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Social networks and implementation of evidence-based practices in public youth-serving systems: a mixed-methods study

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Palinkas, Lawrence A, Holloway, Ian W, Rice, Eric, Fuentes, Dahlia, Wu, Qiaobing, Chamberlain, Patricia·2011·Implementation Science

DOI 10.1186/1748-5908-6-113PMC PMC3216853

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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 counties where agencies have limited resources on their own. CONCLUSIONS: Successful implementation of EBPs requires consideration and utilization of existing social networks of high-status systems leaders that often cut across service organizations and their geographic jurisdictions. TRIAL REGISTRATION: NCT00880126.

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Figure 1 Evidence-based practice advice networks by implementation stage. Advice Network Properties. Grey nodes represent individuals who reported on the stage-of-implementation checklist as being in stages 0-1, blue-green nodes represent those in stages 2-6, and bright green nodes those in stages 7-8. White nodes depict individuals about whom insufficient information was obtained to ascertain implementation stage or about whom implementation stage is not relevant, such as individuals who work for the California Institute of Mental Health.CC BY · PubMed Central

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Authors: Palinkas, L. A., Holloway, I. W., Rice, E., Fuentes, D., Wu, Q., & Chamberlain, P.
Affiliations: University of Southern California (US)
Chinese University of Hong Kong (HK)
Corresponding author: Palinkas, Lawrence A
ORCID: Palinkas, Lawrence A
Holloway, Ian W
Rice, Eric
Wu, Qiaobing
Chamberlain, Patricia
Venue: Implementation Science
Publisher: Springer Science and Business Media LLC
Published: 2011-09-29
Volume: 6
Issue: 1
Pages: 113-113
ISSN: 1748-5908 (ISSN-L)
DOI: 10.1186/1748-5908-6-113
PMC: PMC3216853
OpenAlex: W2107778773
Cited by: 113
References: 45
Citations by year: 2026: 2 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 5 · 2021: 12 · 2020: 11 · 2019: 7 · 2018: 8 · 2017: 7 · 2016: 9 · 2015: 10 · 2014: 10 · 2013: 9 · 2012: 3
FWCI: 13.08
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: Implementation Science (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
eScholarship (California Digital Library) (submittedVersion)
eScholarship (California Digital Library) (submittedVersion, cc-by)
Funders: U.S. Department of Health and Human Services
William T. Grant Foundation
National Institutes of Health (5r01mh007658-23)
National Institute of Mental Health (R01MH07658)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Social Sciences › Public Administration › Evaluation and Performance Assessment
Keywords: social networks, evidence-based practice adoption, probation, child welfare, mental health services, in-degree centrality, collaboration, rural counties, implementation decision-making
MeSH terms: Adolescent, California, Child, Child Welfare, Community Health Services, Cooperative Behavior, Data Collection, Female, Humans, Male, Mental Health, Middle Aged, Psychometrics, Social Support, Multivariate Analysis, Program Development, Public Sector, Substance-Related Disorders, Internet, Evidence-Based Practice

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Social networks and implementation of evidence-based practices in public youth-serving systems: a mixed-methods study

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