Exploration and adoption of evidence-based practice by US child welfare agencies
Exploration and adoption of evidence-based practice by US child welfare agencies
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DOI：
10.1016/j.childyouth.2013.10.004
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发表时间：
2014-04-01
影响因子：
3.3
通讯作者：
Landsverk, John
中科院分区：
文献类型：
--
作者：
Horwitz, Sarah McCue;Hurlburt, Michael S.;Landsverk, John
目的：研究儿童福利机构采用新做法的程度，并确定采用新做法的障碍和促进因素。研究方法：数据来自对92个公共儿童福利机构负责人的电话采访，这些机构构成了第一次全国儿童和青少年福利调查（NSCAWI）的概率样本。在一个半结构化的40分钟的采访由训练有素的研究助理管理，机构主任被问及机构的人口统计，知识的循证实践，使用技术援助和实际使用的循证实践。在92家机构中，83家（90%）同意接受采访。结果如下：各机构报告说，大多数工作人员拥有学士学位（53.45%），他们要么支付（52.6%），要么提供（80.7%）继续教育。虽然机构定期收集标准化的儿童结果（90%），他们很少收集儿童功能的措施（30.9%）。几乎所有的机构（94%）已经开始了一个新的计划或做法，但只有24.8%是以证据为基础的，用于探索新的计划或做法的战略通常涉及地方或国家合同。与项目成功相关的因素包括对创新的内部支持（273%）和现有的证据基础（23.5%）。结论：儿童福利机构的负责人经常制定新的计划或做法，但他们往往没有证据为基础。因为几乎所有的机构都提供一些继续教育，增加对循证方案/实践的讨论可能会刺激。依靠地方和州的同事来探索新的项目和实践表明，发展信息灵通的社交网络可能是增加循证实践传播的一种方式。(C)2013爱思唯尔有限公司保留所有权利。
Objective: To examine the extent to which child welfare agencies adopt new practices and to determine the barriers to and facilitators of adoption of new practices. Methods: Data came from telephone interviews with the directors of the 92 public child welfare agencies that constituted the probability sample for the first National Survey of Child and Adolescent Well-being (NSCAWI). In a semi-structured 40 min interview administered by a trained Research Associate, agency directors were asked about agency demographics, knowledge of evidence-based practices, use of technical assistance and actual use of evidence-based practices. Of the 92 agencies, 83 or 90% agreed to be interviewed. Results: Agencies reported that the majority of staff had a BA degree (53.45%) and that they either paid for (52.6%) or provided (80.7%) continuing education. Although agencies routinely collect standardized child outcomes (90%) they much less frequently collect measures of child functioning (30.9%). Almost all agencies (94%) had started a new program or practice but only 24.8% were evidence-based and strategies used to explore new programs or practices usually involved local or state contracts. Factors that were associated with program success included internal support for the innovation (273%), and an existing evidence base (23.5%). Conclusions: Directors of child welfare agencies frequently institute new programs or practices but they are not often evidence-based. Because virtually all agencies provide some continuing education adding discussions of evidence-based programs/practices may spur. Reliance on local and state colleagues to explore new programs and practices suggests that developing well informed social networks may be a way to increase the spread of evidence-based practices. (C) 2013 Elsevier Ltd. All rights reserved.