Identification of Implementation Strategies Used for the Circle of Security-Virginia Family Model Intervention: Concept Mapping Study

Abstract

BackgroundA reoccurring finding from health and clinical services is the failure to implement theory and research into practice and policy in appropriate and efficient ways, which is why it is essential to develop and identify implementation strategies, as they constitute the how-to component of translating and changing health practices.ObjectiveThe aim of this study was to provide a systematic and comprehensive review of the implementation strategies that have been applied for the Circle of Security-Virginia Family (COS-VF) model by developing an implementation protocol.MethodsFirst, informal interviews and documents were analyzed using concept mapping to identify implementation strategies. All documentation from the Network for Infant Mental Health’s work with COS-VF was made available and included for analysis, and the participants were interviewed to validate the findings and add information not present in the archives. To avoid lack of clarity, an existing taxonomy of implementation strategies, the Expert Recommendations for Implementing Change, was used to conceptualize (ie, name and define) strategies. Second, the identified strategies were specified according to Proctor and colleagues’ recommendations for reporting in terms of seven dimensions: actor, the action, action targets, temporality, dose, implementation outcomes, and theoretical justification. This ensures a full description of the implementation strategies and how these should be used in practice.ResultsTen implementation strategies were identified: (1) develop educational materials, (2) conduct ongoing training, (3) audit and feedback, (4) make training dynamic, (5) distribute educational materials, (6) mandate change, (7) obtain formal commitments, (8) centralize technical assistance, (9) create or change credentialing and licensure standards, and (10) organize clinician implementation team meetings.ConclusionsThis protocol provides a systematic and comprehensive overview of the implementation of the COS-VF in health services. It constitutes a blueprint for the implementation of COS-VF that supports the interpretation of subsequent evaluation studies, facilitates knowledge transfer and reproducibility of research results in practice, and eases the replication and comparison of implementation strategies in COS-VF and other interventions.

Unlocking the Potential of Smart Security and Surveillance Technology in Prisons: A Brief Review

“…The predominant focus of applications within prison environments revolves around security and surveillance [42][43][44], particularly evident in Asian countries like China. Here, sophisticated surveillance systems are implemented to continuously monitor inmates, even within their cells [45][46][47].…”

Identifying Methods to Select and Tailor Implementation Strategies to Context-Specific Determinants in Child Mental Health Settings: A Scoping Review

“…Importantly, little is known about the use of tailored strategies within specific contexts, including child MH settings, despite stakeholders reporting a need for tailored implementation support when implementing child MH-EBIs in specific settings (Stadnick et al, 2022 ). Although studies have aimed to overcome implementation barriers to utilizing child MH practices by leveraging various discrete and multi-faceted implementation strategies (Hanson et al, 2018 ; Nielsen et al, 2018 ), the rationale behind why specific strategies were selected, how strategies address context-specific determinants, and the processes utilized to identify and select implementation strategies is often lacking. Overall, there is need for further research examining the effectiveness of tailored implementation strategies within specific contexts, including child MH-care settings.…”