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

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

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

DOI 10.1108/17466660200800012

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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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“Challenges to scale-up are adequate funding, as well as facility and leadership capacity (Lauter and Rice, 2008; Bumbarger & Perkins, 2008; Rohrbach & Dyal, 2015), but strong collaboration between school districts, school principals, and preschool providers can help scale-up efforts to achieve…”
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A cluster randomised controlled trial of the Climate Schools: Ecstasy and Emerging Drugs Modulein Australian secondary schools: study protocol
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“This is likely due to obstacles that impede program implementation, such as a lack of resources in terms of teachers, time and money available [22], as well as the fact that teachers often make unfavourable adaptations to program content [23,24].”
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“when implementing changes into health care practice has been recognized earlier [34].”
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“Given that our team relied on core infrastructure and approaches from the initial stages, the probability and ease of further spread is likely [38, 43].”
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“Implementation fidelity refers to the extent to which an intervention is implemented as intended (Bumbarger & Perkins, 2008; Dane & Schneider, 1998; Dusenbury et al., 2003).”
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“This may be considered more acceptable than “drifting” where deviations from the intervention are unintentional [17].”
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“From this perspective, decisions of local training teams to leave out the videos that were not well received do not represent failure to adhere to the manual, but continued refinement of the training to better fit the local context – “innovation” rather than “drift” in terminology of Bumbarger and Perkins (Bumbarger &…”
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“…was to assess the perspectives of ANC providers and their clients around the acceptability, adoption, appropriateness, and feasibility of implementing the PCC approach for FGM prevention (Peters et al., 2013) to inform scale-up and replication in other contexts (Bumbarger & Perkins, 2008).”
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“However, there are three problems with such programmes: they are rarely used; when they are used the implementation is often of poor quality; and when seed funding fizzles out so too do the programmes (Bumbarger & Perkins, 2008).”
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“Skilled implementers’ active attempts to make an intervention more suited to its population or setting, should not be considered poor fidelity (Bumbarger & Perkins, 2008), and can have an influence on users’ acceptability of the intervention.”
Background
Interventions to Support and Strengthen Parenting in Military Families: State of the Evidence
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Background
Process Evaluations of Interventions for the Prevention of Type 2 Diabetes in Women With Gestational Diabetes Mellitus: Systematic Review
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“Fidelity influences outcomes across psychological treatments in both routine clinical practice and controlled trials [44-46].”
Does place matter in the implementation of an evidence‐based program policy in an Australian place‐based initiative for children?
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“Previous studies have shown that adherence to key features of effective programmes (such as program length and structure) can be poor when EBPs are transferred to real- world settings (Bumbarger & Perkins, 2008).”
Background
The science of a good childhood: a review of Volume 2 of the Journal of Children's Services
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Federal Mechanisms to Support Intervention Dissemination
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Leading public health innovation in high schools across local and global settings
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Authors: Bumbarger, B., & Perkins, D.
Affiliations: Pennsylvania State University (US)
ORCID: Bumbarger, Brian
Perkins, Daniel
Venue: Journal of Children's Services
Publisher: Emerald
Published: 2008-04-12
Volume: 3
Issue: 2
Pages: 55-64
ISSN: 1746-6660 (ISSN-L)
DOI: 10.1108/17466660200800012
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
Licence: www.emerald.com/insight/site-policies (tdm)
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 › Public Administration › 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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After randomised trials: issues related to dissemination of evidence‐based interventions

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