Instrumentation issues in implementation science

Martinez, Ruben G.; Lewis, Cara C.; Weiner, Bryan J.

doi:10.1186/s13012-014-0118-8

Cited by 174 publications

(192 citation statements)

References 56 publications

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“…Similar to other areas of implementation research, this endeavor presents methodological challenges, many of which hinge on the valid and reliable assessment of sustainability predictors, the outcomes, and the sustainment strategies being implemented (25, 83,106). There is emerging evidence for the reliability and validity of a small number of sustainability-specific assessments and tools, which are designed to determine an organization's capacity in key factors (e.g., partnerships, strategic planning) that have been shown to be linked to sustainment success (61,76) and to develop a strategic action plan for building capacity in areas of weakness (19,35,65,113).…”

Section: Planning For and Strategies To Enhance Sustainabilitymentioning

confidence: 99%

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Shelton

Cooper

Stirman

2018

Annu. Rev. Public Health

444

569

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intensity for the sustained achievement of desirable program goals and population outcomes. This understudied area has been identified as one of the most significant translational research problems. Adding to this challenge is uncertainty regarding the extent to which intervention adaptation and evolution are necessary to address the needs of populations that differ from those in which interventions were originally tested or implemented. This review critically examines and discusses conceptual and methodological issues in studying sustainability, summarizes the multilevel factors that have been found to influence the sustainability of interventions in a range of public health and health care settings, and highlights key areas for future research. AbstractThere is strong interest in implementation science to address the gap between research and practice in public health. Research on the sustainability of evidence-based interventions has been growing rapidly. Sustainability has been defined as the continued use of program components at sufficient (17,97,109). Although numerous evidence-based public health interventions and clinical preventive strategies and treatments are available, it can be challenging to implement and sustain them outside of controlled settings, particularly if they were originally tested in narrow populations or unrepresentative circumstances (49). As a rapidly growing field, implementation science has focused on understanding factors and strategies that influence the initial adoption and integration of evidence-based interventions (EBIs) in real-world settings (103). Whereas significant advancements have been made in understanding the adoption and implementation of EBIs across a range of community and health care settings, less is known about their sustainability. Recently, experts have prioritized sustainability as an understudied area (45), identifying it as "one of the most significant translational research problems of our time" (103, p. 2) and as a persistent challenge across a range of settings and service delivery sectors, and across health behaviors and outcomes.Maximizing the public health impact of EBIs will require investing in sustainability research. This research will enable us to better understand what factors and processes influence the sustainability of interventions and how to plan proactively for the continuation of EBIs. Moreover, there has been growing consideration of the policy and ethical implications of developing effective health programs without investing in sustainability (118). Researchers, health leaders, advocates, policy makers, practitioners, and funders alike have concerns about the long-term impact and value of their investment in discontinued interventions. In addition to lost investments, time, and resources, there are other reasons for which advancing our understanding of the sustainability of EBIs has value (99, 122). Maintaining effective programs and practices is critical for achieving health benefits, particularly if there is a latency period betwee...

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Section: Planning For and Strategies To Enhance Sustainabilitymentioning

confidence: 99%

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Shelton

Cooper

Stirman

2018

Annu. Rev. Public Health

444

569

View full text Add to dashboard Cite

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“…165 Finally, a comprehensive review of 6 key instrumentation issues that have emerged in implementation science has been undertaken. 99 These include the explicit use of frameworks, theories and models; specific psychometric evaluation of tests; choice of appropriate tests; choice of most appropriate methods of evaluation; practical utility; and the need for decision making tools. A number of practical recommendations in terms of consensus definitions, reporting standards, and methods also are suggested.…”

Section: New Approaches To Pain Instrument Developmentmentioning

confidence: 99%

“…New tools for pain assessment include visual computerizedassisted representation, 98 a data-driven multidimensional scaling method using a neural network, 120 a tool designed to enhance physician-patient communication, 99 web-based tools 87 and a method for thematic analysis of pain-related mental imagery. 52 These tools are described in Table S6 (available online as Supplemental Digital Content at http:// links.lww.com/PAIN/A201).…”

Section: New Pain Assessment Toolsmentioning

confidence: 99%

Pain assessment in context: a state of the science review of the McGill pain questionnaire 40 years on

Main

2015

PAIN

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The McGill pain questionnaire (MPQ) and its later derivative the short form-MPQ have been used widely both in experimental and clinical pain studies. They have been of considerable importance in stimulating research into the perception of pain and now, with the publication of its latest variant, the short form-MPQ-2, it is appropriate to appraise their utility in the light of subsequent research into the nature of pain and the purpose of pain assessment. Following a description of the content and development of the questionnaires, issues of validity, reliability, and utility are addressed, not only in terms of the individual pain descriptors and the scales, but also in terms of methods of quantification. In addition, other methods of pain depiction are considered. In the second part of the review, advances in pain measurement and methodology, in the elucidation of pain mechanisms and pathways, in the psychology of pain, and in the nature of pain behavior are presented and their implications for pain assessment in general and the MPQ family of measures in particular will be addressed. It is suggested that pain assessment needs to be cast in its social context. We need to understand the influences on pain expression using a socio-communication model of pain that recognizes the function of pain and the importance of both innate pain responses and the effects of social learning. The review concludes with recommendations for future use of the MPQ and identifies a number of research challenges which lie ahead.

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“…However the latter training also involved extensive expert consultation and session review of a kind that is not scalable; thus the findings are not directly comparable. Although positive changes in knowledge and skill have been reported for web based training, studies have employed widely varying methods and few have employed standardised outcome measures making it difficult to draw firm conclusions [11,12]. One study of web based training in transdiagnostic cognitive behaviour therapy for community clinicians that used an established measure, reported that 48% reached competency but the training also included 7.5 months of face-to face consultation with previously trained peers and 6.5 hours of expert instructor time [29].…”

Section: Comparisons With Other Studiesmentioning

confidence: 99%

Increasing the Availability of Psychological Treatments: A Multinational Study of a Scalable Method for Training Therapists (Preprint)

O'Connor¹,

Morgan²,

Bailey‐Straebler³

et al. 2018

Preprint

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Instrumentation issues in implementation science

Cited by 174 publications

References 56 publications

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care

Pain assessment in context: a state of the science review of the McGill pain questionnaire 40 years on

Increasing the Availability of Psychological Treatments: A Multinational Study of a Scalable Method for Training Therapists (Preprint)

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