Evidence map›Paper›PMID 29351767›Full record

ArticleImplementation science : IS2018

Leading for the long haul: a mixed-method evaluation of the Sustainment Leadership Scale (SLS).

Mark G Ehrhart, Elisa M Torres, Amy E Green, Elise M Trott, Cathleen E Willging, Joanna C Moullin, Gregory A Aarons

Abstract read
In one paragraph

Article in Implementation science : IS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

7 authors.

Mark G EhrhartDepartment of Psychology, University of Central Florida, Orlando, FL, USA.
Elisa M TorresCenter for Organizational Research on Implementation and Leadership (CORIL), San Diego, CA, USA.
Amy E GreenCenter for Organizational Research on Implementation and Leadership (CORIL), San Diego, CA, USA.
Elise M TrottPacific Institute for Research and Evaluation, Behavioral Health Research Center, Albuquerque, NM, USA.
Cathleen E WillgingPacific Institute for Research and Evaluation, Behavioral Health Research Center, Albuquerque, NM, USA.
Joanna C MoullinCenter for Organizational Research on Implementation and Leadership (CORIL), San Diego, CA, USA.
Gregory A AaronsCenter for Organizational Research on Implementation and Leadership (CORIL), San Diego, CA, USA. gaarons@ucsd.edu.

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
Testing the Leadership and Organizational Change for Implementation (LOCI) Intervention in Substance Abuse Treatment ProgramsR01DA038466 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AARONS, GREGORY · 2015 to 2019
$3.0M
Development and Validation of Implementation Climate MeasuresR21MH098124 · NIMH · SAN DIEGO STATE UNIVERSITY · PI EHRHART, MARK GREGORY · 2013 to 2014
$429k
NIDA NIH HHS R01 DA038466NIDA NIH HHS R01DA038466NIMH NIH HHS R01 MH072961NIMH NIH HHS R01MH072961NIMH NIH HHS R01 MH092950NIMH NIH HHS R01MH092950NIMH NIH HHS R21 MH098124NIMH NIH HHS R21MH098124
6 · The paper itself

Abstract

backgroundDespite our progress in understanding the organizational context for implementation and specifically the role of leadership in implementation, its role in sustainment has received little attention. This paper took a mixed-method approach to examine leadership during the sustainment phase of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Utilizing the Implementation Leadership Scale as a foundation, we sought to develop a short, practical measure of sustainment leadership that can be used for both applied and research purposes.

methodsData for this study were collected as a part of a larger mixed-method study of evidence-based intervention, SafeCare®, sustainment. Quantitative data were collected from 157 providers using web-based surveys. Confirmatory factor analysis was used to examine the factor structure of the Sustainment Leadership Scale (SLS). Qualitative data were collected from 95 providers who participated in one of 15 focus groups. A framework approach guided qualitative data analysis. Mixed-method integration was also utilized to examine convergence of quantitative and qualitative findings.

resultsConfirmatory factor analysis supported the a priori higher order factor structure of the SLS with subscales indicating a single higher order sustainment leadership factor. The SLS demonstrated excellent internal consistency reliability. Qualitative analyses offered support for the dimensions of sustainment leadership captured by the quantitative measure, in addition to uncovering a fifth possible factor, available leadership.

conclusionsThis study found qualitative and quantitative support for the pragmatic SLS measure. The SLS can be used for assessing leadership of first-level leaders to understand how staff perceive leadership during sustainment and to suggest areas where leaders could direct more attention in order to increase the likelihood that EBIs are institutionalized into the normal functioning of the organization.

Indexed as

LeadershipOrganizational InnovationAdultChildEvidence-Based PracticeFemaleFocus GroupsHealth PersonnelHumansPilot ProjectsQualitative ResearchReproducibility of Results

Identifiers

PMID29351767
PMCPMC5775537

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.