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báo cáo khoa học: "Observational measure of implementation progress in community based settings: The Stages of implementation completion (SIC"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Observational measure of implementation progress in community based settings: The Stages of implementation completion (SIC | Chamberlain et al. Implementation Science 2011 6 116 http www.implementationscience.eom content 6 1 116 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Observational measure of implementation progress in community based settings The Stages of implementation completion SIC Patricia Chamberlain1 C Hendricks Brown2t and Lisa SaldanaH Abstract Background An increasingly large body of research is focused on designing and testing strategies to improve knowledge about how to embed evidence-based programs EBP into community settings. Development of strategies for overcoming barriers and increasing the effectiveness and pace of implementation is a high priority. Yet there are few research tools that measure the implementation process itself. The Stages of Implementation Completion SIC is an observation-based measure that is used to track the time to achievement of key implementation milestones in an EBP being implemented in 51 counties in 53 sites two counties have two sites in two states in the United States. Methods The SIC was developed in the context of a randomized trial comparing the effectiveness of two implementation strategies community development teams experimental condition and individualized implementation control condition . Fifty-one counties were randomized to experimental or control conditions for implementation of multidimensional treatment foster care MTFC an alternative to group residential care placement for children and adolescents. Progress through eight implementation stages was tracked by noting dates of completion of specific activities in each stage. Activities were tailored to the strategies for implementing the specific EBP. Results Preliminary data showed that several counties ceased progress during pre-implementation and that there was a high degree of variability among sites in the duration scores per stage and on the proportion of activities that were completed in each stage. Progress through activities and stages for .