A Mixed Methods Study of the Stages of Implementation for an Evidence-Based Trauma Intervention in Schools.
A Mixed Methods Study of the Stages of Implementation for an Evidence-Based Trauma Intervention in Schools.
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DOI：
10.1016/j.beth.2017.12.004
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发表时间：
2018-07
期刊：
影响因子：
3.7
通讯作者：
Schaper H
中科院分区：
文献类型：
--
作者：
Nadeem E;Saldana L;Chapman J;Schaper H
进行了一项混合方法研究，以考察26个城市学校心理健康诊所的实施过程，这些诊所参与了一个基于证据的学校创伤干预培训和实施支持项目。使用实施完成阶段（SIC）量表观察实施过程。对诊所负责人进行了定性访谈，以深入了解与SIC相关的诊所流程。结果显示，几乎所有诊所都参与了一些与实施前（参与度、可行性和准备就绪情况）相关的活动，但只有31%的场所正式开始向青少年提供该项目。完成更多实施前活动，特别是与准备就绪相关的活动，预示着项目的启动。对实施该项目的诊所和未实施的诊所进行定性分析，揭示了在决策过程、领导策略以及项目当地倡导者的存在方面的关键差异。这项研究记录了作为大规模培训工作一部分的诊所行为模式，提出了学校中出现的一些独特挑战，并强调了作为项目启动一部分参与特定实施活动（即准备就绪规划、利益相关者共识和规划会议）的重要性。研究结果表明，实施前和与准备就绪相关的咨询应作为大规模实施和培训工作的一部分。
A mixed methods study was conducted to examine the implementation process of 26 urban school-based mental health clinics that took part in a training and implementation support program for an evidence-based school trauma intervention. Implementation process was observed using the Stages of Implementation Completion (SIC) measure. Qualitative interviews were conducted with clinic leaders in order to gain insight into clinic processes related to the SIC. Results showed that almost all of the clinics engaged in some activities related to pre-implementation (engagement, feasibility, and readiness), but only 31% of the sites formally started delivering the program to youth. Completing more Pre-Implementation activities, particularly those related to readiness, predicted program start-up. Qualitative analysis comparing those that implemented the program to those that did not revealed critical differences in decision-making processes, leadership strategies, and the presence of local champions for the program. This study documented the patterns of clinic behavior that occurs as part of large-scale training efforts, suggests some unique challenges that occur in schools, and highlights the importance of engaging in particular implementation activities (i.e., readiness planning, stakeholder consensus and planning meetings) as part of program start-up. Findings indicate that pre-implementation and readiness-related consultation should be employed as part of broad-scale implementation and training efforts.
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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：
10.1186/s13012-014-0134-8
发表时间：
2014-10-14
期刊：
Implementation science : IS
影响因子：
--
作者：
Brown CH;Chamberlain P;Saldana L;Padgett C;Wang W;Cruden G
通讯作者：
Cruden G
DOI：
10.1097/chi.0b013e31816485f4
发表时间：
2008-04-01
影响因子：
13.3
作者：
Bruns, Eric J.;Hoagwood, Kimberly Eaton
通讯作者：
Hoagwood, Kimberly Eaton
影响因子：
4.8
作者：
Glisson, Charles;Green, Philip
通讯作者：
Green, Philip
DOI：
10.1080/15374416.2013.869749
发表时间：
2014-03-01
影响因子：
4.2
作者：
Hoagwood, Kimberly Eaton;Olin, S. Serene;Hogan, Michael
通讯作者：
Hogan, Michael