Horwitz Sarah McCue, Hurlburt Michael S, Goldhaber-Fiebert Jeremy D, Palinkas Lawrence A, Rolls-Reutz Jennifer, Zhang Jinjin, Fisher Emily, Landsverk John
Department of Pediatrics and Stanford Health Policy, 117 Encina Commons, Stanford, CA, USA 94305,
School of Social Work, University of Southern California, Los Angeles, CA, USA, 90089,
Child Youth Serv Rev. 2014 Apr 1;39:147-152. doi: 10.1016/j.childyouth.2013.10.004.
To examine the extent to which child welfare agencies adopt new practices and to determine the barriers to and facilitators of adoption of new practices.
Data came from telephone interviews with the directors of the 92 public child welfare agencies that constituted the probability sample for the first National Survey of Child and Adolescent Well-being (NSCAWI). In a semi-structured 40 minute interview administered by a trained Research Associate, agency directors were asked about agency demographics, knowledge of evidence-based practices, use of technical assistance and actual use of evidence-based practices.. Of the 92 agencies, 83 or 90% agreed to be interviewed.
Agencies reported that the majority of staff had a BA degree (53.45%) and that they either paid for (52.6%) or provided (80.7%) continuing education. Although agencies routinely collect standardized child outcomes (90%) they much less frequently collect measures of child functioning (30.9%). Almost all agencies (94%) had started a new program or practice but only 24.8% were evidence-based and strategies used to explore new programs or practices usually involved local or state contracts. Factors that were associated with program success included internal support for the innovation (27.3%), and an existing evidence base (23.5%).
Directors of child welfare agencies frequently institute new programs or practices but they are not often evidence-based. Because virtually all agencies provide some continuing education adding discussions of evidence-based programs/practices may spur adaption. Reliance on local and state colleagues to explore new programs and practices suggests that developing well informed social networks may be a way to increase the spread of evidence0based practices.
探讨儿童福利机构采用新做法的程度，并确定采用新做法的障碍和促进因素。
数据来自对92家公共儿童福利机构负责人的电话访谈，这些机构是首次全国儿童和青少年福祉调查（NSCAWI）概率样本的组成部分。在由一名训练有素的研究助理进行的40分钟半结构化访谈中，机构负责人被问及机构的人口统计学特征、基于证据的做法的知识、技术援助的使用以及基于证据的做法的实际使用情况。在这92家机构中，83家（即90%）同意接受访谈。
各机构报告称，大多数工作人员拥有学士学位（53.45%），并且他们要么支付（52.6%）继续教育费用，要么提供（80.7%）继续教育。尽管各机构通常会收集标准化的儿童成果（90%），但他们很少收集儿童功能的测量数据（30.9%）。几乎所有机构（94%）都启动了新的项目或做法，但只有24.8%是基于证据的，用于探索新项目或做法的策略通常涉及地方或州合同。与项目成功相关的因素包括对创新的内部支持（27.3%）和现有的证据基础（23.5%）。
儿童福利机构的负责人经常制定新的项目或做法，但它们往往不是基于证据的。由于几乎所有机构都提供一些继续教育，增加基于证据的项目/做法的讨论可能会促进采用。依赖地方和州的同事来探索新项目和做法表明，发展消息灵通的社交网络可能是增加基于证据的做法传播的一种方式。
