Background:
This study tested the effect of the Leadership and Organizational Change for Implementation (LOCI) strategy, aimed at helping leaders support organizational change for implementation of evidence-based practices (EBPs). The study aimed to evaluate the effects of LOCI on adoption, measured as (1) therapists’ intentions to use assessment tools and EBPs for trauma, and (2) actual use of EBPs, indicated by patient recruitment.
Methods:
A stepped wedge cluster randomized design with three cohorts was conducted in Norwegian child and adult specialized mental health clinics implementing trauma assessment tools and EBPs for trauma treatment. Therapists (n = 790) received training in assessment tools, and a subgroup (n = 301) received training in one of three EBPs. Concurrently, the first cohort of leaders (n = 16) began the one-year LOCI strategy, with cohorts 2 (n = 14) and 3 (n = 17) starting four and eight months later, respectively. Surveys assessing intentions to implement trauma assessment tools and EBPs were conducted at baseline, and 4, 8, 12, 16, and 20 months. Actual use was measured by patient recruitment. Linear mixed-effects models examined LOCI’s effect on intentions. Logistic and negative binominal regressions assessed cohort differences in recruitment.
Results:
Across the three cohorts, therapists’ [...]