Knowledge and attitudes of Implementation Support Practitioners—Findings from a systematic integrative review

Bührmann L, Driessen P, Metz A, Burke K, Bartley L, Varsi C, et al. (2022) Knowledge and attitudes of Implementation Support Practitioners—Findings from a systematic integrative review. PLoS ONE 17(5): e0267533. https://doi.org/10.1371/journal.pone.0267533

It requires thoughtful planning and work to successfully apply and sustain research-supported interventions like healthcare treatments, social support, or preventive programs in practice. Implementation support practitioners (ISPs) such as facilitators, technical assistance providers, knowledge brokers, coaches or consultants may be involved to actively support the implementation process. This article presents knowledge and attitudes ISPs bring to their work.

Building on a previously developed program logic, a systematic integrative review was conducted. Literature was sourced by searching nine electronic data bases, organizational websites, and by launching a call for publications among selected experts and social media. Article screening was performed independently by two researchers, and data from included studies were extracted by members of the research team and quality-assured by the lead researcher. The quality of included RCTs was assessed based on a framework by Hodder and colleagues. Thematic Analysis was used to capture information on knowledge and attitudes of ISPs across the included studies. Euler diagrams and heatmaps were used to present the results.

Results are based on 79 included studies. ISPs reportedly displayed knowledge about the clinical practice they work with, implementation / improvement practice, the local context, supporting change processes, and facilitating evidence-based practice in general. In particular, knowledge about the intervention to be implemented and its target population, specific improvement / implementation methods and approaches, organizational structures and sensitivities, training, and characteristics of (good) research was described in the literature. Seven themes describing ISPs’ attitudes were identified: 1) professional, 2) motivated / motivating / encouraging / empowering, 3) empathetic / respectful / sensitive, 4) collaborative / inclusive, 5) authentic, 6) creative / flexible / innovative / adaptive, and 7) frank / direct / honest. Pertaining to a professional attitude, being responsive and focused were the most prevalent indicators across included publications.

The wide range and complexity of knowledge and attitudes found in the literature calls for a comprehensive and systematic approach to collaboratively develop a professional role for ISPs across disciplines. Embedding the ISP role in different health and social welfare settings will enhance implementation capacities considerably.

Hello there,

We would love to hear from you

Category A – The UNC School of Social Work is approved by the American Psychological Association to sponsor continuing education for psychologists. The UNC School of Social Work maintains responsibility for this program and its content.

NBCC ACEP #6642: UNC School of Social Work (SSW) has been approved by NBCC as an Approved Continuing Education Provider, ACEP #6642.  Programs that do not qualify for NBCC credit are clearly identified.  UNC SSW is solely responsible for all aspects of the programs. Continuing education activities vary in the number of NBCC hours awarded based on the length of the program. See individual programs for specific CE credit information.

UNC SSW, #1406, is approved by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. UNC-SSW maintains responsibility for this course. ACE provider approval period: 8/10/2022 to 8/10/2025. Continuing education activities vary in the number of social work hours awarded based on the length of the program. See individual programs for specific CE credit information.