Agency Leaders' Assessments of Feasibility and Desirability of Implementation of Evidence-Based Practices in Youth-Serving Organizations Using the Stages of Implementation Completion.
Agency Leaders' Assessments of Feasibility and Desirability of Implementation of Evidence-Based Practices in Youth-Serving Organizations Using the Stages of Implementation Completion.
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DOI：
10.3389/fpubh.2018.00161
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发表时间：
2018
影响因子：
5.2
通讯作者：
Saldana L
中科院分区：
文献类型：
--
作者：
Palinkas LA;Campbell M;Saldana L
背景资料：本研究探讨了影响青年服务组织的管理人员的决定，发起并继续实施循证实践（EBP）。研究方法：半结构化访谈，开发使用的实施完成阶段（SIC）作为一个框架，进行了19个机构的首席执行官和15个服务于儿童和青少年的组织的方案主任。结果如下：机构领导人在实施前对实施可行性和可取性的自我评估（实施前）受到干预的可负担性、可行性、要求、有效性、可靠性、相关性、成本节约、积极成果和信息的充分性;资金的可获得性、机构外部来源的支持和技术援助的充分性的影响;工作人员的可用性和对创新的态度，特别是对EBP的态度，组织能力，EBP与机构使命和能力之间的匹配，先前的实施经验，寻求证据的经验，以及形成共识。实施阶段的评估包括干预措施的灵活性和要求;资金的可得性、培训和技术援助的充分性，以及获得充分和适当的转介;人员配备和忠实地实施。维持阶段的评估包括干预成本和效益;资金的可用性、机构外部来源的支持和EBP的需求;以及EBP与机构使命之间的匹配性。讨论内容：研究结果指出，利用机构领导者模型制定战略，以促进实施基于证据的儿童和青少年创新做法的机会。标准行业分类为指导机构领导对执行情况的自我评估提供了一个标准化框架。
Background: This study examined influences on the decisions of administrators of youth-serving organizations to initiate and proceed with implementation of an evidence-based practice (EBP). Methods: Semi-structured interviews, developed using the Stages of Implementation Completion (SIC) as a framework, were conducted with 19 agency chief executive officers and program directors of 15 organizations serving children and adolescents. Results: Agency leaders' self-assessments of implementation feasibility and desirability prior to implementation (Pre-implementation) were influenced by intervention affordability, feasibility, requirements, validity, reliability, relevance, cost savings, positive outcomes, and adequacy of information; availability of funding, support from sources external to the agency, and adequacy of technical assistance; and staff availability and attitudes toward innovation in general and EBPs in particular, organizational capacity, fit between the EBP and agency mission and capacity, prior experience with implementation, experience with seeking evidence, and developing consensus. Assessments during the Implementation phase included intervention flexibility and requirements; availability of funding, adequacy of training and technical assistance, and getting sufficient and appropriate referrals; and staffing and implementing with fidelity. Assessments during the Sustainment phase included intervention costs and benefits; availability of funding, support from sources outside of the agency, and need for the EBP; and the fit between the EBP and the agency mission. Discussion: The results point to opportunities for using agency leader models to develop strategies to facilitate implementation of evidence-based and innovative practices for children and adolescents. The SIC provides a standardized framework for guiding agency leader self-assessments of implementation.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
DOI：
10.1007/s10488-008-0197-4
发表时间：
2009-01
影响因子：
2.6
作者：
Proctor, Enola K.;Landsverk, John;Aarons, Gregory;Chambers, David;Glisson, Charles;Mittman, Brian
通讯作者：
Mittman, Brian
影响因子：
1.8
作者：
Palinkas, Lawrence A.;He, Amy S.;Hertel, Amy Locklear
通讯作者：
Hertel, Amy Locklear
影响因子：
3.3
作者：
Horwitz, Sarah McCue;Hurlburt, Michael S.;Landsverk, John
通讯作者：
Landsverk, John
影响因子：
7.2
作者：
Powell, Byron J.;Waltz, Thomas J.;Kirchner, JoAnn E.
通讯作者：
Kirchner, JoAnn E.