Observational measure of implementation progress in community based settings: The Stages of implementation completion (SIC)
Observational measure of implementation progress in community based settings: The Stages of implementation completion (SIC)
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DOI：
10.1186/1748-5908-6-116
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发表时间：
2011-10-06
影响因子：
7.2
通讯作者：
Saldana, Lisa
中科院分区：
文献类型：
--
作者：
Chamberlain, Patricia;Brown, C. Hendricks;Saldana, Lisa
背景资料：越来越多的研究集中在设计和测试策略，以提高有关如何将循证方案（EBP）嵌入社区环境的知识。制定克服障碍和提高执行效率和速度的战略是一个高度优先事项。然而，很少有研究工具来衡量执行过程本身。实施完成阶段（SIC）是一项基于观察的措施，用于跟踪在53个地点的51个县实施的EBP中实现关键实施里程碑的时间（两个县有两个网站）在美国的两个州。方法：SIC是在随机试验的背景下开发的，比较两种实施策略的有效性：社区发展团队（实验条件）和个性化实施（控制条件）。51个县被随机分配到实验或控制条件下实施多层面治疗寄养（MTFC），替代组/寄宿照顾安置的儿童和青少年。通过记录每个阶段具体活动的完成日期，跟踪了八个执行阶段的进展情况。活动量身定制的战略，用于实施特定的EBP.Results：初步数据显示，几个县停止在实施前的进展，并有一个高度的变化，在每个阶段的持续时间分数和在每个阶段完成的活动的比例之间的网站。通过活动和三个例子country.Conclusions阶段的进展：通过评估每个阶段的实现时间和完成的活动的比例，SIC措施可以用来跟踪和比较各种实施战略的有效性。SIC的数据将为各营业点提供在实施的各个阶段实施MTFC所需的时间和资源的相关信息。经过一些修改，SIC可能适用于在头对头随机实施试验中评估实施策略，并作为推出其他EBP的监测工具。
Background: An increasingly large body of research is focused on designing and testing strategies to improve knowledge about how to embed evidence-based programs (EBP) into community settings. Development of strategies for overcoming barriers and increasing the effectiveness and pace of implementation is a high priority. Yet, there are few research tools that measure the implementation process itself. The Stages of Implementation Completion (SIC) is an observation-based measure that is used to track the time to achievement of key implementation milestones in an EBP being implemented in 51 counties in 53 sites (two counties have two sites) in two states in the United States.Methods: The SIC was developed in the context of a randomized trial comparing the effectiveness of two implementation strategies: community development teams (experimental condition) and individualized implementation (control condition). Fifty-one counties were randomized to experimental or control conditions for implementation of multidimensional treatment foster care (MTFC), an alternative to group/residential care placement for children and adolescents. Progress through eight implementation stages was tracked by noting dates of completion of specific activities in each stage. Activities were tailored to the strategies for implementing the specific EBP.Results: Preliminary data showed that several counties ceased progress during pre-implementation and that there was a high degree of variability among sites in the duration scores per stage and on the proportion of activities that were completed in each stage. Progress through activities and stages for three example counties is shown.Conclusions: By assessing the attainment time of each stage and the proportion of activities completed, the SIC measure can be used to track and compare the effectiveness of various implementation strategies. Data from the SIC will provide sites with relevant information on the time and resources needed to implement MTFC during various phases of implementation. With some modifications, the SIC could be appropriate for use in evaluating implementation strategies in head-to-head randomized implementation trials and as a monitoring tool for rolling out other EBPs.