Nicole A Stadnick1,2,3, Martina G Penalosa4, Kassandra Martinez2,5, Lauren Brookman-Frazee1,2,3, Daniel P Gizzo6, Timothy Sahms7,8, Cynthia L Kuelbs7,9, Gregory A Aarons1,2,3. 1. University of California San Diego, Department of Psychiatry, San Diego, CA. 2. Child and Adolescent Services Research Center, San Diego, CA. 3. UC San Diego Dissemination and Implementation Science Center, San Diego, CA. 4. University of California San Diego School of Medicine, San Diego, CA. 5. San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA. 6. Kaiser Permanente, Oakland, CA. 7. University of California San Diego, Department of Pediatrics, San Diego, CA. 8. San Ysidro Health, San Ysidro, CA. 9. Rady Children's Hospital, San Diego, CA.
Abstract
Objective: To characterize pre-implementation organizational factors associated with Access To Tailored Autism Integrated Care (ATTAIN), an integrated care model for children with autism and identified or suspected co-occurring mental health needs. Methods: Pediatric primary care providers (n=36) completed surveys as part of a pilot study testing ATTAIN feasibility. Measures assessed: background characteristics; implementation climate; organizational readiness; evidence-based practice (EBP) attitudes; knowledge, confidence and comfort caring for children with autism. Results: Compared to providers from a network of primary care practices and an integrated healthcare system, providers from a Federally Qualified Health Center (FQHC) reported less positive perceptions of climate supportive of EBP implementation and, specifically, selection for openness and rewards for EBPs. Implementation climate was associated with autism knowledge, comfort with mental health referral and follow up, and organizational change efficacy. Conclusions: Findings advance understanding of pre-implementation organizational context factors important to assess for EBP implementation in diverse pediatric care settings.
Objective: To characterize pre-implementation organizational factors associated with Access To Tailored Autism Integrated Care (ATTAIN), an integrated care model for children with autism and identified or suspected co-occurring mental health needs. Methods: Pediatric primary care providers (n=36) completed surveys as part of a pilot study testing ATTAIN feasibility. Measures assessed: background characteristics; implementation climate; organizational readiness; evidence-based practice (EBP) attitudes; knowledge, confidence and comfort caring for children with autism. Results: Compared to providers from a network of primary care practices and an integrated healthcare system, providers from a Federally Qualified Health Center (FQHC) reported less positive perceptions of climate supportive of EBP implementation and, specifically, selection for openness and rewards for EBPs. Implementation climate was associated with autism knowledge, comfort with mental health referral and follow up, and organizational change efficacy. Conclusions: Findings advance understanding of pre-implementation organizational context factors important to assess for EBP implementation in diverse pediatric care settings.
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