From: Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework
 | Sample of EPIS factors | Example quantitative measures |
---|---|---|
Outer context | Service environment | Sustainability assessment tool |
Policies | EBP-specific document review (i.e., speeches, regulations, annual reports; documented system-wide policy) | |
Funding/contracting | – | |
Leadership | Leadership Competence Scale of Program Sustainability Index [63] | |
Inter-organizational environment and networks | – | |
Patient/client characteristics* | Demographics, Administrative Claims Data | |
Patient/client advocacy* | – | |
Innovation factors* | Innovation/EBP developers | – |
Innovation/EBP characteristics | – | |
Innovation/EBP fit* | – | |
Bridging factors* | Community-academic partnerships* | – |
Purveyors/intermediaries | – | |
Inner context | Organizational characteristics | Group Innovation Inventory [64]; Implementation Climate Scale [65]; Level of Institutional Scale [66]; Organizational Climate Measure [67]; Organizational Culture and Climate via Children’s Services Survey [68]; Organizational Readiness for Change [69]; Organizational Social Context Survey [70]; Organizational Size; Program Sustainability Index [71]; Siegel Scale of Support of Innovation [72] |
Culture | Organizational Culture and Climate via Children’s Services Survey [68]; Organizational Social Context Survey [70] | |
Climate | Implementation Climate Assessment [66]; Implementation Climate Scale [65, 72]; Organizational Climate Measure [67]; Organizational Social Context Survey [64]; Time Climate Inventory [73] | |
Readiness for change | Organizational Readiness for Change [69]; Readiness for Organizational Change [74] | |
Leadership | Implementation Leadership Scale [75]; Multifactor Leadership Questionnaire [76] | |
Quality and fidelity monitoring/support* | Adherence and Skill Checklist [77]; Assessment of Climate Embedding Mechanisms [18]; Examination of Common Dimensions of EBI(s); performance-based role-plays [78]; Therapist Procedures Checklist-Revised [79]; Therapist Procedures Observational Coding System [80] | |
Supportive coaching | Coaching records | |
Organizational staffing processes | Data regarding turnover rates and reasons | |
Individual characteristics | Demographics; Emotional Competency Inventory [81]; Evidenced-Based Practice Attitudes Scale [82]; Knowledge of Evidenced-Based Services Questionnaire [83]; organizational readiness for change [69] | |
Attitudes towards EBPs | Evidence-Based Practice Attitudes Scale [82]; Perceived Characteristics of Intervention Scale; Barriers to Research Practice Scale [84] | |
Implementation citizenship* | Implementation Citizenship Behavior Scale [61] | |
Burnout* | Maslach Burnout Inventory [85] |