Strengthening stakeholder buy-in and engagement for successful exploration and installation: A case study of the development of an area-wide, evidence-based prevention and early intervention strategy

Hickey, Gráinne; McGilloway, Sinéad; O'Brien, Morgan; Leckey, Yvonne; Devlin, Maurice; Donnelly, Michael

doi:10.1016/j.childyouth.2018.06.008

Cited by 24 publications

(22 citation statements)

References 46 publications

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“…The literature recognises that this approach can enhance buy-in of the stakeholders involved and promotes the decision to adopt an innovation. [ 62 ]…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the outcome data supporting the Healthy Living Pharmacy concept and lessons from its implementation

Nazar¹,

Nazar²,

White³

et al. 2019

PLoS ONE

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BackgroundThe Healthy Living Pharmacy (HLP) project, launched in England, UK in 2009 was a novel approach of introducing public health services within community pharmacy to tackle local health inequalities. A national roll-out followed a reported successful pilot; subsequent local evaluations ensued.ObjectivesTo summarise reported outcomes and investigate contextual factors that indicate the presence, absence and maturity of implementation determinants, thus offering useful lessons to stakeholders in implementing future initiatives to achieve successful outcomes.MethodsA systematic review was conducted to identify all publications reporting on the HLP project. All HLP articles and conference abstracts were considered for inclusion and were assessed for methodological quality. The Consolidated Framework for Implementation Research (CFIR) was utilised to identify potential implementation determinants reported. Each article was then analysed to identify reported economic, humanistic or clinical outcomes.ResultsThe review included six peer-reviewed journal articles and 12 conference abstracts. Joanna Briggs Institute Qualitative Assessment and Review Instrument indicated deficiencies in methodological quality. Through adoption of the CFIR framework, the implementation determinants relevant to the implementation of HLP into community pharmacy were identified. A resonating issue emerged in that the absence of adopting an evidence-based implementation process limited the ability to capture meaningful outcome data. This resulted in a lack of evidence to support sustainability and the failure to address many of the well cited barriers, e.g. lack of awareness amongst patients, public and other healthcare professionals, and weak support for future investment in resource for training and dissemination.ConclusionsHealthcare systems are increasingly called on to adopt evidence‐based interventions that improve quality, control costs, and maximize value, thus offering opportunity to accelerate the implementation of clinical pharmacy services and programs aimed at improving patient care. Interventions, such as the HLP project require focused efforts on implementation and evaluation of those implementation efforts to produce effective and lasting changes in complex health care systems.

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“…The literature recognises that this approach can enhance buy-in of the stakeholders involved and promotes the decision to adopt an innovation. [ 62 ]…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the outcome data supporting the Healthy Living Pharmacy concept and lessons from its implementation

Nazar¹,

Nazar²,

White³

et al. 2019

PLoS ONE

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“…Among the more prominent frameworks are the Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al, 2010); Getting to Outcomes (Wandersman et al, 2000); the Reach, Efficacy, Adoption, Implementation, and Maintenance framework (Glasgow et al, 1999); and the Active Implementation Frameworks (AIFs; Metz & Bartley, 2012). The way in which these have been utilized ranges from supporting the implementation of RSIs (Barbee et al, 2011; Metz et al, 2015; Pipkin et al, 2013), to structuring the investigation of such interventions (Gannon et al, 2019; Hickey et al, 2018; Moullin et al, 2019), or informing the development of theoretical concepts and models (Isaacs et al, 2017; Mason et al, 2014). While implementation frameworks differ in purpose, content, and form (Albers et al, 2017; Nilsen, 2015), they also have a number of aspects in common, among them the shared assumption that implementation occurs in stages—with two to four stages included in multiple frameworks (Albers et al, 2017).…”

Section: Early Implementationmentioning

confidence: 99%

The Early Implementation of FFT-CW®, MST-Psychiatric®, and SafeCare® in Australia

Albers

Hateley-Browne²,

Steele³

et al. 2020

Research on Social Work Practice

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Purpose: In 2017–2018, the state of Victoria, Australia, initiated the implementation of five family and parenting programs within family services. Three—SafeCare®, Functional Family Therapy-Child Welfare®, and Multisystemic Therapy-Psychiatric®—originated in the United States and were supported through overseas intermediary or purveyor organizations (IPOs). This study examines the challenges and barriers faced by service agencies and their staff during the initial implementation of these three research-supported interventions (RSIs). Method: Qualitative data collected among a purposive sample of implementers selected across provider agencies and IPOs were analyzed. Results: IPOs’ implementation specialists used a similarly composed sample of N = 31.2 implementation strategies. The early implementation stage was fragile and characterized by three distinct phases. Primary implementation challenges existed in the inner setting, intervention, and individual characteristics. Discussion: To balance the fragility of early implementation and sustain RSI implementation, it is important to immediately supplement overseas IPO support with strong local implementation capacities.

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“…The introduction of innovations of practice and service delivery involves a complex process and resistance to such change is not uncommon [35,51]. Thus, a relationship building process was initiated at the local level to overcome any potential resistance to change and programme implementation, aimed at garnering support for innovation.…”

Section: Relationship Buildingmentioning

confidence: 99%

“…'Appropriateness' refers to the perceived compatibility between an innovation and the implementation setting [53]. The perceived fit between implementation settings and EBPs is particularly pertinent to the early stages of the implementation process and may influence considerably the extent to which effective programmes are adopted [35,54]. Thus, programme adaptation, as well as accommodations within the environment in which programmes are to be implemented, are both necessary to enable intervention delivery and to ensure that interventions are delivered in an effective and efficient manner.…”

Section: Creating a Hospitable Environment For Innovation And Implementationmentioning

confidence: 99%

“…Nevertheless, there remain only limited case examples which explore "real world" collaborative implementation efforts and the experiences of stakeholders therein. This kind of community-based research is needed to facilitate the identification and selection of implementation strategies and drivers which support effective collaborative implementation in parent intervention [34][35][36].…”

Section: Introductionmentioning

confidence: 99%

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A Universal Early Parenting Education Intervention in Community-Based Primary Care Settings: Development and Installation Challenges

et al. 2018

Self Cite

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Prevention and early intervention programmes, which aim to educate and support parents and young children in the earliest stages of the family lifecycle, have become an increasingly popular policy strategy for tackling intergenerational disadvantage and developmental inequality. Evidence-based, joined-up services are recommended as best practice for achieving optimal outcomes for parents and their children; however, there are persistent challenges to the development, adoption and installation of these kinds of initiatives in community-based primary health care settings. In this paper, we present a description of the design and installation of a multi-stakeholder early parenting education and intervention service model called the Parent and Infant (PIN) programme. This new programme is delivered collaboratively on a universal, area-wide basis through routine primary care services and combines standardised parent-training with other group-based supports designed to educate parents, strengthen parenting skills and wellbeing and enhance developmental outcomes in children aged 0–2 years. The programme design was informed by local needs analysis and piloting to establish an in-depth understanding of the local context. The findings demonstrate that a hospitable environment is central to establishing interagency parenting education and supports. Partnership, relationship-building and strategic leadership are vital to building commitment and buy-in for this kind of innovation and programme implementation. A graduated approach to implementation which provides training/education and coaching as well as organisational and administrative supports for practice change, are also important in creating an environment conducive to collaboration. Further research into the impact, implementation and cost-effectiveness of the PIN programme will help to build an understanding of what works for parents and infants, as well as identifying lessons for the development and implementation of other similar complex prevention and intervention programmes elsewhere. This kind of research coupled with the establishment of effective partnerships involving service providers, parents, researchers and policy makers, is necessary to meeting the challenge of improving family education and enhancing the capacity of family services to help promote positive outcomes for children.

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Strengthening stakeholder buy-in and engagement for successful exploration and installation: A case study of the development of an area-wide, evidence-based prevention and early intervention strategy

Abstract: Strengthening stakeholder buy-in and engagement for successful exploration and installation: a case study of the development of an area-wide, evidence-based prevention and early intervention strategy. Children and Youth Services Review, 91, 185-195.

Cited by 24 publications

References 46 publications

A systematic review of the outcome data supporting the Healthy Living Pharmacy concept and lessons from its implementation

A systematic review of the outcome data supporting the Healthy Living Pharmacy concept and lessons from its implementation

The Early Implementation of FFT-CW®, MST-Psychiatric®, and SafeCare® in Australia

A Universal Early Parenting Education Intervention in Community-Based Primary Care Settings: Development and Installation Challenges

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