Academic literature on the topic 'Collective efficacy Implementation of evidence-based programs'

This handbook examines theoretical, structural, clinical and implementation aspects of dialectical behaviour therapy (DBT) for a variety of disorders such as borderline personality disorder (BPD), suicidal behaviour in the context of BPD, substance use disorders, cognitive disabilities, eating disorders, and post-traumatic stress disorder (PTSD). The volume considers the dialectical dilemmas of implementation with respect to DBT in both national and international systems, its adaptations in routine clinical settings, and its behavioural foundations. It also discusses evidence-based training in

Abstract In this chapter we review the development of hospital infection prevention and control (IPC) since the nineteenth century and its increasingly important role in reducing the spread of antibiotic resistance (ABR). Excessive rates of hospital-acquired infection (HAI) fell dramatically, towards the end of the nineteenth century, because of improved hygiene and surgical antisepsis, but treatment remained rudimentary until effective antibiotics became widely available in the mid-twentieth century. While antibiotics had profound clinical benefits, their widespread appropriate and inappropriate use in humans and animals inevitably led to the emergence of antibiotic resistance (ABR). Within 50 years, this could no longer be offset by a reliable supply of new drugs, which slowed to a trickle in the 1980s. In hospitals, particularly, high rates of (often unnecessary) antibiotic use and ABR are exacerbated by person-to-person transmission of multi-drug resistant organisms (MDRO), which have, so far, largely resisted the introduction of antimicrobial stewardship (AMS) programs and repeated campaigns to improve infection prevention and control (IPC). Despite clear evidence of efficacy in research settings, both AMS and IPC programs are often ineffective, in practice, because of, inter alia, insufficient resourcing, poor implementation, lack of ongoing evaluation and failure to consult frontline staff. In this chapter we review reasons for the relatively low priority given to preventive programs despite the ethical obligation of healthcare organisations to protect current and future patients from preventable harm. The imminent threat of untreatable infections may provide an impetus for a shared organisational and professional commitment to promoting the cultural and behavioural changes needed to successfully reduce the burdens of ABR and drug-resistant HAIs.

This educational research-based chapter describes, analyzes, and evaluates the implementation of the class preparation session (The CPS) as a flipped learning strategy in an undergraduate English as a foreign language (EFL) program in Colombia. About 3000 students are enrolled in the EFL program each semester and an average of 40 teachers are in charge of teaching the courses. The chapter describes the process of implementing the CPS strategy and evaluates its efficacy from students' and teachers' perspectives. Participants were requested to take online surveys with the purpose of collecting qualitative and quantitative data about the strengths of the CPS and the challenges encountered its resources. The processes described in this chapter could be adjusted to be used in other institutions. The issues discussed might provide several teaching prospects for teachers and for programs' stakeholders interested in implementing the flipped learning approach.

This chapter discusses how health and well-being have been delivered and managed in the Canadian Arctic, and how delivery and management have moved from the federal to territorial government. The chapter presents what two Inuit communities have done themselves for suicide prevention. Rather than employing evidence-based, Western approaches to suicide prevention in the Arctic that have not worked, when Inuit communities design and operate their own suicide prevention activities and programs, they are effective. Indigenous community control over health and mental health activities and programs has been central to their success. This is a form of collective agency and efficacy. In the primary community of focus, it was youth who designed and managed suicide prevention. These youth are examined in detail.

Recidivism of criminal offenders has become a national problem in the United States. New criminal activity along with technical violations of conditions of probation or parole are the results of deficiencies in cognitive behaviorisms. Numerous studies have revealed that weaknesses in cognitive behavior are a common denominator among offenders. These studies have led to the development and implementation of treatment strategies that, when administered to criminal offenders, have proven to be effective in reducing recidivism. Therapeutic programs grounded in evidence-based practices are widely used throughout correctional facilities and probation-parole departments. However, this evidence-based approach in reducing recidivism is moot if correctional leadership is not supportive of rehabilitative programs for offenders. The efficacy and success of these programs are dependent on effective leadership along with professionals and paraprofessionals that are specifically credentialed or licensed and have the qualities and skillsets to provide these types of rehabilitative measures.

<em>Abstract.</em>—A number of stocks of anadromous salmonids in the Pacific Northwest are currently listed by the National Marine Fisheries Service (NOAA Fisheries) as threatened or endangered under the U.S. Endangered Species Act (ESA). The ESA recognizes that conservation of listed species may be facilitated by artificial propagation, including captive broodstocks, while factors impeding population recovery are identified and corrected. Captive broodstock programs differ from conventional salmon culture in that fish of wild origin are maintained in captivity throughout their life to produce offspring for the purpose of supplementing wild populations. The relatively short generation time (2–7 years) and potential to produce large numbers of offspring (1,500–5,000 eggs per female average, depending on the species) make Pacific salmon ideal for captive broodstock rearing. However, the technology is not without potential complications and risks. The paper presents guidelines to ensure a sound basis for implementation of captive broodstocks. Considerations must be based on overall knowledge of survival, reproductive success, and offspring fitness to accurately determine levels of risk in implementing a salmonid captive broodstock program. In general, use of captive broodstocks should be restricted to situations where the natural population is dangerously close to extinction. Proper precautions should be taken to minimize genetic impacts during the collection, mating, and rearing of captive broodstocks, as any alteration to the original genetic composition of the population in captivity may reduce the efficacy of supplementation in rebuilding the natural population. Furthermore, liberation of fish from captive broodstocks should be consistent with the known behavior of existing wild fish and on whatever knowledge is available of the life history characteristics of the wild fish. Because the benefits and risks have not been established through long-term monitoring and evaluation, captive broodstock development should be considered an experimental approach and used with caution.

Chapter 10 discusses the prevalence and manifestation of childhood and adolescent eating disorders focusing on Anorexia Nervosa (AN), due to its prevalence. Implementation of maladaptive emotion regulation strategies, with a reduced ability to label and describe emotions leads to the development and propagation of AN. Family based treatments have been widely recognized, as the leading intervention for adolescents with AN, with efficacy rates from 20% to 60%. However, this chapter focuses on a novel approach to AN treatment, centered on emotion regulation in its management, as this may improve treatment outcomes. Programs include: Maudsley Model of Anorexia Nervosa Treatment for Adults and Emotion Acceptance Behavior Therapy, in addition to the modification or adaption of existing, evidence based treatments, such as Radically-Open DBT, although many programs require empirical validation in adolescent samples.

The parenting experience can be both similar and vastly different across different cultural contexts. This chapter outlines what culture is and the impact it has on family structure and functioning and beliefs about parenting. Discussed are the similarities and differences across common cultural dimensions and how knowledge of local cultural beliefs and values is critical in ensuring the successful implementation of parenting interventions is detailed. The importance of adapting evidence-based programs in a culturally appropriate way and of flexibly delivering interventions to fit a range of contexts without compromising program efficacy are addressed. Practical examples of low-risk adaptations are provided. Finally, the existing evidence of a range of Triple P program variants and a range of cultural contexts with a specific focus on low-resource settings are reviewed and practical are provided. The chapter concludes with a discussion about the implications and future directions research could take.

We were pleased we were able to convince such talented authors to contribute chapters to this volume. We hope that their contributions will serve to redefine key issues in the implementation of screening programs for depression in clinical settings. The chapters are quite varied but are notable for their balanced, evidence-based recommendations and skepticism about introducing screening into routine care unless there is a substantial infusion of resources. Taken together, the chapters provide a foundation for critiquing screening programs as they are currently being implemented. Screening has become the most commonly adopted enhancement of care for depression, even if questions can be raised about the fidelity with it is being implemented. Yet, the enthusiasm for screening is not based on the accumulation of compelling new evidence, but rather a reframing of the question of its efficacy, and the evidence is mustered to answer it. The crucial question has shifted from ‘‘Does routine screening improve patient outcomes?’’ to ‘‘Can screening be used to improve outcomes when there is a substantial effort made to ensure adequate treatment and follow up?’’1 This seemingly important difference has been downplayed in endorsements of screening. And yet, stand-alone screening programs are simply not effective in improving the management of depression in primary care (see Chapter 7). Moreover, including screening as a component in more comprehensive enhancements of care may not be necessary to improve outcomes. One can readily find basis in this volume for questioning the wisdom of stand-alone screening initiatives and for raising doubts whether routine screening is acceptable and sustainable in non-mental-health medical settings. I will highlight these points in the context of providing a more general commentary on the preceding chapters. One goal is to alert readers tempted by enthusiasm about screening to some frustrations and disappointments that await them if they proceed with a screening program without additional resources. I acknowledge that I am going beyond the conclusions of many chapters. However, almost all limit endorsement of screening to settings where supports are in place for absorbing the effects of screening and ensuring it has its intended effect. Unfortunately, such settings are far less common than presumed. So, the question becomes, ‘‘What are the implications of routine screening being implemented without such support?’’

The Sobrato Early Academic Language (SEAL) Model Research and Evaluation Final Report is comprised of three sets of studies that took place between 2015 and 2019 to examine the effectiveness of the SEAL Model in 67 schools within 12 districts across the state of California. Over a decade ago, the Sobrato Family Foundation responded to the enduring opportunity gaps and low academic outcomes for the state’s 1.2 million English Learners by investing in the design of the SEAL Model. The SEAL PreK–Grade 3 Model was created as a whole-school initiative to develop students’ language, literacy, and ac