Table 2_A longitudinal mixed methods evaluation of a facilitation training intervention to build implementation capacity.docx

BackgroundThere is a demand for facilitators who can ease the collaboration within a team or an organization in the implementation of evidence-based interventions (EBIs) and who are positioned to build the implementation capacity in an organization. This study aimed to evaluate the results the Building implementation capacity for facilitation (BIC-F) intervention had on the participants' perceived knowledge, skills, and self-efficacy to facilitate implementation and the normalization of a systematic implementation model into their work routines, and its use into their respective organizations. MethodsThe BIC-F intervention was delivered to 37 facilitators in six workshops, which focused on teaching participants to apply a systematic implementation model and various facilitation tools and strategies. A longitudinal mixed methods design was used to evaluate the intervention. Data was collected pre- and post-intervention using questionnaires and semi-structured interviews grounded on the Normalization Process Theory (NPT). Quantitative data were analyzed using descriptive (mean, SD) and inferential (paired t-tests) methods. Qualitative data were analyzed using deductive content analysis according to NPT. ResultsAn increase in the participants' perceived knowledge, skills, and self-efficacy was observed post-intervention. Normalization of the systematic implementation model in the participants' work routines was in an early phase, facilitated by high coherence, however, other NPT mechanisms were not sufficiently activated yet to contribute to full normalization. In the organizations where participants initiated the normalization process, they were still working towards achieving coherence and cognitive participation among relevant stakeholders. ConclusionThe intervention had positive results on the participants' perceived knowledge, skills, and self-efficacy and these recognized the value of a systematic implementation model for their practice. However, further efforts are needed to apply it consistently as a part of their work routines and in the organization. Future interventions should provide long-term support for facilitators, and include methods to transfer training between organizational levels and to overcome contextual barriers.研究背景：当前，团队或组织在落实循证干预（evidence-based interventions, EBIs）过程中，亟需能够促进内部协作、且可为组织构建实施能力的实施促进者。本研究旨在评估促进实施能力建设（Building implementation capacity for facilitation, BIC-F）干预对参与者感知的实施促进知识、技能与自我效能感的影响，以及参与者将系统化实施模型融入自身工作流程、并在所属组织中推广应用该模型的规范化进程效果。 研究方法：本研究通过6场专题工作坊面向37名实施促进者开展BIC-F干预，培训内容涵盖系统化实施模型的应用方法，以及各类促进工具与实施策略。本研究采用纵向混合研究设计对该干预的效果进行评估，分别于干预前后采集数据，采集工具为基于规范化过程理论（Normalization Process Theory, NPT）设计的问卷与半结构化访谈。定量数据分析采用描述性统计（均值、标准差（SD））与推断性统计（配对t检验）方法，定性数据分析则依据NPT框架开展演绎式内容分析。 研究结果：干预后，参与者感知的实施促进知识、技能与自我效能感均得到显著提升。参与者将系统化实施模型融入工作流程的规范化进程尚处于早期阶段：尽管较高的连贯性为进程推进提供了支撑，但其余NPT机制尚未得到充分激活，无法助力实现完全规范化。在参与者已启动规范化进程的组织中，相关团队仍在致力于推动相关利益相关方达成共识并实现认知参与。 研究结论：该干预对参与者感知的知识、技能与自我效能感产生了积极影响，且参与者认可了系统化实施模型在其实际工作中的应用价值。但仍需进一步开展工作，以确保参与者能够将该模型持续融入日常工作流程，并在组织层面推广应用。未来相关干预应针对实施促进者提供长期支持，并纳入可实现跨组织层级培训传递、克服情境性障碍的相关方法。