A Naturalistic Study of MST Dissemination in 13 Ohio Communities

Carstens, Carol; Panzano, Phyllis C.; Massatti, Rick R.; Roth, Dee; Sweeney, Helen Anne

doi:10.1007/s11414-008-9124-4

Cited by 19 publications

(24 citation statements)

References 36 publications

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“…In a study of priority setting within a provincial health services authority, evidence use was enabled by strong leadership, a culture of openness and learning, and commitment to being ‘data-driven’ [ 9 ]. The importance of research culture was borne out by a study of a multi-systemic therapy, where entrepreneurial leaders of adopter sites suggested that they could make decisions to adopt innovations more readily than non-adopters because they were more aware of the evidence base [ 58 ]. Innovation was supported by creating leadership for change, which included marketing evidence of benefit and building a supportive community of practice [ 59 ].…”

Section: Resultsmentioning

confidence: 99%

Evidence use in decision-making on introducing innovations: a systematic scoping review with stakeholder feedback

et al. 2017

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BackgroundA range of evidence informs decision-making on innovation in health care, including formal research findings, local data and professional opinion. However, cultural and organisational factors often prevent the translation of evidence for innovations into practice. In addition to the characteristics of evidence, it is known that processes at the individual level influence its impact on decision-making. Less is known about the ways in which processes at the professional, organisational and local system level shape evidence use and its role in decisions to adopt innovations.MethodsA systematic scoping review was used to review the health literature on innovations within acute and primary care and map processes at the professional, organisational and local system levels which influence how evidence informs decision-making on innovation. Stakeholder feedback on the themes identified was collected via focus groups to test and develop the findings.ResultsFollowing database and manual searches, 31 studies reporting primary qualitative data met the inclusion criteria: 24 were of sufficient methodological quality to be included in the thematic analysis. Evidence use in decision-making on innovation is influenced by multi-level processes (professional, organisational, local system) and interactions across these levels. Preferences for evidence vary by professional group and health service setting. Organisations can shape professional behaviour by requiring particular forms of evidence to inform decision-making. Pan-regional organisations shape innovation decision-making at lower levels. Political processes at all levels shape the selection and use of evidence in decision-making.ConclusionsThe synthesis of results from primary qualitative studies found that evidence use in decision-making on innovation is influenced by processes at multiple levels. Interactions between different levels shape evidence use in decision-making (e.g. professional groups and organisations can use local systems to validate evidence and legitimise innovations, while local systems can tailor or frame evidence to influence activity at lower levels). Organisational leaders need to consider whether the environment in which decisions are made values diverse evidence and stakeholder perspectives. Further qualitative research on decision-making practices that highlights how and why different types of evidence come to count during decisions, and tracks the political aspects of decisions about innovation, is needed.Electronic supplementary materialThe online version of this article (10.1186/s13012-017-0669-6) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Evidence use in decision-making on introducing innovations: a systematic scoping review with stakeholder feedback

et al. 2017

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“…43,46 Some studies suggest that providers earlier in their careers had more positive attitudes towards EBPs and were more likely to implement them, 42,46 while others suggested that more experienced providers were more likely to actually adopt an intervention. 35 Outer contextual factors associated with preparation included the quality of interorganizational networks, 38,47 leadership from policymakers at the state level, 41,48 and the availability of implementation materials from nationally recognized sources. 41 …”

Section: Resultsmentioning

confidence: 99%

Dissemination and Implementation of Evidence-Based Practices for Child and Adolescent Mental Health: A Systematic Review

Novins¹,

Green²,

Legha³

et al. 2013

Journal of the American Academy of Child & Adolescent Psych

235

192

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Objective While there has been a dramatic increase in the number of evidence-based practices (EBPs) to improve child and adolescent mental health, the poor uptake of these EBPs has led to investigations of factors related to their successful dissemination and implementation. The purpose of this systematic review was to identify key findings from empirical studies examining the dissemination and implementation of EBPs for child and adolescent mental health. Method Out of 14,247 citations initially identified, 73 articles drawn from 44 studies met inclusion criteria. The articles were classified by implementation phase (exploration, preparation, implementation, and sustainment) and specific implementation factors examined. These factors were divided into outer (i.e., system level) and inner (i.e., organizational level) contexts. Results Few studies utilized true experimental designs; most were observational. Of the many inner context factors that were examined in these studies (e.g., provider characteristics, organizational resources, leadership), fidelity monitoring and supervision had the strongest empirical evidence. While the focus of fewer studies, implementation interventions focused on improving organizational climate and culture were associated with better intervention sustainment as well as child and adolescent outcomes. Outer contextual factors such as training and use of specific technologies to support intervention use were also important in facilitating the implementation process. Conclusions The further development and testing of dissemination and implementation strategies is needed in order to more efficiently move EBPs into usual care.

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“…The connections across these units and the available infrastructure to support youth violence prevention may warrant additional attention in efforts to build capacity and prevention support systems. For example, Carstens et al (2009) found that higher levels of independence and autonomy and silothinking in systems and alliances relevant to the adoption of MST demonstrated lower levels of EBP adoption. Carsten et al's work further suggested that the absolute level of barriers may not determine EBP adoption, but that the ratio of facilitators to barriers may be important.…”

Section: Discussionmentioning

confidence: 99%

Connecting Youth Violence Prevention, Positive Youth Development, and Community Mobilization

Allison

Edmonds

Wilson

et al. 2011

American J of Comm Psychol

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Several disconnects serve to weaken the use of evidence based programming in community settings. Communities face the need to address the challenges of multiple risk behaviors faced by adolescents in their communities, but must also work to support successful transitions to adulthood and the broader positive development of their youth. The stronger integration of positive youth development and prevention of youth risk at the community level may offer an opportunity to support the implementation and ongoing development of evidence-based practices (EBPs). This article provides an overview of the VCU Clark-Hill Institute for Positive Youth Development Institute's community mobilization effort in Richmond, Virginia and reports preliminary findings from our integrated mobilization efforts. First, we review the role of our Community Advisory Council in their collaborative work to support positive youth development and reduce risk for youth violence. Next, we present examples of institute efforts in providing technical assistance relevant to supporting the use and development of EBPs. We then discuss the adaptation of an evidence-based program to target positive youth development. We also present overviews from qualitative investigations examining barriers and supports that inform and are relevant to the implementation of EBPs. Finally, we consider ways in which community efforts inform and shape institute efforts to develop EPBs. Taken together, these activities provide examples of how community-based mobilization efforts can integrate and inform the implementation of EBPs and the role and use of prevention science as a tool in supporting effective programming to promote positive youth development and prevent youth violence.

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A Naturalistic Study of MST Dissemination in 13 Ohio Communities

Cited by 19 publications

References 36 publications

Evidence use in decision-making on introducing innovations: a systematic scoping review with stakeholder feedback

Evidence use in decision-making on introducing innovations: a systematic scoping review with stakeholder feedback

Dissemination and Implementation of Evidence-Based Practices for Child and Adolescent Mental Health: A Systematic Review

Connecting Youth Violence Prevention, Positive Youth Development, and Community Mobilization

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