Leadership and organizational change for implementation LOCI: a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementationReport as inadecuate




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Implementation Science

, 10:11

First Online: 16 January 2015Received: 27 August 2013Accepted: 10 December 2014DOI: 10.1186-s13012-014-0192-y

Cite this article as: Aarons, G.A., Ehrhart, M.G., Farahnak, L.R. et al. Implementation Sci 2015 10: 11. doi:10.1186-s13012-014-0192-y

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.

KeywordsLeadership Organization Evidence-based practice Organizational development Organizational culture Organizational climate Electronic supplementary materialThe online version of this article doi:10.1186-s13012-014-0192-y contains supplementary material, which is available to authorized users.

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Author: Gregory A Aarons - Mark G Ehrhart - Lauren R Farahnak - Michael S Hurlburt

Source: https://link.springer.com/







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