Abstract

The implementation of evidence-based practice (EBP) into real-world human service settings is an important priority for improving the quality of services and outcomes for families. However, little is known about what factors facilitate or impede implementation, and how implementation of an EBP affects organizations and staff. Such """"""""bi-directional effects"""""""" are likely to occur when introducing organizational and practice change in human service agencies. This application seeks funding to study the bi-directional effects of a statewide EBP implementation-taking place in Oklahoma. Bi-directional effects in the proposed study include the impact of contextual, organizational, and individual factors on implementation fidelity, and also the effects of EBP implementation on organizations and human service staff. The proposed work builds on an NIMH supported EBP effectiveness study of the """"""""SafeCare: intervention designed to reduce child abuse and neglect. The EBP is a home-based, parent-mediated intervention being implemented statewide in Oklahoma and experimentally manipulating the SafeCare intervention compared to services as usual, with the effect of monitoring of services.
Three aims are proposed for this study.
The first aim uses mixed qualitative-quantitative methods to examine how the service context influences fidelity of EBP implementation.
The second aim examines how the implementation of the EBP and associated fidelity monitoring, influence service provider perceived job autonomy, work attitudes, and turnover.
The third aim examines how EBP implementation influences organizational climate, working alliance between service providers and consumers, and consumer outcomes. Fidelity and outcomes are being assessed in the current SafeCare effectiveness study. We propose to build on this opportunity to study EBP implementation by adding longitudinal qualitative assessments of select staff, managers, and agency directors, and quantitative assessments of case managers and supervisors.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
7R01MH072961-03
Application #
7248595
Study Section
Services Research Review Committee (SRV)
Program Officer
Chambers, David A
Project Start
2005-09-22
Project End
2010-06-30
Budget Start
2007-09-11
Budget End
2008-06-30
Support Year
3
Fiscal Year
2007
Total Cost
$472,726
Indirect Cost

  Institution

Name
University of California San Diego
Department
Psychiatry
Type
Schools of Medicine
DUNS #
804355790
City
La Jolla
State
CA
Country
United States
Zip Code
92093

  Publications

Ehrhart, Mark G; Torres, Elisa M; Green, Amy E et al. (2018) Leading for the long haul: a mixed-method evaluation of the Sustainment Leadership Scale (SLS). Implement Sci 13:17
Torres, Elisa M; Ehrhart, Mark G; Beidas, Rinad S et al. (2018) Validation of the Implementation Leadership Scale (ILS) with Supervisors' Self-Ratings. Community Ment Health J 54:49-53
Hubel, Grace S; Rostad, Whitney L; Self-Brown, Shannon et al. (2018) Service needs of adolescent parents in child welfare: Is an evidence-based, structured, in-home behavioral parent training protocol effective? Child Abuse Negl 79:203-212
Lyon, Aaron R; Whitaker, Kelly; Locke, Jill et al. (2018) The impact of inter-organizational alignment (IOA) on implementation outcomes: evaluating unique and shared organizational influences in education sector mental health. Implement Sci 13:24
Fenwick, Karissa M; Brimhall, Kim C; Hurlburt, Michael et al. (2018) Who Wants Feedback? Effects of Transformational Leadership and Leader-Member Exchange on Mental Health Practitioners' Attitudes Toward Feedback. Psychiatr Serv :appips201800164
Aarons, Gregory A; Sklar, Marisa; Mustanski, Brian et al. (2017) ""Scaling-out"" evidence-based interventions to new populations or new health care delivery systems. Implement Sci 12:111
Aarons, Gregory A; Ehrhart, Mark G; Torres, Elisa M et al. (2017) The Humble Leader: Association of Discrepancies in Leader and Follower Ratings of Implementation Leadership With Organizational Climate in Mental Health. Psychiatr Serv 68:115-122
Powell, Byron J; Beidas, Rinad S; Lewis, Cara C et al. (2017) Methods to Improve the Selection and Tailoring of Implementation Strategies. J Behav Health Serv Res 44:177-194
Willging, Cathleen E; Trott, Elise M; Fettes, Danielle et al. (2017) Research-Supported Intervention and Discretion Among Frontline Workers Implementing Home Visitation Services. Res Soc Work Pract 27:664-675
Brown, C Hendricks; Curran, Geoffrey; Palinkas, Lawrence A et al. (2017) An Overview of Research and Evaluation Designs for Dissemination and Implementation. Annu Rev Public Health 38:1-22

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