Associations between teamwork and implementation outcomes in multidisciplinary cross-sector teams implementing a mental health screening and referral protocol

被引：10

作者：

McGuier E.A. ^{[1
]}

Aarons G.A. ^{[2
,3
,4
]}

Byrne K.A. ^{[5
]}

Campbell K.A. ^{[6
]}

Keeshin B. ^{[6
]}

Rothenberger S.D. ^{[7
]}

Weingart L.R. ^{[8
]}

Salas E. ^{[9
]}

Kolko D.J. ^{[1
]}

机构：

[1] Department of Psychiatry, School of Medicine, University of Pittsburgh, 3811 O’Hara Street, Pittsburgh, 15213, PA

[2] Department of Psychiatry, University of California-San Diego, San Diego, CA

[3] ACTRI Dissemination and Implementation Science Center, University of California-San Diego, San Diego

[4] Child and Adolescent Services Research Center, San Diego, CA

[5] David Eccles School of Business, Kem C. Gardner Policy Institute, University of Utah, Salt Lake City, UT

[6] Center for Safe and Healthy Families, Department of Pediatrics, University of Utah, Salt Lake City, UT

[7] Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA

[8] Tepper School of Business, Carnegie Mellon University, Pittsburgh, PA

[9] Rice University, Houston, TX

来源：

Implementation Science Communications | / 4卷 / 1期

基金：

美国国家卫生研究院;

关键词：

Child maltreatment; Implementation outcomes; Mental health screening; Team; Teamwork;

D O I：

10.1186/s43058-023-00393-8

中图分类号：

学科分类号：

摘要：

Purpose: Teams play a central role in the implementation of new practices in settings providing team-based care. However, the implementation science literature has paid little attention to potentially important team-level constructs. Aspects of teamwork, including team interdependence, team functioning, and team performance, may affect implementation processes and outcomes. This cross-sectional study tests associations between teamwork and implementation antecedents and outcomes in a statewide initiative to implement a standardized mental health screening/referral protocol in Child Advocacy Centers (CACs). Methods: Multidisciplinary team members (N = 433) from 21 CACs completed measures of team interdependence; affective, behavioral, and cognitive team functioning; and team performance. Team members also rated the acceptability, appropriateness, and feasibility of the screening/referral protocol and implementation climate. The implementation outcomes of days to adoption and reach were independently assessed with administrative data. Associations between team constructs and implementation antecedents and outcomes were tested with linear mixed models and regression analyses. Results: Team task interdependence was positively associated with implementation climate and reach, and outcome interdependence was negatively correlated with days to adoption. Task and outcome interdependence were not associated with acceptability, appropriateness, or feasibility of the screening/referral protocol. Affective team functioning (i.e., greater liking, trust, and respect) was associated with greater acceptability, appropriateness, and feasibility. Behavioral and cognitive team functioning were not associated with any implementation outcomes in multivariable models. Team performance was positively associated with acceptability, appropriateness, feasibility, and implementation climate; performance was not associated with days to adoption or reach. Conclusions: We found associations of team interdependence, functioning, and performance with both individual- and center-level implementation outcomes. Implementation strategies targeting teamwork, especially task interdependence, affective functioning, and performance, may contribute to improving implementation outcomes in team-based service settings. © 2023, The Author(s).

引用

共 78 条

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