The cost of implementing new strategies (COINS): A method for mapping implementation resources using the stages of implementation completion
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Objective Illustrate the value of a strategy used for measuring the costs and resources used in the implementation process over and above the costs of the intervention itself in the context of a two-arm randomized controlled trial.Methods Counties in California and Ohio (sites) were invited to implement Multidimensional Treatment Foster Care (MTFC), an alternative to congregate care for youth. Participating sites (n=53) were randomized to one of two implementation = sites share information and move through the implementation process as a cohort facilitated by an MTFC purveyor or (2) Individual Implementation (IND: "as usual") where sites work individually with the MTFC purveyor. The implementations were monitored using the Stages of Implementation Completion (SIC) measure of a number of observable activities, developed as part of the trial to segment the implementation process into 8 stages of implementation. Resource data gathered from the implementation purveyors and site participants were used to map costs onto each of the 8 stages to generate total cost measures stratified by type of resource and stage of implementation for each of the study arms.Results The SIC provided a feasible costing template to map costs onto observable activities and to enable the examination of important differences in implementation strategies for an evidence-based practice. The average total implementation cost prior to program start-up of CDT was $133,106; IND cost $118,699. While CDT cost more in a number of stages, it resulted in fewer county staff hours being used and shorter mean times to implementation than IND. In cases where rapidity of implementation of reducing staff time required for implementation is valued, then CDT would be the preferable implementation approach.Conclusions The SIC is a useful tool for determining implementation resources needed for new evidence-based practice programs for youth and particularly for comparing different implementation strategies that might be tried in pilot programs.
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Pre-implementation involves considerable costs that are rarely reimbursed.
“Pre-implementation involves considerable costs (e.g., engagement and readiness planning [72]) that are rarely reimbursed.”
From Translating economic evaluations into financing strategies for implementing evidence-based practices (2021) · cites this paper as [72]
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Murphy, S. M., Laiteerapong, N., Pho, M. T., Ryan, D., Montoya, I. D., Shireman, T. I., Huang, E. S., & McCollister, K. E. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2020.108262 · Cited by 11 · see citing works
Perraudin, C., Locca, J.-F., Rossier, C., Bugnon, O., & Schneider, M. P. (2019) · BMC Health Services Research · doi:10.1186/s12913-018-3851-x · Cited by 11 · see citing works
Becker, S. J., DiClemente-Bosco, K., Scott, K., Janssen, T., Salino, S., Hasan, F. N., Yap, K. R., & Garner, B. R. (2023) · Implementation Science · doi:10.1186/s13012-023-01297-w · Cited by 12 · see citing works
Hamilton, A. B., Finley, E. P., Bean‐Mayberry, B., Lang, A. J., Haskell, S. G., Moin, T., Farmer, M. M., & the EMPOWER QUERI Team (2023) · Implementation Science Communications · doi:10.1186/s43058-022-00389-w · Cited by 10 · see citing works
Filene, J. H., Brodowski, M. L., & Bell, J. (2014) · Journal of Public Child Welfare · doi:10.1080/15548732.2014.939249 · Cited by 10 · see citing works
Carrandi, A., Grove, A., Skouteris, H., Melder, A., Hu, Y., Dever, M., & Higgins, A. M. (2024) · Implementation Science Communications · doi:10.1186/s43058-024-00562-3 · Cited by 10 · see citing works
Heggie, R., Boyd, K., Kamaruzaman, H. F., & Wu, O. (2024) · Health Research Policy and Systems · doi:10.1186/s12961-024-01220-9 · Cited by 9 · see citing works
Caton, L., Shen, H., Miele, G. M., Darfler, K., Sandoval, J. R., Urada, D. I., & McGovern, M. P. (2021) · Implementation Research and Practice · doi:10.1177/26334895211005809 · Cited by 9 · see citing works
Donovan, T., Carter, H. E., McPhail, S., & Abell, B. (2024) · Implementation Science Communications · doi:10.1186/s43058-024-00648-y · Cited by 8 · see citing works
Keith, A., Jenkins, T. C., O’Leary, S., Stein, A. B., Katz, S. E., Newland, J. G., Rinehart, D. J., Gilbert, A., Dodd, S., Terrill, C. M., et al. (2023) · Journal of Comparative Effectiveness Research · doi:10.57264/cer-2023-0088 · Cited by 8 · see citing works
Pielech, M., Modrowski, C. A., Yeh, J., Clark, M. A., Marshall, B. D. L., Beaudoin, F. L., Becker, S. J., & Miranda, R. (2024) · Addiction Science & Clinical Practice · doi:10.1186/s13722-024-00437-x · Cited by 9 · see citing works
Corral‐Partearroyo, C., Sánchez‐Viñas, A., Gil‐Girbau, M., Peñarrubia‐María, M. T., Aznar‐Lou, I., Gallardo‐Gonzalez, C., Olmos-Palenzuela, M. D. C., & Rubio-Valera, M. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-067468 · Cited by 8 · see citing works
Eisman, A. B., Whitman, J., Palinkas, L. A., Fridline, J., Harvey, C., Kilbourne, A. M., & Hutton, D. W. (2023) · Implementation Science Communications · doi:10.1186/s43058-023-00511-6 · Cited by 9 · see citing works
Competitive Capability Framework for Open Government Data Organizations
Zeleti, F. A., & Ojo, A. (2017) · Annual International Conference on Digital Government Research · doi:10.1145/3085228.3085280 · Cited by 7 · see citing works
Choosing Healthy Eating for Infant Health (CHErIsH) study: protocol for a feasibility study
Matvienko‐Sikar, K., Toomey, E. C., Queally, M., Flannery, C., Neill, K. O., Dinan, T. G., Doherty, E., Harrington, J. M., Hayes, C. B., Heary, C., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2019-029607 · Cited by 7 · see citing works
Michaud, T. L., Hill, J. L., Heelan, K. A., Bartee, R. T., Abbey, B. M., Malmkar, A., Masker, J., Golden, C. A., Porter, G. C., Glasgow, R. E., et al. (2022) · Implementation Science Communications · doi:10.1186/s43058-022-00287-1 · Cited by 7 · see citing works
Ling, V. B., Levi, E. E., Harrington, A. R., Zite, N. B., Rivas, S. D., Dalton, V. K., Smith, R. D., & Moniz, M. H. (2020) · BMJ Quality & Safety · doi:10.1136/bmjqs-2020-011111 · Cited by 7 · see citing works
Camacho, E., & Torous, J. B. (2021) · Journal of Mental Health · doi:10.1080/09638237.2021.1922634 · Cited by 8 · see citing works
McLeman, B. M., Gauthier, P. R., Lester, L. S., Homsted, F. A. E., Gardner, V. T., Moore, S. K., Joudrey, P. J., Saldana, L., Cochran, G., Harris, J. P., et al. (2024) · Addiction Science & Clinical Practice · doi:10.1186/s13722-024-00452-y · Cited by 7 · see citing works
Self-citationSuleman, A., Mootz, J. J., Feliciano, P., Nicholson, T., O’Grady, M. A., Wall, M. M., Mandell, D. S., Stockton, M. A., Teodoro, E., Anube, A., et al. (2021) · Psychiatric Services · doi:10.1176/appi.ps.202000086 · Cited by 6 · see citing works
Jennings, L., West, R. L., Halim, N., Kaiser, J. L., Gwadz, M. V., MacLeod, W., Gifford, A. L., Haberer, J. E., Orrell, C., & Sabin, L. (2023) · Trials · doi:10.1186/s13063-023-07322-z · Cited by 6 · see citing works
The Role of Economic Evaluation in Dissemination and Implementation Research
Dopp, A. R., Walker, S., & Raghavan, R. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780197660690.003.0011 · Cited by 6 · see citing works
Implementation Science: Translating Research into Practice for Sustained Impact
Aarons, G. A., Sklar, M., & Sevdalis, N. (2017) · Springer eBooks · doi:10.1007/978-3-319-44010-1_18 · Cited by 6 · see citing works
Including Economic Evaluations in Implementation Science
Yoon, J. (2020) · Journal of General Internal Medicine · doi:10.1007/s11606-020-05649-w · Cited by 6 · see citing works
Smith, J. D., Mohanty, N., Davis, M. M., Knapp, A. A., Tedla, Y. G., Carroll, A. J., Price, H. E., Villamar, J. A., Padilla, R., Jordan, N., et al. (2020) · Implementation Science Communications · doi:10.1186/s43058-020-00039-z · Cited by 5 · see citing works
Landsverk, J. A., & Proctor, E. K. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01015-4 · Cited by 5 · see citing works
Self-citationA pragmatic approach to estimating the cost to deliver and participate in implementation strategies
Cheng, H. L., Magid, M. A., McGovern, M. P., Ford, J. H., Manja, V., Garneau, H. C., & Wagner, T. H. (2025) · Implementation Science · doi:10.1186/s13012-025-01459-y · Cited by 6 · see citing works
The Costs of Implementing a Conversation Aid for Uterine Fibroids in Multiple Health Care Settings
Acquilano, S. C., Forcino, R. C., Schubbe, D. C., Engel, J., Tomaino, M., Johnson, L. C., Durand, M., & Elwyn, G. J. (2023) · Medical Care · doi:10.1097/mlr.0000000000001897 · Cited by 4 · see citing works
Jelalian, E., Evans, E. W., Darling, K. E., Seifer, R., Vivier, P. M., Goldberg, J. P., Wright, C. M., Tanskey, L. A., Warnick, J. L., Hayes, J. F., et al. (2021) · Childhood Obesity · doi:10.1089/chi.2021.0179 · Cited by 4 · see citing works
- Authors
- Saldana, L., Chamberlain, P., Bradford, W. D., Campbell, M., & Landsverk, J.
- Affiliations
- University of Georgia (US)
- Corresponding author
- Saldana, Lisa
- Venue
- Children and Youth Services Review
- Publisher
- Elsevier BV
- Published
- 2014-04
- Volume
- 39
- Pages
- 177-182
- ISSN
- 0190-7409 (ISSN-L)
- PMC
- PMC3979632
- OpenAlex
- W1974930938
- Cited by
- 175
- References
- 21
- Citations by year
- 2026: 14 · 2025: 16 · 2024: 27 · 2023: 23 · 2022: 20 · 2021: 19 · 2020: 18 · 2019: 15 · 2018: 8 · 2017: 4 · 2016: 2 · 2015: 3 · 2014: 6
- FWCI
- 6.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Children and Youth Services Review (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH076158)
- National Institute on Drug Abuse (R01MH076158-05S1, KDA021603)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
- Keywords
- implementation costs, implementation resources, implementation strategies, evidence-based practice, juvenile delinquency treatment, cost mapping, implementation time, youth services
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