Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes
Abstract Background Implementation scientists and practitioners, alike, recognize the importance of sustaining practice change, however post-implementation studies of interventions are rare. This is a protocol for the Sustainment, Sustainability and Spread Study (SSaSSy). The purpose of this study i...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Implementation Science |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13012-019-0959-2 |
| _version_ | 1818844676053008384 |
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| author | Whitney B. Berta Adrian Wagg Lisa Cranley Malcolm B. Doupe Liane Ginsburg Matthias Hoben Lauren MacEachern Stephanie Chamberlain Fiona Clement Adam Easterbrook Janice M. Keefe Jennifer Knopp-Sihota Tim Rappon Colin Reid Yuting Song Carole A. Estabrooks |
| author_facet | Whitney B. Berta Adrian Wagg Lisa Cranley Malcolm B. Doupe Liane Ginsburg Matthias Hoben Lauren MacEachern Stephanie Chamberlain Fiona Clement Adam Easterbrook Janice M. Keefe Jennifer Knopp-Sihota Tim Rappon Colin Reid Yuting Song Carole A. Estabrooks |
| author_sort | Whitney B. Berta |
| collection | DOAJ |
| description | Abstract Background Implementation scientists and practitioners, alike, recognize the importance of sustaining practice change, however post-implementation studies of interventions are rare. This is a protocol for the Sustainment, Sustainability and Spread Study (SSaSSy). The purpose of this study is to contribute to knowledge on the sustainment (sustained use), sustainability (sustained benefits), and spread of evidence-based practice innovations in health care. Specifically, this is a post-implementation study of an evidence-informed, Care Aide-led, facilitation-based quality-improvement intervention called SCOPE (Safer Care for Older Persons (in long-term care) Environments). SCOPE has been implemented in nursing homes in the Canadian Provinces of Manitoba (MB), Alberta (AB) and British Columbia (BC). Our study has three aims: (i) to determine the role that adaptation/contextualization plays in sustainment, sustainability and spread of the SCOPE intervention; (ii) to study the relative effects on sustainment, sustainability and intra-organizational spread of high-intensity and low-intensity post-implementation “boosters”, and a “no booster” condition, and (iii) to compare the relative costs and impacts of each booster condition. Methods/design SSaSSy is a two-phase mixed methods study. The overarching design is convergent, with qualitative and quantitative data collected over a similar timeframe in each of the two phases, analyzed independently, then merged for analysis and interpretation. Phase 1 is a pilot involving up to 7 units in 7 MB nursing homes in which SCOPE was piloted in 2016 to 2017, in preparation for phase 2. Phase 2 will comprise a quasi-experiment with two treatment groups of low- and high-intensity post-implementation “boosters”, and an untreated control group (no booster), using pretests and post-tests of the dependent variables relating to sustained care and management practices, and resident outcomes. Phase 2 will involve 31 trial sites in BC (17 units) and AB (14 units) nursing homes, where the SCOPE trial concluded in May 2019. Discussion This project stands to advance understanding of the factors that influence the sustainment of practice changes introduced through evidence-informed practice change interventions, and their associated sustainability. Findings will inform our understanding of the nature of the relationship of fidelity and adaptation to sustainment and sustainability, and afford insights into factors that influence the intra-organizational spread of practice changes introduced through complex interventions. |
| first_indexed | 2024-12-19T05:17:33Z |
| format | Article |
| id | doaj.art-e676754b9d554f128c8773a3e565d209 |
| institution | Directory Open Access Journal |
| issn | 1748-5908 |
| language | English |
| last_indexed | 2024-12-19T05:17:33Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
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| series | Implementation Science |
| spelling | doaj.art-e676754b9d554f128c8773a3e565d2092022-12-21T20:34:37ZengBMCImplementation Science1748-59082019-12-0114111010.1186/s13012-019-0959-2Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homesWhitney B. Berta0Adrian Wagg1Lisa Cranley2Malcolm B. Doupe3Liane Ginsburg4Matthias Hoben5Lauren MacEachern6Stephanie Chamberlain7Fiona Clement8Adam Easterbrook9Janice M. Keefe10Jennifer Knopp-Sihota11Tim Rappon12Colin Reid13Yuting Song14Carole A. Estabrooks15Institute of Health Policy, Management & Evaluation, University of Toronto, Dalla Lana School of Public HealthDivision of Geriatric Medicine, Department of Medicine, Faculty of Medicine & Dentistry, University of AlbertaLawrence S. Bloomberg Faculty of Nursing, University of TorontoDepartments of Community Health Sciences and Emergency Medicine, Manitoba Centre for Health Policy, Manitoba Training Program for Health Services Research, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of ManitobaSchool of Health Policy & Management, Faculty of Health, York UniversityFaculty of Nursing, University of Alberta, 5-305 Edmonton Clinic Health Academy (ECHA)Institute of Health Policy, Management & Evaluation, University of Toronto, Dalla Lana School of Public HealthDepartment of Family Medicine, University of Alberta, Alzheimer Society of Canada Postdoctoral Fellow, 6-50 University Terrace, University of AlbertaO’Brien Institute for Public Health, Cumming School of Medicine, University of CalgaryCentre for Health Evaluation and Outcome Sciences (CHÉOS), St. Paulʼs HospitalNova Scotia Centre on Aging, Department of Family Studies and Gerontology, Mount Saint Vincent UniversityFaculty of Health Disciplines, Athabasca UniversityInstitute of Health Policy, Management & Evaluation, University of Toronto, Dalla Lana School of Public HealthSchool of Health and Exercise Sciences, Faculty of Health and Social Development, University of British Columbia – OkanaganTranslating Research in Elder Care (TREC), Faculty of Nursing, University of Alberta, 5-007D Edmonton Clinic Health Academy (ECHA)Faculty of Nursing, University of AlbertaAbstract Background Implementation scientists and practitioners, alike, recognize the importance of sustaining practice change, however post-implementation studies of interventions are rare. This is a protocol for the Sustainment, Sustainability and Spread Study (SSaSSy). The purpose of this study is to contribute to knowledge on the sustainment (sustained use), sustainability (sustained benefits), and spread of evidence-based practice innovations in health care. Specifically, this is a post-implementation study of an evidence-informed, Care Aide-led, facilitation-based quality-improvement intervention called SCOPE (Safer Care for Older Persons (in long-term care) Environments). SCOPE has been implemented in nursing homes in the Canadian Provinces of Manitoba (MB), Alberta (AB) and British Columbia (BC). Our study has three aims: (i) to determine the role that adaptation/contextualization plays in sustainment, sustainability and spread of the SCOPE intervention; (ii) to study the relative effects on sustainment, sustainability and intra-organizational spread of high-intensity and low-intensity post-implementation “boosters”, and a “no booster” condition, and (iii) to compare the relative costs and impacts of each booster condition. Methods/design SSaSSy is a two-phase mixed methods study. The overarching design is convergent, with qualitative and quantitative data collected over a similar timeframe in each of the two phases, analyzed independently, then merged for analysis and interpretation. Phase 1 is a pilot involving up to 7 units in 7 MB nursing homes in which SCOPE was piloted in 2016 to 2017, in preparation for phase 2. Phase 2 will comprise a quasi-experiment with two treatment groups of low- and high-intensity post-implementation “boosters”, and an untreated control group (no booster), using pretests and post-tests of the dependent variables relating to sustained care and management practices, and resident outcomes. Phase 2 will involve 31 trial sites in BC (17 units) and AB (14 units) nursing homes, where the SCOPE trial concluded in May 2019. Discussion This project stands to advance understanding of the factors that influence the sustainment of practice changes introduced through evidence-informed practice change interventions, and their associated sustainability. Findings will inform our understanding of the nature of the relationship of fidelity and adaptation to sustainment and sustainability, and afford insights into factors that influence the intra-organizational spread of practice changes introduced through complex interventions.https://doi.org/10.1186/s13012-019-0959-2Long-term careNursing homesSustainabilityQuality improvementEvidence-based care practice |
| spellingShingle | Whitney B. Berta Adrian Wagg Lisa Cranley Malcolm B. Doupe Liane Ginsburg Matthias Hoben Lauren MacEachern Stephanie Chamberlain Fiona Clement Adam Easterbrook Janice M. Keefe Jennifer Knopp-Sihota Tim Rappon Colin Reid Yuting Song Carole A. Estabrooks Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes Implementation Science Long-term care Nursing homes Sustainability Quality improvement Evidence-based care practice |
| title | Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes |
| title_full | Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes |
| title_fullStr | Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes |
| title_full_unstemmed | Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes |
| title_short | Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes |
| title_sort | sustainment sustainability and spread study ssassy protocol for a study of factors that contribute to the sustainment sustainability and spread of practice changes introduced through an evidence based quality improvement intervention in canadian nursing homes |
| topic | Long-term care Nursing homes Sustainability Quality improvement Evidence-based care practice |
| url | https://doi.org/10.1186/s13012-019-0959-2 |
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