Norwegian Centre for Violence and Traumatic Stress Studies (NKVTS), Gullhaugveien 1, 0484, Oslo, Norway.
Department of Psychology, San Diego State University, 5500 Campanile Drive, San Diego, CA, 92182-4611, USA.
Implement Sci. 2019 Mar 13;14(1):28. doi: 10.1186/s13012-019-0873-7.
Alignment across levels of leadership within an organization is needed for successful implementation of evidence-based practice. The leadership and organizational change for implementation (LOCI) intervention is a multi-faceted multilevel implementation strategy focusing on enhancing first-level general and implementation leadership while also engaging with organization upper management to develop an organizational climate for implementation. The aim of the project is to evaluate the effectiveness of LOCI in supporting the implementation of evidence-based treatment for PTSD in child- and adult-specialized mental health clinics in health trusts in Norway.
The study design is a stepped-wedge cluster randomized trial with enrollment of clinics in three cohorts. Executives, clinic leaders, and therapists will be asked to complete surveys assessing leadership and implementation climate. Surveys will be completed at baseline, 4, 8, 12, 16, and 20 months. Results from surveys will be shared with executives and clinic leaders to inform the subsequent creation of tailored leadership and climate development plans for enhanced implementation. Patients will complete surveys measuring traumatic events and post-traumatic stress symptoms during the therapy process. Therapy sessions will be audio or video recorded and scored for fidelity as part of training.
This study aims to provide knowledge on how to improve leadership and organizational climate to enhance effective implementation of evidence-based treatments in mental health services.
The study has been registrated in ClinicalTrials with ID NCT03719651 .
为了成功实施基于证据的实践，组织内部各级领导层的一致性是必要的。领导力和实施变革（LOCI）干预是一种多方面的多层次实施策略，侧重于增强第一级的一般领导和实施领导力，同时与组织高层管理人员合作，为实施营造组织氛围。该项目的目的是评估 LOCI 在支持挪威卫生信托机构中儿童和成人精神卫生诊所实施基于证据的创伤后应激障碍治疗方面的有效性。
研究设计为三步式楔形集群随机试验，分三批招募诊所。将要求管理人员、诊所领导和治疗师完成评估领导力和实施氛围的调查。调查将在基线、4、8、12、16 和 20 个月时完成。调查结果将与管理人员和诊所领导分享，以告知随后制定有针对性的领导力和气候发展计划，以加强实施。患者将在治疗过程中完成测量创伤事件和创伤后应激症状的调查。作为培训的一部分，治疗会议将进行音频或视频记录和评分，以确保一致性。
本研究旨在提供有关如何改善领导力和组织氛围以加强精神卫生服务中基于证据的治疗实施有效性的知识。
该研究已在 ClinicalTrials 上注册，ID 为 NCT03719651。
