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Effectiveness, Transportability, and Dissemination of Interventions: What Matters When?
Abstract
The authors identify and define key aspects of the progression from research on the efficacy of a new intervention to its dissemination. They highlight the role of transportability questions that arise in that progression and illustrate key conceptual and design features that differentiate efficacy, effectiveness, and dissemination research. An ongoing study of the transportability of multisystemic therapy is used to illustrate independent and interdependent aspects of effectiveness, transportability, and dissemination studies. Variables relevant to the progression from treatment efficacy to dissemination include features of the intervention itself as well as variables pertaining to the practitioner, client, model of service delivery, organization, and service system. The authors provide examples of how some of these variables are relevant to the transportability of different types of interventions. They also discuss sample research questions, study designs, and challenges to be anticipated in the arena of transportability research.
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“Typically viewed as ‘nuisance’ variance to be controlled in efficacy and effectiveness research, contextual factors are key in implementation research [65-67].”
From Writing implementation research grant proposals: ten key ingredients (2012) · cites this paper as [67]
In the citing paper
“Investigators should also make plans to document any modifications to the intervention and, if possible, incorporate adaptation models to the implementation process, because interventions are rarely implemented without being modified [67,106].”
From Writing implementation research grant proposals: ten key ingredients (2012) · cites this paper as [67]
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Metadata
- Authors
- Schoenwald, S. K., & Hoagwood, K.
- Affiliations
- Medical University of South Carolina (US)
- Venue
- Psychiatric Services
- Published
- 2001-09
- Volume
- 52
- Issue
- 9
- Pages
- 1190-1197
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2152150569
- Cited by
- 763
- References
- 24
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 8 · 2022: 16 · 2021: 17 · 2020: 18 · 2019: 21 · 2018: 30 · 2017: 54 · 2016: 22 · 2015: 41 · 2014: 54 · 2013: 42 · 2012: 46
- FWCI
- 60.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Annie E. Casey Foundation
- National Institutes of Health
- National Institute of Mental Health (MH 59138, R01MH059138)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- transportability, intervention dissemination, effectiveness research, efficacy research, multisystemic therapy, treatment dissemination, research design, service delivery models, organizational factors, client factors, service systems
- MeSH terms
- Adolescent, Mental Disorders, Child, Child Health Services, Diffusion of Innovation, Humans, Mental Health Services, United States, Adolescent Health Services, Evidence-Based Medicine
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