Annual Research Review: The state of implementation science in child psychology and psychiatry: a review and suggestions to advance the field.
Background: Scientists have developed evidence‐based interventions that improve the symptoms and functioning of youth with psychiatric disorders; however, these interventions are rarely used in community settings. Eliminating this research‐to‐practice gap is the purview of implementation science, th...
| Publicado en: | Journal of Child Psychology & Psychiatry Vol. 60; no. 4; pp. 430 - 451 |
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| Autores principales: | , |
| Formato: | Artículo |
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Wiley-Blackwell
Apr2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=135597293&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 135597293 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00219630 JYY jtl: Journal of Child Psychology & Psychiatry issn: 00219630 maglogo: Y pubinfo: dt: Apr2019 vid: 60 iid: 4 pid: 480 pub: Wiley-Blackwell artinfo: ui: 135597293 10.1111/jcpp.12960 ppf: 430 ppct: 21 formats: tig: atl: Annual Research Review: The state of implementation science in child psychology and psychiatry: a review and suggestions to advance the field. aug: au: Williams, Nathaniel J. Beidas, Rinad S. affil: School of Social Work, Boise State University, Boise ID, USA Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia PA, USA Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia PA, USA Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia PA, USA su: Mental illness treatment Behavior modification Child psychiatry Child psychology Corporate culture Psychiatric treatment Human services programs Evidence-based medicine sug: subj: Mental illness treatment Behavior modification Child psychiatry Child psychology Corporate culture Psychiatric treatment Human services programs Evidence-based medicine keyword: adolescents causal theory Children evidence‐based practice implementation science adolescents causal theory Children evidence‐based practice implementation science ab: Background: Scientists have developed evidence‐based interventions that improve the symptoms and functioning of youth with psychiatric disorders; however, these interventions are rarely used in community settings. Eliminating this research‐to‐practice gap is the purview of implementation science, the discipline devoted to the study of methods to promote the use of evidence‐based practices in routine care. Methods: We review studies that have tested factors associated with implementation in child psychology and psychiatry, explore applications of social science theories to implementation, and conclude with recommendations to advance implementation science through the development and testing of novel, multilevel, causal theories. Results: During its brief history, implementation science in child psychology and psychiatry has documented the implementation gap in routine care, tested training approaches and found them to be insufficient for behavior change, explored the relationships between variables and implementation outcomes, and initiated randomized controlled trials to test implementation strategies. This research has identified targets related to implementation (e.g., clinician motivation, organizational culture) and demonstrated the feasibility of activating these targets through implementation strategies. However, the dominant methodological approach has been atheoretical and predictive, relying heavily on a set of variables from heuristic frameworks. Conclusions: Optimizing the implementation of effective treatments in community care for youth with psychiatric disorders is a defining challenge of our time. This review proposes a new direction focused on developing and testing integrated causal theories. We recommend implementation scientists: (a) move from observational studies of implementation barriers and facilitators to trials that include causal theory; (b) identify a core set of implementation determinants; (c) conduct trials of implementation strategies with clear targets, mechanisms, and outcomes; (d) ensure that behaviors that are core to EBPs are clearly defined; and (e) agree upon standard measures. This agenda will help fulfill the promise of evidence‐based practice for improving youth behavioral health. Read the Commentary on this article at doi: 10.1111/jcpp.13037 pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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