Cited by 189Health Policy Implementation ScienceHealth Sciences Research and EducationClinical practice guidelines implementation

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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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Additional file 3 of Implementation and sustainment of diverse practices in a large integrated health system: a mixed methods study
Nevedal, A., Reardon, C. M., Jackson, G. L., Cutrona, S. L., White, B. S., Gifford, A. L., Orvek, E., DeLaughter, K. L., White, L., King, H. A., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12610079
Additional file 3 of Understanding pathways from implementation to sustainment: a longitudinal, mixed methods analysis of promising practices implemented in the Veterans Health Administration
Nevedal, A., Widerquist, M. A. O., Reardon, C. M., Arasim, M. E., Jackson, G. L., White, B. S., Burns, M., Fix, G. M., DeLaughter, K. L., Cutrona, S. L., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26717059
Additional file 1 of Six practical recommendations for improved implementation outcomes reporting
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Additional file 2 of Optimized segmented regression models for the transition period of intervention effects
Zhang, X., Wu, K., Pan, Y., Yin, R., Zhang, Y., Kong, D., Wang, Q., & Chen, W. (2024) · Figshare · doi:10.6084/m9.figshare.26606056
Additional file 4 of Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project
Lamming, L., Montague, J., Crosswaite, K., Faisal, M., McDonach, E., Mohammed, M. A., Cracknell, A. L., Lovatt, A., & Slater, B. (2021) · Figshare · doi:10.6084/m9.figshare.16725862
Additional file 1 of Understanding pathways from implementation to sustainment: a longitudinal, mixed methods analysis of promising practices implemented in the Veterans Health Administration
Nevedal, A., Widerquist, M. A. O., Reardon, C. M., Arasim, M. E., Jackson, G. L., White, B. S., Burns, M., Fix, G. M., DeLaughter, K. L., Cutrona, S. L., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26717053
Additional file 1 of Sustainment of diverse evidence-informed practices disseminated in the Veterans Health Administration (VHA): initial development and piloting of a pragmatic survey tool
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Additional file 1 of Implementation and sustainment of diverse practices in a large integrated health system: a mixed methods study
Nevedal, A., Reardon, C. M., Jackson, G. L., Cutrona, S. L., White, B. S., Gifford, A. L., Orvek, E., DeLaughter, K. L., White, L., King, H. A., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12610073
Additional file 3 of Evaluation of measures of sustainability and sustainability determinants for use in community, public health, and clinical settings: a systematic review
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Additional file 2 of Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project
Lamming, L., Montague, J., Crosswaite, K., Faisal, M., McDonach, E., Mohammed, M. A., Cracknell, A. L., Lovatt, A., & Slater, B. (2021) · Figshare · doi:10.6084/m9.figshare.16725856
Additional file 3 of Optimized segmented regression models for the transition period of intervention effects
Zhang, X., Wu, K., Pan, Y., Yin, R., Zhang, Y., Kong, D., Wang, Q., & Chen, W. (2024) · Figshare · doi:10.6084/m9.figshare.26606059
Additional file 1 of Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER) 2.0 QUERI: study protocol for a cluster-randomized hybrid type 3 effectiveness-implementation trial
Hamilton, A. B., Finley, E. P., Bean‐Mayberry, B., Lang, A., Haskell, S. G., Moin, T., & Farmer, M. M. (2024) · Figshare · doi:10.6084/m9.figshare.26573665
Additional file 5 of Implementation and sustainment of diverse practices in a large integrated health system: a mixed methods study
Nevedal, A., Reardon, C. M., Jackson, G. L., Cutrona, S. L., White, B. S., Gifford, A. L., Orvek, E., DeLaughter, K. L., White, L., King, H. A., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12610085
Additional file 2 of Evaluation of measures of sustainability and sustainability determinants for use in community, public health, and clinical settings: a systematic review
Hall, A., Shoesmith, A., Doherty, E. L., McEvoy, B., Mettert, K. D., Lewis, C. C., Wolfenden, L., Yoong, S., Kingsland, M., Shelton, R. C., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22608670
Additional file 3 of Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER) 2.0 QUERI: study protocol for a cluster-randomized hybrid type 3 effectiveness-implementation trial
Hamilton, A. B., Finley, E. P., Bean‐Mayberry, B., Lang, A., Haskell, S. G., Moin, T., & Farmer, M. M. (2024) · Figshare · doi:10.6084/m9.figshare.26573671
Additional file 1 of Results of a multi-site pragmatic hybrid type 3 cluster randomized trial comparing level of facilitation while implementing an intervention in community-dwelling disabled and older adults in a Medicaid waiver
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Additional file 1 of Evaluation of measures of sustainability and sustainability determinants for use in community, public health, and clinical settings: a systematic review
Hall, A., Shoesmith, A., Doherty, E. L., McEvoy, B., Mettert, K. D., Lewis, C. C., Wolfenden, L., Yoong, S., Kingsland, M., Shelton, R. C., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22608667
Additional file 8 of Optimized segmented regression models for the transition period of intervention effects
Zhang, X., Wu, K., Pan, Y., Yin, R., Zhang, Y., Kong, D., Wang, Q., & Chen, W. (2024) · Figshare · doi:10.6084/m9.figshare.26606074
Additional file 1 of Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project
Lamming, L., Montague, J., Crosswaite, K., Faisal, M., McDonach, E., Mohammed, M. A., Cracknell, A. L., Lovatt, A., & Slater, B. (2021) · Figshare · doi:10.6084/m9.figshare.16725853
Additional file 2 of Efficacy of active and passive evidence-based practice training for postgraduate medical residents: a non-randomized controlled trial
Goodarzi, H., Teymourzadeh, E., Rahimi, S., & Nasiri, T. (2021) · Figshare · doi:10.6084/m9.figshare.15568843
Additional file 2 of Understanding pathways from implementation to sustainment: a longitudinal, mixed methods analysis of promising practices implemented in the Veterans Health Administration
Nevedal, A., Widerquist, M. A. O., Reardon, C. M., Arasim, M. E., Jackson, G. L., White, B. S., Burns, M., Fix, G. M., DeLaughter, K. L., Cutrona, S. L., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26717056
Additional file 7 of Optimized segmented regression models for the transition period of intervention effects
Zhang, X., Wu, K., Pan, Y., Yin, R., Zhang, Y., Kong, D., Wang, Q., & Chen, W. (2024) · Figshare · doi:10.6084/m9.figshare.26606071
Additional file 2 of Stepped implementation-to-target: a study protocol of an adaptive trial to expand access to addiction medications
Ford, J. H., Cheng, H. L., Gassman, M., Fontaine, H., Garneau, H. C., Keith, R., Michael, E., & McGovern, M. P. (2022) · Figshare · doi:10.6084/m9.figshare.21249594
Additional file 4 of Implementation and sustainment of diverse practices in a large integrated health system: a mixed methods study
Nevedal, A., Reardon, C. M., Jackson, G. L., Cutrona, S. L., White, B. S., Gifford, A. L., Orvek, E., DeLaughter, K. L., White, L., King, H. A., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12610082
Additional file 2 of Enhancing Mental and Physical Health of Women through Engagement and Retention (EMPOWER) 2.0 QUERI: study protocol for a cluster-randomized hybrid type 3 effectiveness-implementation trial
Hamilton, A. B., Finley, E. P., Bean‐Mayberry, B., Lang, A., Haskell, S. G., Moin, T., & Farmer, M. M. (2024) · Figshare · doi:10.6084/m9.figshare.26573668
Additional file 1 of Optimized segmented regression models for the transition period of intervention effects
Zhang, X., Wu, K., Pan, Y., Yin, R., Zhang, Y., Kong, D., Wang, Q., & Chen, W. (2024) · Figshare · doi:10.6084/m9.figshare.26606053
Additional file 5 of Optimized segmented regression models for the transition period of intervention effects
Zhang, X., Wu, K., Pan, Y., Yin, R., Zhang, Y., Kong, D., Wang, Q., & Chen, W. (2024) · Figshare · doi:10.6084/m9.figshare.26606065
Additional file 2 of Sustainment of diverse evidence-informed practices disseminated in the Veterans Health Administration (VHA): initial development and piloting of a pragmatic survey tool
Reardon, C. M., Damschroder, L. J., Opra Widerquist, M. A., Arasim, M. E., Jackson, G. L., White, B. S., Cutrona, S. L., Fix, G. M., Gifford, A. L., DeLaughter, K. L., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26561788
Additional file 2 of Six practical recommendations for improved implementation outcomes reporting
Lengnick‐Hall, R., Gerke, D. R., Proctor, E. K., Bunger, A. C., Phillips, R. J., Martin, J. K., & Swanson, J. C. (2022) · Figshare · doi:10.6084/m9.figshare.19144717
Additional file 2 of Implementation and sustainment of diverse practices in a large integrated health system: a mixed methods study
Nevedal, A., Reardon, C. M., Jackson, G. L., Cutrona, S. L., White, B. S., Gifford, A. L., Orvek, E., DeLaughter, K. L., White, L., King, H. A., et al. (2020) · Figshare · doi:10.6084/m9.figshare.12610076
Additional file 3 of Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project
Lamming, L., Montague, J., Crosswaite, K., Faisal, M., McDonach, E., Mohammed, M. A., Cracknell, A. L., Lovatt, A., & Slater, B. (2021) · Figshare · doi:10.6084/m9.figshare.16725859
Additional file 6 of Optimized segmented regression models for the transition period of intervention effects
Zhang, X., Wu, K., Pan, Y., Yin, R., Zhang, Y., Kong, D., Wang, Q., & Chen, W. (2024) · Figshare · doi:10.6084/m9.figshare.26606068
Additional file 4 of Optimized segmented regression models for the transition period of intervention effects
Zhang, X., Wu, K., Pan, Y., Yin, R., Zhang, Y., Kong, D., Wang, Q., & Chen, W. (2024) · Figshare · doi:10.6084/m9.figshare.26606062
Additional file 1 of Efficacy of active and passive evidence-based practice training for postgraduate medical residents: a non-randomized controlled trial
Goodarzi, H., Teymourzadeh, E., Rahimi, S., & Nasiri, T. (2021) · Figshare · doi:10.6084/m9.figshare.15568825
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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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The stages of implementation completion for evidence-based practice: protocol for a mixed methods study

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