Where is “policy” in dissemination and implementation science? Recommendations to advance theories, models, and frameworks: EPIS as a case example

Implementation Science, Journal Year: 2022, Volume and Issue: 17(1)

Published: Dec. 12, 2022

Implementation science aims to accelerate the public health impact of evidence-based interventions. However, implementation has had too little focus on role policy - and its inseparable politics, polity structures, policymakers in sustainment healthcare. Policies can serve as determinants, strategies, "thing" be implemented, or another variable causal pathway healthcare access, quality, patient outcomes. Research describing roles dissemination (D&I) efforts is needed resolve persistent knowledge gaps about policymakers' evidence use, how policies are implemented sustained, methods de-implement that ineffective cause harm. Few D&I theories, models, frameworks (TMF) explicitly guide researchers conceptualizing where, how, when should empirically investigated. We conducted reflected results a scoping review identify existing Exploration, Preparation, Implementation, Sustainment (EPIS) framework-guided studies. argue rather than creating new TMF, optimize TMF examine policy's D&I. describe six recommendations help TMF. Recommendations applied EPIS, one example for advancing D&I.(1) Specify dimensions function (policy goals, type, contexts, capital exchanged). (2) form (origin, structure, dynamism, outcomes). (3) Identify define nonlinear phases across outer inner contexts. (4) Describe temporal stakeholders play over time. (5) Consider policy-relevant context adaptations. (6) bridging factors necessary success.Researchers use meaningfully conceptualize practices harmful policies. Applying these advances theoretical knowledge, especially EPIS application, introducing models. Using will sensitize them investigate multifaceted within leading success.

Language: Английский

---

Advancing healthcare equity through dissemination and implementation science

Health Services Research, Journal Year: 2023, Volume and Issue: 58(S3), P. 327 - 344

Published: May 23, 2023

To provide guiding principles and recommendations for how approaches from the field of dissemination implementation (D&I) science can advance healthcare equity.

Language: Английский

---

Randomized trial of the leadership and organizational change for implementation (LOCI) strategy in substance use treatment clinics

Journal of Substance Use and Addiction Treatment, Journal Year: 2024, Volume and Issue: 165, P. 209437 - 209437

Published: June 10, 2024

Language: Английский

---

Promoting mental health equality by investing in organizations: lessons from implementation science

Journal of Public Mental Health, Journal Year: 2025, Volume and Issue: unknown

Published: March 3, 2025

Purpose Mental health inequalities based on race and ethnicity in the USA globally persist despite efforts to address them. The COVID-19 epidemic accentuated these demonstrated extent which they are linked social determinants. However, organizations that best placed ameliorate mental often underfunded under-resourced. Investment strategies restrict funding for programmatic costs rather than general operating disproportionately impact small serve communities of color. This study aims argue effectively addressing requires investing by applying lessons learned from implementation science. Findings demonstrates how organizational factors such as leadership, supervision culture climate key success can target factors. As promoting equity is increasingly recognized a priority outcome science research, approaches inform funders support marginalized communities, giving them capacity flexibility inequalities. Originality/value paper applies findings consider organizations, particularly those well suited serving needs diverse communities.

Language: Английский

---

Using Causative Methods to Determine System-Level Factors Driving the Uptake and Use of Evidence-Based Practices in a Public Early Intervention System

Administration and Policy in Mental Health and Mental Health Services Research, Journal Year: 2024, Volume and Issue: 51(4), P. 554 - 566

Published: March 3, 2024

Language: Английский

---

The Interaction Between General and Strategic Leadership and Climate on Their Multilevel Associations with Implementer Attitudes Toward Universal Prevention Programs for Youth Mental Health: A Cross-Sectional Study

Administration and Policy in Mental Health and Mental Health Services Research, Journal Year: 2022, Volume and Issue: 50(3), P. 427 - 449

Published: Dec. 30, 2022

Language: Английский

---

Barriers to Clinician Implementation of Parent-Child Interaction Therapy (PCIT) in New Zealand and Australia: What Role for Time-Out?

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(24), P. 13116 - 13116

Published: Dec. 12, 2021

Background: Parent-Child Interaction Therapy (PCIT) is an effective parent training approach for a commonly occurring and disabling condition, namely conduct problems in young children. Yet, despite ongoing efforts to train clinicians PCIT, the intervention not widely available New Zealand Australia. Methods: We undertook cross-sectional online survey of Australia who had completed at least 40-h initial PCIT training, understand barriers they encountered their implementation efforts, extent which attitudes toward time-out influenced implementation. The overall response rate was 47.5% (NZ: 60%; Australia: 31.4%). Results: Responses suggested that participants generally viewed as both acceptable effective. Australian reported seeing significantly more clients per week than those NZ (Medians 0 2, respectively; χ2(1) = 14.08, p < 0.001) tended view treating disruptive oppositional behaviour (95% CI: −0.70, −0.13, 0.005). Participants currently described it enjoyable implement using −0.85, −0.10, 0.01). Thirty-eight percent indicated adapt or tailor standardised protocol, primarily by adding content relating emotion regulation, removing time-out. felt fewer skills, less knowledge, confidence Parent-Directed phase (which involves time-out), compared with Child-Directed phase. Conclusion: While we hypothesised represented intra-intervention component detracted from success, results clinician concern over use present but prominent. Rather, lack access suitable equipment (i.e., one-way mirror ear-piece) difficulties associated attending clinic-based sessions were most clinicians. suggest future research might consider whether how be “re-implemented” already-trained clinicians, moving beyond simply approach.

Language: Английский

---

Assessing the sustainability capacity of evidence-based programs in community and health settings

Frontiers in Health Services, Journal Year: 2022, Volume and Issue: 2

Published: Nov. 30, 2022

Background Within many public health settings, there remain large challenges to sustaining evidence-based practices. The Program Sustainability Assessment Tool has been developed and validated measure sustainability capacity of health, social service, educational programs. This paper describes how this tool was utilized between January 2014 2019. We describe characteristics programs that are associated with increased for ultimately the utility PSAT in research practice. Methods is comprised 8 subscales, measuring eight distinct conceptual domains. Each subscale made up five items, all assessed on a 7-point Likert scale. Data were obtained from persons who used online website ( https://sustaintool.org/ ), In addition scale, participants asked about four program-level characteristics. resulting dataset includes 5,706 individual assessments reporting 2,892 Results mean overall score 4.73, lowest highest scoring subscales being funding stability program adaptation, respectively. Internal consistency each excellent (average Cronbach's alpha = 0.90, ranging 0.85 0.94). Confirmatory factor analysis highlighted good fit measurement model (eight domains) observed data, comparative index 0.902, root square error approximation equal 0.054, standardized residual 0.054. Overall significantly related size F 25.6; p &lt; 0.001). Specifically, smaller (with staff sizes ten or below) consistently reported lower capacity. Capacity not age did vary by level. Discussion maintained its reliability when tested diverse sample over time. Initial criterion validity explored through assessment characteristics, including type size. data collected reinforces ability assess wide variety

Language: Английский

---

A protocol for a multi-site cohort study to evaluate child and adolescent mental health service transformation in England using the i-THRIVE model

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(5), P. e0265782 - e0265782

Published: May 8, 2023

The National i-THRIVE Programme seeks to evaluate the impact of NHS England-funded whole system transformation on child and adolescent mental health services (CAMHS). This article reports design for a model implementation that has been applied in CAMHS across over 70 areas England using ‘THRIVE’ needs-based principles care. protocol which this model, ‘i-THRIVE’ (implementing-THRIVE), will be used effectiveness THRIVE intervention is reported, together with evaluation process implementation. To improve care children young people’s health, cohort study conducted. N = 10 sites adopt from start compared ‘comparator sites’ choose use different approaches within same timeframe. Sites matched population size, urbanicity, funding, level deprivation expected prevalence needs. implementation, mixed-methods approach conducted explore moderating effects context, fidelity, dose, pathway structure reach clinical service outcomes. addresses unique opportunity inform ongoing national evidence about popular new delivering care, as well support transformation. If outcomes reflect benefit i-THRIVE, potential guide significant improvements by providing more integrated, needs-led increases access involvement patients they receive.

Language: Английский

---

Revisiting the policy ecology framework for implementation of evidence-based practices in mental health settings

Implementation Science, Journal Year: 2023, Volume and Issue: 18(1)

Published: Nov. 7, 2023

Abstract Background Over the past three decades, policy actors and actions have been highly influential in supporting implementation of evidence-based practices (EBPs) mental health settings. An early examination these resulted Policy Ecology Framework (PEF), which was originally developed as a tactical primer for state local regulators field child health. However, landscape has evolved significantly since original PEF published. interrogation strategies proposed is necessary to provide an updated menu improve our understanding mechanisms action promote system improvement. Objectives This paper builds upon address changes EBPs between 2009 2022. We review current that support care outline key areas policy-oriented research. Our identifies at federal, state, agency, organizational levels, highlights developments social context are implemented. Furthermore, organized around some occurred across each domain span organizational, political, contexts along with subdomains within area. Discussion present considers broad range conceptual landscape. These important policymakers consider EBPs. Summary The expands enhances specification levers currently available, targets underdeveloped (e.g., de-implementation sustainment) but becoming visible opportunities clarifies efforts science conceptualize better operationalize role

Language: Английский

---