Evidence map›Paper›PMID 25125232›Full record

ArticleChild maltreatment2015

From a "perfect storm" to "smooth sailing": policymaker perspectives on implementation and sustainment of an evidence-based practice in two states.

Cathleen E Willging, Amy E Green, Lara Gunderson, Mark Chaffin, Gregory A Aarons

Abstract read
In one paragraph

Article in Child maltreatment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cathleen E WillgingPacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM, USA Department of Anthropology, University of New Mexico, Albuquerque, NM, USA cwillging@pire.org.
Amy E GreenDepartment of Psychiatry, University of California, San Diego, CA, USA.
Lara GundersonPacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM, USA Department of Anthropology, University of New Mexico, Albuquerque, NM, USA.
Mark ChaffinDepartment of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Gregory A AaronsDepartment of Psychiatry, University of California, San Diego, CA, USA.

Funding

Mixed-Methods Study of EBP Sustainment in a Statewide Service SystemR01MH072961 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AARONS, GREGORY · 2005 to 2016
$5.8M
Interagency Collaborative Teams to Scale-up Evidence Based PracticeR01MH092950 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AARONS, GREGORY, HURLBURT, MICHAEL SCOTT · 2011 to 2015
$3.2M
NIMH NIH HHS R01 MH072961NIMH NIH HHS R01MH072961NIMH NIH HHS R01 MH092950
6 · The paper itself

Abstract

Policymakers shape implementation and sustainment of evidence-based practices (EBPs), whether they are developing or responding to legislation and policies or negotiating public sector resource constraints. As part of a large mixed-method study, we conducted qualitative interviews with 24 policymakers involved in delivery of the same EBP in two U.S. states. We analyzed transcripts via open and focused coding techniques to identify the commonality, diversity, and complexity of implementation challenges; approaches to overcoming those challenges; and the importance of system-level contextual factors in ensuring successful implementation. Key findings centered on building support and leadership for EBPs; funding and contractual strategies; partnering with stakeholders; tackling challenges via proactive planning and problem solving; and the political, legal, and systemic pressures affecting EBP longevity. The policymaker perspectives offer guidance on nurturing system and organizational practice environments to achieve positive outcomes and for optimally addressing macro-level influences that bear upon the instantiation of EBPs in public sector child welfare systems.

Indexed as

Health Plan ImplementationPolicy MakingAdvisory CommitteesChildChild AbuseChild WelfareCooperative BehaviorEvidence-Based PracticeHealth PlanningHumansInterinstitutional RelationsUnited Stateschild maltreatmentchild welfare services/child protectiondissemination/implementationevidence-based practicehome visitingqualitative research

Identifiers

PMID25125232
PMCPMC4381926

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.