实施过程的定性数据。结果揭示了两种研究背景下影响实施的共同和独特因素。实施领导和提供者的态度和动机成为跨系统实施的关键影响因素。这些发现为模块化实施干预措施提供了有希望的目标，可以在常规护理中不断增长的大规模翻译工作中加以利用。
The purpose of this study was to examine common and unique factors influencing implementation process for two evidence-based interventions for children with autism spectrum disorder (ASD) in mental health and education service contexts. This study prospectively collected qualitative data from intervention developers and research staff on the implementation process within the context of two separate ASD intervention effectiveness trials. Results reveal common and unique factors influencing implementation in both study contexts. Implementation leadership and provider attitudes and motivation emerge as key influences on implementation across systems. These findings provide promising targets for modular implementation interventions that can be leveraged within growing, large-scale translation efforts in usual care.