Examining the Highs and Lows of the Collaborative Relationship Between Technical Assistance Providers and Prevention Implementers

Chilenski, Sarah M.; Welsh, Janet A.; Olson, Jonathan R.; Hoffman, Lesa; Perkins, Daniel F.; Feinberg, Mark E.

doi:10.1007/s11121-017-0812-2

Cited by 13 publications

(16 citation statements)

References 33 publications

(51 reference statements)

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“…Dimensions of Coalition Check-Up implementation quality include (1) coalition-TA provider collaborative working relationship, (2) action plan quality and implementation, and (3) fidelity to the Coalition Check-Up model. The collaborative working relationship between the TA provider and coalition leader/coalition will be assessed with measures drawn from Chilenski, Feinberg, and Welsh’s prior work on PROSPER [ 13 , 43 , 44 ]. The scale captures trust between the TA provider and the coalition, empowerment vs. providing information-only, and mutual respect.…”

Section: Methodsmentioning

confidence: 99%

Protocol for a hybrid type 3 cluster randomized trial of a technical assistance system supporting coalitions and evidence-based drug prevention programs

et al. 2021

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Background Over 5000 community anti-drug coalitions operating in the USA serve as a cornerstone of federal drug prevention. These coalitions, however, have demonstrated effectiveness in preventing substance use only when they use technical assistance (TA) and implement evidence-based programs (EBPs). The absence of TA and EBP implementation by coalitions is a key research-to-practice gap. The Coalition Check-Up TA system is designed to fill this gap by supporting community coalition implementation of EBPs. Existing TA models for evidence-based coalition approaches are resource intensive and coalition model specific. The Coalition Check-Up is a lower cost strategy that works with a variety of types of coalitions to support sustainable implementation of EBPs. This study protocol describes a hybrid type 3 effectiveness-implementation trial applying Wandersman’s Interactive Systems Framework to test the effects of the Coalition Check-Up on coalition EBP implementation capacity and outcomes. The Interactive Systems Framework outlines how the prevention support system—especially TA—bolsters EBP dissemination and implementation. Methods Using a cluster randomized controlled design, this trial will test the overall effectiveness of the Coalition Check-Up, including how it contributes to EBP implementation and prevention of youth substance use. The first aim is to estimate the impact of the Coalition Check-Up on coalitions’ capacity to do their work. We will recruit 68 anti-drug coalitions for random assignment to the Coalition Check-Up or “TA as usual” condition. We will evaluate whether the Coalition Check-Up improves coalition capacity using measures of coalition member responses about team processes, coalition network composition, and collaborative structure. Our second aim is to estimate the impact of the Coalition Check-Up on implementation of EBPs, and our third aim is to estimate the impact of the Coalition Check-Up on youth substance use. Discussion This project will clarify how the Coalition Check-Up, a scalable approach to TA due to its low cost, affects coalition capacity to support EBP implementation. Analyses also provide insight into causal pathways from the prevention support system to the prevention delivery system outlined by the Interactive Systems Framework. Results will build the evidence-base for how to support community coalitions’ sustainable implementation of evidence-based prevention programs and policies. Trial registration Clinicaltrials.gov registration number NCT04592120. Registered on October 19, 2020.

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Section: Methodsmentioning

confidence: 99%

Protocol for a hybrid type 3 cluster randomized trial of a technical assistance system supporting coalitions and evidence-based drug prevention programs

et al. 2021

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“…Chilenski and colleagues found that levels of collaboration were relatively high during the planning phase of a community prevention project, decreased during implementation, and then increased again during the sustainability phase. 11 Such findings underscore the importance of tailoring TA to the unique needs of stakeholders that typically change throughout different phases of planning and implementation.…”

Section: Effects Of Technical Assistance On Implementationmentioning

confidence: 99%

“…Moreover, there has been consistent interest in ensuring that TA systems themselves are based on comparative effectiveness research. 6,9,11 However, empirical research on the effects of TA on general youth-focused programming is emergent at best, with significant gaps in research on the provision of TA to support the implementation of SOC strategies.…”

mentioning

confidence: 99%

Developing an Evidence-Based Technical Assistance Model: a Process Evaluation of the National Training and Technical Assistance Center for Child, Youth, and Family Mental Health

Olson

Coldiron

Parigoris

et al. 2020

J Behav Health Serv Res

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The National Training and Technical Assistance Center for Child, Youth, and Family Mental Health (NTTAC) supports the development and implementation of systems of care (SOC) for youth with serious emotional disorders (SED) and their families. This article presents results from a process evaluation of NTTAC, conducted to support the Center's quality improvement and contribute to the knowledge base around provision of technical assistance (TA). The evaluation used a mixed methods approach with data collection focused on a defined subset of NTTAC TA recipients-recipients of federal Comprehensive Community Mental Health Services for Children SOC grants. Data sources included coded administrative records from SOC grant sites, administrative data from NTTAC, standardized measures of SOC development, and stakeholder survey data. Results indicate that TA dosage matched needs and goals of TA recipients (SOC sites),

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“…Children's Trust developed this coaching model based on research identifying community coaching as an implementation support strategy (Bauer et al, 2015; Chilenski et al, 2018) and prior organizational experience using coaches to support the implementation of evidence‐based programs. Due to the system nature of Triple P and limited resources available from funders, it was necessary to design a coaching mechanism that shared implementation best practices with a large number of diverse stakeholders.…”

Section: Developing the Community Capacity Coach Modelmentioning

confidence: 99%

Community capacity coach: Embedded support to implement evidenced‐based prevention

Strompolis

Cain

Wilson

et al. 2020

Journal Community Psychology

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Given the pervasive nature of child abuse and neglect, multilevel public health approaches are necessary. Implementation science can help in understanding the most effective ways to build infrastructure and support delivery of such approaches. In this theoretical paper, we describe the implementation of the Positive Parenting Program (Triple P), an evidence-based population-level parenting program in South Carolina. While implementation science has informed how to move population-level efforts to scale, we discuss challenges that persist in practice, such as when there is a need for multiple stakeholders to understand, support, and apply implementation best practices in a systematic and consistent way. To address this challenge, we introduce the role of a Community Capacity Coach, who lives in the local community and works towards the implementation of Triple P. The Coach is responsible for bridging gaps between the local community and statewide support systems. We detail the ways in which the Coach's role aligns with key intermediary functions, and how the Coach is embedded within the larger Triple P statewide support system. We then discuss the assessment of the Coach's impact; and conclude with future directions and next steps for this role within Triple P South Carolina. K E Y W O R D S capacity building, child abuse and neglect, evaluation, evidence-based programs, implementation science, population health, prevention | 1143Yet challenges remain in the application of implementation science in practice, particularly given the vast number of models and strategies available in the literature. Triple P South Carolina begins to address this through the use of a simplified theory of change model to help community leaders and other partners understand the key elements and activities that need to be developed to ensure strong implementation. Moreover, through an innovative Community Capacity Coaching model, Triple P South Carolina aims to tackle two key issues: translation and communication across multiple state system levels and the typically slow pace of developing community system capacities for programs scale-up.Community Capacity Coaching is an innovative approach within implementation science to improve population health efforts. Community Capacity Coaches address current gaps by understanding implementation science literature, applying models and strategies to multiple state system levels, and ensuring resources are devoted to building implementation infrastructure. Community Capacity Coaching is currently being used within populationlevel efforts in South Carolina to prevent child abuse and neglect. Evaluation efforts will capture coaching activities and outcomes over 3 years using data from two Community Capacity Coaches. Future research and evaluation are needed not only to capture the full benefits of community capacity coaching but also to identify additional innovations within implementation science to support public health approaches to prevent child abuse and neglect and other social issues. ORCID Mel...

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Examining the Highs and Lows of the Collaborative Relationship Between Technical Assistance Providers and Prevention Implementers

Cited by 13 publications

References 33 publications

Protocol for a hybrid type 3 cluster randomized trial of a technical assistance system supporting coalitions and evidence-based drug prevention programs

Protocol for a hybrid type 3 cluster randomized trial of a technical assistance system supporting coalitions and evidence-based drug prevention programs

Developing an Evidence-Based Technical Assistance Model: a Process Evaluation of the National Training and Technical Assistance Center for Child, Youth, and Family Mental Health

Community capacity coach: Embedded support to implement evidenced‐based prevention

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