The DOI matches its Crossref record; 47 of the 49 references it cites were found in a registry or an index.
The stages of implementation completion for evidence-based practice: protocol for a mixed methods study
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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.](/paper-figures/5c905a0e689f4eb1a05aef8965daf48b/the-stages-of-implementation-completion-for-evidence-based-practice-protocol-for-figure-1.jpg)
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“a primary outcome for most of these designs can be constructed as a composite process and output score, using dimensions of speed, quality and quantity (11, 25, 101).”
From An Overview of Research and Evaluation Designs for Dissemination and Implementation (2017) · cites this paper as [101]
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Cited by
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An Overview of Research and Evaluation Designs for Dissemination and Implementation
Brown, C. H., Curran, G., Palinkas, L. A., Aarons, G. A., Wells, K. B., Jones, L., Collins, L. M., Duan, N., Mittman, B. S., Wallace, A., et al. (2017) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031816-044215 · Cited by 509
Standards for Reporting Implementation Studies (StaRI): explanation and elaboration document
Pinnock, H., Barwick, M. A., Carpenter, C. R., Eldridge, S. M., Grandes, G., Griffiths, C., Rycroft‐Malone, J., Meißner, P., Murray, E., Patel, A. K., et al. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-013318 · Cited by 355
Tracking implementation strategies: a description of a practical approach and early findings
Bunger, A. C., Powell, B. J., Robertson, H. A., MacDowell, H., Birken, S. A., & Shea, C. (2017) · Health Research Policy and Systems · doi:10.1186/s12961-017-0175-y · Cited by 208
Aarons, G. A., Ehrhart, M. G., Moullin, J. C., Torres, E. M., & Green, A. E. (2017) · Implementation Science · doi:10.1186/s13012-017-0562-3 · Cited by 159
Al‐Ubaydli, O., List, J. A., & Suskind, D. L. (2017) · American Economic Review · doi:10.1257/aer.p20171115 · Cited by 156
Metadata
- Authors
- Saldana, L.
- Affiliations
- Oregon Social Learning Center (US)
- Corresponding author
- Saldana, Lisa
- ORCID
- Saldana, Lisa
- Venue
- Implementation Science
- Published
- 2014-04-05
- Volume
- 9
- Issue
- 1
- Pages
- 43-43
- ISSN
- 1748-5908 (ISSN-L)
- 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
- 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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