Building implementation capacity (BIC): a longitudinal mixed methods evaluation of a team intervention.

Area of Science:

• Health services research
• Organizational behavior
• Knowledge translation

Background:

• Healthcare professionals require evidence-based practice implementation skills.
• Implementation is a team-based process in clinical settings, necessitating team training.
• Existing training often lacks focus on implementation capacity building for teams and managers.

Purpose of the Study:

• To evaluate the effectiveness of the Building Implementation Capacity (BIC) intervention.
• To assess the impact of team-based implementation training on healthcare professionals and their managers.
• To determine the intervention's effects across Kirkpatrick's four levels of evaluation.

Main Methods:

• A non-randomized, longitudinal, mixed-methods design was employed.
• The Building Implementation Capacity (BIC) intervention involved five workshops with practical exercises and materials.
• Evaluation utilized pre-post questionnaires, workshop evaluations, and interviews, incorporating managers to enhance training transfer.

Main Results:

• Participants reported high satisfaction (Level 1) and increased self-rated implementation knowledge (Level 2).
• Most participants applied learned skills, demonstrating new implementation behaviors (Level 3), though not always systematically.
• Limited changes were observed in organizational results (Level 4).

Conclusions:

• The Building Implementation Capacity (BIC) intervention positively impacted participant satisfaction and knowledge.
• While behavioral changes were noted, the systematic application of implementation methods and organizational impact require further improvement.
• Optimizing intervention design, organizational context, and participant characteristics is crucial for successful transfer of implementation capacity.