Adapting a Compilation of Implementation Strategies to Advance School-Based Implementation Research and Practice

Cook, Clayton R.; Lyon, Aaron R.; Locke, Jill; Waltz, Thomas J.; Powell, Byron J.

doi:10.1007/s11121-019-01017-1

Cited by 168 publications

(133 citation statements)

References 76 publications

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“…However, several papers referred to specific sustainability strategies in their background sections but did not consider their impact in their analysis of sustainability, including 'train-thetrainer' models to spread the intervention across and between schools [58,63], external consultants exploring adaptations with staff [53] and a staged-approach to implementation [50]. Primary research on the impact of implementation and sustainability strategies and planning would be valuable [74,84].…”

Section: Implications For Research and Policymentioning

confidence: 99%

The sustainability of public health interventions in schools: a systematic review

et al. 2020

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Background: The sustainability of school-based health interventions after external funds and/or other resources end has been relatively unexplored in comparison to health care. If effective interventions discontinue, new practices cannot reach wider student populations and investment in implementation is wasted. This review asked: What evidence exists about the sustainability of school-based public health interventions? Do schools sustain public health interventions once start-up funds end? What are the barriers and facilitators affecting the sustainability of public health interventions in schools in high-income countries? Methods: Seven bibliographic databases and 15 websites were searched. References and citations of included studies were searched, and experts and authors were contacted to identify relevant studies. We included reports published from 1996 onwards. References were screened on title/abstract, and those included were screened on full report. We conducted data extraction and appraisal using an existing tool. Extracted data were qualitatively synthesised for common themes, using May's General Theory of Implementation (2013) as a conceptual framework. Results: Of the 9677 unique references identified through database searching and other search strategies, 24 studies of 18 interventions were included in the review. No interventions were sustained in their entirety; all had some components that were sustained by some schools or staff, bar one that was completely discontinued. No discernible relationship was found between evidence of effectiveness and sustainability. Key facilitators included commitment/support from senior leaders, staff observing a positive impact on students' engagement and wellbeing, and staff confidence in delivering health promotion and belief in its value. Important contextual barriers emerged: the norm of prioritising educational outcomes under time and resource constraints, insufficient funding/ resources, staff turnover and a lack of ongoing training. Adaptation of the intervention to existing routines and changing contexts appeared to be part of the sustainability process. Conclusions: Existing evidence suggests that sustainability depends upon schools developing and retaining senior leaders and staff that are knowledgeable, skilled and motivated to continue delivering health promotion through ever-changing circumstances. Evidence of effectiveness did not appear to be an influential factor. However, methodologically stronger primary research, informed by theory, is needed.

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Section: Implications For Research and Policymentioning

confidence: 99%

The sustainability of public health interventions in schools: a systematic review

et al. 2020

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“…Tools varied in the degree to which responses aligned with these recommendations. Two, Lyon and colleagues (18,19) created the SISTER compilation, in which existing implementation strategy labels and definitions were revised to improve fit with school settings, with several new strategies created and strategies not relevant to school settings removed.…”

Section: Methods Tool Developmentmentioning

confidence: 99%

“…into nine categories delineated by Waltz et al(22) (see Supplemental File 3) and assigned a label from the SISTER compilation(23,24). Participants reported on treatment adaptations according to Wiltsey Stirman and colleagues'(12) Measures Three measures of implementation outcomes, the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM)(25) were used to assess the likelihood that stakeholders might adopt these three tools.…”

mentioning

confidence: 99%

A Pilot Study Comparing Tools for Tracking Implementation Strategies and Treatment Adaptations

Walsh‐Bailey

Palazzo

Mettert

et al. 2020

Preprint

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Background Tailoring implementation strategies and adapting treatments to better fit the local context may improve their effectiveness. However, there is a dearth of valid, reliable, pragmatic measures that allow for the prospective tracking of strategies and adaptations according to reporting recommendations. This study describes the development and pilot testing of three tools to designed to serve this purpose.Methods Measure development was informed by two systematic reviews of the literature (implementation strategies, treatment adaptation). The three resulting tools vary with respect to the degree of structure (Brainstorming Log = low, Activity Log = moderate, Detailed Tracking Log = high). To prospectively track treatment adaptations and implementation strategies, three stakeholder groups (treatment developer, implementation practitioners, mental health providers) were randomly assigned one tool per week via an anonymous web-based survey for nine weeks and incentivized to participate. Three established implementation outcome measures, the Acceptability of Intervention Measure, Intervention Appropriateness Measure, and Feasibility of Intervention Measure were used to assess the tools. Semi-structured interviews were conducted to gather more nuanced information from stakeholders regarding their perceptions of the tools and the tracking process.Results The three tracking tools demonstrated moderate to good acceptability, appropriateness, and feasibility; the Activity Log was deemed the most feasible of the three tools. Implementation practitioners rated the tools the highest of the three stakeholder groups. The tools took an average of 15 minutes or less to complete.Conclusion This study sought to fill methodological gaps that prevent stakeholders and researchers from discerning which strategies are most important to deploy for promoting implementation and sustainment of evidence-based practices. These tools would allow researchers and practitioners to track whether activities were treatment adaptations or implementation strategies and what barrier(s) each targets. These tools could inform prospective tailoring of implementation strategies and treatment adaptations, which would promote scale out and spread.

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“…The field of implementation science has advanced considerably partly as a result of better specifying (Proctor et al, 2013) and cataloging (Powell et al, 2015) implementation strategies. Recent work, however, has demonstrated the importance of developing methods for tailoring and contextualizing implementation strategies (Powell et al, 2017) and to catalog implementation strategies for specific settings, like schools (Cook, Lyon, Locke, Waltz, & Powell, 2019). Several of the articles in this special issue tackle the subject of understanding context with the goals to tailor and adapt strategies to support implementation.…”

Section: What Are Some Pressing Issues At the Intersection Of Implemementioning

confidence: 99%

Applications of translation and implementation science to community psychology: An introduction to a special issue

Schueller

Boustani

2020

Journal Community Psychology

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Adapting a Compilation of Implementation Strategies to Advance School-Based Implementation Research and Practice

Cited by 168 publications

References 76 publications

The sustainability of public health interventions in schools: a systematic review

The sustainability of public health interventions in schools: a systematic review

A Pilot Study Comparing Tools for Tracking Implementation Strategies and Treatment Adaptations

Applications of translation and implementation science to community psychology: An introduction to a special issue

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