Department of Psychology, University of South Carolina, Columbia, South Carolina, USA.
Wandersman Center, Columbia, South Carolina, USA.
J Community Psychol. 2021 Jul;49(5):1228-1248. doi: 10.1002/jcop.22531. Epub 2021 Mar 28.
Effective implementation of evidence-based interventions is a persistent challenge across community settings. Organizational readiness - or, the motivation and collective capacity of an entity to adopt and sustain an innovation - is important to facilitate implementation. Drawing on the R = MC readiness framework, we developed a readiness building process to tailor support for implementation. The process is composed of the following stages: assessment, feedback and prioritization, and strategize. In this article, we describe the application of the readiness building process through three case examples representing interventions at different ecological levels: local, state, and national. The case examples illuminate challenges and practical considerations for using the readiness building process, including the significance of on-going leadership engagement and collaboration between support system and delivery system staff. To further the research and practice of implementation readiness, we suggest examining the impact of readiness building on implementation outcomes and developing an empirically-informed repository of change management strategies matched to readiness constructs.
有效的循证干预措施的实施在社区环境中一直是一个挑战。组织准备度——即实体采用和维持创新的动机和集体能力——对于促进实施很重要。本研究借鉴 R=MC 准备度框架，开发了一个准备度构建过程，以针对实施提供支持。该过程包括以下阶段：评估、反馈和优先级排序，以及制定策略。在本文中，我们通过三个案例示例描述了准备度构建过程的应用，这些示例代表了不同生态水平的干预措施：地方、州和国家。这些案例示例阐明了使用准备度构建过程的挑战和实际考虑因素，包括持续的领导力参与和支持系统与交付系统人员之间的合作的重要性。为了进一步推进实施准备度的研究和实践，我们建议研究准备度构建对实施结果的影响，并开发一个针对准备度结构的、基于实证的变革管理策略知识库。
