Moving Evidence-Based Drug Abuse Prevention Programs From Basic Science to Practice: “Bridging the Efficacy-Effectiveness Interface”
Abstract
This article examines the challenges faced by developers of youth drug abuse prevention programs in transporting scientifically proven or evidence-based programs into natural community practice systems. Models for research on the transfer of prevention technology are described with specific emphasis given to the relationship between efficacy and effectiveness studies. Barriers that impede the successful integration of efficacy methods within effectiveness studies (e.g., client factors, practitioner factors, intervention structure characteristics, and environmental and organizational factors) are discussed. We present a modified model for program development and evaluation that includes a new type of research design, the hybrid efficacy-effectiveness study that addresses program transportability. The utility of the hybrid study is illustrated in the evaluation of the Early Risers "Skills for Success" prevention program.
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If effective programs are scaled up before it is known whether and how they can be delivered with fidelity, they may fail in real-world settings.
“However, if efficacious programs under tightly controlled conditions are prematurely disseminated without understanding whether and how they can be implemented with fidelity, these programs may be ineffective in the real world (August et al. 2004).”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as August et al. 2004
Economic considerations need close attention.
“August et al. caution for the need to pay close attention to economic considerations.”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as August et al. 2004
Cultural sensitivity matters greatly in developing, delivering, and evaluating programs, especially in African Black settings.
“In particular the need to be culturally sensitive in program development, implementation and evaluation is critical, particularly as we move into African Black contexts (as opposed to mixed race or Coloured contexts where we have been).”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as August et al. 2004
Organizational changes and challenges should be expected.
“Another important lesson that we have learned is to expect organizational changes and challenges; this was also noted by August et al.”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as August et al. 2004
MSED administrator backing is crucial for successfully disseminating evidence-based interventions at scale.
“This level of support is a critical component of successful large scale dissemination of EBIs (e.g., August et al. 2004; Fagan et al. 2008; Payne et al. 2006).”
From Translational research in South Africa: evaluating implementation quality using a factorial design (2012) · cites this paper as August et al. 2004
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Translational research in South Africa: evaluating implementation quality using a factorial design
Caldwell, L. L., Smith, E. A., Collins, L. M., Graham, J. W., Lai, M., Wegner, L., Vergnani, T., Matthews, C., & Jacobs, J. (2012) · Child & Youth Care Forum · doi:10.1007/s10566-011-9164-4 · Cited by 50 · see citing works
- Authors
- August, G. J., Winters, K. C., Realmuto, G. M., Tarter, R., Perry, C., & Hektner, J. M.
- Affiliations
- University of Minnesota (US)
- University of Pittsburgh (US)
- North Dakota State University (US)
- Corresponding author
- August, Gerald J.
- Venue
- Substance Use & Misuse
- Publisher
- Informa UK Limited
- Published
- 2004-01
- Volume
- 39
- Issue
- 10-12
- Pages
- 2017-2053
- ISSN
- 1082-6084 (ISSN-L)
- 1532-2491
- OpenAlex
- W2156142093
- Cited by
- 29
- References
- 59
- Citations by year
- 2019: 1 · 2016: 1 · 2015: 2 · 2013: 1 · 2012: 2
- FWCI
- 2.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Substance Use & Misuse (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01da011062-03)
- National Institute on Drug Abuse (R01 DA11062, K02 DA15347, K02DA015347)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
- Keywords
- drug abuse prevention programs, evidence-based programs, efficacy-effectiveness gap, program planning and evaluation, implementation barriers
- MeSH terms
- Adolescent, Adolescent Behavior, Clinical Trials as Topic, Diffusion of Innovation, Humans, Substance Abuse Treatment Centers, Technology Transfer, Evidence-Based Medicine, Substance-Related Disorders
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