Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS).
Children and youth
Evidence-based practice
Implementation strategies
Intervention mapping
Mental health
Tailored implementation strategies
Journal
Implementation science communications
ISSN: 2662-2211
Titre abrégé: Implement Sci Commun
Pays: England
ID NLM: 101764360
Informations de publication
Date de publication:
2020
2020
Historique:
entrez:
12
5
2020
pubmed:
12
5
2020
medline:
12
5
2020
Statut:
ppublish
Résumé
Implementing and sustaining evidence-based programs with fidelity may require multiple implementation strategies tailored to address multi-level, context-specific barriers and facilitators. Ideally, selecting and tailoring implementation strategies should be guided by theory, evidence, and input from relevant stakeholders; however, methods to guide the selection and tailoring of strategies are not well-developed. There is a need for more rigorous methods for assessing and prioritizing implementation determinants (barriers and facilitators) and linking implementation strategies to determinants. The Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) is an intervention designed to increase the effectiveness of evidence-based practice implementation and sustainment. COAST-IS will enable organizational leaders and clinicians to use Intervention Mapping to select and tailor implementation strategies to address their site-specific needs. Intervention Mapping is a multi-step process that incorporates theory, evidence, and stakeholder perspectives to ensure that implementation strategies effectively address key determinants of change. COAST-IS will be piloted with community mental health organizations that are working to address the needs of children and youth who experience trauma-related emotional or behavioral difficulties by engaging in a learning collaborative to implement an evidence-based psychosocial intervention (trauma-focused cognitive behavioral therapy). Organizations will be matched and then randomized to participate in the learning collaborative only (control) or to receive additional support through COAST-IS. The primary aims of this study are to (1) assess the acceptability, appropriateness, feasibility, and perceived utility of COAST-IS; (2) evaluate the organizational stakeholders' fidelity to the core elements of COAST-IS; and (3) demonstrate the feasibility of testing COAST-IS in a larger effectiveness trial. COAST-IS is a systematic method that integrates theory, evidence, and stakeholder perspectives to improve the effectiveness and precision of implementation strategies. If effective, COAST-IS has the potential to improve the implementation and sustainment of a wide range of evidence-based practices in mental health and other sectors. This study was registered in ClinicalTrials.gov (NCT03799432) on January 10, 2019 (last updated August 5, 2019).
Sections du résumé
BACKGROUND
BACKGROUND
Implementing and sustaining evidence-based programs with fidelity may require multiple implementation strategies tailored to address multi-level, context-specific barriers and facilitators. Ideally, selecting and tailoring implementation strategies should be guided by theory, evidence, and input from relevant stakeholders; however, methods to guide the selection and tailoring of strategies are not well-developed. There is a need for more rigorous methods for assessing and prioritizing implementation determinants (barriers and facilitators) and linking implementation strategies to determinants. The Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) is an intervention designed to increase the effectiveness of evidence-based practice implementation and sustainment. COAST-IS will enable organizational leaders and clinicians to use Intervention Mapping to select and tailor implementation strategies to address their site-specific needs. Intervention Mapping is a multi-step process that incorporates theory, evidence, and stakeholder perspectives to ensure that implementation strategies effectively address key determinants of change.
METHODS
METHODS
COAST-IS will be piloted with community mental health organizations that are working to address the needs of children and youth who experience trauma-related emotional or behavioral difficulties by engaging in a learning collaborative to implement an evidence-based psychosocial intervention (trauma-focused cognitive behavioral therapy). Organizations will be matched and then randomized to participate in the learning collaborative only (control) or to receive additional support through COAST-IS. The primary aims of this study are to (1) assess the acceptability, appropriateness, feasibility, and perceived utility of COAST-IS; (2) evaluate the organizational stakeholders' fidelity to the core elements of COAST-IS; and (3) demonstrate the feasibility of testing COAST-IS in a larger effectiveness trial.
DISCUSSION
CONCLUSIONS
COAST-IS is a systematic method that integrates theory, evidence, and stakeholder perspectives to improve the effectiveness and precision of implementation strategies. If effective, COAST-IS has the potential to improve the implementation and sustainment of a wide range of evidence-based practices in mental health and other sectors.
TRIAL REGISTRATION
BACKGROUND
This study was registered in ClinicalTrials.gov (NCT03799432) on January 10, 2019 (last updated August 5, 2019).
Identifiants
pubmed: 32391524
doi: 10.1186/s43058-020-00009-5
pmc: PMC7207049
mid: NIHMS1574584
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT03799432']
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : NIMH NIH HHS
ID : R25 MH080916
Pays : United States
Organisme : NIMH NIH HHS
ID : P50 MH113840
Pays : United States
Organisme : NCI NIH HHS
ID : P50 CA244431
Pays : United States
Organisme : NIDA NIH HHS
ID : R01 DA038466
Pays : United States
Organisme : NIDA NIH HHS
ID : R01 DA044745
Pays : United States
Organisme : NIMH NIH HHS
ID : K01 MH113806
Pays : United States
Organisme : NIMH NIH HHS
ID : R03 MH117493
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH106510
Pays : United States
Déclaration de conflit d'intérêts
Competing interests The authors declare that they have no competing interests.
Références
Adm Policy Ment Health. 2012 May;39(3):187-99
pubmed: 21516487
Clin Transl Sci. 2011 Oct;4(5):332-7
pubmed: 22029804
Arch Gen Psychiatry. 2006 May;63(5):484-9
pubmed: 16651505
Implement Sci. 2014 Aug 12;9:102
pubmed: 25112492
Adm Policy Ment Health. 2020 Sep;47(5):705-719
pubmed: 31813066
Adm Policy Ment Health. 2011 Jan;38(1):54-63
pubmed: 20953974
Cochrane Database Syst Rev. 2015 Apr 29;(4):CD005470
pubmed: 25923419
Psychiatr Serv. 2010 Aug;61(8):788-95
pubmed: 20675837
Implement Sci. 2014 Apr 14;9(1):45
pubmed: 24731295
Implement Sci. 2014 Apr 05;9(1):43
pubmed: 24708893
Front Public Health. 2019 Jun 18;7:158
pubmed: 31275915
Arch Gen Psychiatry. 2007 May;64(5):577-84
pubmed: 17485609
Res Soc Work Pract. 2014 Mar 1;24(2):192-212
pubmed: 24791131
Implement Sci. 2015 Apr 21;10:53
pubmed: 25895742
J Clin Child Adolesc Psychol. 2017 May-Jun;46(3):303-330
pubmed: 27759442
Adm Policy Ment Health. 2016 Sep;43(5):783-798
pubmed: 26474761
Am J Public Health. 2010 Apr;100(4):742-9
pubmed: 19608950
Implement Sci. 2017 Aug 29;12(1):108
pubmed: 28851459
Implement Sci. 2013 May 16;8:52
pubmed: 23680355
Implement Sci. 2019 Jan 5;14(1):1
pubmed: 30611302
BMJ. 2008 Sep 29;337:a1655
pubmed: 18824488
Adm Policy Ment Health. 2008 Mar;35(1-2):98-113
pubmed: 18085434
Am J Community Psychol. 2019 Dec;64(3-4):438-450
pubmed: 31429951
Cochrane Database Syst Rev. 2011 Aug 10;(8):CD000125
pubmed: 21833939
Implement Sci. 2019 Apr 29;14(1):42
pubmed: 31036028
Implement Sci. 2015 Aug 07;10:109
pubmed: 26249843
Adm Policy Ment Health. 2009 Jan;36(1):24-34
pubmed: 19104929
BMC Health Serv Res. 2018 Jul 28;18(1):589
pubmed: 30055619
BMC Med Res Methodol. 2010 Jan 06;10:1
pubmed: 20053272
Implement Sci. 2009 Jul 16;4:40
pubmed: 19607700
J Child Psychol Psychiatry. 2019 Apr;60(4):430-450
pubmed: 30144077
Front Public Health. 2019 Jan 22;7:3
pubmed: 30723713
Transl Behav Med. 2017 Sep;7(3):393-404
pubmed: 28341897
CMAJ. 1995 Nov 15;153(10):1423-31
pubmed: 7585368
Psychiatr Serv. 2013 Jun;64(6):509-11
pubmed: 23728600
Implement Sci. 2013 Aug 20;8:92
pubmed: 23961701
Implement Sci. 2017 Jan 10;12(1):5
pubmed: 28069029
Implement Sci. 2011 Oct 06;6:116
pubmed: 21974914
Implement Sci. 2013 Dec 01;8:139
pubmed: 24289295
Implement Sci. 2011 Sep 07;6:103
pubmed: 21899753
Implement Sci. 2014 Apr 17;9:46
pubmed: 24742308
Child Maltreat. 2012 Feb;17(1):67-79
pubmed: 22146861
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
Implement Sci. 2015 May 07;10:65
pubmed: 25948489
Pediatrics. 2009 Nov;124(5):1411-23
pubmed: 19805459
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
Adm Policy Ment Health. 2011 Jan;38(1):4-23
pubmed: 21197565
Am J Prev Med. 2009 May;36(5):452-7
pubmed: 19362699
J Eval Clin Pract. 2007 Apr;13(2):161-8
pubmed: 17378860
Behav Ther. 2018 Jul;49(4):525-537
pubmed: 29937255
Implement Sci. 2018 Mar 27;13(1):52
pubmed: 29587804
J Psychiatr Res. 2011 May;45(5):626-9
pubmed: 21035130
Child Maltreat. 2012 Feb;17(1):80-5
pubmed: 21875905
Implement Sci. 2014 Jan 10;9:7
pubmed: 24410955
BMC Psychol. 2015 Sep 16;3:32
pubmed: 26376626
Front Public Health. 2018 May 07;6:136
pubmed: 29868544
Implement Sci. 2013 Mar 23;8:35
pubmed: 23522377
Health Care Manage Rev. 2018 Jan/Mar;43(1):50-60
pubmed: 27529402
Fam Soc. 2009;90(3):248-254
pubmed: 25419082
Implement Sci. 2017 Mar 4;12(1):30
pubmed: 28259168
Implement Sci. 2012 May 31;7:50
pubmed: 22651257
J Am Acad Child Adolesc Psychiatry. 2013 Aug;52(8):815-830.e14
pubmed: 23880492
J Evid Based Soc Work. 2013 Oct;10(5):396-409
pubmed: 24066630
Med Care Res Rev. 2012 Apr;69(2):123-57
pubmed: 22203646
Adm Policy Ment Health. 2011 Mar;38(2):65-76
pubmed: 20957426
Health Psychol Rev. 2016 Sep;10(3):297-312
pubmed: 26262912
J Am Acad Child Adolesc Psychiatry. 2005 Feb;44(2):130-44
pubmed: 15689726
Implement Sci. 2017 Oct 3;12(1):118
pubmed: 28974248
Milbank Q. 2016 Mar;94(1):163-214
pubmed: 26994713
Implement Sci. 2013 Jun 10;8:66
pubmed: 23759034
Implement Sci. 2015 Feb 12;10:21
pubmed: 25889199
J Natl Cancer Inst Monogr. 2012 May;2012(44):34-41
pubmed: 22623594
J Behav Health Serv Res. 2017 Apr;44(2):177-194
pubmed: 26289563
J Clin Child Adolesc Psychol. 2014;43(6):915-28
pubmed: 24611580
JAMA. 2007 Jan 24;297(4):407-10
pubmed: 17244838
Implement Sci. 2010 Feb 09;5:14
pubmed: 20181130
Ment Health Serv Res. 2004 Jun;6(2):61-74
pubmed: 15224451
Pediatrics. 2016 Mar;137(3):e20154079
pubmed: 26810785
Ethn Dis. 2009 Autumn;19(4 Suppl 6):S6-3-7
pubmed: 20088076
J Am Acad Child Adolesc Psychiatry. 2013 Oct;52(10):1009-1025.e18
pubmed: 24074468
Adm Policy Ment Health. 2011 Jan;38(1):44-53
pubmed: 20967495
Adm Policy Ment Health. 2016 Jan;43(1):79-92
pubmed: 25542237
Implement Sci. 2015 Sep 07;10:127
pubmed: 26345270
Health Res Policy Syst. 2017 Feb 23;15(1):15
pubmed: 28231801
J Clin Child Adolesc Psychol. 2008 Jan;37(1):156-83
pubmed: 18444057
Psychiatr Serv. 2011 Mar;62(3):255-63
pubmed: 21363896