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

描述(由申请人提供)：循证做法(EBP)正越来越多地在公共服务部门实施，对哪些因素促进或限制其维持几乎没有系统的了解。在最初的赠款资金结束后，许多执行工作无法持续，这增加了对维持工作进行研究的必要性。有证据表明，领导力、政策、资源可获得性、协作和组织基础设施可能是长期可持续的关键决定因素，然而，很少进行实证工作来系统地检查促进或限制可持续的因素，以便实现EBPS对公共卫生的最大影响。该项目将使用混合方法(定性和定量)来审查在全州范围的大型公共服务系统中支持或限制以证据为基础的忽视儿童干预措施的因素。我们将进行文件分析和采访，以检查与维持相关的领导力、政策和合同因素。我们将研究公共和学术合作对EBP持续的影响程度。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，以检查支持循证实践的领导力、组织因素和组织氛围。感兴趣的主要结果包括EBP在服务系统中的持续覆盖/渗透、EBP交付的保真度，以及提供商组织在多大程度上发展了有利于EBP持续的组织氛围。最后，参与研究的利益攸关方将共同努力，制定一个全面的公共服务部门可持续发展理论模型，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.