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A Cost Analysis of the Innovation–Decision Process of an Evidence-Based Practice in Schools
School Mental Health ( IF 3.325 ) Pub Date : 2020-04-21 , DOI: 10.1007/s12310-020-09372-z
Courtenay A. Barrett , Elise T. Pas , Sarah Lindstrom Johnson

The translation of evidence-based practices (EBPs) to improve students’ social, emotional, behavioral, and academic outcomes into authentic school settings has posed significant challenges for both researchers and practitioners. Among the many barriers to the adoption and use of EBPs are their associated costs. This study presents a framework for integrating the diffusion of innovation theory into an economic evaluation utilizing a societal perspective, which affords the capturing of costs of all phases from adoption through implementation of EBPs for all stakeholders. We leverage cost data from one evidence-based math intervention to serve as a model for incorporating diffusion of innovation theory into cost estimation. We exemplify how costs are distributed across personnel and organizational structures over time and across different stages of diffusion. Results suggest that the distribution of costs changes across stages of the innovation decision-making process, and lack of attention to the pre-adoption costs may partly explain challenges in EBP adoption in schools. Implications for the translation of social, emotional, behavioral, and academic interventions in schools and suggestions for future research are discussed.

中文翻译:

学校循证实践创新决策过程的成本分析

为了改善学生的社交,情感,行为和学术成果,以证据为基础的实践(EBP)转化为真实的学校环境对研究人员和从业人员都构成了重大挑战。采用和使用EBP的众多障碍之一是相关的成本。本研究提供了一个框架,该框架利用社会视角将创新理论的传播整合到经济评估中,从而为所有利益相关者提供了从采用到实施EBP的所有阶段的成本。我们利用来自一项循证数学干预的成本数据来作为将创新理论的扩散纳入成本估算的模型。我们举例说明了如何随着时间的推移以及在扩散的不同阶段跨人员和组织结构分配成本。结果表明,成本分配在创新决策过程的各个阶段都会发生变化,并且对预收成本的关注不足可能部分解释了学校采用EBP所面临的挑战。讨论了对学校中的社交,情感,行为和学术干预措施的翻译含义以及对未来研究的建议。
更新日期:2020-04-21
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