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Social networks and implementation of evidence-based practices in public youth-serving systems: a mixed-methods study
Open accessAbstract
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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“The Contextual Assessments and Analysis, co-designed by the original intervention team and the knowledge user team, can provide critical information about the “who,” “what,” and “how” that are essential to ensure that the adapted intervention is relevant and effective to meet the sociocultural contexts of the intended end users and local stakeholders [20].”
From Promoting the mental health of university students in China: Protocol for contextual assessment to inform intervention design and adaptation (2021) · cites this paper as [20]
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“This study found that counties whose service systems leaders were identified by others as a source of information and advice exhibited significantly greater progress in implementing MTFC than counties lacking such leaders.”
From Social Network Analysis for Program Implementation (2015) · cites this paper as [24]
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Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-013-0528-y · Cited by 12,038
“A re-examination of the 22 studies and an additional 6 studies published since 2009 revealed that only 5 studies (Aarons and Palinkas 2007; Bachman et al. 2009; Palinkas et al. 2011c; Palinkas et al. 2012; Slade et al. 2008) made a specific reference to purposeful sampling.”
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Metadata
- 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
- Venue
- Implementation Science
- Published
- 2011-09-29
- Volume
- 6
- Issue
- 1
- Pages
- 113-113
- ISSN
- 1748-5908 (ISSN-L)
- 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
- 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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