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Table 5 Examples of quantitative measures of EPIS factors used in published studies

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]

  1. *Represents factors that are new and not defined in original EPIS 2011 paper
  2. Examples are only provided for those factors that were measured in the review—indicates that there were no quantitative measures in the included articles of this review