Evaluation in healthcare organizations: a literature review about innovation assessment DOI Open Access
Breitner Gomes Chaves, Catherine Briand, Khayreddine Bouabida

et al.

Revista Eletrônica Acervo Saúde, Journal Year: 2021, Volume and Issue: 13(12), P. e9290 - e9290

Published: Dec. 14, 2021

Objective: This article identifies and provides the reader with basis for evaluating innovations proposed in healthcare organizations highlights determinants to consider when implementing them. Bibliographic review: There is no complete, exhaustive, absolute definition of health evaluation. Several evaluative approaches tools were identified. They can be adapted used according evaluator's objectives, paradigms, theoretical influences. Moreover, essential concepts regarding implementation considered synthesized, allowing understand complexity this phase its impact on success innovations. Final considerations: Although field broad has several distinct concepts, presents a synthesis that would support decision-makers their organization's innovation process. Furthermore, present paper enables better understanding risks or failure interventions (or innovation) from comprehensive perspective critical phase.

Language: Английский

Outer-context determinants on the implementation of school-based interventions for LGBTQ+ adolescents DOI Creative Commons
Daniel Shattuck, Cathleen E. Willging, Jeffery Chaichana Peterson

et al.

Implementation Research and Practice, Journal Year: 2024, Volume and Issue: 5

Published: Jan. 1, 2024

Schools are critical venues for supporting LGBTQ+ youth well-being. Implementing LGBTQ-supportive practices can decrease experiences of stigmatization, discrimination, and victimization that lead to adverse mental health outcomes like anxiety, depression, suicidality. However, schools also subject a wide range outer-context pressures may influence their priorities implementation practices. We assessed the role emergent determinants in context 5-year cluster randomized controlled trial study evidence-informed (EIPs) New Mexico high schools.

Language: Английский

Citations

1
Utility of the Leadership and Organizational Change for Implementation-Systems Level (LOCI-SL) strategy for a statewide substance use treatment implementation effort DOI Creative Commons
Erika L. Crable, Marisa Sklar,

Alexandra Kandah

et al.

Journal of Substance Use and Addiction Treatment, Journal Year: 2024, Volume and Issue: 164, P. 209433 - 209433

Published: June 12, 2024

Multi-level and cross-context implementation strategies are needed to support health systems, healthcare delivery organizations, providers adopt evidence-based practice (EBP) for substance use disorder (SUD) treatment. However, misalignment between state oversight agencies organizations about which services prioritize outcomes reasonable expect can hinder success widespread access high-quality care. This study investigated the utility of Leadership Organizational Change Implementation-System Level (LOCI-SL) strategy supporting statewide EBP SUD

Language: Английский

Citations

1
Understanding implementation completion of tailored motivational interviewing in multidisciplinary adolescent HIV clinics DOI Creative Commons
Sylvie Naar, M. Isabel Fernández, Lisa M. Todd

et al.

Implementation Research and Practice, Journal Year: 2023, Volume and Issue: 4, P. 263348952311645 - 263348952311645

Published: Jan. 1, 2023

Background Understanding the barriers and facilitators of implementation completion is critical to determining why some efforts fail succeed. Such studies provide foundation for developing further strategies support when scaling up evidence-based practices (EBPs) such as Motivational Interviewing. Method This mixed-methods study utilized Exploration, Preparation, Implementation, Sustainment framework in an iterative analytic design compare adolescent HIV clinics that demonstrated either high or low context a hybrid Type III trial tailored motivational interviewing. Ten were assigned one three categories (high, medium, low) based on percentage staff who adhered components strategies. Comparative analysis qualitative interviews compared contrasted high-completion with low-completion clinics. Results suggested several factors distinguished including optimism, problem-solving barriers, leadership, stress turnover. Conclusions Implementation targeting these can be added EBP packages improve success.

Language: Английский

Citations

3
The Role of Organizational Processes in Dissemination and Implementation Research DOI
Gregory A. Aarons, Mark G. Ehrhart,

Rebecca Lengnick‐Hall

et al.

Oxford University Press eBooks, Journal Year: 2023, Volume and Issue: unknown, P. 192 - 211

Published: Aug. 16, 2023

Abstract Taken as a whole, both organizational characteristics and specific strategies are important for the effective dissemination implementation of evidence-based practices (EBPs) in health allied healthcare settings, well mental health, alcohol/drug treatment, social service settings. One primary goals this chapter is to support implementers leaders within organizations attending shaping context which takes place order increase likelihood success long-term sustainment. The summarizes some most critical factors likely impact successful EBP implementation. There myriad approaches supporting development change; focuses on issues supported by relevant scientific literatures, particularly those germane related

Language: Английский

Citations

1
Implementation of Evidence-Based Practices within Treatment-As-Usual and Evidence-Based Practice Initiatives DOI
Evelyn Cho, Siena K. Tugendrajch, J. Curtis McMillen

et al.

Administration and Policy in Mental Health and Mental Health Services Research, Journal Year: 2022, Volume and Issue: 49(5), P. 757 - 784

Published: May 2, 2022

Language: Английский

Citations

2
The Interaction Between General and Strategic Leadership and Climate on Their Cross-Level Associations with Implementer Attitudes Toward Universal Prevention Programs for Youth Mental Health: A Multilevel Cross-Sectional Study DOI Creative Commons
Yanchen Zhang,

Clay Cook,

Lindsay M. Fallon

et al.

Research Square (Research Square), Journal Year: 2022, Volume and Issue: unknown

Published: May 6, 2022

Abstract Background The education sector is one of the most common and accessible settings for universal prevention programs youth mental health. But it suffers from suboptimal implementation evidence-based practices (EBPs). Although organizational context (OC) contains crucial factors, successful ultimately resides in behavioral cognitive factors individual implementers (e.g., attitudes toward EBPs). Also, emerging literature called discerning general strategic types OC exploring their interaction effect on behaviors. This study aimed to examine cross-level associations among implementer EBPs leadership climate (general strategic) at organizational-levels mechanistic effect. Methods A series multilevel models (MLMs) were fitted a diverse sample educational agencies actively implementing health (441 52 schools). organization-level aggregates perceptions climate, terms, entered as level-2 level-1 predictors based level measurement. outcomes are four dimensions (Requirement, Openness, Appeal, Divergence). Results At level, higher levels but not counterparts, consistently associated with more favorable all dimensions. perceived Requirement Openness. only showed significant Appeal. organizational-level, moderated positive implementers' perception appeal divergence EBPs. Conclusions Leaders supporting EBP need selectively allocate resources and/or because (a) between varied across measurement, specificity implementation, attitudinal dimensions; (b) moderates whether perceive appealing or useless. Limitations implications research practice discussed extended settings.

Language: Английский

Citations

1
A protocol for a multi-site case control study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model DOI Creative Commons
Anna Moore, Kate Lindley Baron-Cohen, Elizabeth Simes

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2022, Volume and Issue: unknown

Published: March 10, 2022

Abstract The National i-THRIVE Programme seeks to evaluate the impact of NHS England-funded whole system transformation on child and adolescent mental health services (CAMHS). This article reports design for a model implementation that has been applied in CAMHS across over 70 areas England using ‘THRIVE’ needs-based principles care. protocol which this model, ‘i-THRIVE’ (implementing-THRIVE), will be used effectiveness THRIVE intervention is reported, together with evaluation process implementation. To improve care children young people’s health, case-control conducted. N = 10 sites adopt from start compared ‘comparator sites’ choose use different approaches within same timeframe. Sites matched population size, urbanicity, funding, level deprivation expected prevalence needs. implementation, mixed-methods approach conducted explore moderating effects context, fidelity, dose, pathway structure reach clinical service outcomes. study addresses unique opportunity inform ongoing national evidence about popular new delivering care, as well support transformation. If outcomes reflect benefit i-THRIVE, potential guide significant improvements by providing more integrated, needs-led increases access involvement patients they receive.

Language: Английский

Citations

0
The Interaction Between General and Strategic Leadership and Climate on Their Cross-Level Associations with Implementer Attitudes Toward Universal Prevention Programs for Youth Mental Health: A Multilevel Cross-Sectional Study DOI Open Access
Yanchen Zhang, Clayton R. Cook, Lindsay M. Fallon

et al.

Published: May 10, 2022

Emerging literature highlighted the importance to discern general and strategic types of organizational context (OC) factors (e.g., leadership climate) explore their interaction effect on individual implementation behaviors attitudes toward evidence-based practices; EBPs) in youth mental healthcare. This study aimed examine associations among implementer EBPs climate (general strategic) across levels schools. A series multilevel models (MLMs) were fitted a diverse sample schools actively implementing universal prevention programs for health (441 implementers from 52 schools). The organization-level aggregates educator's perceptions climate, terms, entered as level-2 level-1 predictors based level measurement. outcomes are four attitudinal dimensions (Requirement, Openness, Appeal, Divergence). At level, higher but not counterparts, consistently associated with more favorable all dimensions. perceived Requirement Openness. organizational-level, moderated positive implementers' perception appeal divergence EBPs. Our findings indicate that leaders need make data-based decisions allocate resources and/or foster staff measurement, implementation-specificity,

Language: Английский

Citations

0
Evaluation in healthcare organizations: a literature review about innovation assessment DOI Open Access
Breitner Gomes Chaves, Catherine Briand, Khayreddine Bouabida

et al.

Revista Eletrônica Acervo Saúde, Journal Year: 2021, Volume and Issue: 13(12), P. e9290 - e9290

Published: Dec. 14, 2021

Objective: This article identifies and provides the reader with basis for evaluating innovations proposed in healthcare organizations highlights determinants to consider when implementing them. Bibliographic review: There is no complete, exhaustive, absolute definition of health evaluation. Several evaluative approaches tools were identified. They can be adapted used according evaluator's objectives, paradigms, theoretical influences. Moreover, essential concepts regarding implementation considered synthesized, allowing understand complexity this phase its impact on success innovations. Final considerations: Although field broad has several distinct concepts, presents a synthesis that would support decision-makers their organization's innovation process. Furthermore, present paper enables better understanding risks or failure interventions (or innovation) from comprehensive perspective critical phase.

Language: Английский

Citations

0