The adoption, high-fidelity use, and sustainment of evidence-based practices (EBPs) are critical to preventing and addressing growing mental and behavioral health concerns among youth (Durlak & DuPre, 2008; Racine et al., 2021; Wang et al., 2024). A substantial body of work has identified factors likely to impact implementation effectiveness across service settings (Damschroder et al., 2022; Kirk et al., 2016, Moullin et al., 2019), including schools where youth are most likely to access and receive preventive and indicated mental health services (Duong et al., 2022; Langley et al., 2010). Aspects of the organizational context are particularly important determinants (i.e., barriers and facilitators) of implementers’ routine high-quality use of EBP (Aarons et al., 2023; Li et al., 2018). Although considerable research has focused on the role of leadership and organizational climate (Malloy et al., 2015; Meza et al., 2021; Williams et al., 2022; Williams et al., 2024), fewer studies have addressed the role employees and their peers play in facilitating implementation (Haider et al., 2017). Further, the limited availability of validated assessment instruments of these influences has inhibited implementation research and practice in the school context. The development of the Implementation Citizenship Behavior Scale (ICBS; Ehrhart et al., 2015) and its school-adapted version (Lyon et al., 2018) provide an opportunity to uncover how employee behavior might be cultivated to strategically support EBP implementation. This study extends the work of Ehrhart et al. (2015) and Lyon et al. (2018) by validating the School Implementation Citizenship Behavior Scale (SICBS)—adapted to include two new subscales (taking initiative and advocacy)—among front-line implementers of evidence-based universal school-based prevention programs.
Organizational Citizenship Behavior and EBP Implementation
Organizational citizenship behavior (OCB) describes “individual behavior that is discretionary, not directly or explicitly recognized by the formal reward system, and in the aggregate promotes the efficient and effective functioning of the organization” (Organ et al., 2006, p.3). Simply put, OCB describes activities by employees that go “above and beyond” their typical assigned duties to advance broader organizational goals. Specific behaviors underlying OCB can be placed into two major categories: OCB directed toward individuals (e.g., helping or courtesy) or OCB directed towards the organization (e.g., voice or civic virtue) (Williams & Anderson, 1991). Predictors of OCB cut across characteristics of individuals (e.g., personality or attitudes), the task (e.g., feedback), the organization (e.g., organizational structure, cohesiveness), and leaders (e.g., reward behaviors, support) (Podsakoff et al., 2000). Moreover, increased OCB among individuals and groups predicts a range of multilevel indicators of organizational effectiveness including employee performance, decreased turnover, team effectiveness, and healthcare outcomes (Podsakoff et al., 2009; Podsakoff et al., 2014).
One development in the OCB literature is the consideration of strategic forms of OCB, or in other words, employee behaviors that exceed expectations in support of a prioritized goal or initiative. For example, customer-focused OCB is associated positively with customer satisfaction (Schneider et al., 2005), and similar findings have emerged related to safety-focused OCB (Griffin & Neal, 2000). An emerging body of research has extended strategic OCB to include a focus on EBP implementation; implementation citizenship behavior (ICB) describes how employees support effective implementation across an organization (Ehrhart et al., 2015). Implementers demonstrate ICB via prosocial behaviors that support colleagues’ adoption and high-fidelity use of EBP and by investing personal resources to remain abreast of changes to and organizational communication about EBP (Ehrhart et al., 2015; Lyon et al., 2018).
Pragmatic (i.e., comprehensive, brief, useful) measures (Glasgow & Riley, 2013) of implementation-related behaviors are needed to advance understanding of how they might be leveraged to address the research-to-practice gap. The Implementation Citizenship Behavior Scale (ICBS; Ehrhart et al., 2015) is one such measure that has been validated for use in mental health clinics in the United States and Norway (Borge et al., 2021; Ehrhart et al., 2015) and has demonstrated positive associations with EBP attitudes, clinicians’ intentions to implement EBPs, employee- and supervisor-rated performance, and employee tenure (Borge et al., 2021; Ehrhart et al., 2015; Torres et al., 2020). The ICBS also has been adapted and validated for use among school-based mental and behavioral health consultants (Lyon et al., 2018), though not among frontline implementers of universal mental and behavioral prevention programs, such as educators. Moreover, the developers of the school-adapted ICBS suggested that the measure could be expanded to capture additional extra-role behaviors integral to supporting effective EBP implementation in school settings (Lyon et al., 2018).
School-Based EBP and Implementation Citizenship Behavior
Schools provide a continuum of mental and behavioral healthcare to youth, ranging from primary prevention to more intensive tiers of service provision (Arora et al., 2019). Universal prevention programs are critical as they can interrupt and/or reverse maladaptive developmental trajectories at a point when they may be more readily influenced (Sørlie et al., 2018). The continuous rise in mental health conditions among youth over the past few years (Keyes & Platt, 2024; Racine et al., 2021) clearly underscores the need to identify and develop proximal resources to support effective school-based EBP implementation.
Individual implementer characteristics routinely emerge as integral to successful EBP implementation (Powell et al., 2019). Despite a dearth of research linking ICB to implementation outcomes, related constructs suggest the potential of ICB to positively influence EBP implementation. For example, opinion leaders—employees who disproportionately influence the attitudes and behaviors of their peers (Rogers, 1995)—engage in behaviors that overlap with ICB (e.g., share resources, communicate benefits of EBP) and can be instrumental in facilitating high-quality school-based EBP implementation (Atkins et al., 2003). Focus groups with educational stakeholders (e.g., principals, teachers) indicate there may also be additional extra-role implementation-related behaviors educators practice that are specific to the school implementation context (e.g., volunteering to observe or be observed; working with colleagues, families, and community members to promote EBP implementation) (Locke et al., 2019). Two new ICBS subscales are proposed to measure the extent to which teachers (a) take initiative by participating in EBP related activities (e.g., supplemental trainings, being observed by other implementers) that directly support implementation and (b) actively promote (e.g., share positive benefits of EBP) and advocate for EBP use in interactions with peers and other stakeholders (i.e., advocacy). Notably, taking initiative aligns with the individual initiative dimension of OCB (i.e., voluntarily taking on extra responsibilities), whereas advocacy aligns with the organizational loyalty (i.e., externally promoting the organization) dimension (Podsakoff et al., 2000). Given that development of the ICBS was guided by OCB theory and research (Ehrhart et al., 2015), this alignment gives credence for the consideration of taking initiative and advocacy as potential components of ICB.
Study Aims
As indicated in multiple implementation frameworks (Damschroder et al., 2022; Moullin et al., 2019), identifying and validly measuring characteristics of the organizational context likely to improve EBP implementation is imperative for research and practice. This study expands upon behaviors measured by the original ICBS by adding two new subscales and validating the SICBS among elementary school teachers implementing one of two universal EBPs: Schoolwide Positive Behavioral Interventions and Supports (SWPBIS; Lewis & Sugai, 1999) and Promoting Alternative THinking Strategies (PATHS; Greenberg et al., 1995). Confirmatory factor analysis was used to establish the measurement structure of the adapted SICBS, followed by item response theory to refine newly added subscales. Convergent and divergent validity were established using data on educators’ OCB, attitudes toward teaching, and school demographics. Moreover, recent work validating related instruments tested invariance across versions that referenced either a specific EBP or EBP in general (Lyon et al., 2022; Thayer et al., 2022) to determine whether items with more specificity (i.e., specific EBP), which may more strongly predict implementation outcomes, measured the same underlying construct as the more general items. Aligned with these efforts, we also examined the invariance of the SICBS across survey referents.
We hypothesized the following:
Hypothesis 1: The adapted SICBS with a second-order factor structure will fit the data such that four first order factors (helping others, keeping informed, taking initiative,advocacy) will comprise one higher order School Implementation Citizenship Behavior factor.
Hypothesis 2: Correlations between the adapted SICBS and OCB total and subscale scores will be moderate to strong (convergent validity).
Hypothesis 3: Correlations between the adapted SICBS total and subscale scores, teachers’ general attitudes toward teaching, and school demographics will be weak and/or nonsignificant (divergent validity).
Hypothesis 4: The SICBS will be invariant across EBP referent type (i.e., general vs. specific).