Filtering by: Guideline
Feb
10
12:00 PM12:00

CDIAS PSMG: Lydia Kwak and Andreas Rödlund

The mechanisms of change of a multifaceted implementation strategy on fidelity to a guideline for the prevention of mental health problems at the workplace.

Lydia Kwak, PhD
Karolinska Institute

Andreas Rödlund, PhD
Karolinska Institute

ABSTRACT:
A key priority in implementation science is to understand the mechanisms of implementation strategies, describing how and why they function. Yet, the knowledge about mechanisms of implementation strategies is scarce, and experimental studies exploring these mechanisms are still few. This presentation will share findings from a cluster-randomized controlled trial exploring mechanisms of change of a multifaceted implementation strategy for implementing a guideline for the prevention of mental health problems at the workplace in Swedish schools. First, we will present results from our quantitative study on mechanisms of the multifaceted strategy, where we tested the mediational pathways of nine hypothesized mediators derived from the Theoretical Domains Framework. Second, we will present our qualitative study that used a novel approach to illuminate the specific pathways of each of the discrete implementation strategies delivered within the multifaceted package. Together, these complementary approaches advance understanding of how multifaceted implementation strategies operate in complex, multi-level settings like schools and offer insights relevant to implementing evidence-based practices in other contexts.

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Feb
20
12:00 PM12:00

C-DIAS PSMG: Rebecca Lengnick-Hall and Gregory Aarons

Eight characteristics of rigorous multilevel implementation research: a step-by-step guide.

Rebecca Lengnick-Hall, PhD, MSW, MPA
Washington University in St. Louis

Gregory Aarons, PhD
University of California, San Diego

ABSTRACT:
Although healthcare is delivered in inherently multilevel contexts, implementation science has no widely endorsed methodological standards defining the characteristics of rigorous, multilevel implementation research. Presenters will identify and describe eight characteristics of high-quality, multilevel implementation research to encourage discussion, spur debate, and guide decision-making around study design and methodological issues. These eight characteristics provide benchmarks for evaluating the quality and replicability of multilevel implementation research and promote a common language and reference points. This, in turn, facilitates knowledge generation across diverse multilevel settings and ensures that implementation research is consistent with (and appropriately leverages) what has already been learned in allied multilevel sciences. When a shared and integrated description of what constitutes rigor is defined and broadly communicated, implementation science is better positioned to innovate both methodologically and theoretically.

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