Evidence map›Paper›PMID 28947872›Full record

ArticleResearch on social work practice2017

Research-Supported Intervention and Discretion Among Frontline Workers Implementing Home Visitation Services.

Cathleen E Willging, Elise M Trott, Danielle Fettes, Lara Gunderson, Amy E Green, Roseann Myers, Michael S Hurlburt, Gregory A Aarons

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Article in Research on social work practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

8 authors.

Cathleen E WillgingPacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM, USA.
Elise M TrottPacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM, USA.
Danielle FettesChild and Adolescent Services Research Center, University of California, San Diego, CA, USA.
Lara GundersonPacific Institute for Research and Evaluation, Behavioral Health Research Center of the Southwest, Albuquerque, NM, USA.
Amy E GreenChild and Adolescent Services Research Center, University of California, San Diego, CA, USA.
Roseann MyersCounty of San Diego Health and Human Services Agency, Child Welfare Services, San Diego, CA, USA.
Michael S HurlburtSchool of Social Work, University of Southern California, San Diego, CA, USA.
Gregory A AaronsChild and Adolescent Services Research Center, 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 R01 MH092950
6 · The paper itself

Abstract

objectiveWe examine how frontline workers and supervisors delivering a research supported intervention (RSI) to reduce child neglect negotiated system-related challenges, the pragmatics of RSI implementation, and their professional identities and relationships with clients.

methodsWe conducted semi-structured interviews, small group discussions, and focus groups with frontline workers and supervisors in one large county over two time periods. We used iterative coding to analyze qualitative data.

resultsFrontline workers navigated several aspects of RSI implementation and sustainment: (1) contract requirements and information dissemination, (2) fidelity, (3) competing demands and crises, (4) structure versus creativity, and (5) relationships with clients.

conclusionsWorkers dynamically negotiated multiple system- and provider-level (or outer- and inner-contextual) demands influencing RSI provision for clients with complex service needs. Results affirm the need to attend to the unintended consequences of implementing new contract, reimbursement, and other system organizational processes and to address the "committed work" supporting RSI delivery.

Identifiers

PMID28947872
PMCPMC5609484

What OpenQuestion holds

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Registered trials

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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.