Organizational Factors Influencing Best Practices Adoption

影响最佳实践采用的组织因素

• 批准号: 8374094
• 负责人: David Allen Patterson Silver Wolf
• 金额: $ 14.19万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-12-01 至 2014-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8374094
• 关键词: Adopted; Adoption; Alcohols; Americas; Charities; Child Welfare; Climate; Clinical; Communities; Counseling; Data; Data Collection; Evidence based intervention; Evidence based practice; Family; Focus Groups; Health; Human; Individual; Intervention; Investigation; Knowledge; Measures; Mental Health; Methods; New York; Patient Self-Report; Pilot Projects; Public Health; Recommendation; Reporting; Research; Research Design; Risk; Sampling; Science; Services; Social Environment; Structure; System; Training; United States National Institutes of Health; Violence; Work; alcohol screening and brief intervention; base; clinical practice; evidence base; high risk drinking; mental health organization; public health relevance; screening and brief intervention; social; volunteer

DESCRIPTION (provided by applicant): This project builds on the knowledge drawn from organizational research on internal structures (e.g., culture and climate) that can impede or enhance evidenced-based practice (EBP) implementation within community- based mental health organizations. Community-based mental health organizations (CBIVIHOs) are defined as organizations that provide health and human-related services (e.g., bio-psycho-social assessments, counseling and/or referral services) to individuals and/or families. This pilot study seeks to answer the question of whether the culture and/or climate within a community- based mental health organization predicts the likelihood that the organization will adopt a new evidence- based intervention. The study will screen front-line clinicians working in Western New York community-based mental health organizations using Glisson's (2002) Organizational Social Context (OSC) to assess agency culture and climate. From of this pool of mental health organizations, three agencies having "less than ideal" culture and climate scores and three agencies having "ideal" culture and climate scores will be invited to participate. This study is intended for community-based mental health organizations (CBMHOs) that serve a large number of people but do not provide alcohol-specific services. After obtaining the sample of six organizations, their front-line staff will be trained to adopt NIAAA's 2005 Clinical Guide's screening and brief intervention. Following that training, the utilize of the intervention will be measured each month for a total of six-months. At the end of the six-month study a qualitative investigation will also be conducted in order to evaluate what factors went into the decision to adopt, or not adopt the intervention. A focus group will be conducted at each of the six organizations after quantitative data collection officially ends. Overall, this pilot study attempts to identify mechanisms through which an organization's culture and climate influence the adoption of an empirically-based alcohol screening and brief intervention within CBMHOs not specifically providing alcohol- related services.

描述（由申请人提供）：该项目建立在对内部结构（例如文化和气候）的组织研究中获得的知识的基础上，这些结构可能会阻碍或加强社区心理健康组织内循证实践（EBP）的实施。基于社区的心理健康组织 (CBIVIHO) 被定义为向个人和/或家庭提供健康和人类相关服务（例如生物心理社会评估、咨询和/或转介服务）的组织。这项试点研究旨在回答以下问题：社区心理健康组织内的文化和/或氛围是否可以预测该组织采用新的循证干预措施的可能性。该研究将使用 Glisson (2002) 的组织社会背景 (OSC) 筛选在纽约西部社区心理健康组织工作的一线临床医生，以评估机构文化和氛围。从这批心理健康组织中，将邀请三个文化和气候得分“不理想”的机构和三个文化和气候得分“理想”的机构参与。本研究面向为大量人群提供服务但不提供针对酒精的服务的社区心理健康组织 (CBMHO)。在获得六个组织的样本后，他们的一线工作人员将接受培训，以采用NIAAA 2005年临床指南的筛查和简短干预。培训结束后，将每月测量干预措施的使用情况，总共为期六个月。在六个月的研究结束时，还将进行定性调查，以评估哪些因素影响了采取或不采取干预措施的决定。定量数据收集正式结束后，将在六个组织中分别进行焦点小组讨论。总体而言，这项试点研究试图确定组织的文化和氛围影响在不专门提供酒精相关服务的 CBMHO 中采用基于经验的酒精筛查和简短干预的机制。