Abstract:
BACKGROUND:Evidence-based practice (EBP) implementation represents a strategic change in organizations that requires effective leadership and alignment of leadership and organizational support across organizational levels. As such, there is a need for combining leadership development with organizational strategies to support organizational climate conducive to EBP implementation. The leadership and organizational change for implementation (LOCI) intervention includes leadership training for workgroup leaders, ongoing implementation leadership coaching, 360° assessment, and strategic planning with top and middle management regarding how they can support workgroup leaders in developing a positive EBP implementation climate. METHODS:This test of the LOCI intervention will take place in conjunction with the implementation of motivational interviewing (MI) in 60 substance use disorder treatment programs in California, USA. Participants will include agency executives, 60 program leaders, and approximately 360 treatment staff. LOCI will be tested using a multiple cohort, cluster randomized trial that randomizes workgroups (i.e., programs) within agency to either LOCI or a webinar leadership training control condition in three consecutive cohorts. The LOCI intervention is 12 months, and the webinar control intervention takes place in months 1, 5, and 8, for each cohort. Web-based surveys of staff and supervisors will be used to collect data on leadership, implementation climate, provider attitudes, and citizenship. Audio recordings of counseling sessions will be coded for MI fidelity. The unit of analysis will be the workgroup, randomized by site within agency and with care taken that co-located workgroups are assigned to the same condition to avoid contamination. Hierarchical linear modeling (HLM) will be used to analyze the data to account for the nested data structure. DISCUSSION:LOCI has been developed to be a feasible and effective approach for organizations to create a positive climate and fertile context for EBP implementation. The approach seeks to cultivate and sustain both effective general and implementation leadership as well as organizational strategies and support that will remain after the study has ended. Development of a positive implementation climate for MI should result in more positive service provider attitudes and behaviors related to the use of MI and, ultimately, higher fidelity in the use of MI. TRIAL REGISTRATION:This study is registered with Clinicaltrials.gov ( NCT03042832 ), 2 February 2017, retrospectively registered.
journal_name
Implement Scijournal_title
Implementation science : ISauthors
Aarons GA,Ehrhart MG,Moullin JC,Torres EM,Green AEdoi
10.1186/s13012-017-0562-3subject
Has Abstractpub_date
2017-03-03 00:00:00pages
29issue
1issn
1748-5908pii
10.1186/s13012-017-0562-3journal_volume
12pub_type
杂志文章,随机对照试验abstract:BACKGROUND:In health care, a well recognized gap exists between what we know should be done based on accumulated evidence and what we actually do in practice. A body of empirical literature shows organizations, like individuals, are difficult to change. In the business literature, knowledge management and transfer has ...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-2-44
更新日期:2007-12-20 00:00:00
abstract:BACKGROUND:Large-scale implementation of evidence-based psychotherapies (EBPs) such as cognitive processing therapy (CPT) for posttraumatic stress disorder can have a tremendous impact on mental and physical health, healthcare utilization, and quality of life. While many mental health systems (MHS) have invested heavil...
journal_title:Implementation science : IS
pub_type: 杂志文章,随机对照试验
doi:10.1186/s13012-017-0544-5
更新日期:2017-03-06 00:00:00
abstract:BACKGROUND:An international randomized clinical trial (RCT) on pre-exposure prophylaxis (PrEP) as an human immunodeficiency virus (HIV)-prevention intervention found that taken on a daily basis, PrEP was safe and effective among men who have sex with men (MSM) and male-to-female transgender women. Within the context of...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-7-116
更新日期:2012-11-26 00:00:00
abstract:BACKGROUND:Implementation researchers have typically studied organizational culture and climate by testing whether individual dimensions are linked to the implementation of evidence-based practices (EBPs) rather than examining how the overarching social context influences implementation. This approach may limit impleme...
journal_title:Implementation science : IS
pub_type: 杂志文章,多中心研究
doi:10.1186/s13012-019-0863-9
更新日期:2019-02-12 00:00:00
abstract:BACKGROUND:Denmark has inferior cancer survival rates compared with many European countries. The main reason for this is suggested to be late diagnosis at advanced cancer stages. Cancer diagnostic work-up begins in general practice in 85% of all cancer cases. Thus, general practitioners (GPs) play a key role in the dia...
journal_title:Implementation science : IS
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s13012-014-0159-z
更新日期:2014-11-07 00:00:00
abstract:BACKGROUND:Substance misuse is now encountered in settings beyond addiction specialty care, with schools a point-of-contact for student access to behavioral health services. Marijuana is a leading impetus for adolescent treatment admissions despite declining risk perception, for which the Teen Marijuana Check-Up (TMCU)...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-017-0633-5
更新日期:2017-08-10 00:00:00
abstract:BACKGROUND:To improve hypertension care for ethnic minority patients of African descent in the Netherlands, we developed a provider intervention to facilitate the delivery of culturally appropriate hypertension education. This pilot study evaluates how the intervention affected the attitudes and perceived competence of...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-5-35
更新日期:2010-05-14 00:00:00
abstract:BACKGROUND:Evidence-based practice (EBP) is a complex process. To quantify it, one has to also consider individual and contextual factors using multiple measures. Modern measurement approaches are available to optimize the measurement of complex constructs. This study aimed to develop a robust measurement approach for ...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-018-0844-4
更新日期:2018-12-18 00:00:00
abstract:BACKGROUND:Adapting interventions that have worked elsewhere can save resources associated with developing new interventions for each specific context. While a developing body of evidence shows benefits of adapted interventions compared with interventions transported without adaptation, there are also examples of inter...
journal_title:Implementation science : IS
pub_type: 杂志文章
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更新日期:2019-12-17 00:00:00
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journal_title:Implementation science : IS
pub_type: 杂志文章
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更新日期:2017-02-10 00:00:00
abstract:BACKGROUND:Guideline development and uptake are still suboptimal; they focus on clinical aspects of diseases rather than on improving the integration of care. We used a patient-centered network approach to develop five harmonized guidelines (one multidisciplinary and four monodisciplinary) around clinical pathways in f...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-9-68
更新日期:2014-06-04 00:00:00
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journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-016-0479-2
更新日期:2016-08-08 00:00:00
abstract:BACKGROUND:To better understand the efficacy of various implementation strategies, improved methods for describing and classifying the nature of these strategies are urgently required. The aim of this study was to develop and pilot the feasibility of a taxonomy to classify the nature and content of implementation strat...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-8-32
更新日期:2013-03-15 00:00:00
abstract:BACKGROUND:Case management has emerged as a promising alternative approach to supplement traditional one-on-one sessions between patients and doctors for improving the quality of care in chronic diseases such as coronary heart disease (CHD). However, data are lacking in terms of its efficacy and cost-effectiveness when...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-1-21
更新日期:2006-09-27 00:00:00
abstract:BACKGROUND:In 2004, Gabbay and le May showed that clinicians generally base their decisions on mindlines-internalised and collectively reinforced tacit guidelines-rather than consulting written clinical guidelines. We considered how the concept of mindlines has been taken forward since. METHODS:We searched databases f...
journal_title:Implementation science : IS
pub_type: 杂志文章,评审
doi:10.1186/s13012-015-0229-x
更新日期:2015-04-09 00:00:00
abstract:BACKGROUND:People in close contact with tuberculosis should have screening and appropriate management, as an opportunity for active case detection and prevention. However, implementation of tuberculosis contact screening and management is limited in high-burden settings. Behaviour change is needed across three levels o...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-019-0870-x
更新日期:2019-03-19 00:00:00
abstract:BACKGROUND:Effective provider-parent communication can improve childhood vaccination uptake and strengthen immunisation services in low- and middle-income countries (LMICs). Building capacity to improve communication strategies has been neglected. Rigorous research exists but is not readily found or applicable to LMICs...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/1748-5908-6-125
更新日期:2011-12-02 00:00:00
abstract:BACKGROUND:The fields of implementation and improvement sciences have experienced rapid growth in recent years. However, research that seeks to inform health care change may have difficulty translating core components of implementation and improvement sciences within the traditional paradigms used to evaluate efficacy ...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-018-0770-5
更新日期:2018-05-29 00:00:00
abstract:BACKGROUND:Practice guidelines (PGs) are systematically developed statements intended to assist in patient and practitioner decisions. The AGREE II is the revised tool for PG development, reporting, and evaluation, comprised of 23 items, two global rating scores, and a new User's Manual. In this study, we sought to dev...
journal_title:Implementation science : IS
pub_type: 杂志文章,随机对照试验
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更新日期:2011-07-26 00:00:00
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journal_title:Implementation science : IS
pub_type: 杂志文章,随机对照试验
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journal_title:Implementation science : IS
pub_type: 杂志文章,随机对照试验
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journal_title:Implementation science : IS
pub_type: 杂志文章,随机对照试验
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更新日期:2014-06-12 00:00:00
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journal_title:Implementation science : IS
pub_type: 杂志文章
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更新日期:2009-07-03 00:00:00
abstract::As more quality improvement programs are implemented to achieve gains in performance, the need to evaluate their lasting effects has become increasingly evident. However, such long-term follow-up evaluations are scarce in healthcare implementation science, being largely relegated to the "need for further research" sec...
journal_title:Implementation science : IS
pub_type: 杂志文章
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更新日期:2008-04-22 00:00:00
abstract:BACKGROUND:In the UK, NHS hospitals receive large amounts of evidence-based recommendations for care delivery from the National Institute for Health and Care Excellence (NICE) and other organisations. Little is known about how NHS organisations implement such guidance and best practice for doing so. This study was ther...
journal_title:Implementation science : IS
pub_type: 杂志文章
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更新日期:2015-06-30 00:00:00
abstract:BACKGROUND:Continuous escalation in methodological and procedural rigor for evidence-based processes in guideline development is associated with increasing costs and production delays that threaten sustainability. While health research methodologists are appropriately responsible for promoting increasing rigor in guide...
journal_title:Implementation science : IS
pub_type: 杂志文章
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更新日期:2015-03-06 00:00:00
abstract:BACKGROUND:Implementation strategies are imperative for the successful adoption and sustainability of complex evidence-based public health practices. Creating a learning collaborative is one strategy that was part of a recently published compilation of implementation strategy terms and definitions. In partnership with ...
journal_title:Implementation science : IS
pub_type: 杂志文章
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更新日期:2017-11-21 00:00:00
abstract:BACKGROUND:Although there is growing recognition that the implementation of evidence-based practices is a social process, the conceptualization of social capital in implementation frameworks often conflates bonding and bridging social capital. This conflation makes it difficult to concretely operationalize social capit...
journal_title:Implementation science : IS
pub_type: 杂志文章
doi:10.1186/s13012-019-0860-z
更新日期:2019-02-14 00:00:00
abstract:BACKGROUND:Like in many settings, implementation of evidence-based practices often fall short in pediatric intensive care units (PICU). Very few prior studies have applied implementation science frameworks to understand how best to improve practices in this unique environment. We used the relatively new integrated Prom...
journal_title:Implementation science : IS
pub_type: 杂志文章
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更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:Counselling on health-related lifestyles is key to the prevention and management of chronic diseases. After comprehensive study of determinants of its delivery in general practice and strategies to improve, we composed a tailored improvement program, which included communication skills training, online patie...
journal_title:Implementation science : IS
pub_type: 杂志文章,随机对照试验
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更新日期:2016-08-11 00:00:00