Dynamic adaptation process to implement an evidence-based child maltreatment intervention.
Dynamic adaptation process to implement an evidence-based child maltreatment intervention.
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DOI：
10.1186/1748-5908-7-32
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发表时间：
2012-04-18
期刊：
影响因子：
--
通讯作者：
Chaffin MJ
中科院分区：
文献类型：
--
作者：
Aarons GA;Green AE;Palinkas LA;Self-Brown S;Whitaker DJ;Lutzker JR;Silovsky JF;Hecht DB;Chaffin MJ
在实施过程中，系统、组织和/或服务提供者经常对循证实践进行调整。目前尚不清楚EBP的核心要素在多大程度上可以得到维持，同时允许本地适应。此外，可能还需要在系统、政策或组织层面进行调整，以促进EBP的实施和维持。本文介绍了一种可行性和可接受性的实施方法，动态适应过程（DAP），旨在允许EBP适应和系统和组织的适应，在有计划的，经过深思熟虑的，而不是特设的方式进行研究。DAP包括确定EBP的核心要素和适应性特征，然后通过对模型允许的适应性进行具体培训，保真度监控和支持，以及确定系统和组织适应性的需求和解决方案来支持实施。此外，本研究还解决了一个次要问题，即提高EBP模型的保真度评估和反馈在现实世界中的设置。本项目研究的可行性，可接受性，和实用的DAP;测试的程度，可以保持使用DAP相比，照常实施（IAU）的保真度;并检查使用自动电话或互联网，基于计算机的技术来评估干预保真度和客户满意度的可行性。研究设计采用混合方法，以描述与DAP本身实施方式以及DAP如何影响保真度、漂移和适应性的变化相关的过程和因素。通过将加州（美国）的六个地区分配给DAP（n = 3）或IAU（n = 3）来检查DAP模型，以实施EBP来防止儿童忽视。DAP代表了一种数据知情、协作、多利益相关方的方法，通过为干预、系统和组织适应以及干预保真度提供支持，以满足当地需求，从而在实地实施EBP期间保持干预保真度。本研究旨在解决EBP在公共部门服务系统中实施的现实影响，并与国家，州和地方服务系统和组织相关。
Adaptations are often made to evidence-based practices (EBPs) by systems, organizations, and/or service providers in the implementation process. The degree to which core elements of an EBP can be maintained while allowing for local adaptation is unclear. In addition, adaptations may also be needed at the system, policy, or organizational levels to facilitate EBP implementation and sustainment. This paper describes a study of the feasibility and acceptability of an implementation approach, the Dynamic Adaptation Process (DAP), designed to allow for EBP adaptation and system and organizational adaptations in a planned and considered, rather than ad hoc, way. The DAP involves identifying core elements and adaptable characteristics of an EBP, then supporting implementation with specific training on allowable adaptations to the model, fidelity monitoring and support, and identifying the need for and solutions to system and organizational adaptations. In addition, this study addresses a secondary concern, that of improving EBP model fidelity assessment and feedback in real-world settings. This project examines the feasibility, acceptability, and utility of the DAP; tests the degree to which fidelity can be maintained using the DAP compared to implementation as usual (IAU); and examines the feasibility of using automated phone or internet-enabled, computer-based technology to assess intervention fidelity and client satisfaction. The study design incorporates mixed methods in order to describe processes and factors associated with variations in both how the DAP itself is implemented and how the DAP impacts fidelity, drift, and adaptation. The DAP model is to be examined by assigning six regions in California (USA) to either the DAP (n = 3) or IAU (n = 3) to implement an EBP to prevent child neglect. The DAP represents a data-informed, collaborative, multiple stakeholder approach to maintain intervention fidelity during the implementation of EBPs in the field by providing support for intervention, system, and organizational adaptation and intervention fidelity to meet local needs. This study is designed to address the real-world implications of EBP implementation in public sector service systems and is relevant for national, state, and local service systems and organizations.
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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
影响因子：
5.9
作者：
Aarons, Gregory A.;Sommerfeld, David H.;Hecht, Debra B.;Silovsky, Jane F.;Chaffin, Mark J.
通讯作者：
Chaffin, Mark J.
影响因子：
3.5
作者：
Elliott, DS;Mihalic, S
通讯作者：
Mihalic, S
影响因子：
2.3
作者：
Dariotis, Jacinda K.;Bumbarger, Brian K.;Greenberg, Mark T.
通讯作者：
Greenberg, Mark T.
影响因子：
5.9
作者：
BACKER, TE;LIBERMAN, RP;KUEHNEL, TG
通讯作者：
KUEHNEL, TG