Evidence map›Paper›PMID 25592163›Full record

Trial reportImplementation science : IS2015

Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation.

Gregory A Aarons, Mark G Ehrhart, Lauren R Farahnak, Michael S Hurlburt

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Implementation science : IS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 209 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
209citing papers in PubMed, 6 pooled it
–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

209 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  6. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, 2014-2017: Outcomes, Treatment Delivery, and Promising Horizons.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
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  20. Examining the Effects of a Brief, Group-Based Motivational Implementation Strategy on Mechanisms of Teacher Behavior Change.Prevention science : the official journal of the Society for Prevention Research · 2021
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149 more citing papers are in PubMed but not listed here.

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

4 authors.

Gregory A AaronsDepartment of Psychiatry, University of California, La Jolla, San Diego, CA, USA. gaarons@ucsd.edu.
Mark G EhrhartDepartment of Psychology, San Diego State University, San Diego, CA, USA. mehrhart@mail.sdsu.edu.
Lauren R FarahnakDepartment of Psychiatry, University of California, La Jolla, San Diego, CA, USA. lfarahnak@ucsd.edu.
Michael S HurlburtChild and Adolescent Services Research Center, San Diego, CA, USA. hurlburt@usc.edu.

Funding

Research Methods CoreP30MH074678 · NIMH · RADY CHILDREN'S HOSPITAL - SAN DIEGO · PI LANDSVERK, JOHN · 2008 to 2012
$7.9M
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
IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Leadership Development for Evidence Based Practice ImplementationR21MH082731 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AARONS, GREGORY · 2009 to 2010
$467k
Development and Validation of Implementation Climate MeasuresR21MH098124 · NIMH · SAN DIEGO STATE UNIVERSITY · PI EHRHART, MARK GREGORY · 2013 to 2014
$429k
NIMH NIH HHS P30 MH074678NIMH NIH HHS P30MH074678NIMH NIH HHS R01 MH072961NIMH NIH HHS R01MH072961NIMH NIH HHS R21 MH082731NIMH NIH HHS R21MH082731NIMH NIH HHS R21 MH098124NIMH NIH HHS R21MH098124NIMH NIH HHS R25 MH080916NIMH NIH HHS R25MH080916
6 · The paper itself

Abstract

backgroundLeadership is important in the implementation of innovation in business, health, and allied health care settings. Yet there is a need for empirically validated organizational interventions for coordinated leadership and organizational development strategies to facilitate effective evidence-based practice (EBP) implementation. This paper describes the initial feasibility, acceptability, and perceived utility of the Leadership and Organizational Change for Implementation (LOCI) intervention. A transdisciplinary team of investigators and community stakeholders worked together to develop and test a leadership and organizational strategy to promote effective leadership for implementing EBPs.

methodsParticipants were 12 mental health service team leaders and their staff (n = 100) from three different agencies that provide mental health services to children and families in California, USA. Supervisors were randomly assigned to the 6-month LOCI intervention or to a two-session leadership webinar control condition provided by a well-known leadership training organization. We utilized mixed methods with quantitative surveys and qualitative data collected via surveys and a focus group with LOCI trainees.

resultsQuantitative and qualitative analyses support the LOCI training and organizational strategy intervention in regard to feasibility, acceptability, and perceived utility, as well as impact on leader and supervisee-rated outcomes.

conclusionsThe LOCI leadership and organizational change for implementation intervention is a feasible and acceptable strategy that has utility to improve staff-rated leadership for EBP implementation. Further studies are needed to conduct rigorous tests of the proximal and distal impacts of LOCI on leader behaviors, implementation leadership, organizational context, and implementation outcomes. The results of this study suggest that LOCI may be a viable strategy to support organizations in preparing for the implementation and sustainment of EBP.

Indexed as

LeadershipOrganizational InnovationAdultCaliforniaEvidence-Based PracticeFemaleHumansMaleMental Health ServicesMiddle AgedPilot Projects

Identifiers

PMID25592163
PMCPMC4310135

What OpenQuestion holds

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LicenceCC BY
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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.