Quetsch Lauren B, Herschell Amy D, Kogan Jane N, Gavin James G, Hale Gaven, Stein Bradley D
1University of Arkansas, Fayetteville, AR USA.
2Community Care Behavioral Health Organization, UPMC Insurance Services Division, Pittsburgh, USA.
Borderline Personal Disord Emot Dysregul. 2020 Feb 28;7:5. doi: 10.1186/s40479-020-0120-5. eCollection 2020.
Substantial resources have been invested in evidence-based practice (EBP) implementation in community settings; however, research suggests that EBPs do not always sustain over time.
This qualitative study explored the perspectives of 13 community behavioral health agency leaders regarding the sustainability of an EBP 25 to 28 months following the original training period. Administrators from 10 agencies were interviewed to understand the complexities of the implementation process, sustainability of Dialectical Behavior Therapy, and their recommendations to enhance implementation and sustainability.
A content analysis revealed five emergent themes: treatment model opinions, resource concerns, staff selection/ turnover, population characteristics, and recommendations for future implementation.
These themes likely would be helpful in informing the design of future implementation and sustainability initiatives sensitive to the challenges of integrating EBPs in community settings.
已投入大量资源在社区环境中实施循证实践（EBP）；然而，研究表明循证实践并非总能长期持续。
这项定性研究探讨了13位社区行为健康机构领导者对一项循证实践在初始培训期25至28个月后的可持续性的看法。对10个机构的管理人员进行了访谈，以了解实施过程的复杂性、辩证行为疗法的可持续性，以及他们对加强实施和可持续性的建议。
内容分析揭示了五个新出现的主题：治疗模式意见、资源问题、人员选拔/更替、人群特征以及对未来实施的建议。
这些主题可能有助于为未来实施和可持续性举措的设计提供参考依据，这些举措要对在社区环境中整合循证实践所面临的挑战保持敏感。
