How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations: a study protocol
Abstract Background Using evidence-based interventions (EBIs) is a basic premise of contemporary social services (e.g., child and family social services). However, EBIs seldom fit seamlessly into a specific setting but often need to be adapted. Although some adaptions might be necessary, they can ca...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | Implementation Science Communications |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43058-020-00005-9 |
| _version_ | 1831521635059892224 |
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| author | Henna Hasson Hedvig Gröndal Åsa Hedberg Rundgren Gunilla Avby Håkan Uvhagen Ulrica von Thiele Schwarz |
| author_facet | Henna Hasson Hedvig Gröndal Åsa Hedberg Rundgren Gunilla Avby Håkan Uvhagen Ulrica von Thiele Schwarz |
| author_sort | Henna Hasson |
| collection | DOAJ |
| description | Abstract Background Using evidence-based interventions (EBIs) is a basic premise of contemporary social services (e.g., child and family social services). However, EBIs seldom fit seamlessly into a specific setting but often need to be adapted. Although some adaptions might be necessary, they can cause interventions to be less effective or even unsafe. The challenge of balancing adherence and adaptations when using EBIs is often referred to as the adherence and adaptation dilemma. Although the current literature identifies professionals’ management of this dilemma as problematic, it offers little practical guidance for professionals. This research aims to investigate how the adherence and adaptation dilemma is handled in social services and to explore how structured decision support can impact the management of the dilemma. Methods The design is a prospective, longitudinal intervention with a focus on the feasibility and usefulness of the structured decision support. The project is a collaboration between academic researchers, embedded researchers at three research and development units, and social service organizations. A multi-method data collection will be employed. Initially, a scoping review will be performed, and the results will be used in the development of a structured decision support. The decision support will be further developed and tested during a series of workshops with social service professionals. Different forms of data—focus group interviews, questionnaires, and documentation—will be used on several occasions to evaluate the impact of the structured decision support. Qualitative and quantitative analysis will be performed and usefulness for practice prioritized throughout the study. Discussion The study will contribute with knowledge on how the adherence and adaption dilemma is handled and experienced by social service professionals. Most importantly, the study will generate rich empirical data on how a structured decision support impacts professionals’ management of adherence and adaptions. The goal is to produce more strategic and context-sensitive implementation of EBIs in social service, which will increase value for service users. |
| first_indexed | 2024-12-13T23:39:55Z |
| format | Article |
| id | doaj.art-6d580f3b07884a7aaab4cd210a75bdeb |
| institution | Directory Open Access Journal |
| issn | 2662-2211 |
| language | English |
| last_indexed | 2024-12-13T23:39:55Z |
| publishDate | 2020-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science Communications |
| spelling | doaj.art-6d580f3b07884a7aaab4cd210a75bdeb2022-12-21T23:27:12ZengBMCImplementation Science Communications2662-22112020-02-01111910.1186/s43058-020-00005-9How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations: a study protocolHenna Hasson0Hedvig Gröndal1Åsa Hedberg Rundgren2Gunilla Avby3Håkan Uvhagen4Ulrica von Thiele Schwarz5Procome Research Group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska InstitutetProcome Research Group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska InstitutetStockholm Gerontology Research Center, Stiftelsen Stockholms läns ÄldrecentrumFoU Nordväst, Research and Development Center for social services in northwestern Stockholm County CouncilProcome Research Group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska InstitutetProcome Research Group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska InstitutetAbstract Background Using evidence-based interventions (EBIs) is a basic premise of contemporary social services (e.g., child and family social services). However, EBIs seldom fit seamlessly into a specific setting but often need to be adapted. Although some adaptions might be necessary, they can cause interventions to be less effective or even unsafe. The challenge of balancing adherence and adaptations when using EBIs is often referred to as the adherence and adaptation dilemma. Although the current literature identifies professionals’ management of this dilemma as problematic, it offers little practical guidance for professionals. This research aims to investigate how the adherence and adaptation dilemma is handled in social services and to explore how structured decision support can impact the management of the dilemma. Methods The design is a prospective, longitudinal intervention with a focus on the feasibility and usefulness of the structured decision support. The project is a collaboration between academic researchers, embedded researchers at three research and development units, and social service organizations. A multi-method data collection will be employed. Initially, a scoping review will be performed, and the results will be used in the development of a structured decision support. The decision support will be further developed and tested during a series of workshops with social service professionals. Different forms of data—focus group interviews, questionnaires, and documentation—will be used on several occasions to evaluate the impact of the structured decision support. Qualitative and quantitative analysis will be performed and usefulness for practice prioritized throughout the study. Discussion The study will contribute with knowledge on how the adherence and adaption dilemma is handled and experienced by social service professionals. Most importantly, the study will generate rich empirical data on how a structured decision support impacts professionals’ management of adherence and adaptions. The goal is to produce more strategic and context-sensitive implementation of EBIs in social service, which will increase value for service users.https://doi.org/10.1186/s43058-020-00005-9Social servicesSocial workAdaptionAdherenceAdaption-adherence dilemmaEvidence-based interventions |
| spellingShingle | Henna Hasson Hedvig Gröndal Åsa Hedberg Rundgren Gunilla Avby Håkan Uvhagen Ulrica von Thiele Schwarz How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations: a study protocol Implementation Science Communications Social services Social work Adaption Adherence Adaption-adherence dilemma Evidence-based interventions |
| title | How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations: a study protocol |
| title_full | How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations: a study protocol |
| title_fullStr | How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations: a study protocol |
| title_full_unstemmed | How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations: a study protocol |
| title_short | How can evidence-based interventions give the best value for users in social services? Balance between adherence and adaptations: a study protocol |
| title_sort | how can evidence based interventions give the best value for users in social services balance between adherence and adaptations a study protocol |
| topic | Social services Social work Adaption Adherence Adaption-adherence dilemma Evidence-based interventions |
| url | https://doi.org/10.1186/s43058-020-00005-9 |
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