Cited by 122Health Policy Implementation ScienceSubstance Abuse Treatment and OutcomesEvaluation and Performance Assessment

After randomised trials: issues related to dissemination of evidence‐based interventions

Bumbarger, Brian, Perkins, Daniel·2008·Journal of Children's Services

Abstract

Demonstrating the efficacy and effectiveness of prevention programmes in rigorous randomised trials is only the beginning of a process that may lead to better public health outcomes. Although a growing number of programmes have been shown to be effective at reducing drug use and delinquency among young people under carefully controlled conditions, we are now faced with a new set of obstacles. First, these evidence‐based programmes are still under‐utilised compared to prevention strategies with no empirical support. Second, when effective programmes are used the evidence suggests they are not being implemented with quality and fidelity. Third, effective programmes are often initiated with short‐term grant funding, creating a challenge for sustainability beyond seed funding. We discuss each of these challenges, and present lessons learned from a large‐scale dissemination effort involving over 140 evidence‐based programme replications in one state in the US.

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Crossref · 10.1108/17466660200800012

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38 of 38 references verified0 citation errors · 0 not checkable

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  • Better implementation fidelity and quality are linked to stronger program outcomes.

    “The central motivation for understanding factors that affect implementation fidelity and quality is that high levels of implementation fidelity and quality are associated with better outcomes.”
  • Although controlled studies can achieve high fidelity, strict fidelity is usually lost when programs are scaled up in real-world settings.

    “Although high levels of fidelity have occurred in well controlled studies (e.g., Mihalic et al. 2004), when programs go to scale in the “real world,” strict fidelity to implementation typically is lost (Dusenbury et al. 2003; Bumbarger and Perkins 2008).”

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Authors
Bumbarger, B., & Perkins, D.
Affiliations
Pennsylvania State University (US)
Venue
Journal of Children's Services
Publisher
Emerald
Published
2008-04-12
Volume
3
Issue
2
Pages
55-64
ISSN
1746-6660 (ISSN-L)
OpenAlex
W2118705140
Cited by
122
References
38
Citations by year
2026: 4 · 2025: 1 · 2024: 4 · 2023: 5 · 2022: 7 · 2021: 11 · 2020: 8 · 2019: 8 · 2018: 5 · 2017: 12 · 2016: 9 · 2015: 12 · 2014: 2 · 2013: 5 · 2012: 10
FWCI
12.23
Type
journal article
Language
en
Open access
closed
Locations
Journal of Children s Services (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
Keywords
dissemination of evidence-based interventions, prevention programmes, implementation fidelity, implementation quality, seed funding, substance use prevention, juvenile delinquency prevention, youth, public health outcomes

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