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A randomized contro...
A randomized controlled trial in schools aimed at exploring mechanisms of change of a multifaceted implementation strategy for promoting mental health at the workplace
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- Kwak, Lydia (author)
- Karolinska Institutet,Karolinska Institute,Karolinska institutet,Karolinska Inst, Sweden
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- Toropova, Anna (author)
- Karolinska Institutet,Karolinska Institute,Karolinska institutet,Karolinska Inst, Sweden
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- Powell, Byron J. (author)
- Washington University in St. Louis, Missouri, USA,Washington Univ, MO 63110 USA; Washington Univ, MO 63110 USA; Washington Univ, MO 63110 USA
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- Lengnick-Hall, Rebecca (author)
- Washington University in St. Louis, Missouri, USA,Washington Univ, MO 63110 USA
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- Jensen, Irene (author)
- Karolinska Institutet,Karolinska Institute,Karolinska institutet,Karolinska Inst, Sweden
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- Bergström, Gunnar, Professor (author)
- Karolinska Institutet,Högskolan i Gävle,Karolinska Institute,University of Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Karolinska institutet,Karolinska Inst, Sweden; Univ Gavle, Sweden
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- Elinder, Liselotte Schäfer (author)
- Karolinska Institutet,Karolinska Institute,Stockholm Regional Council,Karolinska institutet,Karolinska Inst, Sweden; Ctr Epidemiol & Community Med, Sweden
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- Stigmar, Kjerstin (author)
- Lund University,Lunds universitet,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Tillämpad epidemiologi,Human Movement: health and rehabilitation,Lund University Research Groups,Applied epidemiology,Lund Univ, Sweden
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- Wåhlin, Charlotte (author)
- Linköpings universitet,Linköping University,Karolinska Institute,Karolinska institutet; Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Arbets- och miljömedicin,Karolinska Inst, Sweden
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- Björklund, Christina (author)
- Karolinska Institutet,Karolinska Institute,Karolinska institutet,Karolinska Inst, Sweden
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(creator_code:org_t)
- 2022-09-01
- 2022
- English.
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In: Implementation Science. - : Springer Science and Business Media LLC. - 1748-5908. ; 17:1
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Abstract
Subject headings
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- Background: This study will explore implementation mechanisms through which a single implementation strategy and a multifaceted implementation strategy operate to affect the implementation outcome, which is fidelity to the Guideline For The Prevention of Mental Ill Health within schools. The guideline gives recommendations on how workplaces can prevent mental ill health among their personnel by managing social and organizational risks factors in the work environment. Schools are chosen as the setting for the study due to the high prevalence of mental ill health among teachers and other personnel working in schools. The study builds on our previous research, in which we compared the effectiveness of the two strategies on fidelity to the guideline. Small improvements in guideline adherence were observed for the majority of the indicators in the multifaceted strategy group. This study will focus on exploring the underlying mechanisms of change through which the implementation strategies may operate to affect the implementation outcome. Methods: We will conduct a cluster-randomized-controlled trial among public schools (n=55 schools) in Sweden. Schools are randomized (1:1 ratio) to receive a multifaceted strategy (implementation teams, educational meeting, ongoing training, Plan-Do-Study-Act cycles) or a single strategy (implementation teams, educational meeting). The implementation outcome is fidelity to the guideline. Hypothesized mediators originate from the COM-B model. A mixed-method design will be employed, entailing a qualitative study of implementation process embedded within the cluster-randomized controlled trail examining implementation mechanisms. The methods will be used in a complementary manner to get a full understanding of the implementation mechanisms. Discussion: This implementation study will provide valuable knowledge on how implementation strategies work (or fail) to affect implementation outcomes. The knowledge gained will aid the selection of effective implementation strategies that fit specific determinants, which is a priority for the field. Despite recent initiatives to advance the understanding of implementation mechanisms, studies testing these mechanisms are still uncommon. Trial registration: ClinicalTrials.org dr.nr 2020-01214.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- SAMHÄLLSVETENSKAP -- Annan samhällsvetenskap -- Arbetslivsstudier (hsv//swe)
- SOCIAL SCIENCES -- Other Social Sciences -- Work Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
Keyword
- COM-B
- Guideline
- Implementation mechanism
- Implementation strategies
- Mediators
- Schools
- Theoretical Domains Framework
- COM-B; Guideline; Implementation mechanism; Implementation strategies; Mediators; Schools; Theoretical Domains Framework
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Kwak, Lydia
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Toropova, Anna
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Powell, Byron J.
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Lengnick-Hall, R ...
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Jensen, Irene
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Bergström, Gunna ...
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Elinder, Liselot ...
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Stigmar, Kjersti ...
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Wåhlin, Charlott ...
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Björklund, Chris ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Other Social Sci ...
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and Work Sciences
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Occupational Hea ...
- Articles in the publication
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Implementation S ...
- By the university
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Lund University
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University of Gävle
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Karolinska Institutet
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Linköping University