Importance and feasibility of an adapted set of implementation strategies in schools
Importance and feasibility of an adapted set of implementation strategies in schools
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DOI：
10.1016/j.jsp.2019.07.014
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发表时间：
2019-10-01
影响因子：
5
通讯作者：
Waltz, Thomas J.
中科院分区：
文献类型：
--
作者：
Lyon, Aaron R.;Cook, Clayton R.;Waltz, Thomas J.
实施策略是用于加强新计划或实践的采用、实施和维持的方法或技术。最近的研究通过根据可行性和重要性制定战略，促进了实施战略的优先顺序，但这些努力尚未在不同的服务提供环境中得到复制。当前项目的目的是评估适应教育的实施策略分类法的可行性和重要性，并直接将可行性和重要性评级与最初的实施变革专家建议 (ERIC) 分类法（医疗保健领域实施策略的领先汇编）进行比较。 200 名支持社会、情感和心理健康服务的校内顾问样本为改编后的学校实施策略、翻译 ERIC 资源 (SISTER) 汇编中包含的 75 项策略提供了可行性和重要性评级。结果确定策略被评为：(a) 既可行又重要，(b) 重要但不可行，(c) 可行但不重要，(d) 既不可行也不重要。当使用可行性和重要性评级映射到散点图时，ERIC 和 SISTER 评级的比较表明，大约三分之一的策略从可行性和重要性轴的一个象限转移到另一个象限。研究结果证明了将现有实施产品适应和推广到学校等新颖服务环境的努力的价值。此外，研究结果有助于实施研究人员和从业人员优先选择可行且实际相关的实施策略，以提高学校心理健康服务的质量。
Implementation strategies are methods or techniques used to enhance the adoption, implementation, and sustainment of a new program or practice. Recent studies have facilitated implementation strategy prioritization by mapping strategies based on their feasibility and importance, but these efforts have not been replicated across distinct service delivery contexts. The aim of the current project was to evaluate the feasibility and importance of an education-adapted taxonomy of implementation strategies and to directly compare feasibility and importance ratings to the original Expert Recommendations for Implementing Change (ERIC) taxonomy, the leading compilation of implementation strategies in healthcare. A sample of 200 school-based consultants who support social, emotional, and mental health services provided ratings of feasibility and importance for each of the 75 strategies included in the adapted School Implementation Strategies, Translating ERIC Resources (SISTER) compilation. Results identified strategies rated as: (a) both feasible and important, (b) important but not feasible, (c) feasible but not important, and (d) neither feasible nor important. When mapped onto scatterplots using feasibility and importance ratings, comparison of ERIC and SISTER ratings indicated that approximately one third of the strategies shifted from one quadrant of the feasibility and importance axis to another. Findings demonstrate the value of efforts to adapt and generalize existing implementation products to novel service settings, such as schools. Additionally, findings assist implementation researchers and practitioners in prioritizing the selection of actionable and practically relevant implementation strategies to advance the quality of school mental health services.