title: Factors affecting implementation of an evidence-based practice in the Veterans Health Administration: Illness management and recovery.
abstract: OBJECTIVE
  Illness management and recovery (IMR) is an evidence-based practice that assists consumers in managing their illnesses and pursuing personal recovery goals. Although research has examined factors affecting IMR implementation facilitated by multifaceted, active roll-outs, the current study attempted to elucidate factors affecting IMR implementation outside the context of a research-driven implementation.
  
  
  METHODS
  Semi-structured interviews with 20 local recovery coordinators and 18 local IMR experts were conducted at 23 VA medical centers. Interviews examined perceived and experienced barriers and facilitators to IMR implementation. Data were analyzed via thematic inductive/deductive analysis in the form of crystallization/immersion.
  
  
  RESULTS
  Six factors differed between sites implementing IMR from those not providing IMR: awareness of IMR, importer-champions, autonomy-supporting leadership, veteran-centered care, presence of a sensitive period, and presence of a psychosocial rehabilitation and recovery center. Four factors were common in both groups: recovery orientation, evidence-based practices orientation, perceived IMR fit within program structure, and availability of staff time.
  
  
  CONCLUSIONS
  IMR can be adopted in lieu of active implementation support; however, knowledge dissemination appears to be key. Future research should examine factors affecting the quality of implementation.
authors.affiliation: Health Services Research and Development, Richard L. Roudebush, Veterans Affairs Medical Center.
authors.forename: Alan B
authors.initials: AB
authors.lastname: McGuire
authors.affiliation: Department of Psychology, Indiana University Purdue University--Indianapolis.
authors.forename: Michelle P
authors.initials: MP
authors.lastname: Salyers
authors.affiliation: Department of Psychology, Indiana University Purdue University-Indianapolis.
authors.forename: Dominique A
authors.initials: DA
authors.lastname: White
authors.affiliation: Department of Psychology, Indiana State University.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Gilbride
authors.affiliation: Department of Psychology, Indiana University Purdue University--Indianapolis.
authors.forename: Laura M
authors.initials: LM
authors.lastname: White
authors.affiliation: Center of Excellence on Implementing Evidence Based Practice, Richard L. Roudebush, Veterans Affairs Medical Center.
authors.forename: Jacob
authors.initials: J
authors.lastname: Kean
authors.affiliation: Human Services Research and Development, Richard L. Roudebush, Veterans Affairs Medical Center.
authors.forename: Marina
authors.initials: M
authors.lastname: Kukla
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D019468:Disease Management; D055317:Evidence-Based Practice / Q000379:methods / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation / Q000628:therapy; D008875:Middle Aged; D020380:Needs Assessment; D015397:Program Evaluation; D000067250:Psychiatric Rehabilitation / Q000379:methods / Q000458:organization & administration; D012047:Rehabilitation Centers / Q000706:statistics & numerical data; D014481:United States; D014728:Veterans / Q000523:psychology*; D058014:Veterans Health