scholarly journals Key Factors in Intervention Implementation, Fidelity, and Sustainability

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 810-811
Author(s):  
Carey Sherman ◽  
Kate Gordon ◽  
Kenneth Hepburn
Keyword(s):  
Program Implementation ◽  
Implementation Fidelity ◽  
Online Course ◽  
Assessment Instruments ◽  
Clear Understanding ◽  
Key Factors ◽  
Structured Interviews ◽  
Program Leaders ◽  
Core Program ◽  
Implementation Leadership

Abstract As part of an NIA-supported effort to develop an online course to train individuals to lead the evidence-based Savvy Caregiver program and to orient sponsoring organizations to the program, we conducted semi-structured interviews to assess success and sustainability “best practices”. Interviews were conducted with 17 leaders and trainers from eleven Savvy-providing organizations. Analysis of these interviews identified two main themes associated with successful program implementation: leadership commitment and trainer ownership. Paramount to success appears to be leaders’ clear understanding of and enthusiastic commitment to the value of the Savvy program to the organization’s constituents. This translated to careful selection, training, management and on-going development of Savvy program trainers. It contributed to leaders’ appreciation of Savvy as a gateway for clients to seek out other programs and services from the organization, while the gathering of meaningful evaluation data (using established outcome-assessment instruments) contributed, in several cases, to garnering more lasting support to deliver the program. Organizations’ commitment to the program was demonstrated by securing the kinds of adequate and appropriate training, typically involving both instruction and modeling, for Savvy program leaders. These efforts fostered a sense of ownership among the leaders – the sense that the program had positive value for the caregivers served. These findings should be of interest both to scholars engaged in the development of interventions and for organizations implementing them. Taken together, the themes highlight several factors for program implementation that maximize the chances of maintaining fidelity to core program principles and ensuring its sustainability.

scholarly journals Formative process evaluation of a guideline-driven process for improving the cultural responsiveness of alcohol and drug treatment services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sara Farnbach ◽  
Julaine Allan ◽  
Raechel Wallace ◽  
Alexandra Aiken ◽  
Anthony Shakeshaft
Keyword(s):  
Culturally Responsive ◽  
Implementation Fidelity ◽  
Healthcare Services ◽  
Cultural Responsiveness ◽  
Free Text ◽  
Structured Interviews ◽  
Culturally Responsive Practice ◽  
Step Process ◽  
Treatment Services ◽  
Service Staff

Abstract Background To improve Australian Aboriginal and Torres Strait Islander people’s access to, and experience of, healthcare services, including Alcohol and other Drug (AoD) treatment services, principles and frameworks have been developed to optimise cultural responsiveness. Implementing those principles in practice, however, can be difficult to achieve. This study has five aims: i) to describe a five-step process developed to operationalise improvements in culturally responsive practice in AoD services; ii) to evaluate the fidelity of implementation for this five-step process; iii) to identify barriers and enablers to implementation; iv) to assess the feasibility and acceptability of this approach; and v) to describe iterative adaptation of implementation processes based on participant feedback. Methods Participating services were 15 non-Aboriginal AoD services in New South Wales, Australia. Implementation records were used to assess the implementation fidelity of the project. Structured interviews with chief executive officers or senior management were conducted, and interview data were thematically analysed to identify project acceptability, and the key enablers of, and barriers to, project implementation. Quantitative descriptive analyses were performed on the post-implementation workshop survey data, and responses to the free text questions were thematically analysed. Results A high level of implementation fidelity was achieved. Key enablers to improving culturally responsive practice were the timing of the introduction of the five-step process, the active interest of staff across a range of seniority and the availability of resources and staff time to identify and implement activities. Key barriers included addressing the unique needs of a range of treatment sub-groups, difficulty adapting activities to different service delivery models, limited time to implement change in this evaluation (three months) and the varied skill level across staff. The project was rated as being highly acceptable and relevant to service CEOs/managers and direct service staff, with planned changes perceived to be achievable and important. Based on CEO/management feedback after the project was implemented at the initial services, several improvements to processes were made. Conclusion The operationalisation of the five-step process developed to improve cultural responsiveness was feasible and acceptable and may be readily applicable to improving the cultural responsiveness of a wide variety of health and human services.

scholarly journals The power of Bollywood: A study on opportunities, challenges, and audiences’ perceptions of Indian cinema in China

2021 ◽  
pp. 205943642110226
Author(s):  
Yanyan Hong
Keyword(s):  
Film Industry ◽  
Mainland China ◽  
Chinese People ◽  
Key Factors ◽  
Structured Interviews ◽  
Chinese Market ◽  
Star Power ◽  
Indian Cinema ◽  
Cultural Connections

India has long been known for its prestigious Mumbai-based film industry, namely Bollywood, and remains by far the largest producer of films in the world. With the growing global reach of Indian cinema, this study looks at an intriguing Indian-film fever over the last decade in the newly discovered market of China. Through examining key factors that make Indian films appealing to Chinese and exploring the opportunities and challenges of Indian cinema in China, this article draws upon insights gained from the narratives of local audiences. Data were collected from semi-structured interviews with 32 Indian-film audiences residing across 14 different cities in mainland China. Thematic analysis identified the following five appealing factors, which explain why the Chinese enjoy Indian films: content-driven story, social values, star power, audience reviews and cultural connections. While a comprehensive list of opportunities was derived showing the potential future of Bollywood in China, results found that China’s unique institutional context and an ongoing India–China geopolitical tensions also present challenges, which in turn add to the overall complexity of films’ success in the Chinese market. This article argues the powerful role of Bollywood in bridging cultures and improving India–China ties, as Indian films have made Chinese people more aware of India in a favourable way.

scholarly journals Implementing and Sustaining a Rural Interprofessional Clinical Education Program

2013 ◽  
Vol 3 (2) ◽  
Author(s):  
Betty Cragg ◽  
Wilma Jelley ◽  
Mona Burrows ◽  
Kim Dyer
Keyword(s):  
Clinical Education ◽  
Program Implementation ◽  
Education Program ◽  
Organizational Factors ◽  
Pilot Project ◽  
Structured Interviews ◽  
Rural Settings ◽  
Process Factors ◽  
Rural Institutions ◽  
The University

Background: After a successful pilot project introducing interprofessional (IP) clinical education in a rural hospital, expansion to other rural hospitals was attempted. Despite enthusiasm for the pilot project and funding, the university-based project team had difficulty persuading administrators and staff to become involved or to maintain the project. Of 9 institutions, 2 implemented and sustained the project for more than 2 years, 2 initiated but dropped it, and 5 declined.Methods and Findings: A qualitative, interpretive description study was conducted to identify facilitators and barriers to implementing an IP clinical education program in rural settings. Semi-structured interviews were conducted with representatives of organizations that sustained the project, dropped out, or never participated.Using the National Health Service Sustainability Model we identified the staff, organization, and process factors that affected the program implementation. Three staff roles were required for success: sponsor, champion, and gatekeeper. Organizational factors included infrastructure to identify participants and perceived project enhancement of organizational values. Process factors included organizational benefits, compatible priorities, and adaptability.Conclusions: Introduction of IP education to rural institutions requires complex combined factors. However, continuation of the project at two sites demonstrates that when IP education is valued and sustainability factors are present, staff will maintain it. 

scholarly journals Record of the circumstances of falls in the community: perspective in the Iberian Peninsula

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Maria de Fátima Araújo ◽  
Nilza Nogueira Caldevilla ◽  
Candida Maciel ◽  
Felicidade Malheiro ◽  
María Aurora Rodríguez-Borrego ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Health Professionals ◽  
Assessment Instruments ◽  
Structured Interviews ◽  
Basic Health ◽  
Risk Of Falls ◽  
Quantitative Descriptive ◽  
One Year ◽  
Two Stages ◽  
Basic Health Units

ABSTRACT Objective: to determine the diagnosis of the situation regarding documentation of falls and risk of falls in people older than 75 years in basic health units in Spain and Portugal. Method: mixed exploratory study in two stages: (i) quantitative descriptive of randomly selected fall records produced in one year (597 records; 197 Spanish and 400 Portuguese); and (ii) qualitative, with the purpose of knowing the perception of health professionals employing semi-structured interviews (72 professionals, 16 Spanish and 56 Portuguese). The study areas were two basic health units in southern Spain and northern Portugal. Results: in the fall records, the number of women was higher. The presence of fall was associated with the variables age, presence of dementia, osteoarticular disease, previous falls and consumption of antivertiginous medication. Health professionals perceived an absence of risk assessment instruments, as well as lack of prevention programs and lack of awareness of this event. Conclusion: falls are perceived as an area of priority attention for health professionals. Nonetheless, there is a lack of adherence to the registration of falls and risk assessment, due to organizational, logistical and motivational problems.

Key Factors Influencing Implementation of Falls Prevention Exercise Programs in the Community

2016 ◽  
Vol 24 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Lesley Day ◽  
Margaret J. Trotter ◽  
Alex Donaldson ◽  
Keith D. Hill ◽  
Caroline F. Finch
Keyword(s):  
Program Implementation ◽  
Diffusion Of Innovations ◽  
Exercise Program ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Relative Advantage ◽  
Diffusion Of Innovations Theory ◽  
Exercise Programs ◽  
Program Leaders ◽  
Home Based

The study aim was to evaluate the implementation of group- and home-based exercise falls prevention programs delivered through community health agencies to community-dwelling older people. Interviews with program staff were guided by the Diffusion of Innovations theory. Highly consistent themes emerged for the two types of programs. Both had high overall compatibility, high relative advantage, good observability and high inherent trialability—all factors known to strengthen implementation. The level of complexity and low financial compatibility emerged as the strongest potential inhibitors to program implementation in the context examined. The two main factors contributing to complexity were the need to challenge balance safely across a broad range of capability, and practical considerations associated with program delivery.A range of strategies to provide more technical support for exercise program leaders to tailor balance challenge for exercise program leaders may enhance implementation of falls prevention exercise programs.

scholarly journals Factors Influencing Consumers Buying Behaviour within the Clothing Industry

2016 ◽  
Vol 7 (4) ◽  
pp. 63-81
Author(s):  
Sunday C. Eze ◽  
Adenike O. Bello
Keyword(s):  
Qualitative Approach ◽  
Clothing Industry ◽  
Key Factors ◽  
Structured Interviews ◽  
Sociological Factors ◽  
Factors Influencing ◽  
Behavioural Patterns ◽  
Purchasing Behaviour ◽  
Buying Behaviour

The paper aims at exploring the sociological factors influencing consumers purchasing behaviour in the clothing industry. This study deployed a qualitative approach to exploring key factors influencing consumers purchasing behaviour. More specifically, the study adopted semi-structured interviews with 16 employees of TR COUTURE. The finding revealed that age, quality, income and fund shapes consumers purchasing behaviour. The implication of this finding is that marketers should constantly study the behavioural patterns of their clients before making plans to buy goods or services sold to consumers as factors explored in this study indicate that they strongly shapes consumers buying pattern.

The Conduct of Gazprom in Central and Eastern Europe: A Tool of the Kremlin, or Just an Adaptable Player?

2018 ◽  
Vol 32 (4) ◽  
pp. 818-844 ◽  
Author(s):  
Martin Jirušek ◽  
Petra Kuchyňková
Keyword(s):  
Foreign Policy ◽  
Eastern Europe ◽  
Key Factors ◽  
Structured Interviews ◽  
Russian Government ◽  
The Czech Republic ◽  
Strategic Approach ◽  
Dominant Market Position ◽  
South Eastern Europe ◽  
Security Indicators

This article presents the results of evidence-based research into the behaviour of Gazprom and the relevant behaviour of the Russian government in selected countries of Central, Eastern, and South-Eastern Europe (the Czech Republic, Bulgaria, Moldova, and Belarus). The authors’ aim was to determine the scope of involvement by the Russian government in problems that have arisen in supplying these states, and the degree to which these issues have been linked with Gazprom’s conduct and Russia’s foreign policy toward the countries. Another interest was to seek out the key factors that may determine this behaviour in particular environments. To address these goals, the authors monitored specific indicators defined by the strategic approach to energy security (indicators that uncover governmental support, the linking of foreign policy to gas supplies, and misuse of a dominant market position). The core of the research underlying the paper was organized as a set of individual idiographic, theory-guided case studies. Data were gathered from official documents, statistics, articles, analytical studies, and from semi-structured interviews with experts. The exploration revealed that Gazprom has behaved in such a way as to indicate that it is being used as a tool of foreign policy, but the primary factor controlling its behaviour remains the environment in which the company is operating. Two points were crucial: implementation of the IEM rules and—above all—the diversification of sources.

Advantages and Challenges Using Psychological Tests in the Assessment of Suicide Bombers and Lone Actors

2021 ◽  
Author(s):  
Ilan Diamant
Keyword(s):  
Theoretical Perspective ◽  
Threat Assessment ◽  
Self Report ◽  
Traumatic Experiences ◽  
Assessment Instruments ◽  
Structured Interviews ◽  
Projective Tests ◽  
Personality Styles ◽  
Suicide Bombers ◽  
Psychological Instruments

This report discusses the advantages and challenges in using direct psychological personality profile and psychodynamic assessments (corresponding to Otto Kernberg’s model of personally organization) of suicide bombers and lone actors. Two studies that administered various psychological instruments (i.e., self-report inventories, semi-structured interviews, and projective tests) were used to assess these subjects in a prison setting, before or after their trial. Main findings showed that suicide bombers displayed low levels of ego strength with dependent and/or avoidant personality styles, while most of the lone actors presented evidence of psychiatric histories. Also, the main methodological advantages and challenges of the assessment procedures and instruments utilized are discussed. Self-report inventories were found to be less valid. In contrast, semi-structured interviews assisted in identifying a more comprehensive theoretical understanding of both personality dynamics and the discerning of traumatic experiences in participants’ background related primarily to their family history. Projective tests had limited and restricted responses i.e., lacked the necessary complexity. This pattern likely reflected those participants with either limited mental resources, maladaptive personality styles, or hostile responses toward their assessors. Future directions are discussed in a psycho-cultural theoretical perspective regarding the development risk/threat assessment instruments to discern potential perpetrators who are victims of trauma in families living under specific cultural contexts. We assume that these victims’ manifest dissociation defences, present tendencies to activate mobilization, and immobilization energetic systems. These systems evoke complex behaviour patterns triggering suicidal tendencies coupled with rage tendencies aiming to end the lives of others, in this context, perceived political enemies.

Stakeholder relations in Australian science journalism

2019 ◽  
Vol 28 (5) ◽  
pp. 554-571 ◽  
Author(s):  
Merryn McKinnon ◽  
Bronte Black ◽  
Sophie Bobillier ◽  
Kirsten Hood ◽  
Madeleine Parker
Keyword(s):  
Professional Practice ◽  
Positive Interactions ◽  
Clear Understanding ◽  
Structured Interviews ◽  
Science Journalism ◽  
Cultural Divide ◽  
Stakeholder Groups ◽  
Science Reporting ◽  
Australian Science ◽  
Science Media

This study explores the relationships between scientists, science communicators and science journalists in Australia. Building upon a smaller previous study, this article provides an overview of the science media landscape across a nation through the use of semi-structured interviews with members of stakeholder groups. Although relationships between each of the groups are generally positive, a lack of clear understanding of the professional practice and cultures of the different groups sometimes appear to hinder positive interactions. Many scientists continue to lament the need for journalists to understand more science, yet very few make similar comments about the need for scientists to know more about media. Refocusing on sharing the responsibility for science reporting may be a means of bridging the identified cultural divide.

scholarly journals Professional Development of Code and Robotics Teachers Through Small Private Online Course (SPOC): Teacher Centrality and Pedagogical Strategies for Developing Computational Thinking of Students

2020 ◽  
pp. 073563312097343
Author(s):  
Shlomit Hadad ◽  
Tamar Shamir-Inbal ◽  
Ina Blau ◽  
Eynat Leykin
Keyword(s):  
Professional Development ◽  
Computational Thinking ◽  
Added Value ◽  
Independent Learning ◽  
Online Course ◽  
Structured Interviews ◽  
Pedagogical Strategies ◽  
Teacher Professional ◽  
One Year ◽  
And Robotics

This study explored (1) pedagogical strategies in Educational Coding and Robotics (ECR) learning which can develop computational thinking of students and (2) the degree of teacher centrality in the ECR classroom. In addition, we investigated (3) the added value of the Small Private Online Course (SPOC) to teacher professional development (TPD). We analyzed reflections of 80 in-service teachers on TPD through the SPOC (1,091 statements) and conducted semi-structured interviews with 13 of them one year after completing the course and teaching ECR in the classroom (328 statements). The most prominent strategies immediately after the TPD were constructing learning experiences, tinkering & debugging, and interdisciplinary learning, while one year later, experiential learning and collaborative learning were more common. Regarding the degree of teacher centrality, a year after teaching ECR curriculum the teachers had a significantly higher percentage of statements reflecting their role as a guide-on-the-side and as a partner of students in the learning process. Regarding the contribution of the SPOC for TPD, teacher statements revealed significantly more benefits than challenges in both points of time. Interestingly, the same categories emerged bottom-up as benefits and challenges: a variety of control dimensions, independent learning, learning and knowledge management and collaboration. Implications for educational theory and ECR practice are discussed.

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