Maximizing the Implementation Quality of Evidence-Based Preventive Interventions in Schools: A Conceptual Framework
Open accessAbstract
Increased availability of research-supported, school-based prevention programs, coupled with the growing national policy emphasis on use of evidence-based practices, has contributed to a shift in research priorities from efficacy to implementation and dissemination. A critical issue in moving research to practice is ensuring high-quality implementation of both the intervention model and the support system for sustaining it. The paper describes a three-level framework for considering the implementation quality of school-based interventions. Future directions for research on implementation are discussed.
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Understanding and addressing barriers and enablers to implementation of stress management programmes in schools would support the development of effective implementation strategies.
“Understanding and addressing the barriers and enablers to implementation of stress management programmes in schools would support the development of effective implementation strategies (Albers & Pattuwage, 2017;Domitrovich et al., 2008), resulting in significant health, economic and social benefits for large numbers of young people, their families and the community.”
From The impact of stress on students in secondary school and higher education (2020) · cites this paper as Domitrovich et al., 2008
The multilevel implementation quality framework (School-level factors; page unavailable) says understanding school context is critical to implementing and sustaining interventions. Future directions (Theory-driven research on implementation quality; page unavailable) recommends developing and testing interventions aimed at factors that affect implementation. The paper addresses school-based preventive interventions generally, not stress-management programmes specifically. (LLM, conf=0.83)
Experimental — accuracy not yet measuredTeachers experiencing high stress may be less likely to use evidence-based behavioral practices in classrooms and deliver these practices with fidelity.
“However, teachers experiencing high stress may be less likely to use evidence -based behavioral practices in classrooms and deliver these practices with fidelity (Domitrovich et al., 2008).”
From Teacher stress and supports, classroom practices and student outcomes in high poverty urban elementary schools (2024) · cites this paper as Domitrovich et al., 2008
In “The multilevel implementation quality framework” (page unavailable), the paper says teacher burden and stress can negatively affect program implementation. Its “Individual-level factors” section also suggests psychological functioning, including stress, affects implementation quality. These passages support the hedged claim about delivery quality, but do not specifically establish that stressed teachers are less likely to use evidence-based behavioral practices in their classrooms. (LLM, conf=0.82)
Experimental — accuracy not yet measuredAddressing barriers and enablers to implementation of stress management programmes in schools would result in significant health, economic and social benefits for large numbers of young people, their families and the community.
“Understanding and addressing the barriers and enablers to implementation of stress management programmes in schools would support the development of effective implementation strategies (Albers & Pattuwage, 2017;Domitrovich et al., 2008), resulting in significant health, economic and social benefits for large numbers of young people, their families and the community.”
From The impact of stress on students in secondary school and higher education (2020) · cites this paper as Domitrovich et al., 2008
Supervision and feedback, even if only global, may matter for implementation quality.
“Research indicates that some form of supervision and feedback, even at a global level, may be important to quality of implementation (Domitrovich et al. 2008).”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as Domitrovich et al. 2008
The yearly teacher survey assesses factors at the individual level that fidelity research often neglects, such as enthusiasm, stress, and prior experience.
“Finally, our annual teacher survey measures other individual-level factors often overlooked in implementation fidelity research, including teacher characteristics, such as enthusiasm, level of stress, and prior experience (e.g., Domitrovich et al. 2008; Dusenbury et al. 2005; Han and Weiss 2005; Greenberg et al. 2005).”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as Domitrovich et al. 2008
Programs that are well developed and theory-based ought to contain core lessons and techniques essential to effectiveness; these should inform quality measurement and assessment of adaptation effects.
“Well developed, theoretically based programs should possess a core set of lessons and techniques (mechanisms of change) that are central to the effectiveness of the intervention; these should be used to measure quality as well as the impact of program adaptations (Domitrovich et al. 2008).”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as Domitrovich et al. 2008
This perception is in line with research and models of school-based implementation, which highlight the importance of support of teachers and administrators to successful implementation (Domitrovich et al., 2008; Forman et al., 2009).
“This perception is in line with research and models of school-based implementation, which highlight the importance of the support of teachers and administrators to successful implementation (Domitrovich et al., 2008; Forman et al., 2009).”
From Evidence-Based Mental Health Programs in Schools: Barriers and Facilitators of Successful Implementation (2010) · cites this paper as Domitrovich et al., 2008
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Self-citation
- Authors
- Domitrovich, C. E., Bradshaw, C. P., Poduska, J. M., Hoagwood, K., Buckley, J. A., Olin, S., Romanelli, L. H., Leaf, P. J., Greenberg, M. T., & Ialongo, N. S.
- Affiliations
- Pennsylvania State University (US)
- Johns Hopkins University (US)
- American Institutes for Research (US)
- Columbia University (US)
- ORCID
- Venue
- Advances in School Mental Health Promotion
- Publisher
- Informa UK Limited
- Published
- 2008-01
- Volume
- 1
- Issue
- 3
- Pages
- 6-28
- ISSN
- 1754-730X (ISSN-L)
- 2049-8535
- PMC
- PMC4865398
- OpenAlex
- W2112328615
- Cited by
- 749
- References
- 168
- Citations by year
- 2026: 54 · 2025: 58 · 2024: 69 · 2023: 62 · 2022: 71 · 2021: 62 · 2020: 46 · 2019: 56 · 2018: 47 · 2017: 30 · 2016: 33 · 2015: 42 · 2014: 30 · 2013: 29 · 2012: 26
- FWCI
- 21.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Advances in School Mental Health Promotion (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Funders
- Centers for Disease Control and Prevention (U49CE000728, K01CE001333, K01 CE 001333-01)
- National Institute of Mental Health (P30MH066247, K01CE001333-01)
- National Institute on Drug Abuse (R01DA019984)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- implementation quality, evidence-based practice, school-based prevention, implementation research, dissemination, research-to-practice translation, intervention sustainability, conceptual framework, three-level framework, school-based mental health promotion
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