Harnessing the Single-Session Intervention approach to promote scalable implementation of evidence-based practices in healthcare

被引:25
|
作者
Schleider, Jessica L. [1 ]
Beidas, Rinad S. [2 ,3 ,4 ,5 ,6 ,7 ]
机构
[1] SUNY Stony Brook, Dept Psychol, Stony Brook, NY 11794 USA
[2] Univ Penn, Perelman Sch Med, Dept Med Eth & Hlth Policy, Philadelphia, PA USA
[3] Univ Penn, Perelman Sch Med, Dept Psychiat, Philadelphia, PA USA
[4] Univ Penn, Penn Implementat Sci Ctr, Leonard Davis Inst Hlth Econ PISCELDI, Philadelphia, PA USA
[5] Univ Penn Hlth Syst, Penn Med Nudge Unit, Philadelphia, PA USA
[6] Univ Penn, Ctr Hlth Incent & Behav Econ, Perelman Sch Med, Philadelphia, PA USA
[7] Northwestern Univ, Feinberg Sch Med, Dept Med Social Sci, Evanston, IL USA
来源
基金
美国国家卫生研究院;
关键词
implementation science; implementation strategy; Single-Session Intervention; Theoretical Domains Framework; behavior change; METAANALYSIS; EDUCATION; THERAPY;
D O I
10.3389/frhs.2022.997406
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Effective implementation of evidence-based practices often involves multi-level strategies targeting individual-, organizational-, and system-level determinants of change. Although these multi-level implementation approaches can successfully facilitate EBP uptake, they tend to be complex and resource intensive. Accordingly, there is a need for theory-driven, generalizable approaches that can enhance efficiency, cost-effectiveness, and scalability of existing implementation approaches. We propose the Single-Session Intervention approach as an unexplored path to developing low-cost and scalable implementation strategies, especially those targeting individual-level behavior change. We argue that single-session strategies (S3) for implementation, which can simultaneously target myriad barriers to individual behavior change, may promote clinicians' EBP uptake and sustainment in a manner that is low-resource and scalable. We first overview the evidence-base supporting the Single-Session Intervention approach for patient-level outcomes; situate this approach within the implementation science literature by outlining its intersections with a leading framework, the Theoretical Domains Framework (TDF), as an exemplar; and illustrate how the TDF might directly inform the design and evaluation of single-session strategies for EBP implementation. Overall, single-session strategies (S3) for implementation reflect a promising but yet-to-be-tested means of streamlining and scaling individual-level behavior change efforts in healthcare settings. Future partnered research is needed to gauge the potential of this approach across diverse clinical and community contexts.
引用
收藏
页数:9
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