PDF(Pubmed)
Abstract：
Context including the external context may considerably affect the adoption, implementation, sustainment, and scale-up of evidence-based practices. We investigated external contextual features by conducting a scoping review of empirical research regarding the implementation of an evidence-based psychiatric or mental health vocational rehabilitation service called Individual Placement and Support (IPS).
The protocol for the scoping review was registered with the Open Science Framework. We used the methodology by Joanna Briggs Institute for conducting the scoping review and reported it according to the PRISMA-ScR checklist. We searched 12 databases for research regarding \'Individual Placement and Support\' or \'Evidence-Based Supported Employment\'. We retained peer-reviewed empirical studies investigating external contextual factors and their impact on IPS implementation outcomes. We extracted data from the eligible articles and conducted descriptive and thematic analyses.
Fifty-nine original research papers met our eligibility requirements and were retained after reviewing 1124 titles and abstracts and 119 full texts. The analysis generated two main themes: (1) external contextual determinants of service delivery and (2) external systems influencing the evidence-to-practice process. The first main theme encompassed policies and laws, financing, and administratively instituted support resources, and organizational arrangements associated with external stakeholders that may facilitate or hinder the local implementation. The second main theme comprised strategies and actions used by different stakeholders to facilitate implementation locally or scale-up efforts at a system level.
Our scoping review illustrates the important role that external contextual factors play and how they may facilitate or hinder the implementation and scale-up of the IPS model across mental health services in different countries. Consideration of these factors by decision-makers in mental health and welfare services, planners, providers, and practitioners is likely to facilitate the development of effective strategies for bridging the evidence-practice gap in implementing the EBPs. Finally, the scoping review identified gaps in knowledge and offered suggestions for future research.
Open Science Framework.
The protocol for the scoping review was registered with the Open Science Framework. We used the methodology by Joanna Briggs Institute for conducting the scoping review and reported it according to the PRISMA-ScR checklist. We searched 12 databases for research regarding \'Individual Placement and Support\' or \'Evidence-Based Supported Employment\'. We retained peer-reviewed empirical studies investigating external contextual factors and their impact on IPS implementation outcomes. We extracted data from the eligible articles and conducted descriptive and thematic analyses.
Fifty-nine original research papers met our eligibility requirements and were retained after reviewing 1124 titles and abstracts and 119 full texts. The analysis generated two main themes: (1) external contextual determinants of service delivery and (2) external systems influencing the evidence-to-practice process. The first main theme encompassed policies and laws, financing, and administratively instituted support resources, and organizational arrangements associated with external stakeholders that may facilitate or hinder the local implementation. The second main theme comprised strategies and actions used by different stakeholders to facilitate implementation locally or scale-up efforts at a system level.
Our scoping review illustrates the important role that external contextual factors play and how they may facilitate or hinder the implementation and scale-up of the IPS model across mental health services in different countries. Consideration of these factors by decision-makers in mental health and welfare services, planners, providers, and practitioners is likely to facilitate the development of effective strategies for bridging the evidence-practice gap in implementing the EBPs. Finally, the scoping review identified gaps in knowledge and offered suggestions for future research.
Open Science Framework.
摘要：
背景：包括外部上下文在内的上下文可能会极大地影响采用，实施，维持,和扩大循证实践。我们通过对有关实施名为“个人安置和支持”（IPS）的循证精神病学或心理健康职业康复服务的实证研究进行范围审查，调查了外部背景特征。
方法：范围审查的方案已在开放科学框架中注册。我们使用JoannaBriggs研究所的方法进行范围审查，并根据PRISMA-ScR清单进行报告。我们搜索了12个数据库，以进行有关“个人安置和支持”或“基于证据的支持就业”的研究。我们保留了同行评审的实证研究，调查了外部环境因素及其对IPS实施结果的影响。我们从符合条件的文章中提取数据，并进行描述性和主题分析。
结果：59篇原创研究论文符合我们的资格要求，并在审查了1124篇标题和摘要以及119篇全文后被保留。分析产生了两个主要主题：（1）服务提供的外部上下文决定因素，以及（2）影响证据到实践过程的外部系统。第一个主题包括政策和法律，融资，和行政机构的支持资源，以及与可能促进或阻碍本地实施的外部利益相关者相关的组织安排。第二个主题包括不同利益攸关方为促进当地执行或在系统一级扩大努力而使用的战略和行动。
结论：我们的范围界定综述说明了外部情境因素发挥的重要作用，以及它们如何促进或阻碍IPS模式在不同国家的精神卫生服务机构中的实施和扩大。心理健康和福利服务决策者考虑这些因素，规划者,提供者,从业人员可能会促进制定有效的战略，以弥合实施EBPs的证据与实践差距。最后,范围审查发现了知识方面的差距，并为未来的研究提供了建议。
背景：开放科学框架。
方法：范围审查的方案已在开放科学框架中注册。我们使用JoannaBriggs研究所的方法进行范围审查，并根据PRISMA-ScR清单进行报告。我们搜索了12个数据库，以进行有关“个人安置和支持”或“基于证据的支持就业”的研究。我们保留了同行评审的实证研究，调查了外部环境因素及其对IPS实施结果的影响。我们从符合条件的文章中提取数据，并进行描述性和主题分析。
结果：59篇原创研究论文符合我们的资格要求，并在审查了1124篇标题和摘要以及119篇全文后被保留。分析产生了两个主要主题：（1）服务提供的外部上下文决定因素，以及（2）影响证据到实践过程的外部系统。第一个主题包括政策和法律，融资，和行政机构的支持资源，以及与可能促进或阻碍本地实施的外部利益相关者相关的组织安排。第二个主题包括不同利益攸关方为促进当地执行或在系统一级扩大努力而使用的战略和行动。
结论：我们的范围界定综述说明了外部情境因素发挥的重要作用，以及它们如何促进或阻碍IPS模式在不同国家的精神卫生服务机构中的实施和扩大。心理健康和福利服务决策者考虑这些因素，规划者,提供者,从业人员可能会促进制定有效的战略，以弥合实施EBPs的证据与实践差距。最后,范围审查发现了知识方面的差距，并为未来的研究提供了建议。
背景：开放科学框架。
