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Billsten, Johan
Publications (4 of 4) Show all publications
Billsten, J., Fridell, M., Holmberg, R. & Ivarsson, A. (2018). Organizational Readiness for Change (ORC) test used in the implementation of assessment instruments and treatment methods in a Swedish National study. Journal of Substance Abuse Treatment, 84, 9-16
Open this publication in new window or tab >>Organizational Readiness for Change (ORC) test used in the implementation of assessment instruments and treatment methods in a Swedish National study
2018 (English)In: Journal of Substance Abuse Treatment, ISSN 0740-5472, E-ISSN 1873-6483, Vol. 84, p. 9-16Article in journal (Refereed) Published
Abstract [en]

Organizational climate and related factors are associated with outcome and are as such of vital interest for healthcare organizations. Organizational Readiness for Change (ORC) is the questionnaire used in the present study to assess the influence of organizational factors on implementation success. The respondents were employed in one of 203 Swedish municipalities within social work and psychiatric substance/abuse treatment services. They took part in a nationwide implementation project organized by the Swedish Association of Local Authorities and Regions (SALAR), commissioned by the Swedish National Board of Health and Welfare. Aim: The aims were: (a) to identify classes (dusters) of employees with different ORC profiles on the basis of data collected in 2011 and (b) to investigate ORC profiles which predicted the use of assessment instruments, therapy methods and collaborative activities in 2011 and 2013. Design and recruitment: The evaluation study applied a naturalistic design with registration of outcome at consecutive assessments. The participants were contacted via official e-mail addresses in their respective healthcare units and were encouraged by their officials to participate on a voluntary basis. Statistics: Descriptive statistics were obtained using SPSS version 23. A latent profile analysis (LPA) using Mplus 73 was performed with a robust maximum likelihood estimator (MLR) to identify subgroups (clusters) based on the 18 ORC indexes. Results: A total of 2402 employees responded to the survey, of whom 1794 (74.7%) completed the ORC scores. Descriptive analysis indicated that the respondents were a homogenous group of employees, where women (72.0%) formed the majority. Cronbach's alpha for the 18 ORC indexes ranged from alpha = 0.67 to alpha = 0.78. A principal component analysis yielded a four -factor solution explaining 62% of the variance in total ORC scores. The factors were: motivational readiness (alpha = 0.64), institutional resources (alpha = 0.52), staff attributes (alpha = 0.76), and organizational climate (alpha = 0.74). An LPA analysis of the four factors with their three distinct profiles provided the best data fit: Profile 3 (n = 614), Profile 2 (n = 934), and Profile 1 (n = 246). Respondents with the most favorable ORC scores (Profile 3) used significantly more instruments and more treatment methods and had a better collaborating network in 2011 as well as in 2013 compared to members in Profile 1, the least successful profile. Conclusion: In a large sample of social work and healthcare professionals, ORC scores reflecting higher institutional resources, staff attributes and organizational climate and lower motivational readiness for change were associated with a successful implementation of good practice guidelines for the care and treatment of substance users in Sweden. Low motivational readiness as a construct may indicate satisfaction with the present situation. As ORC proved to be an indicator of successful dissemination of evidence-based guidelines into routine and specialist healthcare, it can be used to tailor interventions to individual employees or services and to improve the dissemination of and compliance with guidelines for the treatment of substance users. (C) 2017 Elsevier Inc. All rights reserved.

Place, publisher, year, edition, pages
Pergamon Press, 2018
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-69764 (URN)10.1016/j.jsat.2017.10.004 (DOI)000417772900002 ()29195597 (PubMedID)
Available from: 2018-01-12 Created: 2018-01-12 Last updated: 2018-01-12Bibliographically approved
Fridell, M., Holmberg, R., Billsten, J. & Benderix, Y. (2015). Implementering av Socialstyrelsens riktlinjer för missbruks- och beroendevården: Utvärdering av det nationella utvecklingsarbetet Kunskap till Praktik. Lund: Lunds universitet
Open this publication in new window or tab >>Implementering av Socialstyrelsens riktlinjer för missbruks- och beroendevården: Utvärdering av det nationella utvecklingsarbetet Kunskap till Praktik
2015 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Lund: Lunds universitet, 2015. p. 146
Series
Psykologiska rapporter från Lund, ISSN 1404-8124 ; Vol. 7, no. 1
Keywords
Implementering, Riktlinjer, missbruk, beroende
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-42691 (URN)
Funder
Swedish National Board of Health and Welfare
Available from: 2015-04-17 Created: 2015-04-17 Last updated: 2016-05-30Bibliographically approved
Billsten, J., Holmberg, R. & Benderix, Y. (2014). Evidensbaserad praktik inom missbruks- och beroendevården (1ed.). In: Per Nilsen (Ed.), Implementering av evidensbaserad praktik: (pp. 233-245). Falkenberg: Gleerups Utbildning AB
Open this publication in new window or tab >>Evidensbaserad praktik inom missbruks- och beroendevården
2014 (Swedish)In: Implementering av evidensbaserad praktik / [ed] Per Nilsen, Falkenberg: Gleerups Utbildning AB, 2014, 1, p. 233-245Chapter in book (Other academic)
Place, publisher, year, edition, pages
Falkenberg: Gleerups Utbildning AB, 2014 Edition: 1
Keywords
implementation, evidence based practice users influence research treatment, implementering evidensbaserad praktik vård och behandling brukarinflytande forskning
National Category
Medical and Health Sciences Substance Abuse
Research subject
Pedagogics and Educational Sciences, Substance Abuse Treatment
Identifiers
urn:nbn:se:lnu:diva-61303 (URN)9789140684479 (ISBN)
Available from: 2017-03-12 Created: 2017-03-12 Last updated: 2017-03-20Bibliographically approved
Benderix, Y., Fridell, M., Billsten, J. & Holmberg, R. (2012). Utvärdering av "Kunskap till Praktik" ett nationellt stöd till implementering av Nationella Riktlinjer för missbruks och beroendevård. delrapport I  2008 - 2011. Växjö: Linnéuniversitetet
Open this publication in new window or tab >>Utvärdering av "Kunskap till Praktik" ett nationellt stöd till implementering av Nationella Riktlinjer för missbruks och beroendevård. delrapport I  2008 - 2011
2012 (Swedish)Report (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Växjö: Linnéuniversitetet, 2012. p. 190
Keywords
utvärdering, nationellt stöd, implementering, Nationella riktlinjer, missbruks- och beroendevård
National Category
Substance Abuse
Research subject
Pedagogics and Educational Sciences, Substance Abuse Treatment
Identifiers
urn:nbn:se:lnu:diva-24668 (URN)
Available from: 2013-03-15 Created: 2013-03-04 Last updated: 2016-11-24Bibliographically approved
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