Skip to main content
Erschienen in: The Journal of Behavioral Health Services & Research 4/2012

01.10.2012

A Concept Mapping Approach to Guide and Understand Dissemination and Implementation

verfasst von: Amy E. Green, PhD, Danielle L. Fettes, PhD, Gregory A. Aarons, PhD

Erschienen in: The Journal of Behavioral Health Services & Research | Ausgabe 4/2012

Einloggen, um Zugang zu erhalten

Abstract

Many efforts to implement evidence-based programs do not reach their full potential or fail due to the variety of challenges inherent in dissemination and implementation. This article describes the use of concept mapping—a mixed method strategy—to study implementation of behavioral health innovations and evidence‐based practice (EBP). The application of concept mapping to implementation research represents a practical and concise way to identify and quantify factors affecting implementation, develop conceptual models of implementation, target areas to address as part of implementation readiness and active implementation, and foster communication among stakeholders. Concept mapping is described and a case example is provided to illustrate its use in an implementation study. Implications for the use of concept mapping methods in both research and applied settings towards the dissemination and implementation of behavioral health services are discussed.
Literatur
1.
Zurück zum Zitat Aarons GA. Measuring provider attitudes toward evidence-based practice: Consideration of organizational context and individual differences. Child and Adolescent Psychiatric Clinics of North America. 2005;14(2):255–271.PubMedCrossRef Aarons GA. Measuring provider attitudes toward evidence-based practice: Consideration of organizational context and individual differences. Child and Adolescent Psychiatric Clinics of North America. 2005;14(2):255–271.PubMedCrossRef
2.
Zurück zum Zitat Greenhalgh T, Robert G, Macfarlane F, et al. Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly. 2004;82(4):581–629.PubMedCrossRef Greenhalgh T, Robert G, Macfarlane F, et al. Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly. 2004;82(4):581–629.PubMedCrossRef
3.
Zurück zum Zitat Mendel P, Meredith L, Schoenbaum M, et al. Interventions in organizational and community context: A framework for building evidence on dissemination and implementation in health services research. Administration and Policy in Mental Health and Mental Health Services Research. 2008;35(1–2):21–37.PubMedCrossRef Mendel P, Meredith L, Schoenbaum M, et al. Interventions in organizational and community context: A framework for building evidence on dissemination and implementation in health services research. Administration and Policy in Mental Health and Mental Health Services Research. 2008;35(1–2):21–37.PubMedCrossRef
4.
Zurück zum Zitat Raghavan R, Bright CL, Shadoin AL. Toward a policy ecology of implementation of evidence-based practices in public mental health settings. Implementation Science. 2008;3(26):3–26. Raghavan R, Bright CL, Shadoin AL. Toward a policy ecology of implementation of evidence-based practices in public mental health settings. Implementation Science. 2008;3(26):3–26.
6.
Zurück zum Zitat Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in child welfare. Administration and Policy in Mental Health and Mental Health Services Research. 2011;38(1):4–23.PubMedCrossRef Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in child welfare. Administration and Policy in Mental Health and Mental Health Services Research. 2011;38(1):4–23.PubMedCrossRef
7.
Zurück zum Zitat Fixsen D, Blase K, Naoom S, et al. Core implementation components. Research on Social Work Practice. 2009;19(5):531.CrossRef Fixsen D, Blase K, Naoom S, et al. Core implementation components. Research on Social Work Practice. 2009;19(5):531.CrossRef
8.
Zurück zum Zitat Simpson DD. A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment. 2002;22(4):171–182.PubMedCrossRef Simpson DD. A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment. 2002;22(4):171–182.PubMedCrossRef
9.
Zurück zum Zitat Backer TE. Assessing and enhancing readiness for change: Implications for technology transfer. In: Backer TE, David SL, Soucy G, eds. Reviewing the behavioral science knowledge base on technology transfer. Vol NIDA Research Monograph 155. Rockville, MD: National Institute on Drug Abuse; 1995. Backer TE. Assessing and enhancing readiness for change: Implications for technology transfer. In: Backer TE, David SL, Soucy G, eds. Reviewing the behavioral science knowledge base on technology transfer. Vol NIDA Research Monograph 155. Rockville, MD: National Institute on Drug Abuse; 1995.
10.
Zurück zum Zitat Damschroder L, Aron D, Keith R, et al. Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science. 2009;4:50.PubMedCrossRef Damschroder L, Aron D, Keith R, et al. Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science. 2009;4:50.PubMedCrossRef
11.
Zurück zum Zitat Rogers EM. Diffusions of innovations. 4th ed. New York: The Free Press; 1995. Rogers EM. Diffusions of innovations. 4th ed. New York: The Free Press; 1995.
12.
Zurück zum Zitat Ferlie EB, Shortell SM. Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Quarterly. 2001;79(2):281–315.PubMedCrossRef Ferlie EB, Shortell SM. Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Quarterly. 2001;79(2):281–315.PubMedCrossRef
13.
Zurück zum Zitat Glisson C, Schoenwald S. The ARC organizational and community intervention strategy for implementing evidence-based children's mental health treatments. Mental Health Services Research. 2005;7(4):243–259.PubMedCrossRef Glisson C, Schoenwald S. The ARC organizational and community intervention strategy for implementing evidence-based children's mental health treatments. Mental Health Services Research. 2005;7(4):243–259.PubMedCrossRef
14.
Zurück zum Zitat Grimshaw J, Shirran L, Thomas R, et al. Changing provider behavior: an overview of systematic reviews of interventions. Medical Care. 2001;39(8): 2–45.PubMed Grimshaw J, Shirran L, Thomas R, et al. Changing provider behavior: an overview of systematic reviews of interventions. Medical Care. 2001;39(8): 2–45.PubMed
15.
Zurück zum Zitat Grol R, Grimshaw J. Evidence-based implementation of evidence-based medicine. Journal on Ouality Improvement. 1999;25:503–513. Grol R, Grimshaw J. Evidence-based implementation of evidence-based medicine. Journal on Ouality Improvement. 1999;25:503–513.
16.
Zurück zum Zitat Aarons GA, Wells RS, Zagursky K, et al. Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis. American Journal of Public Health. 2009;99(11):2087–2095.PubMedCrossRef Aarons GA, Wells RS, Zagursky K, et al. Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis. American Journal of Public Health. 2009;99(11):2087–2095.PubMedCrossRef
17.
Zurück zum Zitat Green AE, Aarons GA. A comparison of policy and direct practice stakeholder perceptions of factors affecting evidence-based practice implementation using concept mapping. Implementation Science. 2011;6:104.PubMedCrossRef Green AE, Aarons GA. A comparison of policy and direct practice stakeholder perceptions of factors affecting evidence-based practice implementation using concept mapping. Implementation Science. 2011;6:104.PubMedCrossRef
18.
Zurück zum Zitat Trochim WM, Cook JA, Setze RJ. Using concept mapping to develop a conceptual framework of staff's views of a supported employment program for individuals with severe mental illness. Journal of Consulting and Clinical Psychology. 1994;62(4):766–775.PubMedCrossRef Trochim WM, Cook JA, Setze RJ. Using concept mapping to develop a conceptual framework of staff's views of a supported employment program for individuals with severe mental illness. Journal of Consulting and Clinical Psychology. 1994;62(4):766–775.PubMedCrossRef
19.
Zurück zum Zitat Trochim WMK. Concept mapping: Soft science or hard art? Evaluation and Program Planning. 1989;12:87–110.CrossRef Trochim WMK. Concept mapping: Soft science or hard art? Evaluation and Program Planning. 1989;12:87–110.CrossRef
20.
Zurück zum Zitat Greene JC. Toward a methodology of mixed methods social inquiry. Research in the Schools. 2006;13(1):93–98. Greene JC. Toward a methodology of mixed methods social inquiry. Research in the Schools. 2006;13(1):93–98.
21.
Zurück zum Zitat Johnson RB, Onwuegbuzie JA, Turner LA. Toward a definition of mixed methods research. Journal of Mixed Methods Research. 2007;1(2):112–133.CrossRef Johnson RB, Onwuegbuzie JA, Turner LA. Toward a definition of mixed methods research. Journal of Mixed Methods Research. 2007;1(2):112–133.CrossRef
22.
Zurück zum Zitat Tashakkori A, Teddlie C. Issues and dilemmas in teaching research methods courses in social and behavioural sciences: US perspective. International Journal of Social Research Methodology: Theory & Practice. Jan–Mar 2003;6(1):61–77.CrossRef Tashakkori A, Teddlie C. Issues and dilemmas in teaching research methods courses in social and behavioural sciences: US perspective. International Journal of Social Research Methodology: Theory & Practice. Jan–Mar 2003;6(1):61–77.CrossRef
23.
Zurück zum Zitat Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. 2nd ed. Thousand Oaks, CA: Sage; 2011. Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. 2nd ed. Thousand Oaks, CA: Sage; 2011.
24.
Zurück zum Zitat Robins CS, Ware NC, dosReis S, et al. Dialogues on mixed-methods and mental health services research: Anticipating challenges, building solutions. Psychiatric Services. 2008;59(7):727–731.PubMedCrossRef Robins CS, Ware NC, dosReis S, et al. Dialogues on mixed-methods and mental health services research: Anticipating challenges, building solutions. Psychiatric Services. 2008;59(7):727–731.PubMedCrossRef
25.
Zurück zum Zitat Aarons GA, Fettes DL, Sommerfeld DH, et al. Mixed Methods for Implementation Research Application to Evidence-Based Practice Implementation and Staff Turnover in Community-Based Organizations Providing Child Welfare Services. Child Maltreatment. 2012;17(1):67–79.PubMedCrossRef Aarons GA, Fettes DL, Sommerfeld DH, et al. Mixed Methods for Implementation Research Application to Evidence-Based Practice Implementation and Staff Turnover in Community-Based Organizations Providing Child Welfare Services. Child Maltreatment. 2012;17(1):67–79.PubMedCrossRef
26.
Zurück zum Zitat Emrick CD, Aarons GA. Program evaluation and treatment outcome: Contemporary developments. Annual Review of Addictions Research and Treatment. 1991;1:215–231. Emrick CD, Aarons GA. Program evaluation and treatment outcome: Contemporary developments. Annual Review of Addictions Research and Treatment. 1991;1:215–231.
27.
Zurück zum Zitat Trochim WM. An introduction to concept mapping for planning and evaluation. Evaluation and Program Planning. 1989;12:1–16.CrossRef Trochim WM. An introduction to concept mapping for planning and evaluation. Evaluation and Program Planning. 1989;12:1–16.CrossRef
28.
Zurück zum Zitat Naoom SF, Wallace F, Blase KA, et al. Implementation in the Real World-Taking Programs and Practice to Scale: Concept Mapping Report. Tampa, FL: Louis de la Parte Florida Mental Health Institute;2004. Naoom SF, Wallace F, Blase KA, et al. Implementation in the Real World-Taking Programs and Practice to Scale: Concept Mapping Report. Tampa, FL: Louis de la Parte Florida Mental Health Institute;2004.
29.
Zurück zum Zitat Abrahams DA. Technology adoption in higher education: a framework for identifying and prioritising issues and barriers to adoption of instructional technology. Journal of Applied Research in Higher Education. 2010;2(2):34–49.CrossRef Abrahams DA. Technology adoption in higher education: a framework for identifying and prioritising issues and barriers to adoption of instructional technology. Journal of Applied Research in Higher Education. 2010;2(2):34–49.CrossRef
30.
Zurück zum Zitat Graham AL, Kerner JF, Quinlan KM, et al. Translating cancer control research into primary care practice: a conceptual framework. American Journal of Lifestyle Medicine. 2008;2(3):241–249.CrossRef Graham AL, Kerner JF, Quinlan KM, et al. Translating cancer control research into primary care practice: a conceptual framework. American Journal of Lifestyle Medicine. 2008;2(3):241–249.CrossRef
31.
Zurück zum Zitat Arrington B, Kimmey J, Brewster M, et al. Building a local agenda for dissemination of research into practice. Journal of Public Health Management and Practice 2008 14(2): 185PubMed Arrington B, Kimmey J, Brewster M, et al. Building a local agenda for dissemination of research into practice. Journal of Public Health Management and Practice 2008 14(2): 185PubMed
32.
Zurück zum Zitat Shern DL, Trochim WMK, LaComb CA. The use of concept mapping for assessing fidelity of model transfer: An example from psychiatric rehabilitation. Evaluation and program planning. 1995;18(2):143–153.CrossRef Shern DL, Trochim WMK, LaComb CA. The use of concept mapping for assessing fidelity of model transfer: An example from psychiatric rehabilitation. Evaluation and program planning. 1995;18(2):143–153.CrossRef
33.
Zurück zum Zitat The Concept System software® [computer program]. Version 4.147. Ithaca, NY 2007. The Concept System software® [computer program]. Version 4.147. Ithaca, NY 2007.
34.
Zurück zum Zitat Trochim W, Dumont J, Campbell J. A report for the state mental health agency profiling system: Mapping mental health outcomes from the perspective of consumers/survivors. Alexandria, Virginia1993. Trochim W, Dumont J, Campbell J. A report for the state mental health agency profiling system: Mapping mental health outcomes from the perspective of consumers/survivors. Alexandria, Virginia1993.
35.
Zurück zum Zitat Aarons GA, Green AE, Palinkas LA, et al. Dynamic adaptation process to implement an evidence-based child maltreatment intervention. Implementation Science. 2012; 7: 32. Aarons GA, Green AE, Palinkas LA, et al. Dynamic adaptation process to implement an evidence-based child maltreatment intervention. Implementation Science. 2012; 7: 32.
36.
Zurück zum Zitat Aarons, GA, Sommerfeld, DH. Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation. Journal of the American Academy of Child and Adolescent Psychiatry, 2012; 51: 423–431.PubMedCrossRef Aarons, GA, Sommerfeld, DH. Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation. Journal of the American Academy of Child and Adolescent Psychiatry, 2012; 51: 423–431.PubMedCrossRef
37.
Zurück zum Zitat Stetler CB, Legro MW, Rycroft-Malone J, et al. Role of "external facilitation" in implementation of research findings: a qualitative evaluation of facilitation experiences in the Veterans Health Administration. Implementation Science. 2006; 1: 23. Stetler CB, Legro MW, Rycroft-Malone J, et al. Role of "external facilitation" in implementation of research findings: a qualitative evaluation of facilitation experiences in the Veterans Health Administration. Implementation Science. 2006; 1: 23.
Metadaten
Titel
A Concept Mapping Approach to Guide and Understand Dissemination and Implementation
verfasst von
Amy E. Green, PhD
Danielle L. Fettes, PhD
Gregory A. Aarons, PhD
Publikationsdatum
01.10.2012
Verlag
Springer US
Erschienen in
The Journal of Behavioral Health Services & Research / Ausgabe 4/2012
Print ISSN: 1094-3412
Elektronische ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-012-9291-1

Weitere Artikel der Ausgabe 4/2012

The Journal of Behavioral Health Services & Research 4/2012 Zur Ausgabe

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Klinikreform soll zehntausende Menschenleben retten

15.05.2024 Klinik aktuell Nachrichten

Gesundheitsminister Lauterbach hat die vom Bundeskabinett beschlossene Klinikreform verteidigt. Kritik an den Plänen kommt vom Marburger Bund. Und in den Ländern wird über den Gang zum Vermittlungsausschuss spekuliert.

Typ-2-Diabetes und Depression folgen oft aufeinander

14.05.2024 Typ-2-Diabetes Nachrichten

Menschen mit Typ-2-Diabetes sind überdurchschnittlich gefährdet, in den nächsten Jahren auch noch eine Depression zu entwickeln – und umgekehrt. Besonders ausgeprägt ist die Wechselbeziehung laut GKV-Daten bei jüngeren Erwachsenen.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.