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The stages of implementation completion for evidence-based practice: protocol for a mixed methods study

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Saldana, Lisa·2014·Implementation Science

DOI 10.1186/1748-5908-9-43PMC PMC4234147

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Abstract

BACKGROUND: This protocol describes the 'development of outcome measures and suitable methodologies for dissemination and implementation approaches,' a priority for implementation research. Although many evidence-based practices (EBPs) have been developed, large knowledge gaps remain regarding how to routinely move EBPs into usual care. The lack of understanding of 'what it takes' to install EBPs has costly public health consequences, including a lack of availability of the most beneficial services, wasted efforts and resources on failed implementation attempts, and the potential for engendering reluctance to try implementing new EBPs after failed attempts.The Stages of Implementation Completion (SIC) is an eight-stage tool of implementation process and milestones, with stages spanning three implementation phases (pre-implementation, implementation, sustainability). Items delineate the date that a site completes implementation activities, yielding an assessment of duration (time to complete a stage), proportion (of stage activities completed), and a general measure of how far a site moved in the implementation process. METHODS/DESIGN: We propose to extend the SIC to EBPs operating in child service sectors (juvenile justice, schools, substance use, child welfare). Both successful and failed implementation attempts will be scrutinized using a mixed methods design. Stage costs will be measured and examined. Both retrospective data (from previous site implementation efforts) and prospective data (from newly adopting sites) will be analyzed. The influence of pre-implementation on implementation and sustainability outcomes will be examined (Aim 1). Mixed methods procedures will focus on increasing understanding of the process of implementation failure in an effort to determine if the SIC can provide early detection of sites that are unlikely to succeed (Aim 2). Study activities will include cost mapping of SIC stages and an examination of the relationship between implementation costs and implementation performance (Aim 3). DISCUSSION: This project fills a gap in the field of implementation science by addressing the measurement gap between the implementation process and the associated costs. The goal of this project is to provide tools that will help increase the uptake of EBPs, thereby increasing the availability of services to youth and decreasing wasted resources from failed implementation efforts.

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Figure 1 Conceptual model for implementation research (adapted from Proctor et al. [3]) Circled area shows target of proposal.CC BY · PubMed Central

Figure 2 Diagram of study procedures.CC BY · PubMed Central

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Authors: Saldana, L.
Affiliations: Oregon Social Learning Center (US)
Corresponding author: Saldana, Lisa
ORCID: Saldana, Lisa
Venue: Implementation Science
Publisher: Springer Science and Business Media LLC
Published: 2014-04-05
Volume: 9
Issue: 1
Pages: 43-43
ISSN: 1748-5908 (ISSN-L)
DOI: 10.1186/1748-5908-9-43
PMC: PMC4234147
OpenAlex: W2135938538
Cited by: 188
References: 49
Citations by year: 2026: 11 · 2025: 21 · 2024: 30 · 2023: 18 · 2022: 19 · 2021: 25 · 2020: 22 · 2019: 15 · 2018: 8 · 2017: 9 · 2016: 4 · 2015: 4 · 2014: 2
FWCI: 11.44
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: Implementation Science (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (MH080916, R01MH097748, R25MH080916)
National Institute on Drug Abuse (P50DA035763)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords: evidence-based practice, implementation process, implementation costs, implementation failure, sustainability, pre-implementation, child and youth services, juvenile justice, child welfare, schools, substance use services, cost mapping
MeSH terms: Child, Child Welfare, Humans, Outcome and Process Assessment, Health Care, Prospective Studies, Retrospective Studies, Program Development, Evidence-Based Practice, Translational Research, Biomedical

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