Testing the Leadership and Organizational Change for Implementation (LOCI) Intervention in Norwegian Mental Health Clinics: A Stepped-wedge Design Study Protocol
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,600
- 试验地点
- 2
- 主要终点
- Implementation Leadership Scale (ILS)
研究概览
简要总结
The project will develop knowledge on how managers can lead the implementation of practices that have proven to be effective for post-traumatic stress disorders (PTSD) in child and adult specialized mental health services. Specifically, the project will test the effectiveness of an intervention named the Leadership and Organizational Change for Implementation (LOCI). This is an empirically and theoretically based innovation for implementation leadership that aims to support leaders in their organizational work of leading the implementation of EBPs in their clinics.
It is hypothesized that the implementation of LOCI will improve leaders' general leadership qualifications, their implementation leadership qualifications, and the implementation climate in the clinics. Further, the investigators hypothesize that training in trauma screening will increase the amount of trauma screenings, moderated by the LOCI implementation, and also that training in trauma treatment will increase the amount of patients to be offered this kind of treatment, also moderated by the LOCI implementation.
详细描述
Leadership for implementation require leadership that supports effective implementation strategies at the organizational level. The Leadership and Organizational Change for Implementation (LOCI) is a leadership training program focusing on enhancing general leadership and implementation leadership in particular (Aarons, Ehrhart, Moullin, Torres, & Green, 2017). The aim of the project is to evaluate the implementation strategy used to implement evidence-based treatment for PTSD in child and adult specialized mental health services in Norway.
The Leadership and Organizational Change for Implementation (LOCI) consists of several components:
- 360° assessment A 360° assessment where the LOCI leaders, the therapists who report to them, and the executive leader are asked to complete a web-based survey focused primarily on the leadership of the LOCI leader and the implementation climate in his/her unit. Questions to therapists and the executive leaders are worded so that they are reporting on the appropriate LOCI leader. The LOCI leaders are asked questions about their own leadership, climate in their clinic, and on the implementation citizenship of their therapists.
Descriptive results from the 360° assessment are presented in an individual feedback report for each of the LOCI leaders in the LOCI condition. Each of the LOCI leaders will receive their own feedback reports during the initial and follow-up leadership trainings, and they will not be required to share it with anyone besides the research group. Feedback reports for the executives will utilize data aggregated across all clinics within the respective health trusts. Executives will be presented with their feedback reports at initial and follow-up organizational strategy meetings (see below).
Leadership training 2.1 Training 2.1.1 Initial leadership training: The LOCI intervention begins with a two-day workshop for the LOCI leaders. The workshop addresses leadership in general, with a particular focus on the full-range leadership model, transactional leadership, and implementation leadership. The LOCI leaders are challenged to share own experiences and views on leadership, and examples of leadership styles are shared and discussed. Implementation climate is also addressed, with a focus on strategies leaders can use to support implementation of EBPs. Mid-way in the workshop at both day 1 and 2, the feedback reports from the 360° assessment will be shared individually with each of the LOCI leaders. The LOCI facilitator and the LOCI leader review the report together, identifying strengths and areas they would like to further develop. In a collaborative method, the LOCI facilitator and the LOCI leader draft that leader's individual leadership development plan wherein goals and committed actions are detailed to facilitate enhancement in their leadership and the implementation climate of their clinic.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 6 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Voluntary child and adult specialized mental health clinics that agree to the terms and conditions of the project, that is training, recruitment of patients, and data collection.
- •Patients with PTSD symptoms and that agree to participate in the project.
排除标准
- •Clinics or patients that do not agree to the terms and the conditions of the project
结局指标
主要结局
Implementation Leadership Scale (ILS)
时间窗: 4 weeks
ILS assesses the degree to which leaders are knowledgeable, proactive, perseverant, and supportive during evidence-based practice (EBP) implementation.Scored from 0 (not at all) to 4 (to a very great extent).
次要结局
- Workload (QPS)(12 months)
- The Implementation Climate Scale (ICS)(12 months)
- TF-CBT Fidelity(12 months)
- The Implementation Citizenship Behavior Scale (ICBS)(12 months)
- Cognitive Therapy for Post-Traumatic Stress Disorder: A Checklist of Therapist Competency(12 months)
- The Multifactor Leadership Questionnaire (MLQ)(12 months)
- The Treatment integrity checklist for EMDR (T-TIP EMDR)(12 months)
- Number of trauma assessments and patients that receive trauma treatment.(12 months)
- The Implementation Climate (IC)(12 months)
- The Child & Adolescent Trauma Screening Questionnaire (CATS)(12 months)
- Stressful Life Events Screening Questionnaire - revised (SLESQ)(12 months)
- PTSD Checklist (PCL-5)(12 months)
研究者
Karina Ester Myhren Egeland
Primary Investigator
Norwegian Center for Violence and Traumatic Stress Studies