After the Study Ends: A Qualitative Study of Factors Influencing Intervention Sustainability.
After the Study Ends: A Qualitative Study of Factors Influencing Intervention Sustainability.
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DOI：
10.1037/pro0000258
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发表时间：
2020-04
期刊：
影响因子：
--
通讯作者：
Weisz JR
中科院分区：
文献类型：
--
作者：
Bearman SK;Bailin A;Terry R;Weisz JR
在初步培训和支持结束后，维持循证实践是确保青年心理健康服务持久改善所必需的。本研究探讨了影响社区临床医生决定在参与研究后维持transdiagnosis青年干预的因素。这项研究的目的是确定影响可持续性的潜在可变因素，为今后的执行工作提供信息。13名临床医生（85%女性，92%白人，M年龄= 35.6）在参加了一项针对抑郁症、焦虑症和品行障碍的循证干预的开放试验后完成了访谈。访谈采用主题分析法进行分析。所有（100%）临床医生均报告了当前使用的干预措施。出现了与可持续性有关的四个主题。临床医生（100%）报告说，进行修改，与先前的培训，相对优势影响他们目前的干预使用。临床医生（100%）报告说，治疗开发人员的知识转移对可持续性至关重要。他们（92%）指出了一些物流，组织内部和客户层面的可持续性障碍。最后，临床医生（92%）确定了与扩大干预相关的因素。各种个人、组织、后勤和客户变量影响新干预措施的持续性，并可在今后的执行工作中加以利用。
Sustaining evidence-based practices after initial training and support has ended is necessary to ensure lasting improvements in youth mental health services. This study examined factors impacting community clinicians’ decisions to sustain a transdiagnostic youth intervention following participation in a study. The aim of the study was to identify potentially mutable factors impacting sustainability to inform future implementation efforts. Thirteen clinicians (85% women, 92% Caucasian, M age = 35.6) completed interviews after participating in an open trial of an evidence-based intervention for depression, anxiety, and conduct disorders. Interviews were analyzed using thematic analysis methods. All (100%) clinicians reported current use of the intervention. Four themes emerged related to sustainability. Clinicians (100%) reported that making modifications, alignment with prior training, and relative advantage influenced their current intervention use. Clinicians (100%) reported that knowledge transfer from treatment developers was vital to sustainability. They (92%) noted a number of logistical, inner-organizational, and client-level barriers to sustainability. Lastly, clinicians (92%) identified factors related to scaling up the intervention. A variety of personal, organizational, logistical, and client variables influence the sustainment of new interventions, and could be leveraged in future implementation efforts.
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影响因子：
1.7
作者：
Bickman, Leonard;Kelley, Susan Douglas;Athay, Michele
通讯作者：
Athay, Michele
影响因子：
5.9
作者：
Glisson, Charles;Schoenwald, Sonja K.;Chapman, Jason E.
通讯作者：
Chapman, Jason E.
影响因子：
2.9
作者：
Chamberlain, P
通讯作者：
Chamberlain, P
影响因子：
1.7
作者：
Guest, Greg;Bunce, Arwen;Johnson, Laura
通讯作者：
Johnson, Laura
DOI：
10.1186/1748-5908-8-117
发表时间：
2013-10-02
期刊：
Implementation science : IS
影响因子：
--
作者：
Chambers DA;Glasgow RE;Stange KC
通讯作者：
Stange KC