Factors that enable and hinder the implementation of projects in the alcohol and other drug field

MacLean, Sarah; Berends, Lynda; Hunter, Bruce; Roberts, Bridget; Mugavin, Janette

doi:10.1111/j.1753-6405.2011.00804.x

Cited by 6 publications

(7 citation statements)

References 18 publications

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“…Nine enabler and 10 barrier mechanisms were identified for all projects in the study sample 16 Table 1. provides a brief description of these mechanisms.…”

Section: Resultsmentioning

confidence: 99%

Implementing alcohol and other drug interventions effectively: How does location matter?

Berends

MacLean

Hunter

et al. 2011

Australian Journal of Rural Health

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“…Nine enabler and 10 barrier mechanisms were identified for all projects in the study sample 16 Table 1. provides a brief description of these mechanisms.…”

Section: Resultsmentioning

confidence: 99%

Implementing alcohol and other drug interventions effectively: How does location matter?

Berends

MacLean

Hunter

et al. 2011

Australian Journal of Rural Health

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“…Our adaptation of the methodology demonstrated its flexibility and usefulness in identifying "what works, for whom and in what circumstances, in what respects and how" (Pawson et al, 2004, p. v). Although the findings of this project are presented elsewhere (Maclean et al, 2011), it is relevant here to note that the realist synthesis method enabled the identification of common mechanisms impacting project success across a diverse range of projects. Using the formulae "X works well if A, B and C are present" and "X does not work well if H, I and J are present", we identified a range of theories operating within this intervention sample.…”

Section: Discussionmentioning

confidence: 99%

“…While our sample was restricted to projects that included evaluations, the quality and focus of these evaluations varied considerably. For a discussion of project findings, see Maclean et al (2011).…”

Section: Intervention Type Definition Enhancing Organisational Systemmentioning

confidence: 99%

“…The paper briefly describes realist synthesis (Pawson, 2002;Pawson, Greenhalgh, Harvey, & Walshey, 2004 and it applications, how we adapted a realist synthesis 132 The Qualitative Report January 2012 methodology to interrogate and make sense of a large and messy dataset, and the mixed methods approach we utilised. Project findings are discussed in detail elsewhere (MacLean, Berends, Hunter, Roberts, & Mugavin, 2011 ). The adapted realist synthesis methodology enabled us to identify commonalities and differences in implementation success across four diverse categories of intervention, and to develop suggestions to support future project planning and implementation.…”

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confidence: 99%

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Using Realist Synthesis to Develop an Evidence Base from an Identified Data Set on Enablers and Barriers for Alcohol and Drug Program Implementation

Hunter¹,

Berends²,

MacLean³

2015

TQR

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The purpose of this paper is to show how “realist synthesis” methodology (Pawson, 2002) was adapted to review a large sample of community based projects addressing alcohol and drug use problems. Our study drew on a highly varied sample of 127 projects receiving funding from a national non-government organisation in Australia between 2002 and 2008. Open and pattern coding led to the identification of 10 barrier and nine enabler mechanisms influencing project implementation across the sample. Eight case studies (four demonstrating successful implementation; four demonstrating less than successful implementation) were used for depth exploration of these mechanisms. High level theories were developed, from these findings, on implementation effectiveness in projects addressing alcohol and other drug use problems.

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“…A high turnover rate within the alcohol and other drug field has been recognised as a service delivery barrier by many researchers (e.g. Berends et al,2004, Schoenwald et al, 2009, and noted as a barrier to the implementation of projects in the Australian context (MacLean et al, 2012). Often, in regional centres exiting staff trained in PKD delivery were replaced with new, inexperienced graduates or, at times, with clinicians who did not meet the eligibility criteria to deliver PKD.…”

Section: Staff Turnovermentioning

confidence: 99%

The development, dissemination and evaluation of a psychoeducational parenting program for use within the adolescent drug and alcohol treatment field

Winchester¹

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Adolescent drug use is a major problem of the modern world and will likely continue to be so for the foreseeable future. Significant effort has been placed into providing adolescent treatment and intervention options with the aim of supporting young people to make better choices around their substance use. The impact of adolescent drug use on parents and their parenting has been insufficiently researched and often overlooked in both the treatment literature and within clinical practice. The literature on familial risk or causative factors for the development of substance misuse problems is much greater. However, there has been little focus or regard for the impact on family members, and in particular, parents. Parents are people too, and too often are a forgotten population. The literature presented includes studies on how adolescent substance misuse can have a negative effect on parental wellbeing and parenting practices.This thesis provides a rationale behind the development of a treatment approach for parents of adolescents and young people misusing substances. This is a distinct and potentially complementary approach to engaging the adolescent substance misuser, who may be uninterested or resistant to intervention. Parents accessing a tertiary treatment facility for adolescent substance misusers were requesting support and guidance to assist in managing their high levels of distress, lack of drug-specific knowledge and their struggle to find effective parenting strategies. Based on the premise that living with a substance misusing child would bring about a great deal of caregiver strain, and they would benefit from support and assistance in managing their situation, a five-week group-based parent-only group treatment intervention was developed to meet the psychological wellbeing and parenting practice needs of these parents. Over 300 parents engaged in the Parent Education and Support Program (PESP).As a result of their engagement in PESP, parents reported significant positive changes in their mood states, improved coping, increased drug knowledge and reported utilization of more functional and effective parenting strategies. This initial | P a g e iii efficacy study provided the basis to the broader dissemination of the parenting program outside a single tertiary facility.The PESP was written into a manualised treatment intervention and renamed Parents, Kids and Drugs (PKD). This portable and systematized version enabled delivery by external service providers into broader, diverse clinical and non-clinical environments across metropolitan, regional and remote Queensland, Australia.The ensuing studies outline the development, implementation, dissemination and evaluation of PKD over a four-year period, effectively becoming a real-world effectiveness study. Associated with the dissemination of PKD using third party providers were difficulties in obtaining complete data sets and a waitlist control. A post hoc control group was sourced using an online survey. Outcome measures were examined using paired t...

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Factors that enable and hinder the implementation of projects in the alcohol and other drug field

Cited by 6 publications

References 18 publications

Implementing alcohol and other drug interventions effectively: How does location matter?

Implementing alcohol and other drug interventions effectively: How does location matter?

Using Realist Synthesis to Develop an Evidence Base from an Identified Data Set on Enablers and Barriers for Alcohol and Drug Program Implementation

The development, dissemination and evaluation of a psychoeducational parenting program for use within the adolescent drug and alcohol treatment field

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