Mixed-Methods Study of EBP Sustainment in a Statewide Service System

描述（由申请人提供）：循证实践（EBP）越来越多地在公共服务部门实施，但对哪些因素促进或限制其可持续性的系统性知识很少。除了需要对可持续性进行研究之外，还有一个事实是，在最初的赠款资金结束后，许多执行工作没有持续下去。有证据表明，领导力，政策，资源供应，合作和组织基础设施可能是长期可持续发展的关键决定因素，但是，很少有实证工作已经进行了系统的研究因素，无论是促进或限制可持续发展，使最大限度的EBP的公共卫生影响可以实现。 该项目将使用混合方法（定性和定量）来研究支持或限制在大型全州公共服务系统中维持基于证据的儿童忽视干预措施的因素。我们将进行文件分析和访谈，以检查与维持相关的领导，政策和合同因素。我们将研究公共学术合作影响EBP维持的程度。我们将对服务系统中的所有服务提供者和监督者进行调查，以检查领导力，组织因素和组织气氛，以维持循证实践。感兴趣的主要成果包括持续的EBP在服务系统中的覆盖/渗透，EBP交付的保真度，以及供应商组织在多大程度上形成了有利于EBP维持的组织氛围。最后，参与研究的利益相关者将共同努力，制定一个全面的理论模型，在公共服务部门的可持续发展，可以指导未来的研究和实施实践。

DESCRIPTION (provided by applicant): Evidence-based practices (EBPs) are increasingly being implemented in public service sectors with little systemic knowledge about what factors facilitate or limit their sustainment. Adding to the need for research on sustainment is the fact that many implementation efforts are not sustained after initial grant funding ends. There is evidence that leadership, policies, resource availability, collaboration, and organizational infrastructure may be key determinants of long-term sustainment, however, little empirical work has been conducted to systematically examine factors that either facilitate or limit sustainment so that the maximum public health impact of EBPs can be realized. This project will use mixed-methods (qualitative and quantitative) to examine factors that either support or limit sustainment of an evidence-based child neglect intervention in a large statewide public service system. We will conduct document analysis and interviews to examine leadership, policy, and contracting factors associated with sustainment. We will examine the degree to which public-academic collaborations impact EBP sustainment. We will conduct surveys of all service providers and supervisors in the service system to examine leadership, organizational factors, and organizational climate for sustainment of evidence-based practice. The main outcomes of interest include the sustained reach/penetration of the EBP in the service system, the fidelity with which the EBP is delivered, and the extent to which provider organizations have developed an organizational climate conducive to EBP sustainment. Finally, stakeholders involved in the study will work collaboratively to develop a comprehensive theoretical model of sustainment in public service sectors that can guide future research and implementation practice.