Abstract
This chapter provides a conceptual and empirical review of research on organizational social context in implementation science with an emphasis on randomized controlled trials that target organizational culture, organizational climate, or strategic implementation climate to improve EBP adoption, implementation, or sustainment in behavioral health settings. The review addresses four questions: (1) what empirically supported models exist to conceptualize organizational social context and its relation to EBP implementation, (2) what evidence is there that organizational social context can be changed by implementation strategies, (3) what evidence is there that implementation strategies that target organizational social context positively influence implementation outcomes, and (4) what evidence is there that improvement in organizational social context contributes to improved implementation outcomes? Our review of 1357 articles identified 9 randomized trials that tested an implementation strategy that targeted organizational social context to improve the implementation of EBPs in a behavioral health setting. Results of these trials indicate (a) organizational culture and climate are malleable features of the work environment that can be changed by implementation strategies, (b) context-focused implementation strategies have positive effects on implementation outcomes, and (c) preliminary evidence indicates that improvement in organizational social context contributes to improved implementation outcomes. The chapter concludes with implications for implementation practice and directions for future research.
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Williams, N.J., Glisson, C. (2020). Changing Organizational Social Context to Support Evidence-Based Practice Implementation: A Conceptual and Empirical Review. In: Albers, B., Shlonsky, A., Mildon, R. (eds) Implementation Science 3.0. Springer, Cham. https://doi.org/10.1007/978-3-030-03874-8_6
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