The DOI matches its Crossref record; 101 of the 102 references it cites were found in a registry or an index.
Testing the leadership and organizational change for implementation (LOCI) intervention in substance abuse treatment: a cluster randomized trial study protocol
Open accessAbstract
BACKGROUND: Evidence-based practice (EBP) implementation represents a strategic change in organizations that requires effective leadership and alignment of leadership and organizational support across organizational levels. As such, there is a need for combining leadership development with organizational strategies to support organizational climate conducive to EBP implementation. The leadership and organizational change for implementation (LOCI) intervention includes leadership training for workgroup leaders, ongoing implementation leadership coaching, 360° assessment, and strategic planning with top and middle management regarding how they can support workgroup leaders in developing a positive EBP implementation climate. METHODS: This test of the LOCI intervention will take place in conjunction with the implementation of motivational interviewing (MI) in 60 substance use disorder treatment programs in California, USA. Participants will include agency executives, 60 program leaders, and approximately 360 treatment staff. LOCI will be tested using a multiple cohort, cluster randomized trial that randomizes workgroups (i.e., programs) within agency to either LOCI or a webinar leadership training control condition in three consecutive cohorts. The LOCI intervention is 12 months, and the webinar control intervention takes place in months 1, 5, and 8, for each cohort. Web-based surveys of staff and supervisors will be used to collect data on leadership, implementation climate, provider attitudes, and citizenship. Audio recordings of counseling sessions will be coded for MI fidelity. The unit of analysis will be the workgroup, randomized by site within agency and with care taken that co-located workgroups are assigned to the same condition to avoid contamination. Hierarchical linear modeling (HLM) will be used to analyze the data to account for the nested data structure. DISCUSSION: LOCI has been developed to be a feasible and effective approach for organizations to create a positive climate and fertile context for EBP implementation. The approach seeks to cultivate and sustain both effective general and implementation leadership as well as organizational strategies and support that will remain after the study has ended. Development of a positive implementation climate for MI should result in more positive service provider attitudes and behaviors related to the use of MI and, ultimately, higher fidelity in the use of MI. TRIAL REGISTRATION: This study is registered with Clinicaltrials.gov ( NCT03042832 ), 2 February 2017, retrospectively registered.
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“Rigorous assessment of implementation leadership is critical to inform implementation research and practice in this domain as recent studies have shown that implementation leadership is a malleable organizational characteristic [28].”
From Leading the charge in the education sector: development and validation of the School Implementation Leadership Scale (SILS) (2022) · cites this paper as [28]
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“Existing leadership-focused implementation strategies, such as Leadership and Organizational Change for Implementation (LOCI) [28] or iLead [93] also likely have utility for promoting implementation leadership behaviors among principals and other school building-level leaders.”
From Leading the charge in the education sector: development and validation of the School Implementation Leadership Scale (SILS) (2022) · cites this paper as [28]
In the citing paper
“In addition, to the developed implementation model and implementation strategy, EPIS was used to code qualitative data and select quantitative survey measures.”
From Ten recommendations for using implementation frameworks in research and practice (2020) · cites this paper as [55]
In the citing paper
“The Leadership and Organizational Change for Implementation (LOCI) intervention employed the EPIS framework to select key implementation determinants to test in a large cluster RCT [55].”
From Ten recommendations for using implementation frameworks in research and practice (2020) · cites this paper as [55]
In the citing paper
“In this study, implementation leadership from first-level team leaders/managers, organizational climate and culture, implementation climate, and psychological safety climate were selected as determinants to test their influence on the fidelity of the EBP being implemented.”
From Ten recommendations for using implementation frameworks in research and practice (2020) · cites this paper as [55]
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Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework
Moullin, J. C., Dickson, K. S., Stadnick, N. A., Rabin, B., & Aarons, G. A. (2019) · Implementation Science · doi:10.1186/s13012-018-0842-6 · Cited by 1,223
Self-citationTen recommendations for using implementation frameworks in research and practice
Moullin, J. C., Dickson, K. S., Stadnick, N. A., Albers, B., Nilsen, P., Broder-Fingert, S., Mukasa, B., & Aarons, G. A. (2020) · Implementation Science Communications · doi:10.1186/s43058-020-00023-7 · Cited by 488
Self-citationLyon, A. R., Cook, C. R., Brown, E. C., Locke, J., Davis, C., Ehrhart, M., & Aarons, G. A. (2018) · Implementation Science · doi:10.1186/s13012-017-0705-6 · Cited by 199
Self-citationLyon, A. R., & Bruns, E. J. (2019) · School Mental Health · doi:10.1007/s12310-018-09306-w · Cited by 191
Williams, N. J., Wolk, C. B., Becker‐Haimes, E. M., & Beidas, R. S. (2020) · Implementation Science · doi:10.1186/s13012-020-0970-7 · Cited by 158
“The LOCI intervention [30, 98], which targets implementation leadership and EBP implementation climate through training and coaching for first-level leaders along with consultation with executives, has shown promise in pilot research and is currently under Williams et al.”
BackgroundResultInfluential
Metadata
- Authors
- Aarons, G. A., Ehrhart, M. G., Moullin, J. C., Torres, E. M., & Green, A. E.
- Affiliations
- University of California San Diego (US)
- San Diego State University (US)
- Corresponding author
- Aarons, Gregory A.
- Venue
- Implementation Science
- Published
- 2017-03-03
- Volume
- 12
- Issue
- 1
- Pages
- 29-29
- ISSN
- 1748-5908 (ISSN-L)
- PMC
- PMC5335741
- OpenAlex
- W2592610820
- Cited by
- 159
- References
- 102
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 25 · 2023: 18 · 2022: 19 · 2021: 28 · 2020: 19 · 2019: 15 · 2018: 9 · 2017: 1
- FWCI
- 19.50
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Implementation Science (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- eSpace (Curtin University) (submittedVersion, cc-by)
- Funders
- National Institute on Drug Abuse (R01DA038466)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Organizational Change and Leadership
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- implementation leadership, organizational change, evidence-based practice implementation, addiction treatment, motivational interviewing, leadership coaching, 360-degree assessment, implementation climate, organizational climate, employee attitudes, organizational support
- MeSH terms
- Attitude of Health Personnel, Diffusion of Innovation, Female, Health Personnel, Humans, Inservice Training, Leadership, Male, Motivation, Organizational Innovation, Substance-Related Disorders, Evidence-Based Practice
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