Sustainment of Trauma-Focused and Evidence-Based Practices Following Learning Collaborative Implementation

Area of Science:

• Implementation Science
• Healthcare Improvement
• Psychology

Background:

• Effective implementation models are crucial for sustainable healthcare improvements.
• Trauma-focused evidence-based practices (EBPs) require robust implementation strategies.
• Community-Based Learning Collaboratives (CBLCs) are a potential model for disseminating EBPs.

Purpose of the Study:

• To examine changes in attitudes, behaviors, and perceived organizational support during and after statewide CBLCs.
• To assess the sustainability of these changes approximately two years post-CBLC.
• To understand how professional roles influence perceived support for EBPs.

Main Methods:

• Prospective study design involving 857 participants across 10 CBLCs.
• Survey data collected pre-CBLC, post-CBLC, and at a two-year follow-up for a subsample.
• Analysis of changes in clinician-reported EBP use, attitudes, and perceived organizational support.

Main Results:

• Sustained increases in clinician-reported use of trauma-focused EBPs.
• Significant, sustained increases in perceived organizational support for trauma-focused EBPs.
• Attitudes towards EBPs showed an initial decrease followed by a small, significant increase over time.

Conclusions:

• CBLC implementation strategies can effectively increase and sustain provider practices and organizational support for EBPs.
• The impact of CBLCs on organizational support varied by professional role.
• Findings support the utility of CBLCs for promoting trauma-focused EBPs.