The relative value of Pre-Implementation stages for successful implementation of evidence-informed programs.
The relative value of Pre-Implementation stages for successful implementation of evidence-informed programs.
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DOI：
10.1186/s13012-023-01285-0
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发表时间：
2023-07-21
影响因子：
7.2
通讯作者：
Saldana, Lisa
中科院分区：
文献类型：
--
作者：
Alley, Zoe M. M.;Chapman, Jason E. E.;Schaper, Holle;Saldana, Lisa
大多数实现在相应的服务交付之前就失败了。测量实现过程的保真度可以揭示这些尝试何时以及为什么失败。这些知识对于支持实现积极的实施里程碑是必要的，例如向客户提供服务（项目启动）和治疗提供能力。本研究评估在何种程度上实施过程中的保真度在不同的实施阶段预测实现这些里程碑。实施过程中的保真度数据测量的实施完成（SIC）的阶段，从1287个实施网站在27个循证方案进行了检查，在混合效应回归模型与嵌套在程序中的网站。通过SIC实施前阶段三个阶段期间完成的实施活动比例以及实施前（第1阶段）和实施（第2阶段）的总体比例得分来衡量实施过程的准确性，并将其评估为实现项目启动的研究中心的预测指标（即，提供服务）和项目交付能力。所有研究中心的启动预测概率均较低，为35%（95% CI [33%，38%]）。当考虑到正在实施的循证计划时，该概率几乎是两倍（64%; 95%CI [42%，82%]），并且计划启动的总方差的57%可归因于该计划。执行过程的保真度是积极的，显着相关的实现程序启动和能力。这种关系的程度在实施前阶段1的各个方案中有很大差异（即，仅限参与。与其他阶段相比，完成更多的实施前阶段3（准备计划）活动导致实现项目启动的可能性最快。达到能力的预测概率非常低，除非站点在实施前阶段和实施阶段均获得高分。强有力的实施过程的可靠性，如SIC实施前和实施阶段的比例分数所衡量的，与网站的实现计划启动和能力的计划交付，早期实施过程的保真度是特别有效的。这些调查结果突出了严格的实施前程序的重要性。
Most implementations fail before the corresponding services are ever delivered. Measuring implementation process fidelity may reveal when and why these attempts fail. This knowledge is necessary to support the achievement of positive implementation milestones, such as delivering services to clients (program start-up) and competency in treatment delivery. The present study evaluates the extent to which implementation process fidelity at different implementation stages predicts achievement of those milestones. Implementation process fidelity data—as measured by the Stages of Implementation Completion (SIC)—from 1287 implementing sites across 27 evidence-informed programs were examined in mixed effects regression models with sites nested within programs. Implementation process fidelity, as measured by the proportion of implementation activities completed during the three stages of the SIC Pre-Implementation phase and overall Pre-Implementation (Phase 1) and Implementation (Phase 2) proportion scores, was assessed as a predictor of sites achieving program start-up (i.e., delivering services) and competency in program delivery. The predicted probability of start-up across all sites was low at 35% (95% CI [33%, 38%]). When considering the evidence-informed program being implemented, that probability was nearly twice as high (64%; 95% CI [42%, 82%]), and 57% of the total variance in program start-up was attributable to the program. Implementation process fidelity was positively and significantly associated with achievement of program start-up and competency. The magnitude of this relationship varied significantly across programs for Pre-Implementation Stage 1 (i.e., Engagement) only. Compared to other stages, completing more Pre-Implementation Stage 3 (Readiness Planning) activities resulted in the most rapid gains in probability of achieving program start-up. The predicted probability of achieving competency was very low unless sites had high scores in both Pre-Implementation and Implementation phases. Strong implementation process fidelity—as measured by SIC Pre-Implementation and Implementation phase proportion scores—was associated with sites’ achievement of program start-up and competency in program delivery, with early implementation process fidelity being especially potent. These findings highlight the importance of a rigorous Pre-Implementation process.
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DOI：
10.1007/s43477-020-00003-y
发表时间：
2021-03
期刊：
Global implementation research and applications
影响因子：
--
作者：
Sterrett-Hong, Emma M;Saldana, Lisa;Burek, John;Schaper, Holle;Karam, Eli;Verbist, A Nathan;Cameron, Katherine
通讯作者：
Cameron, Katherine
影响因子：
3.7
作者：
Nadeem E;Saldana L;Chapman J;Schaper H
通讯作者：
Schaper H
DOI：
10.1007/s11121-020-01174-8
发表时间：
2020-11
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
--
作者：
Cruden G;Frerichs L;Powell BJ;Lanier P;Brown CH;Lich KH
通讯作者：
Lich KH
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
影响因子：
0.7
作者：
通讯作者：
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