Implementation leadership and implementation climate in context: A single organization intrinsic case study for implementation of digital measurement-based care.

Journal: Implementation research and practice

Volume: 5

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA. Department of Psychology, University of Central Florida, Orlando, FL, USA. Institute for the Study of Behavioral Health and Addiction, Boise State University, Boise, ID, USA. Child and Adolescent Services Research Center, San Diego, CA, USA. Oregon Community Programs, Eugene, OR, USA.

Abstract summary 

Although studies have demonstrated that implementation leadership and climate are important constructs in predicting evidence-based practice (EBP) implementation, concrete descriptions of how they operate during organizational implementation efforts are lacking. This case study fills that gap through an in-depth description of an organization with effective implementation leadership that successfully built a strong implementation climate. This case study provides an illustration of implementation leadership and climate in tangible, replicable terms to assist managers, practitioners, and researchers in addressing the organizational context in their own implementation projects.A single organization, intrinsic case study was employed to paint a multifaceted picture of how one organization leveraged implementation leadership to strengthen a climate for the successful implementation of digital measurement-based care. The case was drawn from a cluster-randomized trial designed to test the effects of a leadership-focused implementation strategy on youth-level fidelity and clinical outcomes of digital measurement-based care. Following the completion of the trial, case study activities commenced. Descriptive summaries of multiple data sources (including quantitative data on implementation leadership and climate, coaching call and organizational alignment meeting recordings and notes, and development plans) were produced and revised iteratively until consensus was reached. Leadership actions were analyzed for corresponding dimensions of implementation leadership and climate.Specific actions organizational leaders took, as well as the timing specific strategies were enacted, to create a climate for implementation are presented, along with lessons learned from this experience.This case study offers concrete steps organizational leaders took to create a consistent and aligned message that the implementation of a specific EBP was a top priority in the agency. The general approach taken to create an implementation climate provides several lessons for leaders, especially for EBPs that have broad implications across an organization.

Authors & Co-authors:  Sklar Ehrhart Ramirez Carandang Kuhn Day Aarons Williams

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Aarons G. A., Ehrhart M. G., Farahnak L. R. (2014a). The implementation leadership scale (ILS): Development of a brief measure of unit level implementation leadership. Implementation Science, 9(1), 45. 10.1186/1748-5908-9-45
Authors :  8
Identifiers
Doi : 26334895241236680
SSN : 2633-4895
Study Population
Male,Female
Mesh Terms
Other Terms
alignment;case study;implementation;implementation climate;implementation leadership;organizational context
Study Design
Case Study
Study Approach
Quantitative
Country of Study
Publication Country
United States