Monitoring Fidelity to an Evidence-Based Treatment: Practitioner Perspectives.
Despite the push to implement evidence-based treatment (EBT) in child and youth mental health service settings, few studies have focused on the optimal processes for adopting and sustaining EBTs in these contexts. There is even less evidence regarding practitioner perspectives on the optimal process...
| Publicado en: | Clinical Social Work Journal Vol. 47; no. 2; pp. 207 - 222 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Springer Nature
Jun2019
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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=136162003&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 136162003 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00911674 CSW jtl: Clinical Social Work Journal issn: 00911674 maglogo: N pubinfo: dt: Jun2019 vid: 47 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 136162003 10.1007/s10615-017-0639-0 ppf: 207 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 771KB tig: atl: Monitoring Fidelity to an Evidence-Based Treatment: Practitioner Perspectives. aug: au: Kimber, Melissa Barac, Raluca Barwick, Melanie affil: Offord Centre for Child Studies, Department of Psychiatry and Behavioural Neuroscience, McMaster University, MIP Suite 201A, 1280 Main Street West, L8S 4K1, Hamilton, ON, Canada Child and Youth Mental Health Research Unit, Department of Psychiatry, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, 686 Bay Street, M5G 0A4, Toronto, ON, Canada Department of Psychology, York University, Behavioral Science Building Room 101, 4700 Keele St, M3J 1P3, Toronto, ON, Canada Child Health Evaluative Sciences, Research Institute, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, 686 Bay Street, M5G 0A4, Toronto, ON, Canada Department of Psychiatry and Dalla Lana School of Public Health, University of Toronto, Health Sciences Building, 6th Floor, 155 College Street, M5T 3M7, Toronto, ON, Canada su: Mental health services for youth Child mental health services Loyalty Motivational interviewing Behavior modification Social services Evidence-based medicine Patient monitoring sug: subj: Mental health services for youth Child mental health services Loyalty Motivational interviewing Behavior modification Social services Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Other Individual and Family Services Evidence-based medicine Patient monitoring keyword: Child and youth mental health Evidence based treatment Fidelity Implementation science Social work Child and youth mental health Evidence based treatment Fidelity Implementation science Social work ab: Despite the push to implement evidence-based treatment (EBT) in child and youth mental health service settings, few studies have focused on the optimal processes for adopting and sustaining EBTs in these contexts. There is even less evidence regarding practitioner perspectives on the optimal processes for sustaining fidelity to EBTs in practice, despite unequivocal evidence linking the importance of practitioner fidelity to intervention outcomes. Following the principles of inductive qualitative inquiry, this study examined practitioner perspectives of fidelity monitoring processes within the context of implementing motivational interviewing (MI) in four community-based child and youth mental health organizations. MI is a widely disseminated EBT that supports behavior change among adolescents and adults living with psychological, alcohol, and substance use challenges. Practitioners (n = 22) completed semi-structured, qualitative focus groups that elicited their perceptions of the processes and supports provided to support fidelity to MI practice throughout the implementation project. Conventional content analysis revealed a number of important contextual, practitioner, and client factors that have the potential to support or deter the embedding of fidelity processes on the front lines. In addition, practitioners spoke of the importance of using a brief, straightforward fidelity-checking tool to support practitioner learning and practice in relation to MI. Findings have implications for supporting sustained practitioner fidelity to EBTs in settings where MI may constitute one of many possible treatments offered by practitioners in community-based mental health services. Findings also have implications for sustaining practitioner fidelity to EBTs more broadly. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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