Intervening for sustainable change: Tailoring strategies to align with values and principles of communities

Metz A, Kainz K and Boaz A (2023) Intervening for sustainable change: Tailoring strategies to align with values and principles of communities. Front. Health Serv. 2:959386. doi: 10.3389/frhs.2022.959386

This paper presents a rationale for tailoring implementation strategies within a values-driven implementation approach. Values-driven implementation seeks to organize implementers around clarifying statements of their shared values in ways that harmonize implementation dynamics related to individual and group mental models, relationships among implementers, and the implementation climate. The proposed approach to tailoring strategies is informed by systems theory and emphasizes the need to focus on both tangible events and behaviors, as well deeper patterns, structures, relationships, and mental models, in order to increase the likelihood of sustaining implementation efforts and improving outcomes for people and communities. We offer for consideration three specific sets of context determinants that are under-represented in the implementation literature and that emerge as especially relevant within a systems approach to identifying and successfully tailoring implementation strategies in the implementation setting including relationships, mental models, and implementation climate.

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Marita Brack is the Associate Director for Psychology within NHS Education for Scotland, and has worked as a Clinical Psychologist for 25 years. Her clinical work has principally been within specialist mental health services for children, young people and their families, both in Scotland and Australia. Marita has also worked within university settings in relation to the training of Applied Psychologists, and was the Clinical Practice Director on the MSc in Applied Psychology for Children and Young People, delivered in partnership between the NHS and the University of Edinburgh. Marita joined NES in 2010 as the Head of Programme for the Parenting and Infant Mental Health workstream, within the Psychology Directorate, and through this role has led on the development and implementation of several strands of work, including the Psychology of Parenting Project (PoPP), the NES Infant Mental Health training plan, the Early Intervention Framework, and most recently Marita has been co-leading on the implementation of the Enhanced Psychological Practice-Children and Young People certificate level course that has been created within NES. Marita has a long-standing interest in early intervention and prevention approaches to strengthening mental health and wellbeing, evidence-based parent-child relationship interventions and public health.

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