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

全州服务系统中 EBP 维持的混合方法研究

• 批准号: 8843037
• 负责人: GREGORY AARONS
• 金额: $ 63.53万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-22 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8843037
• 关键词: Address; Adult; Affect; Behavior; Caring; Centers for Disease Control and Prevention (U.S.); Characteristics; Child; Child Abuse and Neglect; Child Mortality; Child Welfare; Client; Climate; Collaborations; Communities; Contracts; Data; Development; Effectiveness; Evidence based practice; Family; Funding; Future; Goals; Grant; Health; Home environment; Individual; Institutionalization; Intervention; Interview; Knowledge; Leadership; Learning; Measures; Methods; Modeling; National Institute of Mental Health; Occupations; Oklahoma; Outcome; Penetration; Phase; Policies; Practice Management; Problem Solving; Problem behavior; Process; Provider; Public Health; Public Sector; Qualitative Methods; Randomized; Research; Research Infrastructure; Resources; Role; Services; Sexual abuse; Societies; Statutes and Laws; Surveys; System; Testing; Theoretical model; Time; United States Agency for Healthcare Research and Quality; United States National Institutes of Health; United States Substance Abuse and Mental Health Services Administration; Work; base; behavioral health intervention; child neglect; cost; effective intervention; effective therapy; evidence base; implementation science; improved; innovation; interest; maltreatment; neglect; organizational climate; physical abuse; theories; uptake

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.

描述（由申请人提供）：基于证据的实践（EBP）越来越多地在公共服务部门实施，但对于哪些因素促进或限制其维持缺乏系统性的了解。事实上，许多实施工作在初始拨款资助结束后就无法持续，这增加了对维持研究的需求。有证据表明，领导力、政策、资源可用性、协作和组织基础设施可能是长期维持的关键决定因素，然而，很少有实证工作来系统地研究促进或限制维持的因素，以便实现 EBP 的最大公共卫生影响。 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力、政策和合同因素。我们将研究公共学术合作对 EBP 维持的影响程度。我们将对服务系统中的所有服务提供者和主管进行调查，以检查领导力、组织因素和组织氛围，以维持循证实践。主要关注结果包括 EBP 在服务系统中的持续覆盖/渗透、EBP 交付的保真度以及提供者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开发公共服务部门维持的综合理论模型，以指导未来的研究和实施实践。