Livet Melanie, Courser Matthew, Wandersman Abraham
University of South Carolina, Columbia, SC, USA,
Am J Community Psychol. 2008 Jun;41(3-4):361-78. doi: 10.1007/s10464-008-9164-1.
The purpose of this exploratory study is to investigate organizational-level mechanisms in the Prevention Delivery System (PDS) and their influence on implementing comprehensive programming frameworks (e.g., Communities that Care-CtC) as the innovation. The PDS is part of the Interactive Systems Framework for Dissemination and Implementation (ISF) and describes key characteristics of innovation implementation and dissemination. The study addresses two research questions: (1) What types of organizational characteristics are related to successful use of each of the programming processes (i.e., planning, implementation, evaluation, and sustainability) that are part of comprehensive programming frameworks?; and (2) What are the similarities and differences in the organizational patterns correlated with use of each of the programming processes? Surveys, interview data, and other documents designed to assess organizational characteristics and extent of use of a comprehensive programming framework over time, were collected from 8 Community boards and 23 provider agencies. These organizations were responsible for planning and delivering substance abuse prevention services as part of a statewide initiative in Ohio. Data were analyzed using Spearman rho (and rank-biserial) correlations, with an emphasis on effect sizes. Results indicated that leadership, shared vision, process advocates, and technical assistance were common correlates of use across programming processes. However, the role played by these organizational variables differed for each programming process, pointing to complex interactions of the organizational infrastructure with other variables (i.e., characteristics of the innovation itself and external macro-level factors). This exploratory study provides preliminary data on the organizational-level mechanisms of the PDS and the complexity of their relationships with the other Systems in the Interactive Systems Framework.
这项探索性研究的目的是调查预防服务提供系统（PDS）中的组织层面机制，以及它们对实施作为创新举措的综合规划框架（如关爱社区 - CtC）的影响。PDS是传播与实施互动系统框架（ISF）的一部分，描述了创新实施与传播的关键特征。该研究提出了两个研究问题：（1）与综合规划框架中每个规划流程（即规划、实施、评估和可持续性）的成功运用相关的组织特征类型有哪些？（2）与每个规划流程的运用相关的组织模式有哪些异同？从8个社区委员会和23个服务提供机构收集了旨在评估组织特征以及随着时间推移综合规划框架使用程度的调查问卷、访谈数据和其他文件。这些组织负责规划和提供药物滥用预防服务，作为俄亥俄州一项全州倡议的一部分。使用斯皮尔曼等级相关系数（和等级二列相关系数）对数据进行分析，重点关注效应大小。结果表明，领导力、共同愿景、流程倡导者和技术援助是各规划流程使用情况的常见相关因素。然而，这些组织变量在每个规划流程中所起的作用各不相同，这表明组织基础设施与其他变量（即创新本身的特征和外部宏观层面因素）之间存在复杂的相互作用。这项探索性研究提供了关于PDS组织层面机制及其与互动系统框架中其他系统关系复杂性的初步数据。
