Abstract：
Perceptions of evidence-based practices (EBPs) and implementation are inherent drivers of implementation outcomes. Most studies on implementation perceptions have focused on direct service providers, but clients and EBP experts may offer additional meaningful information about implementing EBPs in community settings. EBP providers (n = 21), EBP experts (n = 12), and clients who received EBPs (n = 6) participated in focus groups to ascertain their perceptions of and experiences with EBP implementation, as part of a program evaluation. Thematic analysis indicated that provider and expert perceptions of EBP implementation in community settings converged around themes of implementation supports and training and client outcomes, along with several subthemes. Client perceptions centered on themes regarding the importance of their personal experiences, their impressions of EBPs, as well as their recommendation for increasing public awareness and use of EBPs. Findings suggest that the perspectives of EBP providers and experts are closely aligned, focusing on system-level, individual-level, and training issues that impact EBP implementation within a public mental health system. The themes that were important to clients were primarily related to their experiences as recipients of an EBP which produced insightful recommendations for promoting EBPs in the community.
摘要：
对循证实践（EBPs）和实施的看法是实施结果的内在驱动因素。大多数关于实施观念的研究都集中在直接服务提供商，但是客户和EBP专家可能会提供有关在社区环境中实施EBP的其他有意义的信息。EBP提供者（n=21），EBP专家（n=12），和客户谁收到EBP（n=6）参加焦点小组，以确定他们的看法和经验与EBP实施，作为项目评估的一部分。主题分析表明，提供者和专家对社区环境中EBP实施的看法集中在实施支持，培训和客户成果的主题上，以及几个子主题。客户的看法集中在关于他们个人经历的重要性的主题上，他们对EBP的印象，以及他们对提高公众意识和使用EBPs的建议。研究结果表明，EBP提供商和专家的观点是紧密一致的，注重系统层面,个人层面,以及影响公共心理健康系统中EBP实施的培训问题。对客户来说很重要的主题主要与他们作为EBP接受者的经历有关，EBP为在社区中推广EBP提供了有见地的建议。
