Bridging the Gap Between Prevention Research and Practice: The Interactive Systems Framework for Dissemination and Implementation

Wandersman, Abraham; Duffy, Jennifer; Flaspohler, Paul; Noonan, Rita K.; Lubell, Keri; Stillman, Lindsey; Blachman, Morris J.; Dunville, Richard; Saul, Janet

doi:10.1037/e628612012-125

Cited by 191 publications

(330 citation statements)

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“…An integrated research-practice partnership can provide tools, ongoing training, technical assistance, and quality improvement/quality assurance [15,45]. Finally, contrary to the idea that observability of effectiveness enhances program adoption [43], the adopters in this study were less likely to perceive that the program was effective in community settings than non-adopters.…”

Section: Discussioncontrasting

confidence: 60%

“…To address these obstacles, a number of implementation science frameworks have been developed and often they include an integration of research and practice personnel within a participatory model [14,15]. The integration of research and community health professionals has the ability to address and overcome each of these obstacles and is proposed to speed the translation of evidence-based principles within typical practice.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial

Harden

Johnson

Almeida

et al. 2016

Behav. Med. Pract. Policy Res.

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Integrated research-practice partnerships (IRPPs) may improve adoption of evidence-based programs. The aim of this study is to compare adoption of an IRPP-developed physical activity (PA) program (Fit Extension, FitEx) to a typical efficacy-effectiveness-dissemination pipeline model program (Active Living Every Day, ALED). Guided by the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, a randomized controlled trial assigned health educators (HEs) to FitEx (n = 18) or ALED (n = 18). Fourteen HEs adopted FitEx, while two HEs adopted ALED (χ 2 = 21.8; p < 0.05). FitEx HEs took less time to deliver (p < 0.05), stated greater intentions for continued program delivery (p < 0.05), and reached more participants (n = 1097 total; 83 % female; 70 % Caucasian; M age = 44 ± 11.8) per HE than ALED (n = 27 total; 60 % female; 50 % Caucasian; M age = 41 ± 11.3). No significant difference existed in FitEx or ALED participants' increased PA (M increase = 9.12 ±29.09 min/ day; p > 0.05). IRPP-developed programs may improve PA program adoption, implementation, and maintenance and may also result in programs that have higher reach-without reducing effectiveness. KeywordsTranslation, Physical activity, RE-AIM, Researchpractice Regular physical activity plays an important role in the prevention, onset, and management of many adverse chronic health conditions [1]. Conversely, physical inactivity is one of the primary behavioral causes of death in the USA [2] and contributes to the 483.8 billion dollars spent each year for the management and treatment of cardiovascular diseases and diabetes [3]. Unfortunately, less than half of the adult population is active at a recommended level [4] of moderate intensity for at least 30 min/day, 5 days or more per week [5]. While interventions (programs, policy, and practice) exist that aim to increase physical activity, there is a lack of translation of effective evidence-based programs into practice [6].Reasons for this lack of translation are related to both research and practice. First, using research reporting guidelines that are predominantly focused on internal validity (e.g., CONSORT Statement [7]) results in a body of literature that values the strong internal validity but attributes only a passing focus on issues of external validity [8]. In fact, a series of reviews of intervention studies published in leading journals that targeted physical activity (as well as nutrition and smoking) bears this out, showing that external validity (e.g., participant's representativeness, organizational adoption, and program sustainability) was rarely reported [9][10][11]. Second, a linear (or top down) model of dissemination, which highlights the researcher as the expert and developer of products, and the delivery system as a simple receptor of evidence-based programs are a common depiction of translation of research to practice [12]. A linear model has a number of drawbacks for translation of research to practice: (1) it fails to address the organizational and community ca...

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Section: Discussioncontrasting

confidence: 60%

mentioning

confidence: 99%

Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial

Harden

Johnson

Almeida

et al. 2016

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

show abstract

“…Even when programs (such as RESPECT) are fielded with the aid of professionally conducted training programs, it may be difficult to sustain good program fidelity in the changing conditions of real-world settings [17]. In general, some program modifications or adaptations are expected and may be beneficial [18][19][20]. However, eliminating or substantially changing core program components (essential elements in producing behavior change) and program structures (e.g., session length, session order, delivery method) may diminish program efficacy [4,5,21].…”

Section: Program Fidelitymentioning

confidence: 99%

“…These models build on the early social ecological work of Bronfenbrenner [40,41] that conceptualizes macro, exo, meso, and micro levels of interdependent influences on a given outcome. Although theorists in the translation field do not typically invoke Bronfenbrenner's terminology, prior theoretical work parallels this conceptual terminology (e.g., [19,39,42]). For instance, ShediacRizkallah and Bone [42] describe national economic (macro), community-environmental (exo), organizational/interprogram (meso), and program-specific and program-personnel (micro) factors that influence sustainability of communitybased programs.…”

Section: Theoretical Implicationsmentioning

confidence: 99%

Fiscal loss and program fidelity: impact of the economic downturn on HIV/STI prevention program fidelity

Catania

Dolcini

Gandelman

et al. 2014

Behav. Med. Pract. Policy Res.

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The economic downturn of 2007 created significant fiscal losses for public and private agencies conducting behavioral prevention. Such macro-economic changes may influence program implementation and sustainability. We examined how public and private agencies conducting RESPECT, a brief HIV/STI (sexually transmitted infection) counseling and testing intervention, adapted to fiscal loss and how these adaptations impacted program fidelity. We collected qualitative and quantitative data in a national sample of 15 agencies experiencing fiscal loss. Using qualitative analyses, we examined how program fidelity varied with different types of adaptations. Agencies reported three levels of adaptation: agency-level, program-level, and direct fiscal remedies. Private agencies tended to use direct fiscal remedies, which were associated with higher fidelity. Some agency-level adaptations contributed to reductions in procedural fit, leading to negative staff morale and decreased confidence in program effectiveness, which in turn, contributed to poor fidelity. Findings describe a "work stress pathway" that links program fiscal losses to poor staff morale and low program fidelity.

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“…Most of the researches are evidence-based, various types of programs (such as trauma-focused intervention, school-based prevention programs) are facilitating for the research. By bringing the scientific research results into community counselling practice, the Interactive Systems Framework for Dissemination and Implementation (ISF, Figure 1) proposed by Wandersman et al (2008) is widely used. Interactive systems framework for dissemination and implementation, ISF (Wandersman et al, 2008 As per Figure 1, there are three systems to support the transfer from prevention research into practical field.…”

Section: School Mental Health Programsmentioning

confidence: 99%

Promote Campus Mental Health From Community Psychology Perspective

Ming¹,

Chang²

2017

JPR

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This research aims to explore the most suitable strategies which assist school to promote campus (including teachers and students) mental health. Researcher was first approached by PY Secondary School and some basic issues and ideas were being raised and discussed by principal and head of counsellor. In order to find out the most suitable solution, action research method which introduced by Rowell (2005) was being used in this research. This research had been conducted for a year. Researcher assessed and planned the action through community psychology's lens which focuses on seeing the problems from the ecological way instead of traditional way.Researcher took initiative to join some of the enrichment class (cooking class and nursery class) together with the students in order to observe and find out their real needs. After the observation, researcher made an assessment and proposed some ideas (including conduct activities, group counselling, resources sharing) which help to promote student's mental health. The findings of the research have shown that students felt themselves were being more supported by teachers, the school teachers found their interaction with students is stronger, and student's disciplinary issues had been reduced.

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Bridging the Gap Between Prevention Research and Practice: The Interactive Systems Framework for Dissemination and Implementation

Cited by 191 publications

References 0 publications

Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial

Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial

Fiscal loss and program fidelity: impact of the economic downturn on HIV/STI prevention program fidelity

Promote Campus Mental Health From Community Psychology Perspective

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