| Autor: |
Cunningham CE; Patient Centered Health Care, Department of Psychiatry and Behavioural Neurosciences, Faculty of Health Sciences, Michael G. DeGroote School of Medicine, McMaster University, Hamilton Health Sciences, Hamilton, ON, Canada. cunnic@hhsc.ca., Barwick M; CHES Research Institute, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, Canada., Rimas H; Patient Centered Health Care, Department of Psychiatry and Behavioural Neurosciences, Faculty of Health Sciences, Michael G. DeGroote School of Medicine, McMaster University, Hamilton Health Sciences, Hamilton, ON, Canada., Mielko S; Patient Centered Health Care, Department of Psychiatry and Behavioural Neurosciences, Faculty of Health Sciences, Michael G. DeGroote School of Medicine, McMaster University, Hamilton Health Sciences, Hamilton, ON, Canada., Barac R; Child and Youth Mental Health Research Unit, The Hospital for Sick Children, Toronto, Canada. |
| Abstrakt: |
Using an online, cross sectional discrete choice experiment, we modeled the influence of 14 implementation attributes on the intention of 563 providers to adopt hypothetical evidence-based children's mental health practices (EBPs). Latent class analysis identified two segments. Segment 1 (12%) would complete 100% of initial training online, devote more time to training, make greater changes to their practices, and introduce only minor modifications to EBPs. Segment 2 (88%) preferred fewer changes, more modifications, less training, but more follow-up. Simulations suggest that enhanced supervisor support would increase the percentage of participants choosing the intensive training required to implement EBPs. The dissemination of EBPs needs to consider the views of segments of service providers with differing preferences regarding EBPs and implementation process design. |
Full text from SpringerLink