Factors that predict dissemination of evidence-based practice in one local authority in England: An assessment of introducing node-link mapping into substance misuse practice

Abstract

Aims: Node-link mapping (NLM) has been strongly advocated as a cognitive tool that aims to enhance the treatment process and is supported by a large evidence-base. In one local authority area in England, NLM was systematically introduced and embedded into staff daily practice across five main services including non-statutory, NHS and young people’s services. The study aimed to assess training and adoption of NLM prior to implementation into daily practice. Methods/Results: In total, 123 staff members were trained in NLM concepts across a number of workshops. Staff responses were recorded in a Workshop Evaluation Survey that suggested a high degree of satisfaction with the training provided although “time” was identified as a pre-requisite to prepare for implementation. A random sample of staff (n = 44) were followed-up at 6 months and were asked to complete a Workshop Assessment Follow-up schedule alongside participation in focus group interviews. Despite a commitment to NLM, there were mixed perceptions into the efficacy of node-link mapping. Staff concerns focused on lack of perceived ownership of the implementation process and a lack of confidence in using mapping on a regular basis. Managers also reflected reservations with “traditional” training methods and how to incorporate new practices into supervision processes. Implications for the dissemination of evidence-base practices are discussed.

• Cognitive-behavioural approaches
• training
• treatment interventions

Declaration of interest

Ed Day: The development of the original NLM materials was funded by a grant from the National Treatment Agency for Substance Misuse, and supported by Birmingham Drug Action Team.