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Health At Every Size intervention® under real-world conditions: the rights and wrongs of program implementation

HEALTH PSYCHOLOGY AND BEHAVIORAL MEDICINE 2022年第1期10卷 935-955页

作者： Cloutier-Bergeron, Audrey Samson, Amelie Provencher, Veronique Mongeau, Lyne Paquette, Marie-Claude Turcotte, Mylene Begin, Catherine Univ Laval Sch Psychol Felix Antoine Savard Pavil2325 Bibliotheques St Quebec City PQ G1V 0A6 Canada Univ Laval INAF Ctr Rech Nutr sante & soc NUTRISS Quebec City PQ Canada Univ Laval Sch Nutr Quebec City PQ Canada Univ Montreal Sch Publ Hlth Montreal PQ Canada Inst Natl sante publ Quebec Quebec City PQ Canada Univ Montreal Dept Nutr Montreal PQ Canada Minist sante & serv sociaux Quebec City PQ Canada

implementation integrity is known to be critical to the success of interventions. The Health At Every Size (R) (HAES (R)) approach is deemed to be a sustainable intervention on weight-related issues. However, no study in the field has yet investigated the effects of implementation on outcomes in a real-world setting. Objective This study aims to explore to what extent does implementation integrity moderate program outcomes across multiple sites. Methods One hundred sixty-two women nested in 21 health facilities across the province of Quebec (Canada) were part of a HAES (R) intervention and completed questionnaires at baseline and after the intervention. Participant responsiveness (e.g. home practice completion) along with other implementation dimensions (dosage, adherence, adaptations) and providers' characteristics (n = 45) were assessed using a mix of qualitative and quantitative data analysis. Adaptations to the program curriculum were categorized as either acceptable or unacceptable. Multilevel linear modeling was performed with participant responsiveness and other implementation dimensions predictors. Intervention outcomes were intuitive eating and body esteem. Results Unacceptable adaptations were significantly associated with providers' self-efficacy (r(s) (23) = .59, p = .003) and past experience with facilitating the intervention (r(23) = .47, p = .03). Participant responsiveness showed a significant interaction between time and home practice completion (B = .07, p < .05) on intuitive eating scores. Conclusion Except for participant responsiveness, other implementation dimensions did not moderate outcomes. Implications for future research and practice are discussed.

关键词： program implementation program outcomes health at every size participant responsiveness adaptation

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EFFECTS OF program implementation ON ADOLESCENT DRUG-USE BEHAVIOR - THE MIDWESTERN-PREVENTION-PROJECT (MPP)

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EVALUATION REVIEW 1990年第3期14卷 264-289页

作者： PENTZ, MA TREBOW, EA HANSEN, WB MACKINNON, DP DWYER, JH JOHNSON, CA FLAY, BR DANIELS, S CORMACK, C WAKE FOREST UNIV BOWMAN GRAY SCH MEDDEPT PUBL HLTH SCIWINSTON SALEMNC 27103 UNIV SO CALIF INST HLTH PROMOT & DIS PREVENT RESLOS ANGELESCA 90089 UNIV ILLINOIS PREVENT RES CTRCHICAGOIL 60680 PROJECT STAR KANSAS CITYMO

This study evaluated the relationship between level of program implementation and change inadolescent drug use behavior in the Midwestern Prevention Project (MPP), a school- andcommunity-based program for drug abuse prevention. Trained teachers implemented the program with transition year students. implementation was measured by teacher self-report andvalidated by research staff reports. Adolescent drug use was measured by student self-report;an expired air measure of smoking was used to increase the accuracy of self-reported drug *** analyses were used to evaluate adherence; exposure, or amount of implementation;and reinvention. Results showed that all schools assigned to the program condition adhered tothe research by implementing the program. Exposure had a significant effect on minimizing theincrease in drug use from baseline to one year. Exposure also had a larger magnitude ofintervention effect than experimental group assignment. Reinvention did not affect drug *** are discussed in terms of research assumptions about quality of program implementation,and possible school-level predictors of implementation.

关键词： Adolescents Community programs Drug Abuse Elementary Education Elementary School Students Grade 6 Grade 7 Predictor Variables Prevention program Effectiveness program Evaluation program implementation School ActivitiesMidwestern Prevention Project

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Laborers of Love: Exploring the Experiential Knowledge of Migrant Education program State Directors on Barriers to program implementation

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JOURNAL OF LATINOS AND EDUCATION 2023年第5期22卷 2200-2214页

作者： Carse, Elisabeth Free, Janese Lesley Univ Dept Educ Boston MA USA Emmanuel Coll Dept Sociol Boston MA 02115 USA

This exploratory qualitative study examines the barriers to program implementation faced by state directors overseeing federally funded Migrant Education programs (MEPs). Drawing on data gathered via in-depth interviews with 25 SDs across the United States the following research question is addressed: According to SDs of MEPs, what are the barriers to program implementation? The findings suggest that SDs experience five main barriers to implementing the MEP: 1) lack of time to dedicate to the program;2) bureaucratic barriers;3) lack of funding;4) stigmas and prejudice;and 5) immigration policies. The findings are discussed along with policy and program recommendations.

关键词： Migrant Education program migrant students program implementation street-level bureaucrats immigration

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Factors in successful program implementation in Russia during the transition: Pilot programs as a guide

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PUBLIC ADMINISTRATION AND DEVELOPMENT 2007年第1期27卷 63-83页

作者： Struyk, Raymond J. Chemonics Int Frankfurt Germany

While much of the implementation literature over the past several decades has recognised the importance of context (e.g. in issues of institutional culture, degree of hierarchy), little of the literature comparing the results of numerous program implementation experiences examines the experience of non-Western contexts. This study seeks to partially fill this gap by applying the 'conventional wisdom' of implementation theory to program implementation experience in Russia. We analyse the implementation of 18 demonstration projects in Russia against 9 success factors identified in the implementation literature. Most of the pilots involved multiple cities;so there are a total of 48 city-case observations to study. Overall, the findings are that the factors associated with successful program implementation among OECD countries are also those at work in Russia's transitional economy. The weights associated with the various factors may differ, however. One could imagine, for example, that political support counts for more in Russia than in the western local governments. One might also believe that opportunities for learning from other implementers could be more important in the West, where professional associations are more highly developed. The core finding of consistency should be valuable to administrators across transitional economies who can now refer to the rich findings of implementation research with greater confidence of its applicability to their programs. Perhaps equally important is the finding that some of the same factors predominantly associated with successful or troubled implementation in Russia have similar effects in implementation examples drawn from transition and developing nations;there are, however, some important differences. Copyright (c) 2006 John Wiley & Sons, Ltd.

关键词： program implementation Russia transition economies

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Collaborative Governance in program implementation: The Development of E-Relocation Notification in the Swiss Canton of Zurich

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INTERNATIONAL JOURNAL OF PUBLIC ADMINISTRATION 2020年第12期43卷 1083-1095页

作者： Lang, Achim Bruesch, Caroline Zurich Univ Appl Sci Inst Publ Management Bahnhofpl 12 CH-8401 Winterthur Switzerland

Complex political programs often require for its implementation the participation of a wide range of administrative, private-for-profit and civil society entities which work together in different constellations and hierarchies as well as different areas of expertise and professions that focus on different social, economic, or technical aspects. This study proposes a conceptual model of collaborative governance that tests the various governance characteristics proposed in the literature. The assessment of the development of the e-government application "e-notification" in Switzerland suggests that the success of the program implementation depends on the organizational capacities as well as the shared understanding of program objectives. Administration and leadership mainly affect the intensity and fairness of interaction between the organizations, which then promotes a shared understanding of program objectives. As a result, securing enough resources and structuring the interaction within the collaboration process are the most important managerial activity in program implementation.

关键词： Collaboration collaborative governance e-government program implementation network interaction

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Planning Ahead: Make program implementation More Predictable

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PHI DELTA KAPPAN 2010年第7期91卷 68-71页

作者： Weinbaum, Elliot H. Supovitz, Jonathan A. Univ Penn Grad Sch Educ Philadelphia PA 19104 USA Univ Penn CPRE Philadelphia PA 19104 USA

The article examines the results of a three-year study on the implementation of five school-improvement programs in several high schools by the University of Pennsylvania's Consortium for Policy Research in Education (CPRE). According to the article, the CPRE study was a longitudinal mixed-method examination. It is suggested that implementation includes iterative refraction, which means that reforms are adjusted repeatedly as they work their way through a school's environment. The school-improvement program design and designers, schools and school leaders, school districts and central office support, and implications of the program are discussed.

关键词： program implementation Strategic Planning Media Adaptation Theory Practice Relationship Formative Evaluation Predictive Measurement Change Strategies Educational Change Educational Improvement Improvement programs Design Requirements Institutional Role

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THE UTILITY OF DEGREE OF implementation MEASURES IN program implementation AND EVALUATION RESEARCH

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CURRICULUM INQUIRY 1984年第3期14卷 249-286页

作者： WANG, MC NOJAN, M STROM, CD WALBERG, HJ UNIV ILLINOIS CHICAGO IL 60680 USA

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关键词： Academic Achievement Classroom Techniques Educational Innovation Elementary Secondary Education Measurement Techniques Performance Factors program Evaluation program implementation Research Methodology Teaching ModelsAdaptive Learning Environments program

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The context of program implementation and evaluation: A pilot study of interorganizational differences to improve child welfare reform efforts

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CHILDREN AND YOUTH SERVICES REVIEW 2011年第11期33卷 2273-2281页

作者： Crea, Thomas M. Crampton, David S. Boston Coll Grad Sch Social Work Chestnut Hill MA 02467 USA Case Western Reserve Univ Mandel Sch Appl Social Sci Cleveland OH 44106 USA

This article contributes to the growing literature on evaluation and implementation science by examining the interaction between staff perceptions of organizational strength with perceptions and indicators of program fidelity. As part of a pilot project related to the evaluation of the Family to Family initiative, a survey was distributed to employees within two urban child welfare agencies with a total of 410 respondents across both sites, for a combined response rate of 72.2%. Survey results were analyzed both in terms or respondents' perception of their agency as well as in relation to measures of program performance and workload. Multivariate models show that organizational indicators are the most significant and positive predictors of perceived program implementation. Specifically, staff who positively perceived the availability of information within their agency also believed that the programs were well implemented in their agency. These findings suggest that as the value of program changes are articulated within an organization, the implementation of the initiative is perceived to improve. (C) 2011 Elsevier Ltd. All rights reserved.

关键词： program implementation Organizational context Child welfare reform

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ORGANIZATIONAL POSITION AND program implementation

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INTERNATIONAL JOURNAL OF PUBLIC ADMINISTRATION 1990年第6期13卷 859-892页

作者： CIGLER, BA PENN STATE HARRISBURG MIDDLETOWN PA 17057 USA

Examples of policy implementation success suggest that organizational characteristics are important but policy researchers generally neglect the explicit study of organizational characteristics. Data from a mailed survey are used here to examine two organizational characteristics in one policy area in a single state. The advice of capacitybuilders' (federal and state agencies, municipal associations) about organizing local energy management programs through the appointment of “comprehensive local energy coordinators” is one concern. The other is the importance of the regular organizational position of the parttime community energy coordinators on the “comprehensiveness” of community energy *** research develops a rudimentary methodology for studying program implementation which assesses organizational change by measuring differences among policies based on the dimensions of change embodied in a policy. Also devised are measures of program implementors' attitudes and perceptions in influencing program implementation. The findings demonstrate the usefulness of greater linkages of research across the organizational change and program implementation literatures.

关键词： program implementation

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Co-location of health care services for homeless veterans: A case study of innovation in program implementation

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SOCIAL WORK IN HEALTH CARE 2008年第3期47卷 219-231页

作者： Blue-Howells, Jessica McGuire, Jim Nakashima, John W Los Angeles Healthcare Ctr VA Greater Angeles Healthcare Syst Los Angeles CA USA Univ Calif Los Angeles Sch Publ Policy & Social Res Los Angeles CA USA NEPEC Dept Vet Affairs CHALENG Evaluat Los Angeles CA USA Homelessness Prevent & Incarcerated Vet Programs Los Angeles CA USA

This case study examines how the Veterans Affairs Greater Los Angeles Healthcare System (GLA) improved homeless veteran service utilization through program innovation that addressed service fragmentation. The new program offered same-day co-located mental health, medical, and homeless services with a coordinated intake system. The program is analyzed using a framework proposed by Rosenheck (2001) that has four phases: the decision to implement, initial implementation, sustained maintenance, and termination or transformation. GLA was able to successfully implement a new program that remains in the sustained maintenance phase five years after the initial decision to implement. Key factors from the Rosenheck innovation model in the program's success included coalition building, linking the project to legitimate goals, program monitoring, and developing communities of practicing clinicians. The key lesson from the case study is the need for a coalition to persistently problem solve and act as advocates for the program, even after successful initial implementation. Social work leadership was critical in all phases of program implementation.

关键词： program innovation program implementation homeless veterans

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