Lessons Learned: Facilitators and Barriers
Several facilitating factors (see Damschroder et al.’s Consolidated Framework for Implementation Research, The most significant and consistently reported barriers to implementation were poor coordination of systems and communication between administrators and staff (exacerbated by high turnover) and inadequate engagement or support by parents and caregivers. The literature points to the importance of high-quality communication across organizational stakeholders for effective program implementation, specifically peer collaboration, open feedback and review among peers and across hierarchical levels, cohesion between staff, and informal communication quality (e.g., Glisson et al., 