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Cited by 71Health Policy Implementation ScienceHealthcare Quality and ManagementHealth Sciences Research and Education

A mixed methods multiple case study of implementation as usual in children’s social service organizations: study protocol

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Powell, Byron J, Proctor, Enola K, Glisson, Charles A, Kohl, Patricia L, Raghavan, Ramesh, Brownson, Ross C, Stoner, Bradley P, Carpenter, Christopher R +1 more·2013·Implementation Science
DOI 10.1186/1748-5908-8-92PMC PMC3751866
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Abstract

BACKGROUND: Improving quality in children's mental health and social service settings will require implementation strategies capable of moving effective treatments and other innovations (e.g., assessment tools) into routine care. It is likely that efforts to identify, develop, and refine implementation strategies will be more successful if they are informed by relevant stakeholders and are responsive to the strengths and limitations of the contexts and implementation processes identified in usual care settings. This study will describe: the types of implementation strategies used; how organizational leaders make decisions about what to implement and how to approach the implementation process; organizational stakeholders' perceptions of different implementation strategies; and the potential influence of organizational culture and climate on implementation strategy selection, implementation decision-making, and stakeholders' perceptions of implementation strategies. METHODS/DESIGN: This study is a mixed methods multiple case study of seven children's social service organizations in one Midwestern city in the United States that compose the control group of a larger randomized controlled trial. Qualitative data will include semi-structured interviews with organizational leaders (e.g., CEOs/directors, clinical directors, program managers) and a review of documents (e.g., implementation and quality improvement plans, program manuals, etc.) that will shed light on implementation decision-making and specific implementation strategies that are used to implement new programs and practices. Additionally, focus groups with clinicians will explore their perceptions of a range of implementation strategies. This qualitative work will inform the development of a Web-based survey that will assess the perceived effectiveness, relative importance, acceptability, feasibility, and appropriateness of implementation strategies from the perspective of both clinicians and organizational leaders. Finally, the Organizational Social Context measure will be used to assess organizational culture and climate. Qualitative, quantitative, and mixed methods data will be analyzed and interpreted at the case level as well as across cases in order to highlight meaningful similarities, differences, and site-specific experiences. DISCUSSION: This study is designed to inform efforts to develop more effective implementation strategies by fully describing the implementation experiences of a sample of community-based organizations that provide mental health services to youth in one Midwestern city.

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  • A mixed-methods study of seven social service organizations serving children, youth and families provides one of the richest descriptions of IAU.

    “One of the richest descriptions of IAU comes from a mixed-methods study of seven social service organizations serving children, youth and families (Powell et al., 2013; Powell, 2014).”

    From Implementation-as-Usual in Community-Based Organizations Providing Specialized Services to Individuals with Autism Spectrum Disorder: A Mixed Methods Study (2021) · cites this paper as Powell et al., 2013

    The Abstract (Methods/design; page not supplied) identifies a mixed-methods study of seven children’s social service organizations, and the Background (Approach; page not supplied) says it aims to yield rich descriptions of their implementation strategies. But this paper is a study protocol: it describes planned research, not completed findings or a rich description of implementation as usual. (LLM, conf=0.87)

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  • Strategies are not always well-matched to the contexts in which they are deployed, including the interventions to be implemented, settings, stakeholder preferences, and implementation determinants.

    “Consequently, strategies are not always well-matched to the contexts in which they are deployed, including the interventions to be implemented, settings, stakeholder preferences, and implementation determinants (37, 42, 54).”

    From Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda (2019) · cites this paper as [54]

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1 of the 107 references couldn’t be matched to a known paper.

Research works printed but not linked: 5

  1. Powell BJ Proctor EK Glass JE A systematic review of implementation strategies in mental health service settings 2011 Washington: Seattle
  2. Mittman BS Criteria for peer review of D/I funding applications 2010 Missouri: St. Louis
  3. Ferlie E Straus S, Tetroe J, Graham ID Organizational interventions Knowledge translation in health care: Moving from evidence to practice 2009 Oxford, UK: Wiley-Blackwell 144 150
  4. Wensing M Eccles M Grol R Grol R, Wensing M, Eccles M Observational evaluations of implementation strategies Improving patient care: The implementation of change in clinical practice 2005 Edinburgh: Elsevier 248 255
  5. Institute of Medicine The State of Quality Improvement and Implementation Research: Workshop Summary 2007 Washington, DC: The National Academies Press

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Authors
Powell, B. J., Proctor, E. K., Glisson, C. A., Kohl, P. L., Raghavan, R., Brownson, R. C., Stoner, B. P., Carpenter, C. R., & Palinkas, L. A.
Affiliations
  • Washington University in St. Louis (US)
  • University of Tennessee at Knoxville (US)
  • University of Southern California (US)
Corresponding author
Powell, Byron J
ORCID
Venue
Implementation Science
Publisher
Springer Science and Business Media LLC
Published
2013-08-20
Volume
8
Issue
1
Pages
92-92
ISSN
1748-5908 (ISSN-L)
DOI
10.1186/1748-5908-8-92
PMC
PMC3751866
OpenAlex
W2127763683
Cited by
71
References
107
Citations by year
2026: 7 · 2024: 4 · 2023: 9 · 2022: 11 · 2021: 7 · 2020: 6 · 2019: 8 · 2018: 5 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 3 · 2013: 1
FWCI
6.55
Type
journal article
Language
en
Open access
Licence
Locations
  • Implementation Science (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
Funders
  • Doris Duke Charitable Foundation
  • New York Community Trust
  • University of Chicago
  • Fahs-Beck Fund for Research and Experimentation
  • National Institutes of Health (UL1TR000448, TL1TR000449, RR024992)
  • Chapin Hall, University of Chicago
  • National Institute of Mental Health (R01MH084855, NIMH F31, NIMH T32, F31MH098478, R25MH080916, T32MH019960)
  • National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092950)
  • National Center for Research Resources (TL1RR024995, UL1RR024992)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords
implementation strategies, child mental health services, implementation decision-making, organizational culture, organizational climate, stakeholder perspectives, organizational leaders, community organizations, youth mental health
MeSH terms
Adolescent, Attitude of Health Personnel, Mental Disorders, Child, Decision Making, Organizational, Diffusion of Innovation, Humans, Perception, Social Work, Statistics as Topic, United States, Organizational Culture, Evidence-Based Medicine

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