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BMC Health Services Research

, 17:230

Organization, structure and delivery of healthcare


BackgroundA number of program-level and counselor-level factors are known to impact the adoption of treatment innovations. While program leadership is considered a primary factor, the importance of leadership among clinical staff to innovation transfer is less known. Objectives included explore 1 the influence of two leadership roles, program director and individual counselor, on recent training activity and 2 the relationship of counselor attributes on training endorsement.

MethodsThe sample included 301 clinical staff in 49 treatment programs. A structural equation model was evaluated for key hypothesized relationships between exogenous and endogenous variables related to the two leadership roles.

ResultsThe importance of organizational leadership, climate, and counselor attributes particularly counseling innovation interest and influence to recent training activity was supported. In a subset of 68 counselors who attended a developer-led training on a new intervention, it was found that training endorsement was higher among those with high innovation interest and influence.

ConclusionsThe findings suggest that each leadership level impacts the organization in different ways, yet both can promote or impede technology transfer.

KeywordsInnovation transfer Leadership Staff attributes Change agents Drug treatment programs AbbreviationsATTCAddiction Technology Transfer Centers

CFIComparative fit index

CIICounseling innovation interest

EBPEvidence-based practices

IRBInstitutional Review Board

NFINormed fit index

NIDANational Institute on Drug Abuse

NIHNational Institutes of Health

OCOrganizational Climate

ORCOrganizational Readiness for Change

RMSEARoot mean square error of approximation

SJJSecure juvenile justice

SOFSurvey of Organizational Functioning

SOFLSurvey of Organizational Functioning and Leadership

SRMSRStandardized root mean square residual

SSOSurvey of Structure and Operations

STLSurvey of Transformational Leadership

TRIPTreatment Readiness and Induction Program

WEVALWorkshop Evaluation Form

Electronic supplementary materialThe online version of this article doi:10.1186-s12913-017-2170-y contains supplementary material, which is available to authorized users.

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Autor: George W. Joe - Jennifer E. Becan - Danica K. Knight - Patrick M. Flynn

Fuente: https://link.springer.com/

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