Respond totwo colleagues by noting the similarities and differences in the factors that would support or impede your colleague’s implementation of evidence-based practice as noted in his or her post to those that would impact your implementation of evidence-based practice as noted in your original post. Offer a solution for addressing one of the factors that would impede your colleague’s implementation of evidence-based practice.
Colleague 1: Rachel
One characteristic of evidenced-based practice is that the interventions have been rigorously evaluated in experimental or quasi-experimental studies. In the experimental design, randomization is utilized to assign people to treatment and control groups. The experimental group participates in the intervention, while the treatment group does not. The outcomes of the two groups are then compared to test the differences within the groups. A quasi-experimental study is not as effective as the experimental group because the participants are not assigned randomly. Instead, participants are compared to a group that has similar characteristics to them (Cooney, Huser, C.M., Small, O’Connor, 2007).
Another characteristic of evidenced-based practice is empirical evidence that comes as a result of these rigorous evaluations. Usually, results of the program are published in peer-reviewed scientific journals. Because these interventions have empirical evidence, they can be called research-based. However, not all researched based programs are also evidence based (Cooney, et. al, 2007).
There are many factors that could impede adopting evidence-based practice or programs. The main factor is money. Evidence-based programs are usually copyrighted and are expensive. It is also required that the staff implementing the program purchase additional books and supplies. These programs could also require the staff to hold certain qualifications or complete specialized training, which could also impede implementation. Another factor that could impede implementation is that the programs are often meant to be implemented a specific way, with little room for adaptation (Cooney, et. al, 2007).
Cooney, S. M., Huser, C. M., Small, S., & O’Connor, C. (2007). Evidence-based programs: An overview. What Works, Wisconsin —Research to Practice Series, (6), 1–8. Retrieved from http://whatworks.uwex.edu/attachment/whatworks_06.pdf (PDF)
Colleague 2: Dawn
Evidence-based practices (EBP) are subjected to extremely laborious and extensive testing and evaluated to ensure their efficacy (Small, Reynolds, O’Conner, & Cooney, 2005). Programs that have been found to be effective and positively influence social problems over time and target specific populations are considered to be an EBP. EBP’s do not mandate they types of interventions the social worker should utilize. EBP’s provide the social worker with an array of soundly researched options of which to choose from, matching the intervention to the needs of the client (Thayer, 2010). “EBP is actually a process of inquiry offered to practitioners” (Thayer, 2010, pg. 7). Finally, another characteristic of an EBP is that it is peer-reviewed and the experts in the field of the study agree with the outcomes, at which point it is published in a journal and federally endorsed (Cooney, Huser, Small, O’Connor, 2007). All of this put together requires that in order for an intervention to be considered an EBP it must pass a number of tests and requirements.
Factors Supporting & Impeding Adoption of EBP’s
One factor supporting the implementation of an EBP is its effectiveness. If the program is shown to have effective outcomes for a number of settings and populations the intervention has a higher likelihood of being adopted (Cooney, Huser, Small, O’Connor, 2007). One factor that both supports and impedes the adoption of an EBP is its cost-effectiveness. If the EBP is more cost effective than what is currently being used the powers that be may decide to adopt the EBP into current programs. If on the other hand, the EBP proves not to be cost effective it may most likely not be adopted even should it prove to have excellent outcomes (Small, Reynolds, O’Conner, & Cooney, 2005). One reason an EBP is not adopted is that it may be viewed as culturally incompatible with the population being served. There is evidence that shows when the culture of EBP is different than the culture being served the adaptations may lead to poorer outcomes and render the EBP to be less effective (O’Connor, Small, & Cooney, 2007).
Cooney, S.M., Huser, C.M., Small, S., O’Connor, C. (2007). Evidence-based programs: An overview. What Works, Wisconsin – Research to Practice Series, (6), 1-8.
O’Connor, C., Small, S. A., & Cooney, S. M. (2007, April). Program fidelity and adaptation: Meeting local needs without compromising program effectiveness. What Works, Wisconsin – Research to Practice Series, 4, 1-6.
Small, S. A., Reynolds, A. J., O’Conner, C., & Cooney, S. M. (2005). What works, Wisconsin: What science tells us about cost-effective programs for juvenile delinquency prevention. Retrieved from http://whatworks.uwex.edu/attachment/whatworkswisconsin.pd
Thayer, B. (2010) Introductory principles in social work research. In B. Thayer (Ed), The handbook of social work research methods (2nd ed., pp. 1-8). Thousand Oaks, CA: SAGE.
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