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Sustained Implementation of Evidence‐based Programs in Disadvantaged Communities: A Conceptual Framework of Supporting Factors
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This paper presents a review of the empirical literature for studies evaluating factors that facilitate and create barriers to sustained program implementation in disadvantaged communities. It outlines study methodology and sustainment outcomes and proposes a conceptual model that involves implementation sustainment support for providers delivering evidence‐based health and family services in disadvantaged communities. Sustained program implementation in the community setting is a significant issue as only 43% of studies reported successfully sustained programs. The review identified 18 factors that facilitate success and create barriers to program sustainment. The factors are synthesized into three themes; program characteristics, workplace capacity, and process and interaction factors. The majority of factors map onto commonly cited sustainability influences in implementation science. However, there was an additional focus for studies included in this review on the importance of factors such as program burden, program familiarity and perceived competence in program skills, workplace support for the program, staff mobility and turnover, supervision and peer support, and ongoing technical assistance. The need to use a conceptual framework and develop measures to guide and evaluate capacity building in EBP implementation and sustainment in low‐resource community settings is highlighted. 相似文献
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The chaos theory of careers (CTC; Pryor & Bright, 2011 ) has emerged as a career development theory to describe the reality of career development and account for the changing nature of work in the 21st century. Integrating CTC into a coherent framework accessible to practitioners is an ongoing process. In recent years, CTC has gained traction within some college career centers. Although techniques and interventions have been discussed to address some of the primary issues, no overarching framework has been conceptualized. This article proposes a model to conceptualize CTC in an accessible framework for college career centers, students, and beyond. 相似文献
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Girl-centered sport and physical activity programs that are grounded in a positive youth development approach have grown tremendously in the United States since the 1990s. While research on the efficacy of sports-based positive youth development is limited, recent studies conducted in the United States suggest these programs yield benefits. Our assessment of the literature and programming efforts however highlight a significant gap in the theoretical assumptions of girl-centered, sports-based positive youth development: an understanding of the complexity of sport and physical activity within a gendered context. Focusing on the U.S. context and using a feminist sociological lens, we articulate a paradox in these programs: sport participation and physical activity can improve girls’ lives along numerous psycho-social dimensions, yet in absence of attention to the social and political context of gender relations, girl-centered, sports-based positive youth development programs risk unwittingly maintaining the gender status quo. We review three specific critiques to illustrate this paradox: 1) the emphasis on the individual and the immediate context of girls’ lives masks larger systems of inequality and privilege; 2) the use of post feminist narratives, such as Girl Power, suggests girls live in a world beyond sexism; and 3) the focus on reducing the childhood “obesity epidemic” through fitness contributes to harmful fat phobic messages for girls. We offer recommendations that assist programs in leveraging their existing strengths to have a meaningful impact on girls’ lives, and that address cultural and structural factors as well as individual and interpersonal ones. 相似文献
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