Assessing Levels of Adaptation During Implementation of Evidence-Based Interventions: Introducing the Rogers—Rütten Framework

Bowen, Shelly‐Ann; Saunders, Ruth P.; Richter, Donna L.; Hussey, Jim; Elder, Keith; Lindley, Lisa L.

doi:10.1177/1090198110366002

Cited by 21 publications

(18 citation statements)

References 23 publications

(33 reference statements)

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“…We identified several models on the adaptation process developed across a range of different fields (e.g., psychology, education); for example, in relation to psychotherapy and evidencebased health interventions [4,[15][16][17][18][19][20][21][22][23]. We also identified frameworks evaluating online tools [24,25], implementation research models (e.g., Revised Ottawa Model of Research Use) [26], and technology and innovation models (e.g., Technology Acceptance Model) [27].…”

Section: Conceptual Modelmentioning

confidence: 99%

Cultural and Contextual Adaptation of an eHealth Intervention for Youth Receiving Services for First-Episode Psychosis: Adaptation Framework and Protocol for Horyzons-Canada Phase 1 (Preprint)

Lal¹,

Gleeson²,

Malla³

et al. 2017

Preprint

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Background: eHealth interventions have the potential to address challenges related to access, service engagement, and continuity of care in the delivery of mental health services. However, the initial development and evaluation of such interventions can require substantive amounts of financial and human resource investments to bring them to scale. Therefore, it may be warranted to increase policy, services, and research attention on eHealth platforms that have the potential to be adapted for use across settings. Yet, limited attention has been placed on the methods and processes for adapting eHealth interventions to improve their applicability across cultural, geographical, and contextual boundaries.Objective: In this paper, we describe an adaptation framework and protocol to adapt an eHealth intervention designed to promote recovery and prevent relapses in youth receiving specialized services for first-episode psychosis. The online platform, called Horyzons, was originally developed and tested in Australia and is being prepared for a wider evaluation in Canada.Methods: Service users and service providers from two specialized early intervention programs for first-episode psychosis located in different provinces will explore a betaversion of the eHealth intervention through focus group discussions and extended personal explorations to identify the need for, and content of contextual and culturaladaptations. An iterative consultation process will then take place with service providers and users to develop and assess platform adaptations in preparation for a pilot study with a live version of the platform. Running Head : Cultural and Contextual Adaptation of an eHealth InterventionResults : Data collection has been completed August 2017 and analysis is in process.Conclusions: This protocol contributes to an important gap in the literature pertaining to the specific principles, methods and steps involved in conducting a systematic reflection and change process in scaling up the evaluation of eHealth interventions across a diverse range of healthcare settings.

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Section: Conceptual Modelmentioning

confidence: 99%

Cultural and Contextual Adaptation of an eHealth Intervention for Youth Receiving Services for First-Episode Psychosis: Adaptation Framework and Protocol for Horyzons-Canada Phase 1 (Preprint)

Lal¹,

Gleeson²,

Malla³

et al. 2017

Preprint

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“…Assess possible impacts on other services (e.g., wait times, etc) in response to implementing innovation (7,14,26,34,64,72,80,81,91,96,99,103) With what supports service is provided (delivery arrangement) Provide service grants or contract with organizations to support implementation or to offset additional administrative costs of implementing an innovation (e.g., training, data infrastructure changes, workforce stability impacts, etc)…”

mentioning

confidence: 99%

Understanding the implementation of evidence-informed policies and practices from a policy perspective: a critical interpretive synthesis

Bullock

Lavis

Wilson

et al. 2020

Preprint

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Background: The fields of implementation science and knowledge translation have evolved somewhat independently from the field of policy implementation research, despite calls for better integration. As a result, implementation theory and empirical work do not often reflect the implementation experience from a policy lens nor benefit from the scholarship in all three fields. This means policy-makers, researchers and practitioners may find it challenging to draw from theory that adequately reflects their implementation efforts.Methods: We developed an integrated theoretical framework of the implementation process from a policy perspective by combining findings from these fields using the critical interpretive synthesis method. We began with the compass question: how is policy currently described in implementation theory and processes and what aspects of policy are important for implementation success? We then searched 12 databases as well as grey literature and supplemented these documents with other sources to fill conceptual gaps. Using a grounded and interpretive approach to analysis, we built the framework constructs, drawing largely from the theoretical literature and then tested and refined the framework using empirical literature.Results: A total of 7850 documents were retrieved and assessed for eligibility and 34 additional documents were identified through other sources. Eighty-two unique documents were ultimately included in the analysis. Our findings indicate that policy is described as: 1) the context; 2) a focusing lens; 3) the innovation itself; 4) a lever of influence; 5) an enabler/facilitator or barrier; or 6) an outcome. Policy actors were also identified as important participants or leaders of implementation. Our analysis led to the development of a two-part conceptual framework, including process and determinant components. Conclusions: This framework begins to bridge the divide between disciplines and offers a new way of thinking about implementation processes at the systems level. It offers researchers, policy-makers and implementers with a new way of thinking about implementation and can be used for planning or evaluating implementation efforts.

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“…Providers and clients may view the results of research as irrelevant to their needs if results do not reflect their experience-generated knowledge, values, or priorities, and if researchers alone define its focus and significance [24]. Providers consider the relative advantage of the new program over existing services, funding and service obligations, and resource levels in decisions to implement new interventions [25]. Top-down dissemination of researcher-developed interventions undermines this process and creates resistance to uptake of these programs; as a result, community-based service providers may prefer their ‘homegrown’ programs over pre-packaged interventions [26,27].…”

Section: Introductionmentioning

confidence: 99%

A novel, bottom-up approach to promote evidence-based HIV prevention for people who inject drugs in Ukraine: protocol for the MICT (‘Bridge’) HIV prevention exchange project

2014

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BackgroundUkraine has one of the most severe HIV epidemics in Eastern Europe, with an estimated 1.6% of the adult population living with the virus. Injection drug use accounts for 36% of new HIV cases. Nongovernmental organizations in Ukraine have little experience with effective, theory-based behavioral risk reduction interventions necessary to reduce the scope of the HIV epidemic among Ukrainians who inject drugs. This study seeks to promote the use of evidence-based HIV prevention strategies among Ukrainian organizations working with drug users.Methods/designThis study combines qualitative and quantitative methods to explore a model of HIV prevention intervention development and implementation that disseminates common factors of effective behavioral risk reduction interventions and enables service providers to develop programs that reflect their specific organizational contexts. Eight agencies, located in regions of Ukraine with the highest HIV and drug use rates and selected to represent key organizational context criteria (e.g., agency size, target population, experience with HIV prevention), will be taught common factors as the basis for intervention development. We will use qualitative methods, including interviews and observations, to document the process of intervention development and implementation at each agency. Using risk assessments with intervention participants, we will also assess intervention effectiveness.The primary outcome analyses will determine the extent to which agencies develop and implement an intervention for drug users that incorporates common factors of effective behavioral interventions. Effectiveness analyses will be conducted, and effect size of each intervention will be compared to that of published HIV prevention interventions for drug users with demonstrated effectiveness. This study will explore the role of organizational context on intervention development and implementation, including resource allocation decisions, problem-solving around intervention development, and barriers and facilitators to inclusion of common factors and delivery of a high quality intervention.DiscussionThis innovative approach to HIV prevention science dissemination and intervention development draws on providers’ ability to quickly develop innovative programs and reach populations in greatest need of services. It has the potential to enhance providers’ ability to use HIV prevention science to develop sustainable interventions in response to a rapidly changing epidemic.

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Assessing Levels of Adaptation During Implementation of Evidence-Based Interventions: Introducing the Rogers—Rütten Framework

Cited by 21 publications

References 23 publications

Cultural and Contextual Adaptation of an eHealth Intervention for Youth Receiving Services for First-Episode Psychosis: Adaptation Framework and Protocol for Horyzons-Canada Phase 1 (Preprint)

Cultural and Contextual Adaptation of an eHealth Intervention for Youth Receiving Services for First-Episode Psychosis: Adaptation Framework and Protocol for Horyzons-Canada Phase 1 (Preprint)

Understanding the implementation of evidence-informed policies and practices from a policy perspective: a critical interpretive synthesis

A novel, bottom-up approach to promote evidence-based HIV prevention for people who inject drugs in Ukraine: protocol for the MICT (‘Bridge’) HIV prevention exchange project

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