Critical Components in Implementing Evidence‐based Practice: A Multiple Case Study of Individual Placement and Support for People with Psychiatric Disabilities

When developing Community Mental Health Services to support people with psychiatric disabilities, European countries are advocating evidence ‐based practice (EBP ). Individual Placement and Support (IPS ) is an evidence ‐based model designed to support people in acquiring and maintaining competitive employment. Implementation science is a growing research field, with a focus on components that impact the process of implementing EBP programmes. In this multiple case study, we have followed three IPS demonstration sites for two years, in order to describe and analyze barriers and facilitators for implementation, according to constructs described in the Consolidated Framework for Implementation Research (Damschroder et al. 2009 ). The results highlight the importance of strategic networking, as well as the need for planning and preparations carried out before the start of an EBP programme, since deficiencies related to these constructs are difficult to compensate for.      

An integrated system of engaging social workers and community volunteers in social care for the elderly: case studies in Taiwan

Integrating volunteers into social care is widely expected but rarely successful in practice. This paper discusses how the Community Care Centre Plan organising community volunteers to provide services to the elderly in Taiwan. This plan successfully integrated social workers and volunteers in a national system to offer service in local communities, showing a systemic practice of community care and a unique case of community-based and volunteer-based service. The purposes of this paper are to introduce the programme design and to understand how to integrate the mission of social workers and volunteers’ performance. The governmental policy and requirements, the role of social workers and the provision of voluntary community service which contributed to form the system were examined in this paper.     

Surviving in “Localistic Communitas”: Endogenous Multicultural Community Organizing among Migrant Workers in Post-Socialist China

ABSTRACT

Based on 5 months of ethnographic fieldwork and 43 in-depth interviews with villagers of T Township, the author uncovers an emerging approach of endogenous multicultural community practice in the cities where the villagers have migrated to work. Cadres and villagers transplant their localistic networks to the new urban contexts while transforming hierarchical and clientelistic personal ties into more horizontal relations of comradeship. Through these redefined ties, they manage to transcend the persisting boundaries of village units, class status, and lineage institutions that segment the rural society, and succeed in mobilizing community resources to fight for urban survival and social justice. Although neither community service nor the social work profession is fully institutionalized in contemporary China, innovative organizing is appearing in grassroots communities in response to sweeping social changes. This article draws academic attention to these community practices and discusses their implications for the future development of strength-based social work and social services in post-socialist China.     

Formative research methods to understand patient and provider responses to heart attack symptoms

Formative research is often required for program planning, and for reducing uncertainty about generalizability of program effects. This article describes and justifies methods of formative research conducted for the REACT study (Rapid Early Action for Coronary Treatment), a multi-center collaborative randomized community trial aimed at reducing patient delay in seeking care for acute myocardial infarction (AMI). Formative research cast light on patient and community members’ decision-making process in seeking help for AMI, as well as barriers and facilitators of this process. Investigators at all five REACT Field Centers participated in the formative research. The process consisted of: (1) developing a common theoretical framework for the study intervention; (2) conducting a literature review and qualitative research to identify and address gaps in knowledge; and (3) developing a common protocol for the REACT study that accommodated the diversity of the target communities in terms of services, resources, history, and ethnicity. Analysis employed triangulation, defined as an explicit search for heterogeneous data sources to reduce uncertainty about forces at work and opportunities for intervention across settings and populations. Because the collection and interpretation of data went in stages, staff of several REACT Field Centers had independent input to the overall synthesis, then shared and revised the results. Advantages and limitations of this approach are discussed.     

Assessing participants’ perceptions on group-based principles for action in community-based health enhancing physical activity programmes: The APEF tool

In community-based health enhancing physical activity (CBHEPA) programmes, group-based principles for action such as active participation, enjoyment, and fostering group processes are widely advocated. However, not much is known about participants’ perceptions of these principles as there are no assessment tools available. Therefore, this article describes the development of the APEF (Active Participation, Enjoyment, and Fostering group processes) tool and reports on its implementation in a Dutch CBHEPA programme. Indicators for the principles have been identified from literature research, interviews with professionals, and secondary analysis of three group interviews with 11 practitioners. To address the identified indicators, the APEF tool was developed, pretested, and used in 10 focus groups with 76 participants.The APEF tool consists of eight statements about group-based principles for action, on which CBHEPA participants vote, followed by in-depth discussion. The voting procedure engages participants. Spider diagrams visualise participants’ perceptions of group-based principles.The APEF tool addresses the challenge of relating group level outcomes to individual outcomes such as physical activity behaviour. The tool facilitates as well as evaluates group-based principles for action, it stimulates dialogue and is culturally sensitive, but it needs strong facilitating skills to manage group dynamics.     

Investment communities: Behavioral attitudes and economic dynamics

Using a real-world data set encompassing the daily portfolio holdings and exposures of complex investment funds, we derive a set of quantitative attributes to capture essential behavioral features of fund managers. We find the existence and stability of three investment attitudes, namely the conservative, the reactive, and the pro-active profiles, defining communities that respond differently when facing external shocks. The conservative community has behavioral similarities that tend to decrease due to external shocks, the reactive community members greatly increase their activity level especially during turmoil phases, while delegated investors in the pro-active community are more resilient to turbulence and counterbalance the impact of the events by adjusting their portfolio exposures in advance. We show that exogenous shocks only temporarily perturb the behavioral traits of the communities which then go back to their original states once the distress is embedded.     

Coalition for a Healthier Community: Lessons learned and implications for future work

The Coalition for a Healthier Community (CHC) initiative was implemented to improve the health and well-being of women and girls. Underpinning CHC is a gender-based focus that uses a network of community partners working collaboratively to generate relevant behavior change and improved health outcomes. Ten programs are trying to determine whether gender-focused system approaches are cost-effective ways to address health disparities in women and girls. Programs implemented through coalitions made up of academic institutions, public health departments, community-based organizations, and local, regional, and national organizations, are addressing health issues such as domestic violence, cardiovascular disease prevention, physical activity, and healthy eating. Although these programs are ongoing, they have made significant progress. Key factors contributing to their early success include a comprehensive needs assessment, robust coalitions, the diversity of populations targeted, programs based on findings of the needs assessments, evaluations taking into consideration the effect of gender, and strong academic–community partnerships. A noteworthy impact of these programs has been their ability to shape and impact public, social, and health policies at the state and local levels. However, there have been challenges associated with the implementation of such a complex program. Lessons learned are discussed in this paper.     

A comprehensive health service evaluation and monitoring framework

ObjectiveTo develop a framework for evaluating and monitoring a primary health care service, integrating hospital and community services.MethodA targeted literature review of primary health service evaluation frameworks was performed to inform the development of the framework specifically for remote communities. Key principles underlying primary health care evaluation were determined and sentinel indicators developed to operationalise the evaluation framework. This framework was then validated with key stakeholders.ResultsThe framework includes Donabedian's three seminal domains of structure, process and outcomes to determine health service performance. These in turn are dependent on sustainability, quality of patient care and the determinants of health to provide a comprehensive health service evaluation framework. The principles underpinning primary health service evaluation were pertinent to health services in remote contexts. Sentinel indicators were developed to fit the demographic characteristics and health needs of the population. Consultation with key stakeholders confirmed that the evaluation framework was applicable.ConclusionData collected routinely by health services can be used to operationalise the proposed health service evaluation framework. Use of an evaluation framework which links policy and health service performance to health outcomes will assist health services to improve performance as part of a continuous quality improvement cycle.     

基于局部社团结构平衡的双模符号网络链路预测研究

随着互联网产业的高速发展,双模符号网络已经成为一类常见的复杂网络,然而针对此 类网络的分析较少。本文在传统非符号网络局部社团理论和符号网络结构平衡理论的基础上,首次提出了双模符号网络下的局部社团理论。这一理论不仅考虑了符号网络中共同邻居的信息,还引入了共同邻居间存在的连接。进一步地,本文推导出符号网络中基于局部社团信息的加权平衡回路增益指数,该指标可以表示双模符号网络中用户节点和产品节点间的符号关系。为了将该指标更好地应用于双模 符号网络链路预测问题,本文提出了加权平衡回路增益分类器算法。实验结果表明,相比其他经典链路预测算法,新算法具有更好的预测能力。     

大数据背景下基于社交网络的聚类随机游走抽样算法研究

数字经济时代,社交网络作为数字化平台经济的重要载体,受到了国内外学者的广泛关注。大数据背景下,社交网络的商业应用价值巨大,但由于其网络规模空前庞大,传统的网络分析方法 因计算成本过高而不再适用。而通过网络抽样算法获取样本网络,再推断整体网络,可节约计算资源, 因此抽样算法的好坏将直接影响社交网络分析结论的准确性。现有社交网络抽样算法存在忽略网络内部拓扑结构、容易陷入局部网络、抽样效率过低等缺陷。为了弥补现有社交网络抽样算法的缺陷,本文结合大数据社交网络的社区特征,提出了一种聚类随机游走抽样算法。该方法首先使用社区聚类算法将原始网络节点进行社区划分,得到多个社区网络,然后分别对每个社区进行随机游走抽样获取样本网 络。数值模拟和案例应用的结果均表明,聚类随机游走抽样算法克服了传统网络抽样算法的缺点,能够在降低网络规模的同时较好地保留原始网络的结构特征。此外,该抽样算法还可以并行运算,有效提升抽样效率,对于大数据背景下大规模社交网络的抽样实践具有重大现实意义。