An Exploratory Study of a Training Team-Coordinated Approach to Implementation.
An Exploratory Study of a Training Team-Coordinated Approach to Implementation.
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一个培训团队协调的实施方法的探索性研究。
DOI：
10.1007/s43477-020-00003-y
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发表时间：
2021-03
期刊：
影响因子：
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通讯作者：
Cameron, Katherine
中科院分区：
文献类型：
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作者：
Sterrett-Hong, Emma M;Saldana, Lisa;Burek, John;Schaper, Holle;Karam, Eli;Verbist, A Nathan;Cameron, Katherine
现在人们普遍理解，成功实施循证治疗是由几个有利的条件（例如，社区参与、投资机构领导）。然而，对支持机构促进这些条件的战略的审查程度较低。在这项探索性研究中，实施支持程序的父母与爱和限制（PLL），循证医学为儿童/青少年的行为问题，其中培训团队遵循结构化的程序，以帮助协调实施支持活动的家庭治疗，说明，并初步有效性检查。审查了PLL文件和PLL与美国各地发起PLL实施前活动的n = 23个研究中心之间的通信记录。此外，每个机构完成的执行活动都输入了“执行完成阶段”仪表板。通过对程序文件和案例的描述，说明了PLL实施支持协议的规定性。定量分析显示，在23个开始实施前的站点中，有9个站点停止使用，大都市地区的站点比人口较少地区的站点更有可能停止使用。此外，启动PLL的14个站点在活动中表现出高度的一致性，处于可持续发展阶段的站点平均完成了86%的实施行为。培训小组协调执行活动可能是一个很有前途的办法，可支持各机构完成任务，促进成功地采取有证据支持的干预措施。反过来，持续实施循证治疗可以使社区在更大程度上受益于实践创新。
It is now widely understood that successful implementation of evidence-based treatments is facilitated by several favorable conditions (e.g., community buy-in, invested agency leadership). However, strategies for supporting agencies in promoting these conditions have been examined to a lesser extent. In this exploratory study, the implementation support procedures of Parenting with Love and Limits (PLL), an evidence-informed family treatment for child/adolescent behavior problems in which the training team follows structured procedures to help coordinate implementation support activities, are illustrated, and their preliminary effectiveness examined. PLL documents and communication records between PLL and n = 23 sites across the U.S. that initiated PLL pre-implementation activities were reviewed. In addition, implementation activities completed for each agency were entered into the Stages of Implementation Completion (SIC) dashboard. The prescriptive nature of the PLL implementation support protocol was illustrated through descriptions of procedural documents and case examples. Quantitative analyses revealed that, among the 23 sites that began pre-implementation, 9 discontinued, with a trend toward sites in metropolitan areas being more likely to discontinue than those in less populous areas. In addition, the 14 sites that launched PLL demonstrated a high amount of consistency in activities, with sites in the sustainability phase completing an average of 86% of implementation behaviors. Training team-coordination of implementation activities may be one promising approach for supporting agencies in completing tasks to facilitate successful uptake of evidence-supported interventions. In turn, sustained implementation of evidence-supported treatments could allow communities to benefit from practice innovations to a greater extent.