Difference-Making Conditions for the Successful Implementation of IDEAS: A Provider Stigma-Reduction Training for and by Occupational Therapy Practitioners
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View abstract on PubMed
Summary
This summary is machine-generated.Successful implementation of the Identity Development Evolution and Sharing (IDEAS) program hinges on high-quality training materials and strong external facilitation. These factors are crucial for occupational therapists to effectively reduce provider stigma and promote health care equity.
Area Of Science
- Health Services Research
- Occupational Therapy
- Implementation Science
Background
- Identity Development Evolution and Sharing (IDEAS) is an evidence-supported occupational therapy intervention designed to reduce provider stigma and enhance health care equity.
- Effective implementation of IDEAS is critical for its success in promoting fair and inclusive healthcare practices.
- Identifying key factors that influence IDEAS implementation is essential for optimizing its impact.
Purpose Of The Study
- To identify critical conditions that determine the successful implementation of the IDEAS intervention within occupational therapy settings.
- To examine the relationship between implementation facilitators and the effectiveness of IDEAS in reducing provider stigma.
Main Methods
- The study involved nine occupational therapy clinical sites, with data collected from 58 participants including facilitators, staff, and managers.
- Data sources included interviews (using the Consolidated Framework for Implementation Research), validated scales (AIM, IAM, FIM), and the Acceptance and Action Questionnaire-Stigma.
- Coincidence analysis was employed to pinpoint key difference-makers directly influencing implementation success and intervention effectiveness.
Main Results
- Two primary difference-makers for successful IDEAS implementation were identified: the quality of design and packaging of the intervention, and the impact of external facilitation.
- Successful implementation was achieved when sites had either strong design quality and packaging, or a combination of lower design quality with strong external facilitation.
- Positive perceptions of the IDEAS program and a receptive workplace culture were also associated with better intervention outcomes.
Conclusions
- Beyond selecting effective interventions, careful consideration of implementation factors is vital for occupational therapy practitioners to improve clinical practice and client outcomes.
- Optimizing the design and packaging of interventions, alongside providing robust external facilitation, can significantly enhance the successful adoption of evidence-based practices like IDEAS.
- These findings underscore the importance of implementation science in bridging the gap between evidence-based interventions and real-world healthcare settings to achieve health equity.
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