Cargando…
A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol
BACKGROUND: Improving quality in children’s mental health and social service settings will require implementation strategies capable of moving effective treatments and other innovations (e.g., assessment tools) into routine care. It is likely that efforts to identify, develop, and refine implementat...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3751866/ https://www.ncbi.nlm.nih.gov/pubmed/23961701 http://dx.doi.org/10.1186/1748-5908-8-92 |
_version_ | 1782281688327389184 |
---|---|
author | Powell, Byron J Proctor, Enola K Glisson, Charles A Kohl, Patricia L Raghavan, Ramesh Brownson, Ross C Stoner, Bradley P Carpenter, Christopher R Palinkas, Lawrence A |
author_facet | Powell, Byron J Proctor, Enola K Glisson, Charles A Kohl, Patricia L Raghavan, Ramesh Brownson, Ross C Stoner, Bradley P Carpenter, Christopher R Palinkas, Lawrence A |
author_sort | Powell, Byron J |
collection | PubMed |
description | BACKGROUND: Improving quality in children’s mental health and social service settings will require implementation strategies capable of moving effective treatments and other innovations (e.g., assessment tools) into routine care. It is likely that efforts to identify, develop, and refine implementation strategies will be more successful if they are informed by relevant stakeholders and are responsive to the strengths and limitations of the contexts and implementation processes identified in usual care settings. This study will describe: the types of implementation strategies used; how organizational leaders make decisions about what to implement and how to approach the implementation process; organizational stakeholders’ perceptions of different implementation strategies; and the potential influence of organizational culture and climate on implementation strategy selection, implementation decision-making, and stakeholders’ perceptions of implementation strategies. METHODS/DESIGN: This study is a mixed methods multiple case study of seven children’s social service organizations in one Midwestern city in the United States that compose the control group of a larger randomized controlled trial. Qualitative data will include semi-structured interviews with organizational leaders (e.g., CEOs/directors, clinical directors, program managers) and a review of documents (e.g., implementation and quality improvement plans, program manuals, etc.) that will shed light on implementation decision-making and specific implementation strategies that are used to implement new programs and practices. Additionally, focus groups with clinicians will explore their perceptions of a range of implementation strategies. This qualitative work will inform the development of a Web-based survey that will assess the perceived effectiveness, relative importance, acceptability, feasibility, and appropriateness of implementation strategies from the perspective of both clinicians and organizational leaders. Finally, the Organizational Social Context measure will be used to assess organizational culture and climate. Qualitative, quantitative, and mixed methods data will be analyzed and interpreted at the case level as well as across cases in order to highlight meaningful similarities, differences, and site-specific experiences. DISCUSSION: This study is designed to inform efforts to develop more effective implementation strategies by fully describing the implementation experiences of a sample of community-based organizations that provide mental health services to youth in one Midwestern city. |
format | Online Article Text |
id | pubmed-3751866 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-37518662013-08-24 A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol Powell, Byron J Proctor, Enola K Glisson, Charles A Kohl, Patricia L Raghavan, Ramesh Brownson, Ross C Stoner, Bradley P Carpenter, Christopher R Palinkas, Lawrence A Implement Sci Study Protocol BACKGROUND: Improving quality in children’s mental health and social service settings will require implementation strategies capable of moving effective treatments and other innovations (e.g., assessment tools) into routine care. It is likely that efforts to identify, develop, and refine implementation strategies will be more successful if they are informed by relevant stakeholders and are responsive to the strengths and limitations of the contexts and implementation processes identified in usual care settings. This study will describe: the types of implementation strategies used; how organizational leaders make decisions about what to implement and how to approach the implementation process; organizational stakeholders’ perceptions of different implementation strategies; and the potential influence of organizational culture and climate on implementation strategy selection, implementation decision-making, and stakeholders’ perceptions of implementation strategies. METHODS/DESIGN: This study is a mixed methods multiple case study of seven children’s social service organizations in one Midwestern city in the United States that compose the control group of a larger randomized controlled trial. Qualitative data will include semi-structured interviews with organizational leaders (e.g., CEOs/directors, clinical directors, program managers) and a review of documents (e.g., implementation and quality improvement plans, program manuals, etc.) that will shed light on implementation decision-making and specific implementation strategies that are used to implement new programs and practices. Additionally, focus groups with clinicians will explore their perceptions of a range of implementation strategies. This qualitative work will inform the development of a Web-based survey that will assess the perceived effectiveness, relative importance, acceptability, feasibility, and appropriateness of implementation strategies from the perspective of both clinicians and organizational leaders. Finally, the Organizational Social Context measure will be used to assess organizational culture and climate. Qualitative, quantitative, and mixed methods data will be analyzed and interpreted at the case level as well as across cases in order to highlight meaningful similarities, differences, and site-specific experiences. DISCUSSION: This study is designed to inform efforts to develop more effective implementation strategies by fully describing the implementation experiences of a sample of community-based organizations that provide mental health services to youth in one Midwestern city. BioMed Central 2013-08-20 /pmc/articles/PMC3751866/ /pubmed/23961701 http://dx.doi.org/10.1186/1748-5908-8-92 Text en Copyright © 2013 Powell et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Study Protocol Powell, Byron J Proctor, Enola K Glisson, Charles A Kohl, Patricia L Raghavan, Ramesh Brownson, Ross C Stoner, Bradley P Carpenter, Christopher R Palinkas, Lawrence A A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol |
title | A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol |
title_full | A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol |
title_fullStr | A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol |
title_full_unstemmed | A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol |
title_short | A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol |
title_sort | mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3751866/ https://www.ncbi.nlm.nih.gov/pubmed/23961701 http://dx.doi.org/10.1186/1748-5908-8-92 |
work_keys_str_mv | AT powellbyronj amixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT proctorenolak amixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT glissoncharlesa amixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT kohlpatricial amixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT raghavanramesh amixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT brownsonrossc amixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT stonerbradleyp amixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT carpenterchristopherr amixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT palinkaslawrencea amixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT powellbyronj mixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT proctorenolak mixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT glissoncharlesa mixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT kohlpatricial mixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT raghavanramesh mixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT brownsonrossc mixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT stonerbradleyp mixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT carpenterchristopherr mixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol AT palinkaslawrencea mixedmethodsmultiplecasestudyofimplementationasusualinchildrenssocialserviceorganizationsstudyprotocol |