Department of Psychiatry, University of California San Diego, San Diego, CA, USA.
Child and Adolescent Services Research Center, San Diego, CA, USA.
Adm Policy Ment Health. 2020 Mar;47(2):176-187. doi: 10.1007/s10488-019-00931-4.
The purpose of this study was to examine common and unique factors influencing implementation process for two evidence-based interventions for children with autism spectrum disorder (ASD) in mental health and education service contexts. This study prospectively collected qualitative data from intervention developers and research staff on the implementation process within the context of two separate ASD intervention effectiveness trials. Results reveal common and unique factors influencing implementation in both study contexts. Implementation leadership and provider attitudes and motivation emerge as key influences on implementation across systems. These findings provide promising targets for modular implementation interventions that can be leveraged within growing, large-scale translation efforts in usual care.
本研究旨在考察影响两种针对自闭症谱系障碍（ASD）儿童的循证干预措施在心理健康和教育服务环境中的实施过程的共同和独特因素。本研究前瞻性地从干预开发者和研究人员那里收集了关于两个单独的 ASD 干预效果试验中实施过程的定性数据。结果揭示了两种研究背景下实施的共同和独特因素。实施领导力以及提供者的态度和动机成为跨系统实施的关键影响因素。这些发现为模块化实施干预措施提供了有希望的目标，这些干预措施可以在常规护理中不断扩大的大规模翻译努力中得到利用。
