Characterizing implementation strategies using a systems engineering survey and interview tool: a comparison across 10 prevention programs for drug abuse and HIV sexual risk behavior
Open accessAbstract
BACKGROUND: Although many behavioral interventions have proven to be efficacious, new methodologies are required beyond efficacy trials to understand how to adopt, implement with fidelity, and sustain behavioral interventions in community settings. In this paper, we present a new approach, based on systems engineering concepts and methods, for characterizing implementation strategies that are used to deliver evidence-based behavioral interventions in health and social service settings. We demonstrate the use of this approach with implementation strategies, used or being used for broader dissemination of 10 evidence-based prevention program projects focused on the prevention of drug or HIV sex risk behaviors. RESULTS: The results indicate that there are wide variations in intervention approaches and that there are challenges in program implementation including maintaining program fidelity, serving community needs, and adequate resources. The results also indicate that implementation requires a committed partnership between the program developers, implementation researchers, and community partners. In addition, there is a need for adaptability within programs to meet community needs, resources, and priorities while maintaining program fidelity. CONCLUSIONS: Our methodological approach enabled us to highlight challenges associated with the community implementation of health risk prevention interventions. We also demonstrate how comprehensive descriptions of interventions facilitate understanding of the requirements of program implementation and decisions about the feasibility of implementing a program in community settings.
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Major implementation strategy adaptations often occur, and are sometimes required to support implementation in delivery systems with widely different system and/or organizational cultures and climates, readiness, and resources, and to populations with widely different histories, norms and values.
“Major implementation strategy adaptations often occur, and indeed are sometimes required to support implementation in delivery systems with widely different system and/or organizational cultures and climates, readiness, and resources [81], to populations having widely different histories, norms and values.”
From “Scaling-out” evidence-based interventions to new populations or new health care delivery systems (2017) · cites this paper as [81]
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Cited by
Sorted by citations
“Scaling-out” evidence-based interventions to new populations or new health care delivery systems
Aarons, G. A., Sklar, M., Mustanski, B., Benbow, N., & Brown, C. H. (2017) · Implementation Science · doi:10.1186/s13012-017-0640-6 · Cited by 399 · see citing works
Self-citation
- Authors
- Czaja, S. J., Valente, T. W., Nair, S. N., Villamar, J. A., & Brown, C. H.
- Affiliations
- University of Miami (US)
- University of Southern California (US)
- Northwestern University (US)
- Corresponding author
- Czaja, Sara J.
- Venue
- Implementation Science
- Published
- 2015-12
- Volume
- 11
- Issue
- 1
- Pages
- 70-70
- ISSN
- 1748-5908 (ISSN-L)
- PMC
- PMC4869203
- OpenAlex
- W2403014517
- Cited by
- 15
- References
- 66
- Citations by year
- 2026: 1 · 2023: 3 · 2021: 3 · 2020: 4 · 2018: 3 · 2017: 1
- FWCI
- 2.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Implementation Science (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Institute of Drug Abuse (P30DA027828)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
- Keywords
- implementation strategies, systems engineering, substance use prevention, HIV sexual risk behavior, evidence-based prevention programs, implementation fidelity, community implementation, dissemination, software adaptability, community partnerships, implementation research
- MeSH terms
- Engineering, Health Plan Implementation, Humans, Interviews as Topic, Preventive Medicine, Risk-Taking, Sexual Behavior, Systems Analysis, Program Evaluation, HIV Infections, Substance-Related Disorders
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