TY - JOUR
T1 - Testing the leadership and organizational change for implementation (LOCI) intervention in Norwegian mental health clinics
T2 - A stepped-wedge cluster randomized design study protocol
AU - Egeland, Karina M.
AU - Skar, Ane Marthe Solheim
AU - Endsjø, Mathilde
AU - Laukvik, Erlend Høen
AU - Bækkelund, Harald
AU - Babaii, Aida
AU - Granly, Lene Beate
AU - Husebø, Gry Kristina
AU - Borge, Randi Hovden
AU - Ehrhart, Mark G.
AU - Sklar, Marisa
AU - Brown, C. Hendricks
AU - Aarons, Gregory A.
N1 - Funding Information:
Thanks are due to the participating clinics who provided data for this study. We are grateful for the support from NKVTS.
Funding Information:
The project is funded by the Norwegian Ministry of Health and Care Services. The funders have no role in planning, designing, and analyzing the results.
Publisher Copyright:
© 2019 The Author(s).
PY - 2019/3/13
Y1 - 2019/3/13
N2 - Background: Alignment across levels of leadership within an organization is needed for successful implementation of evidence-based practice. The leadership and organizational change for implementation (LOCI) intervention is a multi-faceted multilevel implementation strategy focusing on enhancing first-level general and implementation leadership while also engaging with organization upper management to develop an organizational climate for implementation. The aim of the project is to evaluate the effectiveness of LOCI in supporting the implementation of evidence-based treatment for PTSD in child- and adult-specialized mental health clinics in health trusts in Norway. Methods: The study design is a stepped-wedge cluster randomized trial with enrollment of clinics in three cohorts. Executives, clinic leaders, and therapists will be asked to complete surveys assessing leadership and implementation climate. Surveys will be completed at baseline, 4, 8, 12, 16, and 20 months. Results from surveys will be shared with executives and clinic leaders to inform the subsequent creation of tailored leadership and climate development plans for enhanced implementation. Patients will complete surveys measuring traumatic events and post-traumatic stress symptoms during the therapy process. Therapy sessions will be audio or video recorded and scored for fidelity as part of training. Discussion: This study aims to provide knowledge on how to improve leadership and organizational climate to enhance effective implementation of evidence-based treatments in mental health services. Trial registration: The study has been registrated in ClinicalTrials with ID NCT03719651.
AB - Background: Alignment across levels of leadership within an organization is needed for successful implementation of evidence-based practice. The leadership and organizational change for implementation (LOCI) intervention is a multi-faceted multilevel implementation strategy focusing on enhancing first-level general and implementation leadership while also engaging with organization upper management to develop an organizational climate for implementation. The aim of the project is to evaluate the effectiveness of LOCI in supporting the implementation of evidence-based treatment for PTSD in child- and adult-specialized mental health clinics in health trusts in Norway. Methods: The study design is a stepped-wedge cluster randomized trial with enrollment of clinics in three cohorts. Executives, clinic leaders, and therapists will be asked to complete surveys assessing leadership and implementation climate. Surveys will be completed at baseline, 4, 8, 12, 16, and 20 months. Results from surveys will be shared with executives and clinic leaders to inform the subsequent creation of tailored leadership and climate development plans for enhanced implementation. Patients will complete surveys measuring traumatic events and post-traumatic stress symptoms during the therapy process. Therapy sessions will be audio or video recorded and scored for fidelity as part of training. Discussion: This study aims to provide knowledge on how to improve leadership and organizational climate to enhance effective implementation of evidence-based treatments in mental health services. Trial registration: The study has been registrated in ClinicalTrials with ID NCT03719651.
KW - Implementation
KW - Implementation climate
KW - Implementation leadership
KW - Leadership and organizational change for implementation (LOCI)
KW - Outpatient clinics
KW - Post-traumatic stress disorder
KW - Trauma treatment
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UR - http://www.scopus.com/inward/citedby.url?scp=85062829413&partnerID=8YFLogxK
U2 - 10.1186/s13012-019-0873-7
DO - 10.1186/s13012-019-0873-7
M3 - Article
C2 - 30866973
AN - SCOPUS:85062829413
VL - 14
JO - Implementation Science
JF - Implementation Science
SN - 1748-5908
IS - 1
M1 - 28
ER -
