Practice-driven research for statewide scale up: Implementation outcomes of the California Autism Professional Training and Information Network

Autism ◽  
2022 ◽  
pp. 136236132110682
Author(s):  
Jessica Suhrheinrich ◽  
Allison S Nahmias ◽  
Yue Yu ◽  
Melina Melgarejo ◽  
Patricia Schetter ◽  
...  
Keyword(s):  
Professional Training ◽  
Evidence Based Practice ◽  
Service Providers ◽  
Scale Up ◽  
Classroom Quality ◽  
Information Network ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
The Impact ◽  
Classroom Level

Scaling up the use of evidence-based practice (EBP) for autism across service sectors and regions has presented a considerable challenge indicating a clear need for continued development. The California Autism Professional Training and Information Network (CAPTAIN) integrates implementation drivers into specific procedures and methodology as an implementation strategy to support statewide scale up. The current study was designed to evaluate the impact of CAPTAIN on provider-level outcomes including attitude toward, and knowledge, fidelity and use of autism EBPs, and overall classroom quality. Overall, results indicated variability across measures, with some significant differences between CAPTAIN-trained and non-CAPTAIN-trained providers. CAPTAIN-trained providers reported more openness to EBP. Significantly more CAPTAIN-trained direct service providers reported collecting fidelity of implementation data (χ2(2, N = 1515) = 10.95, p = 0.004), collecting student data (χ2(2, N = 1509) = 14.19, p = 0.001), and reported using their primary EBP with “most or all students” (χ2(2, N = 1514) = 11.41, p = 0.003) than providers not trained by CAPTAIN. In summary, these preliminary findings show promise for the efficacy of the CAPTAIN model to increase dissemination and implementation of EBP at the classroom level. Lay abstract Supporting use of evidence-based practice in public service programs for autistic individuals is critical. The California Autism Professional Training and Information Network (CAPTAIN) brings together best practices from intervention and implementation research to support scale up of autism services. The current study was designed to evaluate the impact of CAPTAIN on provider-level outcomes including attitude toward, knowledge, fidelity, and use of autism EBPs and overall classroom quality. Overall, results indicated variability across measures, with some significant differences between CAPTAIN-trained and non-CAPTAIN-trained providers. These preliminary findings show promise for the efficacy of the CAPTAIN model to increase dissemination and implementation of EBP at the classroom level.

scholarly journals Older and Wiser? The Need to Reexamine the Impact of Health Professionals Age and Experience on Competency-Based Practices

2021 ◽  
Vol 7 ◽  
pp. 237796082110290
Author(s):  
Jing Xu ◽  
Kristen Hicks-Roof ◽  
Chloe E. Bailey ◽  
Hanadi Y. Hamadi
Keyword(s):  
Health Professionals ◽  
Online Survey ◽  
Evidence Based Practice ◽  
Core Competencies ◽  
Healthcare Services ◽  
Interdisciplinary Teams ◽  
Evidence Based ◽  
Health Providers ◽  
Cross Sectional ◽  
The Impact

Introduction Delivery of healthcare services makes up a complex system and it requires providers to be competent and to be able to integrate each of the institute of medicine’s (IOM) 5 core competencies into practice. However, healthcare providers are challenged with the task to be able to understand and apply the IOM core competencies into practice. Objective The purpose of the study was to examine the factors that influence health professional’s likelihood of accomplishing the IOM core competencies. Methods A cross-sectional study design was used to administer a validated online survey to health providers. This survey was distributed to physicians, nursing professionals, specialists, and allied healthcare professionals. The final sample included 3,940 participants who completed the survey. Results The study findings show that younger health professionals more consistently practice daily competencies than their older counterparts, especially in the use of evidence-based practice, informatics, and working in interdisciplinary teams. Less experienced health professionals more consistently applied quality improvement methods but less consistently used evidence-based practice compared to their more experienced counterparts. Conclusion There is a need to understand how health professionals’ age and experience impact their engagement with IOM’s core competencies. This study highlights the need for educational resources on the competencies to be tailored to health providers’ age and experience.

Evidence-based practice and management-by-knowledge of disability care: rigid constraint or fluid support?

2022 ◽  
Author(s):  
Isabella Pistone ◽  
Allan Lidström ◽  
Ingemar Bohlin ◽  
Thomas Schneider ◽  
Teun Zuiderent-Jerak ◽  
...  
Keyword(s):  
Social Workers ◽  
Social Care ◽  
Evidence Based Practice ◽  
Service Providers ◽  
Evidence Based ◽  
Epistemic Injustice ◽  
Dynamic Interactions ◽  
Local Practices ◽  
Rigid Constraint ◽  
Care Practices

Background: Although increasingly accepted in some corners of social work, critics have claimed that evidence-based practice (EBP) methodologies run contrary to local care practices and result in an EBP straitjacket and epistemic injustice. These are serious concerns, especially in relation to already marginalised clients.Aims and objectives: Against the backdrop of criticism against EBP, this study explores the ramifications of the Swedish state-governed knowledge infrastructure, ‘management-by-knowledge’, for social care practices at two care units for persons with intellectual disabilities.Methods: Data generated from ethnographic observations and interviews were analysed by applying a conceptual framework of epistemic injustice; also analysed were national, regional and local knowledge products within management-by-knowledge related to two daily activity (DA) units at a social care provider in Sweden.Findings: In this particular case of disability care, no obvious risks of epistemic injustice were discovered in key knowledge practices of management-by-knowledge. Central methodologies of national agencies did include perspectives from social workers and clients, as did regional infrastructures. Locally, there were structures in place that focused on creating a dynamic interplay between knowledge coming from various forms of evidence, including social workers’ and clients’ own knowledge and experience.Discussion and conclusions: Far from being a straitjacket, in the case studied management-by-knowledge may be understood as offering fluid support. Efforts which aim at improving care for people with disabilities might benefit from organisational support structures that enable dynamic interactions between external knowledge and local practices.<br />Key messages<br /><ul><li>Examining one case of disability care in Sweden, both social workers’ and clients’ experiences were included in EBP infrastructures.</li><br /><li>In this study, Swedish EBP infrastructures functioned more like fluid support than a straitjacket.</li><br /><li>Organisational structures that combine different knowledge sources at service providers can minimise the risk of epistemic injustice within social care.</li></ul>

What Makes or Breaks Evidence-Based Supervision? Staff and Organizational Predictors of Evidence-Based Practice in Probation

2021 ◽  
pp. 0306624X2110491
Author(s):  
Sara Debus-Sherrill ◽  
Alex Breno ◽  
Faye S. Taxman
Keyword(s):  
Organizational Culture ◽  
Survey Data ◽  
Evidence Based Practice ◽  
Organizational Factors ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Weak Evidence ◽  
The Impact

Research on staff and organizational factors that affect receptivity, adoption, feasibility, and utilization of innovations in justice settings is limited. This study uses survey data from 349 employees in one probation agency to assess how staff and perceived organizational factors influence attitudes related to evidence-based practices (EBPs) and their self-reported use. Staff characteristics, including education and knowledge about EBPs, and perceptions of the organization, including cynicism about the organization’s ability to change, predicted EBP outcomes. Staff age, tenure at the agency, and caseload size affected perceptions of organizational culture, but did not predict attitudes or use of EBPs. There is weak evidence for a relationship between self-reported use of EBPs with attitudinal support for EBPs, prior EBP training, and knowledge of EBPs. This study contributes to an emerging body of literature about the impact of various individual and organizational factors on support for EBPs with important lessons for implementation.

Evidence-Based Practice, Step by Step: Evaluating and Disseminating the Impact of an Evidence-Based Intervention: Show and Tell

2011 ◽  
Vol 111 (7) ◽  
pp. 56-59 ◽  
Author(s):  
Ellen Fineout-Overholt ◽  
Lynn Gallagher-Ford ◽  
Bernadette Mazurek Melnyk ◽  
Susan B. Stillwell
Keyword(s):  
Evidence Based Practice ◽  
Evidence Based ◽  
The Impact

scholarly journals Interagency Collaborative Team model for capacity building to scale-up evidence-based practice

2014 ◽  
Vol 39 ◽  
pp. 160-168 ◽  
Author(s):  
Michael Hurlburt ◽  
Gregory A. Aarons ◽  
Danielle Fettes ◽  
Cathleen Willging ◽  
Lara Gunderson ◽  
...  
Keyword(s):  
Capacity Building ◽  
Evidence Based Practice ◽  
Scale Up ◽  
Evidence Based ◽  
Collaborative Team ◽  
Team Model

scholarly journals Mindfulness Buffers the Impact of COVID-19 Outbreak Information on Sleep Duration

2020 ◽  
Author(s):  
Michelle Xue Zheng ◽  
Jingxian Yao ◽  
Jayanth Narayanan
Keyword(s):  
Sleep Duration ◽  
Evidence Based Practice ◽  
Mind Wandering ◽  
Mindfulness Practice ◽  
Evidence Based ◽  
The Impact

We examine whether a daily mindfulness practice can help people cope better with quarantine during the COVID-19 outbreak. We conducted a study in Wuhan, China between February 20th, 2020 and March 2nd, 2020. We randomly assigned participants to either a daily mindfulness practice or a daily mind-wandering practice. Mindfulness reduced daily anxiety. In addition, the sleep duration of participants in the mindfulness condition was less impacted by the increase of infections in the community compared with participants in the control condition. As the COVID-19 pandemic is ongoing and the number of cases reported in the community increase, our findings offer an evidence-based practice that may help people cope with news about an outbreak in the community.

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