Evidence-based Practice Implementation Strategies: Results of a Qualitative Study

School of Social Welfare, The University of Kansas, Twente Hall, Lawrence, KS 66044, USA.
Community Mental Health Journal (Impact Factor: 1.03). 07/2008; 44(3):213-24; discussion 225-6. DOI: 10.1007/s10597-007-9109-4
Source: PubMed


This study reports on the strategies used to implement the evidence-based practices of supported employment and integrated dual diagnosis treatment. Using qualitative research methods, the study uncovered eight strategies that contributed to successful implementation in six sites.

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Available from: Melinda Coffman, Jul 03, 2014
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    • "Similarly, the Institute of Medicine has acknowledged the critical role that implementation research must play in improving the overall quality of healthcare delivery, and has deemed the testing of strategies for dissemination and implementation a top-quartile priority for comparative effectiveness research (Institute of Medicine, 2007, 2009). Yet, despite these recent investments in the science of implementation, we still know far more about the barriers to evidence-based practice and implementation (Bond et al., 2001; Cabana et al., 1999; Grol & Wensing, 2004; Légaré, 2009; Rapp et al., 2010; Woltmann et al., 2008) than we do about the factors that contribute to implementation success. While assessing barriers to evidence-based care is an important aspect of the process of implementation (Légaré, 2009), we must move beyond barriers in order to " identify, develop, and refine effective and efficient methods, structures, and strategies to disseminate and implement " effective treatments (National Institutes of Health, 2010). "
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    ABSTRACT: Implementation research has tremendous potential to bridge the research-practice gap; however, we know more about barriers to evidence-based care than the factors that contribute to the adoption and sustainability of evidence-based treatments. In this qualitative study the authors explore the experiences of clinicians (N = 11) who were implementing evidence-based treatments, highlighting the factors that they perceived to be most critical to successful implementation. The clinicians' narratives reveal many leverage points that can inform administrators, clinical supervisors, and clinicians who wish to implement evidence-based treatments, as well as other stakeholders who wish to develop and test strategies for moving evidence-based treatments into routine care.
    Full-text · Article · Oct 2013 · Journal of Evidence-Based Social Work
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    • "Managers that support supervisors and front line clinicians with sufficient resources and empower them to make their own decisions are found to be the most effective (Mancini et al. 2009). Especially valuable is the presence of an ''EBP champion'' among the upper management who take a ''can do'' approach and keep the agency focused on implementing EBPs (Rapp et al. 2008). "
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    ABSTRACT: Within the different arenas of social work practice, community based mental health is among the most advanced in terms of defining a set of evidence based practices (EBPs). Social workers play a major role in the delivery of community based mental health and are at the forefront of efforts to implement these practices through state and federal initiatives. One such initiative is The New York Office of Mental Health Evidence Based Project, which is designed to increase the knowledge and skills related to evidence-based practice among New York’s mental health human services workforce. The project had a social work component, which trained students in implementing EBP’s through specially designed curricula and field placements. The students participating in the project encountered numerous challenges in the field including lack of agency “buy-in” and infrastructure support; inadequate training and resources; poor supervision; and provider resistance. From the multilevel perspectives of educator, clinician and researcher, this paper addresses these challenges and makes recommendations to facilitate the implementation of EBPs.
    Full-text · Article · Dec 2011 · Clinical Social Work Journal
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    • "While there is generally a dearth of research examining barriers and facilitating factors to implementation of EBPs across multiple service systems, one research team has utilized observation and interview methods to examine barriers and facilitating factors to successful implementation for two specific EBPs in multiple community mental health centers [33,34]. The investigators found three significant common barriers emerged across five implementation sites: deficits in skills and role performance by front-line supervisors, resistance by front-line practitioners, and failure of other agency personnel to adequately fulfill new responsibilities [33]. "
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    ABSTRACT: ABSTRACT: The goal of this study was to assess potential differences between administrators/policymakers and those involved in direct practice regarding factors believed to be barriers or facilitating factors to evidence-based practice (EBP) implementation in a large public mental health service system in the United States. Participants included mental health system county officials, agency directors, program managers, clinical staff, administrative staff, and consumers. As part of concept mapping procedures, brainstorming groups were conducted with each target group to identify specific factors believed to be barriers or facilitating factors to EBP implementation in a large public mental health system. Statements were sorted by similarity and rated by each participant in regard to their perceived importance and changeability. Multidimensional scaling, cluster analysis, descriptive statistics and t-tests were used to analyze the data. A total of 105 statements were distilled into 14 clusters using concept-mapping procedures. Perceptions of importance of factors affecting EBP implementation varied between the two groups, with those involved in direct practice assigning significantly higher ratings to the importance of Clinical Perceptions and the impact of EBP implementation on clinical practice. Consistent with previous studies, financial concerns (costs, funding) were rated among the most important and least likely to change by both groups. EBP implementation is a complex process, and different stakeholders may hold different opinions regarding the relative importance of the impact of EBP implementation. Implementation efforts must include input from stakeholders at multiple levels to bring divergent and convergent perspectives to light.
    Full-text · Article · Sep 2011 · Implementation Science
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