BACKGROUND Effective leadership for organizational change is critical to the implementation of evidence-based practices (EBPs). As organizational leaders in behavioral health organizations often are promoted from within the agency for their long-standing, effective work as counselors, they may lack formal training in leadership, management, or practice change. This study assesses a novel implementation leadership training designed to promote leadership skills and successful organizational change specific to EBP implementation. METHODS We conducted a pre-post outcome evaluation of the Training in Implementation Practice Leadership (TRIPLE), delivered via three in-person, half-day training sessions, with interim coaching and technical support. Sixteen mid-level leaders (75% female, 94% Caucasian, mean age 37 years) from 8 substance abuse treatment agencies participated. Professional roles included clinical managers, quality improvement coordinators, and program directors. Participants completed surveys prior to the first and following the final session. At both time points, measures included the Implementation Leadership Scale, Implementation Climate Scale, and Organizational Readiness for Implementing Change Scale. At post-test, we added the Training Acceptability and Appropriateness Scale (TAAS), assessing participant satisfaction with the training. Qualitative interviews were conducted 6 to 8 months after the training. RESULTS Most participants (86% and 79%, respectively) reported increased implementation leadership skills and implementation climate; paired samples t tests indicated these pre-post increases were statistically significant. Implementation leadership scores improved most markedly on the Proactive and Knowledgeable subscales. For implementation climate, participants reported the greatest increases in educational support and recognition for using EBP. Post-test scores on the TAAS also indicated that participants found the training program to be highly acceptable and appropriate for their needs. Qualitative results supported positive outcomes of training that resulted in both increased organizational implementation as well as leadership skills of participants. CONCLUSIONS This training program represents an innovative, effective, and well-received implementation strategy for emerging behavioral healthcare leaders seeking to adopt or improve the delivery of EBPs. Reported implementation leadership skills and implementation climate improved following the training program, suggesting that TRIPLE may have helped fulfill a critical need for emerging behavioral healthcare leaders.

中文翻译：

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实施实践领导力培训（TRIPLE）：对行为健康组织中一种新颖的实践转变策略进行评估。

背景技术对组织变革的有效领导对于实施循证实践（EBP）至关重要。由于行为健康组织的组织负责人由于长期，有效地担任顾问而经常从机构内部晋升，因此他们可能缺乏领导，管理或实践变革方面的正规培训。这项研究评估了一种新颖的实施领导力培训，旨在提高领导技能和针对EBP实施的成功组织变革。方法我们对实施实践领导力培训（TRIPLE）进行了事前评估，该评估通过三个为期半天的面对面培训课程进行，并提供了临时指导和技术支持。16名中层领导（女性75％，白人94％，平均年龄37岁）来自8个药物滥用治疗机构。专业角色包括临床经理，质量改进协调员和计划主管。参加者在第一届会议之前和最后一届会议之后完成了调查。在两个时间点，措施包括实施领导力量表，实施气候量表和组织准备实施变更量表。在测试后，我们添加了培训可接受性和适当性量表（TAAS），以评估参与者对培训的满意度。培训后6到8个月进行了定性访谈。结果大多数参与者（分别为86％和79％）报告说，实施领导技能和实施氛围有​​所提高。配对样本t检验表明，这些事前增加量在统计学上是显着的。实施领导力得分在“积极主动”和“知识渊博”子量表上得到了显着改善。对于实施环境，参与者报告了使用EBP的教育支持和认可度的最大增长。TAAS的测试后分数还表明，参与者发现培训计划是高度可接受的，并且适合他们的需求。定性结果支持培训的积极成果，从而导致组织实施的增加以及参与者的领导技能。结论本培训计划为寻求采用或改善EBP的新兴行为医疗保健领导者提供了一种创新，有效且广受欢迎的实施策略。