Development of a comprehensive measure of organizational readiness (motivation × capacity) for implementation: a study protocol
| Autor: | Emanuelle Dias, Andrea Lamont, Timothy J. Walker, Maria E. Fernandez, Lauren Workman, Derek W. Craig, Heather M. Brandt, Pamela M. Diamond, Abraham Wandersman, Jonathan Scaccia |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Process management
Computer science Validity 01 natural sciences Health administration 03 medical and health sciences Study Protocol 0302 clinical medicine R = MC 2 R = MC2 Interactive systems framework for dissemination and implementation 030212 general & internal medicine 0101 mathematics Reliability (statistics) lcsh:R5-920 Measure (data warehouse) business.industry 010102 general mathematics Health services research Usability Colorectal cancer screening implementation Confirmatory factor analysis Readiness Implementation measurement Scale (social sciences) lcsh:Medicine (General) business |
| Zdroj: | Implementation Science Communications Implementation Science Communications, Vol 1, Iss 1, Pp 1-11 (2020) |
| ISSN: | 2662-2211 |
| Popis: | Background Organizational readiness is important for the implementation of evidence-based interventions. Currently, there is a critical need for a comprehensive, valid, reliable, and pragmatic measure of organizational readiness that can be used throughout the implementation process. This study aims to develop a readiness measure that can be used to support implementation in two critical public health settings: federally qualified health centers (FQHCs) and schools. The measure is informed by the Interactive Systems Framework for Dissemination and Implementation and R = MC2 heuristic (readiness = motivation × innovation-specific capacity × general capacity). The study aims are to adapt and further develop the readiness measure in FQHCs implementing evidence-based interventions for colorectal cancer screening, to test the validity and reliability of the developed readiness measure in FQHCs, and to adapt and assess the usability and validity of the readiness measure in schools implementing a nutrition-based program. Methods For aim 1, we will conduct a series of qualitative interviews to adapt the readiness measure for use in FQHCs. We will then distribute the readiness measure to a developmental sample of 100 health center sites (up to 10 staff members per site). We will use a multilevel factor analysis approach to refine the readiness measure. For aim 2, we will distribute the measure to a different sample of 100 health center sites. We will use multilevel confirmatory factor analysis models to examine the structural validity. We will also conduct tests for scale reliability, test-retest reliability, and inter-rater reliability. For aim 3, we will use a qualitative approach to adapt the measure for use in schools and conduct reliability and validity tests similar to what is described in aim 2. Discussion This study will rigorously develop a readiness measure that will be applicable across two settings: FQHCs and schools. Information gained from the readiness measure can inform planning and implementation efforts by identifying priority areas. These priority areas can inform the selection and tailoring of support strategies that can be used throughout the implementation process to further improve implementation efforts and, in turn, program effectiveness. |
| Databáze: | OpenAIRE |
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