After randomised trials: issues related to dissemination of evidence‐based interventions

Abstract

Access to this document was granted through an Emerald subscription provided by emerald-srm:368933 [] For AuthorsIf you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractDemonstrating the efficacy and effectiveness of prevention programmes in rigorous randomised trials is only the beginning of a process that may lead to better public health outcomes. Although a growing number of programmes have been shown to be effective at reducing drug use and delinquency among young people under carefully controlled conditions, we are now faced with a new set of obstacles. First, these evidence-based programmes are still under-utilised compared to prevention strategies with no empirical support. Second, when effective programmes are used the evidence suggests they are not being implemented with quality and fidelity. Third, effective programmes are often initiated with short-term grant funding, creating a challenge for sustainability beyond seed funding. We discuss each of these challenges, and present lessons learned from a large-scale dissemination effort involving over 140 evidence-based programme replications in one state in the US.

From evidence‐base to practice: implementation of the Nurse Family Partnership programme in England

“…Background A national context of readiness for this kind of implementation, emphasized as an important first step by Bumbarger and Perkins (2008), has been growing for more …”

Bristol Girls Dance Project: a cluster randomised controlled trial of an after-school dance programme to increase physical activity among 11- to 12-year-old girls

“…101 The qualitative data showed that dance instructors were, in most cases, able to build trusting and meaningful relationships with and between the girls through a range of techniques, representing excellent intervention innovation 102 which could be adopted in other interventions. However, for some girls, relatedness towards their instructor was undermined by perceptions of the relationship being superficial or not being treated with respect.…”

Parents and the Preschool PATHS (Promoting Alternative Thinking Strategies) curriculum

“…The issue of parental involvement arose spontaneously across preschool establishments Innovation, adaptation or` drift` are often associated with loss of programme integrity and focus but they are also seen to be natural and inevitable occurrences as practitioners respond to the implementation needs arising across distinctive ecologies (Bumbarger and Perkins ,2008). Current innovations were interesting in the context of current UK policy to foster collaboration and integration of children's` services and support child and family mental health and wellbeing.…”

“…Effective implementation requires the on-going assessment of practice to develop and improve service to clients. Staff Performance Evaluation protects the quality and fidelity of programme delivery, avoiding variability and `drift` which is often (though not always) unhelpful in maintaining programme quality (Bumbarger and Perkins 2008). Decision Support Data Systems are required to continuously assess key aspects of the overall planning, delivery and support of the intervention and enable informed decision making.…”