1 / 13

The Potential Adopter

This paper explores the potential adopters at the intersection of dissemination, implementation, and behavior change theories, particularly within health promotion contexts. Utilizing dominant frameworks such as the Diffusion of Innovation and Interactive Systems Framework, the discussion highlights critical components influencing the adoption of evidence-based interventions (EBIs), including individual factors and social systems. It examines the ADAPT-ITT model's phases for adapting EBIs while emphasizing the need for a holistic approach that considers both structural and individual influences to facilitate effective change.

shelley
Télécharger la présentation

The Potential Adopter

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Potential Adopter The Intersection of Dissemination, Implementation, and Behavior Change Theory By Ginger Mckay

  2. Dissemination and Implementation • Dissemination of Evidence Based Interventions • Used in a variety of areas within health promotion • Example: DEBI project by the CDC for HIV prevention.

  3. Dominant Theories in D and I • Diffusion of Innovation (Rogers, 2003) • Systems Theories • Rogers-Rütten Framework (Bowen et al., 2010) • Interactive Systems Framework (Wandersman et al., 2008 • ADAPT-ITT (Wingood and DiClemente, 2008)

  4. Diffusion of Innovation Theory • 4 components: • The innovation • Communication channel • Time • The social system

  5. Innovations • Advantage • Compatibility • Complexity • Ability to try • Observability *Innovations are assessed by potential adopters.

  6. Interactive Systems Framework • Focus on institutional structures • Focus on agency level capacity Figure 2. The interactive systems framework for implementation and dissemination Wandersman et al. (2008) Bridging the Gap Between Prevention Research and Practice: The interactive systems framework for Dissemination and Implementation. Am J Community Psychol 41:171-181.

  7. ADAPT-ITT • Adaptation of EBIs through the following steps: • Assessment • Decision • Administration • Production • Topical experts • Integration • Training • Testing Adapted from from: Table 1. The ADAPT-ITT Model: Phases and Methodology in Wingood & DiClemente (2008) THE ADAPT-ITT Model. J Acquir Immune DeficSyndr. 47(Supp. 1):40-46.

  8. Short Comings • Focus on structure and context in systems theory • Missing focus on individual factors • Individuals make up the structures and the agencies • Dissemination also requires behavior change as predicted by diffusion theory • Individuals must choose to adopt EBIs • Ignores evidence of individual factors

  9. Incorporating the TTI • In compliment to diffusion theory • Overlap in individual and intra-personal as predicted by diffusion theory • Overlap with other systems theories • Emphasizes the role of multiple streams and levels of influence on the individual.

  10. THE THEORY OF TRIADIC INFLUENCE CULTURAL SOCIAL BIOLOGY/ ENVIRONMENT SITUATION PERSONALITY Interactions w/ Social Instit’s ATTITUDES SOCIAL SELF-EFFICACY TOWARD THE NORMATIVE BEHAVIORAL BEHAVIOR BELIEFS CONTROL Levels of Causation Intrapersonal Stream Social/Normative Stream Cultural/Attitudinal Stream Biological/Nature Nurture/Cultural Ultimate Underlying Causes 1 2 3 4 5 6 a f Social/ Personal Nexus c d e b Sense of Information/ Interpersonal Others’ Social Self/Control Opportunities Bonding Beh & Atts Competence Distal Predisposing Influences 7 8 9 10 11 12 g r p i q h k n Expectancies & Evaluations m l j o Self Skills: Motivation Perceived Values/ Knowledge/ Determination Social+General to Comply Norms Evaluations Expectancies 13 14 15 16 17 18 s x Affect and Cognitions u w v t Proximal Immediate Predictors 19 20 21 Decisions DECISIONS/INTENTIONS A G B H C I D E F 22 Trial Behavior EXPERIENCES: Expectancies -- Social Reinforcements -- Psychological/Physiological Experiences K 23 Note: 1. control/affective and cognitive substreams 2. feedback loops 3. Interactions between streams Related Behaviors J

  11. Innovations • Advantage • Compatibility • Complexity • Ability to try • Observability *Innovations are assessed by potential adopters.

  12. Evidence for Individual Factors • Particularly when focusing on training • Hitt et al., 2006 • Misunderstanding of purpose of intervention (Knowledge) • Changes in skills • Changes in perception of the intervention • Desirous of supportive staff (interpersonal bonding  motivation to comply)

  13. Implications • Trainings that involve behavior change principles. • Individual “interventions” for health providers appropriate?

More Related