UNASSIGNED:在儿童心理卫生服务中实施循证干预(EBIs)的策略对多种结果具有复杂的直接和间接因果影响。涟漪效应是由计划外的EBI实施工作引起的结果,意想不到的,和/或对研究人员和实施者以外的利益相关者更重要。本论文的目的是提供与儿童心理健康服务中的EBI实施策略相关的可能的连锁反应的汇编,用于实施规划,研究,和质量改进。
未经评估:通过专家提名和滚雪球抽样确定参与者。81名参与者完成了在线调查,每个人都代表五个角色之一:为儿童或青年提供心理健康服务的提供者,研究人员,政策制定者,看护者,和青春。使用具有共识决策的部分定向常规内容分析来编码涟漪效应。
UNASSIGNED:将400个独特的响应编码为66个涟漪效应和14个类别。类别包括一般知识,技能,态度,和对使用EBIs的信心;与工作相关的一般连锁反应;EBI治疗依从性,保真度,和一致性;游戏系统;公平和耻辱;角色转变,角色清晰,和任务转移;经济成本和效益;EBI治疗的可用性,access,参与,出席,障碍,和促进者;临床过程和治疗质量;客户参与,治疗联盟,和客户满意度;临床组织结构,组织中的关系,process,和功能;青年客户和照顾者的结果;以及在自己的生活中使用EBI策略和见解。
UNASSIGNED:这项研究通过提供儿童的心理健康实施者来推进这一领域,研究人员,资助者,政策制定者,以及具有潜在连锁反应菜单的消费者。它可以是确保遵守质量改进/质量保证指导的实用工具,复杂性科学,创新理论的扩散。未来阶段将针对每个参与者角色,将潜在的连锁反应与突出的儿童心理健康实施策略相匹配。
UNASSIGNED: Strategies to implement evidence-based interventions (EBIs) in children\'s mental health services have complex direct and indirect causal impacts on multiple outcomes. Ripple effects are outcomes caused by EBI implementation efforts that are unplanned, unanticipated, and/or more salient to stakeholders other than researchers and implementers. The purpose of the current paper is to provide a compilation of possible ripple effects associated with EBI implementation strategies in children\'s mental health services, to be used for implementation planning, research, and quality improvement.
UNASSIGNED: Participants were identified via expert nomination and snowball sampling. Online surveys were completed by 81 participants, each representing one of five roles: providers of mental health services to children or youth, researchers, policy makers, caregivers, and youth. A partially directed conventional content analysis with consensus decision making was used to code ripple effects.
UNASSIGNED: Four hundred and four unique responses were coded into 66 ripple effects and 14 categories. Categories include general knowledge, skills, attitudes, and confidence about using EBIs; general job-related ripple effects; EBI treatment adherence, fidelity, and alignment; gaming the system; equity and stigma; shifting roles, role clarity, and task shifting; economic costs and benefits; EBI treatment availability, access, participation, attendance, barriers, and facilitators; clinical process and treatment quality; client engagement, therapeutic alliance, and client satisfaction; clinical organization structure, relationships in the organization, process, and functioning; youth client and caregiver outcomes; and use of EBI strategies and insights in one\'s own life.
UNASSIGNED: This research advances the field by providing children\'s mental health implementers, researchers, funders, policy makers, and consumers with a menu of potential ripple effects. It can be a practical tool to ensure compliance with guidance from Quality Improvement/Quality Assurance, Complexity Science, and Diffusion of Innovation Theory. Future phases will match potential ripple effects with salient children\'s mental health implementation strategies for each participant role.