tailieunhanh - báo cáo khoa học: "Social networks and implementation of evidencebased practices in public youth-serving systems: a mixed-methods study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Social networks and implementation of evidencebased practices in public youth-serving systems: a mixed-methods study | Palinkas et al. Implementation Science 2011 6 113 http content 6 1 113 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Social networks and implementation of evidencebased practices in public youth-serving systems a mixed-methods study 1 11 1 2 3 Lawrence A Palinkas Ian W Holloway Eric Rice Dahlia Fuentes Qiaobing Wu and Patricia Chamberlain Abstract Background The present study examines the structure and operation of social networks of information and advice and their role in making decisions as to whether to adopt new evidence-based practices EBPs among agency directors and other program professionals in 12 California counties participating in a large randomized controlled trial. Methods Interviews were conducted with 38 directors assistant directors and program managers of county probation mental health and child welfare departments. Grounded-theory analytic methods were used to identify themes related to EBP adoption and network influences. A web-based survey collected additional quantitative information on members of information and advice networks of study participants. A mixed-methods approach to data analysis was used to create a sociometric data set n 176 for examination of associations between advice seeking and network structure. Results Systems leaders develop and maintain networks of information and advice based on roles responsibility geography and friendship ties. Networks expose leaders to information about EBPs and opportunities to adopt EBPs they also influence decisions to adopt EBPs. Individuals in counties at the same stage of implementation accounted for 83 of all network ties. Networks in counties that decided not to implement a specific EBP had no extra-county ties. Implementation of EBPs at the two-year follow-up was associated with the size of county urban versus rural counties and in-degree centrality. Collaboration was viewed as critical to implementing EBPs especially in small rural .