Abstract：
Identity Development Evolution and Sharing (IDEAS) reduces provider stigma, but few have been trained to implement IDEAS, highlighting a need for implementation strategies that facilitate uptake. We evaluated whether external facilitation successfully supported IDEAS implementation and whether IDEAS reduced provider stigma within and across sites irrespective of implementation barriers and facilitators. Key informants from 10 sites completed interviews and surveys of appropriateness, acceptability, and feasibility. Interviews were analyzed using the Consolidated Framework for Implementation Research guidelines. Intervention effectiveness was measured via paired t tests of pre-/post-quantitative data on provider stigma completed by practitioners who attended the training. Ten sites successfully implemented IDEAS via external facilitation; 58 practitioners from nine sites completed pre- and post-surveys. Data showed significant decreases in stigma after the intervention. IDEAS, supported by external facilitation, is a feasible, acceptable, and appropriate means of reducing stigma among occupational therapy practitioners.
External Facilitation Supports the Successful Use of “Identity Development Evolution and Sharing” (IDEAS)—An Intervention That Effectively Reduces Harmful Biases Among Occupational TherapistsThis study is important for clinical managers and other change agents wishing to address provider biases in healthcare settings. The study expands an existing program for reducing healthcare provider bias called “Identity Development Evolution and Sharing” or “IDEAS.” IDEAS is a program created by an occupational therapist who sought to improve healthcare experiences for those who have been harmed by implicit biases among healthcare providers. IDEAS involves watching filmed stories of people who have been harmed by stigma within healthcare and then having a reflective discussion about the film, creating a safe space in which providers can evaluate their biases and consider ways in which they might make positive changes. This study is important for managers and other change agents because it highlights characteristics of organizations that can both support and hinder the use of IDEAS in clinical settings. These factors can be taken into consideration prior to using an intervention such as IDEAS to support the degree to which an organization succeeds at implementing the program. This study also explains how the creator of IDEAS provides external support to facilitate staff in leading an IDEAS intervention. In addition, this study will be of interest to implementation scholars and/or people who would like to learn more about methods for measuring barriers and facilitators to integrating new programs in clinical settings.
External Facilitation Supports the Successful Use of “Identity Development Evolution and Sharing” (IDEAS)—An Intervention That Effectively Reduces Harmful Biases Among Occupational TherapistsThis study is important for clinical managers and other change agents wishing to address provider biases in healthcare settings. The study expands an existing program for reducing healthcare provider bias called “Identity Development Evolution and Sharing” or “IDEAS.” IDEAS is a program created by an occupational therapist who sought to improve healthcare experiences for those who have been harmed by implicit biases among healthcare providers. IDEAS involves watching filmed stories of people who have been harmed by stigma within healthcare and then having a reflective discussion about the film, creating a safe space in which providers can evaluate their biases and consider ways in which they might make positive changes. This study is important for managers and other change agents because it highlights characteristics of organizations that can both support and hinder the use of IDEAS in clinical settings. These factors can be taken into consideration prior to using an intervention such as IDEAS to support the degree to which an organization succeeds at implementing the program. This study also explains how the creator of IDEAS provides external support to facilitate staff in leading an IDEAS intervention. In addition, this study will be of interest to implementation scholars and/or people who would like to learn more about methods for measuring barriers and facilitators to integrating new programs in clinical settings.
摘要：
身份发展演变和共享(IDEAS)减少了提供商的污名，但很少有人接受过实施想法的培训，强调需要促进吸收的实施战略。我们评估了外部促进是否成功地支持了IDEAS的实施，以及IDEAS是否降低了站点内部和跨站点的提供者的污名，而不管实施障碍和促进者如何。来自10个网站的主要线人完成了适当性的访谈和调查，可接受性,和可行性。使用《实施研究综合框架》指南对访谈进行了分析。干预效果是通过对参加培训的从业者完成的提供者污名的前/后定量数据进行配对t检验来衡量的。十个地点通过外部便利成功实施了IDEAS；来自九个地点的58名从业人员完成了前后调查。数据显示，干预后病耻感显着降低。想法,在外部便利的支持下，是可行的，可接受,以及减少职业治疗从业者污名的适当方法。
外部促进支持成功使用“身份发展演变和共享”（IDEAS）-有效减少职业治疗师中有害偏见的干预措施该研究对于希望解决医疗机构中提供者偏见的临床管理人员和其他变革代理人非常重要。该研究扩大了现有的减少医疗保健提供者偏见的计划，称为“身份发展演变和共享”或“IDEAS”。IDEAS是一个由职业治疗师创建的计划，旨在为那些因医疗保健提供者的内隐偏见而受到伤害的人改善医疗保健体验。IDEAS涉及观看拍摄的故事，这些故事是在医疗保健领域受到耻辱的伤害，然后对这部电影进行反思讨论，创造一个安全的空间，提供者可以评估他们的偏见，并考虑他们可能做出积极改变的方式。这项研究对于管理者和其他变革推动者很重要，因为它突出了可以支持和阻碍IDEAS在临床环境中使用的组织的特征。在使用诸如IDEAS之类的干预措施之前，可以考虑这些因素，以支持组织成功实施该计划的程度。本研究还解释了IDEAS的创建者如何提供外部支持，以促进员工领导IDEAS干预。此外,这项研究将对实施学者和/或希望了解更多有关在临床环境中整合新计划的障碍和促进者的方法的人感兴趣。
外部促进支持成功使用“身份发展演变和共享”（IDEAS）-有效减少职业治疗师中有害偏见的干预措施该研究对于希望解决医疗机构中提供者偏见的临床管理人员和其他变革代理人非常重要。该研究扩大了现有的减少医疗保健提供者偏见的计划，称为“身份发展演变和共享”或“IDEAS”。IDEAS是一个由职业治疗师创建的计划，旨在为那些因医疗保健提供者的内隐偏见而受到伤害的人改善医疗保健体验。IDEAS涉及观看拍摄的故事，这些故事是在医疗保健领域受到耻辱的伤害，然后对这部电影进行反思讨论，创造一个安全的空间，提供者可以评估他们的偏见，并考虑他们可能做出积极改变的方式。这项研究对于管理者和其他变革推动者很重要，因为它突出了可以支持和阻碍IDEAS在临床环境中使用的组织的特征。在使用诸如IDEAS之类的干预措施之前，可以考虑这些因素，以支持组织成功实施该计划的程度。本研究还解释了IDEAS的创建者如何提供外部支持，以促进员工领导IDEAS干预。此外,这项研究将对实施学者和/或希望了解更多有关在临床环境中整合新计划的障碍和促进者的方法的人感兴趣。
