TY - JOUR
T1 - Evaluation of an authority innovation-decision
T2 - Brief alcohol intervention for pregnant women receiving women, infants, and children services at two illinois health departments
AU - Moise, Imelda K.
AU - Green, David
AU - Toth, Janine
AU - Mulhall, Peter F.
N1 - This study was supported by a grant from Northup Grumman Center for Excellence to IDHS’ Special Supplemental Nutrition Programs for WIC which then awarded an implementation subcontract to CPRD. We are grateful to state staff at the IDHS, Division of Community Health and Prevention and its Special Supplemental Nutrition Program for WIC for their continued support during the study and in letting us work with their county health departmental staff. We would like to express our special appreciation and thank you to the two pilot sites and their staff for their support and participation in this study. Special thanks to Lisa Kienzle and Toylee Green-Harris at Prevention First. Address correspondence to Imelda K. Moise, Institute of Government and Public Affairs, University of Illinois at Champaign-Urbana, 510 Devonshire Dr, Champaign, IL 61820 USA; E-mail: [email protected].
PY - 2014/6
Y1 - 2014/6
N2 - Despite the availability of clinical tools and evidence-based screening recommendations, there has been little discussion regarding screening of prenatal alcohol exposure in community-based settings, including adoption and implementation. This study's aim is to evaluate and validatethrough surveys and focus groupsobstacles and challenges that shape efficacious implementation of the BAI at two Illinois health departments. Results suggest that BAI implementation is facilitated by staff perceptions of its benefits, readiness to implement the intervention, and organizational support for it. Limitations of the management information system, ambiguous screening questions, and high case-loads present barriers to effective BAI implementation.
AB - Despite the availability of clinical tools and evidence-based screening recommendations, there has been little discussion regarding screening of prenatal alcohol exposure in community-based settings, including adoption and implementation. This study's aim is to evaluate and validatethrough surveys and focus groupsobstacles and challenges that shape efficacious implementation of the BAI at two Illinois health departments. Results suggest that BAI implementation is facilitated by staff perceptions of its benefits, readiness to implement the intervention, and organizational support for it. Limitations of the management information system, ambiguous screening questions, and high case-loads present barriers to effective BAI implementation.
KW - Brief alcohol intervention (BAI)
KW - Diffusion of innovations
KW - Evaluation
KW - Fetal alcohol spectrum disorder (FASD)
KW - Focus groups
UR - http://www.scopus.com/inward/record.url?scp=84899008772&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84899008772&partnerID=8YFLogxK
U2 - 10.3109/10826084.2014.880484
DO - 10.3109/10826084.2014.880484
M3 - Article
C2 - 24512670
AN - SCOPUS:84899008772
SN - 1082-6084
VL - 49
SP - 804
EP - 812
JO - Substance Use and Misuse
JF - Substance Use and Misuse
IS - 7
ER -