A conceptual model for the pathways of effect for intermediary organizations: A case study from maternal and child health

Weaver, Nancy L.; Thompson, Jill; Shoff, Catherine R.; Copanas, Kendra; McMillin, Stephen Edward

doi:10.1016/j.evalprogplan.2017.03.006

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…While research on these intermediaries remains scarce (Proctor et al, 2019), descriptive studies of their work to support the implementation of RSIs in human and social services exist. These confirm the positioning of intermediaries at the nexus of research, practice, and policy and identify the capacity building as one of their key functions (Cheron et al, 2019; Isett & Hicks, 2019; Smits et al, 2020; Weaver et al, 2017). Human and social service agencies can use intermediary staff as a temporary external resource available during implementation efforts and working to build internal implementation support capacity that, in the longer term, will make the agency independent of the support provided by the intermediary.…”

Section: Discussionsupporting

confidence: 66%

Implementation Support Skills: Findings From a Systematic Integrative Review

Albers

Metz

Burke

et al. 2020

Research on Social Work Practice

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Purpose: Skills in selecting and designing strategies for implementing research-supported interventions (RSIs) within specific local contexts are important for progressing a wider RSI adoption and application in human and social services. This also applies to a particular role in implementation, the implementation support practitioner (ISP). This study examines which strategies have been reported as being used by ISPs across multiple bodies of research on implementation support and how these strategies were applied in concrete practice settings. Methods: A systematic integrative review was conducted. Data analysis utilized the Expert Recommendations for Implementing Change compilation of implementation strategies. Results: Studies reported on 18 implementation strategies commonly used by different ISPs, who require mastery in selecting, operationalizing, and detailing these. Two further strategies not included in the ERIC compilation could be identified. Discussion: Given the use of primarily more feasible implementation support strategies among ISPs, their potential as agents of change may be underutilized.

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Section: Discussionsupporting

confidence: 66%

Implementation Support Skills: Findings From a Systematic Integrative Review

Albers

Metz

Burke

et al. 2020

Research on Social Work Practice

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“…The role of backbone organization was essential in the implementation process in the pilot area of Oulu, which is consistent with previous recommendations in studies highlighting the need of backbone in collaborative organizations ( 20 ). Overall, backbone organizations are related to project funding ( 52 ), non-governmental and intermediary organizations to collaboration with various actors ( 53 ), and local administration to relevant stakeholders ( 54 ). In the pilot area, the MMG was the backbone of the whole organization because its members knew the whole implementation process, were able to facilitate the required actions, and monitor that all CI conditions were fulfilled.…”

Section: Discussionmentioning

confidence: 99%

Rationale and Description of Implementation of Regional Collaborative Service Model for Enhancing Psychosocial Wellbeing of Children and Families—Oulu Collective Impact Study

et al. 2022

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BackgroundThe psychosocial wellbeing of children and adolescents is an ongoing global concern. Despite positive outcomes of child- and family-focused programs, the fragmentation of services presents challenges. To enhance harmonization and diminish fragmentation of service policies, we implement a preventive collaborative service model for children and families. The rationale for our study is based on analyses of national and local data before implementing the service model in the pilot area.MethodsThe need for a preventive service model for children and families was demonstrated using national and local data sources. First, a national school health survey was utilized to screen adolescents' perceptions of their depressive symptoms and support. Second, time trends in child and adolescent psychiatric and child protection service use were investigated. For these aims, epidemiological data of the study area (city of Oulu) were compared with data from the whole country (Finland). Third, local usage data of the preventive stand-alone Let's Talk About Children (LT) intervention before the service model implementation were evaluated. After these analyses, Let's Talk About Children Service Model (LT-SM) implementation in the pilot area is described in detail.ResultsThe background data showed that 17% of the adolescents in the study area had reported depressive symptoms, and almost half of them had not received professional help. Child and adolescent psychiatric outpatient visits had increased during the last decade, but the number of visits remains lower in the study area compared with the country as a whole. The number of adolescent psychiatric inpatient days had increased contrary to a decreasing national trend. The number of urgent child welfare placements was also higher compared with the whole country. The local LT intervention data revealed very low utilization rates. These results indicated a necessity to enhance preventive and collaborative support for children and their families. This article describes the implementation of the LT-SM.DiscussionWe demonstrated excessive use of curative services in social and health care and insufficient usage of the stand-alone preventive intervention. The LT-SM is now piloted in one regional service area of the city of Oulu. Its effectiveness will be evaluated when enough data have been accumulated for statistical analyses.

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“…During these implementation processes, the need for a research instrument to measure the realization of CI-based cross-sectoral collaboration and its leadership was emphasized. However, after reviewing previous literature to fnd an appropriate CI-based assessment tool, some CI-related surveys utilizing questionnaire-based data were found, e.g., [23][24][25][26][27], but those instruments did not appear to be comprehensive enough for the current CI research context. For example, a survey instrument of Salignac and workgroup [24] addressed only health-related collaboration but did not include other service sectors or CIrelated leadership.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Psychometric Properties of a New Research Instrument for Measuring Collective Impact Based Cross-Sectoral Collaboration and Leadership: Oulu Collective Impact Study

Takalo,

Laine,

Hakko

et al. 2023

Health & Social Care in the Community

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Cross-sectoral collaboration is a widely used strategy in social and healthcare services. The main purpose of this way of working is to bring together organizations and their expertise to solve defined problems. A collective impact (CI)-based model is one of the promising approaches to create prerequisites for functional collaboration between different sectors. The CI-based cross-sectoral collaboration model has been implemented in the City of Oulu since the year 2019. During the implementation processes as well as underlined in the literature, the role of effective leadership has been highlighted as an essential prerequisite for the successful realization of CI-related work. Furthermore, the need for a research instrument to measure the realization of cross-sectoral collaboration including different CI-based domains and the effectiveness of leadership has been emphasized. The aim of this study was to evaluate the psychometric properties of a new research instrument developed for this purpose, named the Oulu cross-sectoral Collaboration and Leadership (OCL) scale. The OCL scale is based on the CI approach, with leadership as an additional domain. The psychometric properties of the OCL scale were evaluated for validity and reliability. Two-factor analyses with varimax rotation were performed to verify that the items included in each domain formed a homogeneous entity. The number of respondents in the online survey was 254, covering 37% of the target group of professionals. The Cronbach’s alpha of the seven domains ranged from 0.875 to 0.929, reflecting good to excellent internal consistency. The results of the factor analyses showed that the items in all the domains of this research instrument work together as a group in an appropriate manner, measuring the same object. Suggestions for further development of the instrument are also presented. The OCL scale proved to be a promising tool for research purposes and for assessing collaborative development work of public services. This also gives an opportunity to measure changes in cross-sectoral collaboration during the CI-based implementation process.

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A conceptual model for the pathways of effect for intermediary organizations: A case study from maternal and child health

Cited by 7 publications

References 5 publications

Implementation Support Skills: Findings From a Systematic Integrative Review

Implementation Support Skills: Findings From a Systematic Integrative Review

Rationale and Description of Implementation of Regional Collaborative Service Model for Enhancing Psychosocial Wellbeing of Children and Families—Oulu Collective Impact Study

Evaluation of Psychometric Properties of a New Research Instrument for Measuring Collective Impact Based Cross-Sectoral Collaboration and Leadership: Oulu Collective Impact Study

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