Is more better? Examining whether enhanced consultation/coaching improves implementation

It is extremely challenging to implement evidence-based interventions in community-based agencies with sufficient quality, fidelity, and intensity to produce desired changes in practice and outcomes. This is particularly difficult to do within the confines of existing service providers' time, personnel, and resource constraints. Over the past 15 years, Together Facing the Challenge (TFTC) has been developed, tested, and disseminated in an effort to address this set of issues to improve treatment foster care (TFC). Data from the initial randomized trial showed improved practice and outcomes in TFTC compared to usual TFC. These initial results came from study-led training and follow-up consultation. Subsequent dissemination activities suggested potential need for more intensive support for TFTC supervisors to produce more consistent and sustained implementation of the model. The current randomized trial extends this work by comparing the previously tested standard consultation versus enhanced consultation that incorporated more of a coaching approach. Initial results suggest that enhanced coaching/consultation was associated with improvements in the small- to medium-effect size range. Results are promising, but require additional work to more fully understand how and whether to enhance supports as agencies implement new evidence-based approaches. (PsycINFO Database Record

Alternative medicine · Business · Coaching · Evidence-based practice · Fidelity · Medical education · MEDLINE · Psychological intervention · Psychotherapist · PsycINFO · Randomized controlled trial · Service (business) · Applied Psychology · Computer Science · Health Policy Implementation Science · Medicine · Mental Health and Patient Involvement · Nursing · Primary Care and Health Outcomes · Psychology

• Implementation Support Skills

  Open Access•Bianca Albers, Allison Metz et al.•Research on Social Work Practice•2020

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• Implementation of Evidence-based Practice in Child Welfare

  Open Access•Gregory A Aarons, Lawrence A Palinkas•Administration and Policy in…•2007

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• Mental Health Provider Attitudes Toward Adoption of Evidence-Based Practice

  Open Access•Gregory A Aarons•Mental Health Services Research•2004

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• Training therapists in evidence-based practice

  Open Access•Rinad S Beidas, Philip C Kendall•Clinical Psychology: Science and…•2010

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• Effectiveness, Transportability, and Dissemination of Interventions

  Sonja K Schoenwald, Kimberly Hoagwood•Psychiatric Services•2001

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• Prevention of Behavior Problems for Children in Foster Care

  Open Access•Patricia Chamberlain, Joe Price et al.•Prevention Science•2008

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• Fostering implementation of health services research findings into practice

  Open Access•Laura J Damschroder, David C Aron et al.•Implementation Science•2009

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• Keep foster‐parent training intervention

  Open Access•Joseph M Price, Patricia Chamberlain et al.•Child & Family Social Work•2009

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• Core Implementation Components

  Open Access•Dean L Fixsen, Karen A Blasé et al.•Research on Social Work Practice•2009

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• Examining the equivalence of fidelity over two generations of Keep implementation

  Open Access•Rohanna Buchanan, Patricia Chamberlain et al.•Children and Youth Services Review•2013

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• A meta-systems approach to evidence-based practice for children and adolescents

  Anne E Kazak, Kimberly Hoagwood et al.•American Psychologist•2010

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