Background
Facilitating knowledge and expertise sharing for implementation––learning collaboratives
What drives professional advice-seeking?
Characteristics of the advice source
Expertise quality
Accessibility and proximity
Needs of the advice seeker
The role of existing relationships and network structure
Term | Definition |
---|---|
Network | A system structure that arises from a pattern of interactions/ties/relationships among a set of actors. |
Advice-seeking | A deliberate action where a clinician asks another for expertise around a work-related task, such as using an EST. In this study, advice-seeking is the type of tie examined among participants. |
Multiplex | Ties between two individuals that are based on more than one type of relationships (e.g., seeking advice on a new EST and seeking advice on treating children exposed to trauma). |
Reciprocity | The tendency to form mutual advice-seeking relationships where participant A seeks advice from participant B, and participant B seeks advice from participant A. |
Transitivity | The tendency for two participants who seek advice from one another to share a mutual third party partner (triadic pathways). “The friend of a friend is my friend.” If participant A seeks advice from participant B, and participant B seeks advice from participant C, then A is also likely to seek advice from participant C. |
Methods
Study context and design
Participants and data collection
Measures
Advice-seeking (dependent variables)
Professional characteristics
Analysis
Indicators of expertise quality (H1)
Indicators of advice accessibility (H2)
Characteristics of the advice-seeker (participant) (H3)
Existing relationships (H4)
Results
Participant characteristics
Number | Percent | |
---|---|---|
Role | ||
Senior leader | 13 | 10.32 |
Supervisor | 28 | 22.22 |
Clinician | 85 | 67.46 |
Education | ||
Bachelor’s degree | 2 | 1.59 |
Master’s degree | 116 | 92.06 |
Doctoral degree or equivalent | 8 | 6.35 |
Discipline | ||
Social work | 68 | 53.97 |
Counseling | 22 | 17.46 |
Psychology | 15 | 11.9 |
Other (education, medicine, addictions) | 21 | 16.67 |
Experience in the field | ||
0–6 months | 1 | 0.79 |
6–11 months | 6 | 4.76 |
1–3 years | 18 | 14.29 |
3–5 years | 19 | 15.08 |
more than 5 years | 82 | 65.08 |
Experience in current job | ||
0–6 months | 27 | 21.43 |
6–11 months | 28 | 22.22 |
1–3 years | 22 | 17.46 |
3–5 years | 17 | 13.49 |
more than 5 years | 32 | 25.4 |
Learning collaborative cohort | ||
1 | 41 | 32.54 |
2 | 22 | 17.46 |
3 | 39 | 30.95 |
4 | 24 | 19.05 |
Prior TF-CBT training | ||
Yes | 75 | 60 |
Factors associated with the formation/maintenance of advice-seeking ties
Characteristic | Feature of | General advice-seeking | Specific advice-seeking | ||
---|---|---|---|---|---|
est | se | est | se | ||
Expertise quality (H1) | |||||
Senior lead | Advice source | 0.321 | (0.301) | 0.187 | (0.370) |
Supervisor | Advice source | 0.822* | (0.226) | 1.092* | (0.223) |
Faculty expert | Advice source | 4.185* | (0.305) | 4.242* | (0.305) |
Prior training | Advice source | 0.146 | (0.210) | 0.170 | (0.193) |
Alter higher experience | Dyad | 0.245 | (0.234) | 0.644* | (0.208) |
Accessibility (H2) | |||||
Same agency | Dyad | 2.818* | (0.249) | 2.683* | (0.273) |
Same cohort | Dyad | 0.265 | (0.194) | 0.256 | (0.215) |
Same field | Dyad | 0.329* | (0.166) | 0.372* | (0.187) |
Expertise need (H3) | |||||
Senior leader | Advice seeker | − 0.381 | (0.306) | − 0.288 | (0.306) |
Supervisor | Advice seeker | − 0.072 | (0.233) | 0.075 | (0.226) |
Prior training | Advice seeker | − 0.293 | (0.174) | − 0.200 | (0.181) |
Experience | Advice seeker | 0.116 | (0.098) | 0.053 | (0.106) |
Existing relationships (H4) | |||||
General ties lag | Dyad | 1.996* | (0.244) | 1.515* | (0.259) |
Specific ties lag | Dyad | 0.817* | (0.213) | 1.379* | (0.340) |
Reciprocity | Dyad | 2.083* | (0.353) | 1.213* | (0.420) |
Transitivity | Triad | 0.624 | (0.636) | 0.991* | (0.119) |
gwesp.alpha | Triad | 2.164* | (0.149) | 0.847* | (0.115) |
3-cycles | Triad | − 0.988* | (0.274) | − 0.876* | (0.266) |
Edges (density) | − 7.078* | (0.497) | − 6.887* | (0.520) |