Evaluation & the Health Professions最新文献_第2页

Barriers and Facilitators to Adopting a Systematic, Proactive, Evidence-Informed Technical Assistance System. 采用系统、积极、循证技术援助系统的障碍和促进因素。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI: 10.1177/01632787241293756

Andrea E Lamont, Amber Watson, Brittany S Cook, Andrew Romero, Kellen Schalter, Abigail Nellis, Kristina Clark, Ariel Domlyn, Abraham Wandersman

{"title":"Barriers and Facilitators to Adopting a Systematic, Proactive, Evidence-Informed Technical Assistance System.","authors":"Andrea E Lamont, Amber Watson, Brittany S Cook, Andrew Romero, Kellen Schalter, Abigail Nellis, Kristina Clark, Ariel Domlyn, Abraham Wandersman","doi":"10.1177/01632787241293756","DOIUrl":"10.1177/01632787241293756","url":null,"abstract":"This article describes (a) key elements of a high-quality technical assistance (TA) system; (b) the operationalization of a high-quality TA system (Getting To Outcomes-Technical Assistance; GTO-TA) being implemented in a training and TA center (TTAC) interested in transforming its support services to include an evidence-informed approach to TA; and (c) key lessons learned in successfully transitioning from \"TA-as-usual\" to an evidence-informed TA system. GTO-TA is one operationalization of a systematic, proactive, evidence-informed approach to TA. GTO-TA includes best practices and core elements for a comprehensive TA system; it aims to increase the readiness (reduce barriers and increase facilitators) of an organization to deliver an innovation (program, policy, practice, and process new to an organization) with quality. We describe the collaboration between the Wandersman Center and the Geographic Health Equity Alliance team to co-design and implement the GTO-TA system. Data from surveys, interviews, and consensus conversations led to important lessons learned, which are applicable to other TTACs seeking to develop a more proactive and systematic approach to TA. Lessons include: changing internal operations to facilitate TA providers making necessary changes in providing TA and understanding the relative advantage perceptions about a new TA system that influence adoption and must be considered.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"353-368"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Collective Impact-Strengthening the Science and Practice of Implementation Support: Evaluating the Effectiveness of Training and Technical Assistance Centers. 集体影响--加强实施支持的科学与实践：评估培训和技术援助中心的有效性。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-12-01 Epub Date: 2024-10-18 DOI: 10.1177/01632787241295323

Lawrence M Scheier, Abraham Wandersman

{"title":"Collective Impact-Strengthening the Science and Practice of Implementation Support: Evaluating the Effectiveness of Training and Technical Assistance Centers.","authors":"Lawrence M Scheier, Abraham Wandersman","doi":"10.1177/01632787241295323","DOIUrl":"10.1177/01632787241295323","url":null,"abstract":"We introduce the second of two special issues that examine the science and practice of implementation support with takeaways for training and technical centers (TTACs). Major goals of both issues were to provide: rationale, concepts, and tools for evaluating training and technical assistance (TTA); an evidence-base for TTACs; and greater understanding of what is required to close the research-practice gap. To achieve these ambitious goals, we encouraged submissions from a broad array of individuals and groups involved in TTA. The seven articles in this second issue were written by a diverse mix of individuals affiliated with TTACs, federal agencies, research-oriented think tanks, and implementation scientists whose focus is on advancing the TTA literature. We felt that the collective wisdom garnered from their experiences would complement the first issue (June 2024) and collectively forge ahead and provide a vision of what is to come. We also thought it would be useful to provide perspectives on what it looks like when readers could examine both issues as a whole. Therefore, we included five commentaries-from the two editors and esteemed colleagues-who help provide a holistic perspective on the present and future of the science and practice of implementation support.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"347-352"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Charting Progress in the Science of Technical Assistance for Implementation of Evidence-Based Interventions. 绘制实施循证干预技术援助科学的进展图。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-12-01 Epub Date: 2024-10-18 DOI: 10.1177/01632787241293447

David A Chambers, Gila I Neta

引用次数: 0

Evidence-Based Implementation Support: Considering Motivation and Capacity Within the Ecosystem of Training and Technical Assistance. 循证实施支持：考虑培训和技术援助生态系统中的动机和能力。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-12-01 Epub Date: 2024-10-31 DOI: 10.1177/01632787241293457

Brian K Bumbarger, Julia E Moore, Margaret E Crane

{"title":"Evidence-Based Implementation Support: Considering Motivation and Capacity Within the Ecosystem of Training and Technical Assistance.","authors":"Brian K Bumbarger, Julia E Moore, Margaret E Crane","doi":"10.1177/01632787241293457","DOIUrl":"10.1177/01632787241293457","url":null,"abstract":"This invited commentary reflects on Wandersman and Scheier's (2024) call for a more evidence-based model of training and technical assistance (i.e. TTA or implementation support). Their clarion call prompts us to consider what steps need to be taken to refine and scale a solution that genuinely enhances the effectiveness of TTA through a re-imagined model of implementation support. We highlight eight priorities to re-imagine a more effective and efficient model of TTA that reflects best practice and simultaneously contributes to continuous, collective evidence-building. The eight priorities include: (1) an ecosystem of TTA connecting TTA research and practice; (2) TTA capacity building; (3) health equity, and equitable partnerships; (4) trust and relationships; (5) TTA evaluation; (6) continuous quality improvement; (7) implementation support mechanisms; and (8) cost-effective solutions. We advocate for an international, cross-disciplinary, applied agenda aimed at establishing a robust empirical foundation for TTA to foster a culture of continuous quality improvement and knowledge generation across government agencies and philanthropies that fund TTA Centers. We describe a potential scenario for how funders can initiate and support evidence-based TTA.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"488-493"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estimating Mediation Effects in ABAB Reversal Designs. 估计 ABAB 反向设计中的中介效应。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-11-18 DOI: 10.1177/01632787231217000

Matthew J Valente, Jinyong Pang, Judith J M Rijnhart, John Ferron, Milica Miočević

{"title":"Estimating Mediation Effects in ABAB Reversal Designs.","authors":"Matthew J Valente, Jinyong Pang, Judith J M Rijnhart, John Ferron, Milica Miočević","doi":"10.1177/01632787231217000","DOIUrl":"10.1177/01632787231217000","url":null,"abstract":"Single-Case Experimental Designs (SCEDs), or N-of-1 trials, are commonly used to estimate intervention effects in many disciplines including in the treatment of youth mental health problems. SCEDs consist of repeated measurements of an outcome over time for a single case (e.g., student or patient) throughout one or more baseline phases and throughout one or more intervention phases. The manipulation of the baseline and intervention phase make the SCED a type of interrupted time series design, which is considered one of the most effective experimental designs for causal inference. An important step towards understanding why interventions are effective at producing a change in the outcome is through the investigation of mediating mechanisms. Hypotheses of mediating mechanisms involve an intervention variable which is hypothesized to affect an outcome through its effect on a mediating variable. Little work has attempted to combine mediation analysis and ABAB reversal designs. Therefore, the goals of this paper are to define, estimate, and interpret mediation effects for ABAB reversal designs. An empirical example is used to demonstrate how to estimate and interpret the mediation effects. R code is provided for researchers interested in estimating mediation effects in single-case reversal designs.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787231217000"},"PeriodicalIF":2.2,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Behavioral Addiction Treatment Centers in the Hospitals of Türkiye: A Web-Based Research. 土耳其医院行为成瘾治疗中心：基于网络的研究。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-11-15 DOI: 10.1177/01632787241301807

Ayten Doğan Keskin, Nuray Öztürk, Filiz Düştü, Betül Yilmaz

{"title":"Behavioral Addiction Treatment Centers in the Hospitals of Türkiye: A Web-Based Research.","authors":"Ayten Doğan Keskin, Nuray Öztürk, Filiz Düştü, Betül Yilmaz","doi":"10.1177/01632787241301807","DOIUrl":"https://doi.org/10.1177/01632787241301807","url":null,"abstract":"This study investigates the current landscape of behavioral addiction treatment in Türkiye hospitals, considering both inpatient and outpatient approaches. The analysis involved examining the websites of 1393 hospitals across Türkiye based on various criteria. The review of the websites was conducted between June and September 2023. The findings reveal that out of these hospitals, comprising 822 public and 571 private institutions, only 51 provide treatment for behavioral addictions. Behavioral addiction treatments are available in 23 of the 81 provinces in Türkiye, and 24 out of the 51 hospitals offering treatment for behavioral addictions are located in İstanbul (47.1%), while three (5.9%) are located in Ankara. Among these 51 hospitals, 22 are public, and 29 are private. The primary focus of treatment revolves around internet and gambling addiction. Upon analyzing the patient groups served, it was observed that 49% (n = 25) of the hospitals specialize in treating adult patients, while 29.4% (n = 15) cater to pediatric patients. While the websites of 11 hospitals contain information about the behavioral addiction treatments offered, they lack any information on the patient groups to which they cater. The predominant treatment modalities include psychotherapy (25.49%), followed by psychopharmacotherapy (19.61%) and cognitive-behavioral therapy (17.65%). In conclusion, the treatment of behavioral addictions, such as those related to the internet, gaming, and shopping, are offered in hospitals across various regions and age groups. Considering that only 3.7% of hospitals in Türkiye treat behavioral addictions, this type of treatment is not widespread.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241301807"},"PeriodicalIF":2.2,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mindful With Your Baby/Toddler: A Single Case Design (SCD) Study. 与您的宝宝/学步期儿童一起用心：单例设计 (SCD) 研究。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-11-11 DOI: 10.1177/01632787241297966

Mirla A Schaeffer, Eva S Potharst

{"title":"Mindful With Your Baby/Toddler: A Single Case Design (SCD) Study.","authors":"Mirla A Schaeffer, Eva S Potharst","doi":"10.1177/01632787241297966","DOIUrl":"https://doi.org/10.1177/01632787241297966","url":null,"abstract":"Transitioning to motherhood comes with new and intensive tasks that may cause parental stress, low parental self-efficacy, and internalizing problems. This can in turn negatively affect the mother-child relationship. Mindful with your Baby/Toddler (MwyB/T) is a mindfulness-based intervention for parents of young children experiencing parental stress and internalizing problems. Previous evaluative studies showed promising results, but methodology of these studies was limited. The current study used a single case design, including a baseline, intervention, posttest, and follow-up phase, to evaluate the effectiveness of MwyB/T. Ten participants were included and completed daily administered personalized items and validated questionnaires measuring mindfulness, mindful parenting, parental self-efficacy, internalizing problems, and parental stress, for 10 participants. Personalized items were first coded into themes and then assessed using visual analysis and descriptive effect size measures. Reliable change indices were computed for the questionnaires. All mothers improved on personalized items, with most improving on most (or all) of their items. On the questionnaires the majority of mothers improved. Results indicate that MwyB/T could benefit mothers with various intervention goals. More research is needed on the role of personalized items, both as a research measure and an as a possible additional element of interventions.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241297966"},"PeriodicalIF":2.2,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Who's at the Table? A Scoping Review of Stakeholder Engagement in Medical Education Program Evaluation. 谁在桌边？利益相关者参与医学教育项目评估的范围审查》。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-10-29 DOI: 10.1177/01632787241286911

Juliette Macabrey, Laura-Lou Wuest, David Buetti

{"title":"Who's at the Table? A Scoping Review of Stakeholder Engagement in Medical Education Program Evaluation.","authors":"Juliette Macabrey, Laura-Lou Wuest, David Buetti","doi":"10.1177/01632787241286911","DOIUrl":"https://doi.org/10.1177/01632787241286911","url":null,"abstract":"Program evaluation is essential for medical schools to demonstrate social accountability and identify areas for improvement in medical education (MEd). Although stakeholder engagement is crucial in program evaluation, no previous review has specifically examined the stakeholders involved in MEd program evaluation. This scoping review addresses this gap by identifying the stakeholders, their roles, and their levels of engagement in evaluating MEd programs, along with the facilitators and barriers to their participation. Through a systematic search across four databases, we identified 53 relevant studies out of 7206 screened. Our findings reveal seven primary stakeholder groups, with students and program directors being the most frequent participants. However, a significant gap exists in the representation of community members and patients, indicating a need for greater inclusion of these key stakeholders. Additionally, we found that stakeholders are primarily engaged as passive participants providing feedback rather than actively shaping the evaluation process. Facilitators and barriers to participation were identified from the participants' perspective, highlighting the need for further research to understand the viewpoints of active stakeholders, such as faculty and administrators. Future studies should also explore the impact of different evaluation approaches on stakeholder engagement to develop more inclusive and effective MEd program evaluations.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241286911"},"PeriodicalIF":2.2,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Monetary Incentives in Clinician Surveys: An Analysis and Systematic Review With a Focus on Establishing Best Practices. 临床医师调查中的货币激励：以确立最佳实践为重点的分析和系统回顾。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-10-25 DOI: 10.1177/01632787241295794

Jonathan B VanGeest, Timothy P Johnson, Evgenia Kapousouz

{"title":"Monetary Incentives in Clinician Surveys: An Analysis and Systematic Review With a Focus on Establishing Best Practices.","authors":"Jonathan B VanGeest, Timothy P Johnson, Evgenia Kapousouz","doi":"10.1177/01632787241295794","DOIUrl":"https://doi.org/10.1177/01632787241295794","url":null,"abstract":"Surveys involving health care providers continue to be characterized by low and declining response rates (RRs), and researchers have utilized various strategies to increase survey participation. An important approach is to employ monetary incentives to improve survey response. Using a systematic review and analyses of 100 randomized comparisons (published in 48 papers) between monetary incentives and a non-incentive condition, this paper seeks to advance the understanding of best practices for using monetary incentives in clinician surveys. These analyses show even small incentives (≤$2) to be effective in improving clinician response relative to non-incentive subgroups, with diminished returns associated with serial incremental increases above that amount up to amounts greater than $25, at which point there is an appreciable improvement, supporting the use of higher incentives in this population. Cash and direct cash equivalents (e.g., cash cards and checks) produced greater odds of survey participation compared to vouchers, lotteries and charitable contributions, with lotteries and charities being the least effective forms of monetary incentive. Survey mode, timing and ethical considerations are also addressed. Noting the challenges associated with surveying clinicians, researchers must make every effort to improve access to this difficult-to-reach population by implementing appropriate incentive-based strategies designed to improve participation rates.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241295794"},"PeriodicalIF":2.2,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving Infant Mental Health: A Pilot Study on the Effectiveness, Acceptability and Feasibility of Eye Movement Desensitization and Reprocessing (EMDR) Storytelling in Infants With Post-traumatic Distress After Medical Procedures. 改善婴儿心理健康：关于眼动脱敏和再处理（EMDR）讲故事对医疗程序后创伤后心理压力婴儿的有效性、可接受性和可行性的试点研究。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-10-23 DOI: 10.1177/01632787241268176

Eva S Potharst, Petra Holtkamp, Lily Walliser, Agnes H Dommerholt, Maartje E N van den Heuvel, Indra Spierts, Marija Maric

{"title":"Improving Infant Mental Health: A Pilot Study on the Effectiveness, Acceptability and Feasibility of Eye Movement Desensitization and Reprocessing (EMDR) Storytelling in Infants With Post-traumatic Distress After Medical Procedures.","authors":"Eva S Potharst, Petra Holtkamp, Lily Walliser, Agnes H Dommerholt, Maartje E N van den Heuvel, Indra Spierts, Marija Maric","doi":"10.1177/01632787241268176","DOIUrl":"https://doi.org/10.1177/01632787241268176","url":null,"abstract":"Although the prevalence of symptoms of post-traumatic stress disorder (PTSD) in infants and young children is similar as in older age groups, and PTSD intervention is as important in this age group, research on PTSD-treatment in infants is very scarce. Eye Movement Desensitization and Reprocessing (EMDR) Storytelling is a trauma-focused treatment that is being used by clinicians for infants with PTSD-symptoms. The aim was to assess the feasibility, acceptability and initial indications of effectiveness of EMDR Storytelling for infants aged 3-24 months with PTSD-symptoms after medical procedures. We included 6 infants and administered personalized items to assess PTSD-symptoms during the baseline, intervention and follow-up phase on a day-to-day basis. Furthermore, we measured PTSD-classification and symptoms at three and four measurement points, respectively. The data was analysed visually and quantitatively. EMDR Storytelling was shown to be feasible and acceptable for all participating families. Parent- and therapist-report showed that four out of the six infants included in the current study showed a clear reduction over time in PTSD-classification, -symptoms, and daily measured PTSD-symptoms. The results concerning the other two infants were mixed. Attention should be paid to cognitive (language) as well as interactional (infant-parent) mechanisms potentially underlying the benefits of EMDR Storytelling.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241268176"},"PeriodicalIF":2.2,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0