Simpson D Dwayne
Institute of Behavioral Research Texas Christian University, Fort Worth, TX 76129, USA.
J Subst Abuse Treat. 2002 Jun;22(4):171-82. doi: 10.1016/s0740-5472(02)00231-3.
Systematic evaluations of efforts to transfer research-based interventions and procedures into general practice at community drug treatment programs have been limited. However, practical experiences as well as results from studies of technology transfer and organizational behavior in related fields provide a basis for proposing a heuristic model of key factors that influence this process. The successful completion of four stages of activity typically involved in program change (exposure, adoption, implementation, and practice of new interventions) appears to be influenced by several organizational considerations (e.g., institutional readiness for change, resources, and climate) as well as staff attributes. Assessment instruments for measuring organizational functioning (based on ratings aggregated for staff and patients in a program) are introduced, along with preliminary evidence for their validity. A better conceptual understanding of the process of program change and common barriers that may be encountered is needed for effectively transferring research to practice.
对社区戒毒治疗项目中基于研究的干预措施和程序向常规医疗实践转化所做努力的系统评估一直很有限。然而,相关领域技术转移和组织行为研究的实践经验及结果为提出一个影响这一过程的关键因素启发式模型提供了基础。项目变革通常涉及的四个活动阶段(新干预措施的接触、采用、实施和实践)的成功完成似乎受到若干组织因素(如机构变革准备情况、资源和氛围)以及工作人员属性的影响。介绍了用于衡量组织功能的评估工具(基于对项目中工作人员和患者的综合评分),以及其有效性的初步证据。为了有效地将研究转化为实践,需要对项目变革过程以及可能遇到的常见障碍有更好的概念理解。