Assessing Implementation Strategy Reporting in the Mental Health Literature: A Narrative Review

Hooley, Cole; Amano, Takashi; Markovitz, Lara; Yaeger, Lauren; Proctor, Enola K.

doi:10.1007/s10488-019-00965-8

Cited by 19 publications

(19 citation statements)

References 123 publications

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“…This breadth was later confirmed as part of a program evaluation, reporting that intermediaries used 31 strategies in supporting the early implementation of three different manualized RSIs in Australia (Albers, Hateley-Browne, et al, 2020). One explanation for this difference may be the underreporting of strategy use in the studies included in this review, a challenge commonly acknowledged in the literature (Bunger et al, 2017; Hooley et al, 2020; Pinnock et al, 2017b; Varsi et al, 2019). Furthermore, both of the above studies included implementation support as delivered by purveyors, that is, companies focused “ on the dissemination of a specific EBP [evidence-based practice] with the goal of implementing the EBP with fidelity and good effect ” (Franks & Bory, 2015, p. 43).…”

Section: Discussionmentioning

confidence: 97%

Implementation Support Skills: Findings From a Systematic Integrative Review

Albers

Metz

Burke

et al. 2020

Research on Social Work Practice

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Purpose: Skills in selecting and designing strategies for implementing research-supported interventions (RSIs) within specific local contexts are important for progressing a wider RSI adoption and application in human and social services. This also applies to a particular role in implementation, the implementation support practitioner (ISP). This study examines which strategies have been reported as being used by ISPs across multiple bodies of research on implementation support and how these strategies were applied in concrete practice settings. Methods: A systematic integrative review was conducted. Data analysis utilized the Expert Recommendations for Implementing Change compilation of implementation strategies. Results: Studies reported on 18 implementation strategies commonly used by different ISPs, who require mastery in selecting, operationalizing, and detailing these. Two further strategies not included in the ERIC compilation could be identified. Discussion: Given the use of primarily more feasible implementation support strategies among ISPs, their potential as agents of change may be underutilized.

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Section: Discussionmentioning

confidence: 97%

Implementation Support Skills: Findings From a Systematic Integrative Review

Albers

Metz

Burke

et al. 2020

Research on Social Work Practice

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“…The EI typology and this study also address a knowledge gap identified specifically in mental health research about the temporality, theoretical justification, and outcomes missing in the reporting of implementation strategies [ 29 ]. By tying together strategies and pre-implementation stages based on a behavioral framework, we have added an operational layer to both the ERIC compilation and the Transtheoretical Model’s constructs.…”

Section: Discussionmentioning

confidence: 99%

“…These types of overarching strategies, used throughout the implementation process, were also reported by Bunger et al [ 15 ], suggesting that some ERIC strategies are broader and not unique to a specific phase. While the strategies that span multiple stages contribute to the flexibility of the typology, they could also benefit from more specification as to the purpose, actors, and actions relevant to their utilization in each stage [ 29 , 33 ]. Further confirmation is needed to ensure the relevance of these overarching strategies to ORI development beyond the current study.…”

Section: Discussionmentioning

confidence: 99%

Building organizational readiness: initial field testing of an expert-informed typology of implementation strategies

Vax

Farkas

Mueser

et al. 2022

Implement Sci Commun

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Background Organizational readiness is a known barrier to implementing evidence-based practices (EBPs) in community mental health services. A robust methodology for enhancing organizational readiness for implementation (ORI) has the potential to improve implementation outcomes of EBPs and ensure better services for people with a psychiatric disability. Prior work established a framework of implementation strategies targeting ORI enhancement by asking a group of implementation experts from various fields to categorize strategies from the “Expert Recommendations for Implementing Change” (ERIC) Project into three readiness stages, consistent with the pre-action stages of the Transtheoretical Model of behavioral change: Pre-contemplation, Contemplation, and Preparation. The current study provides initial confirmation and refinement to this expert-driven typology based on community mental health field experiences. Methods We conducted in-depth interviews with stakeholders involved in a recent EBP implementation project. Participants included staff (n=9) from four community mental health agencies and the implementation team who facilitated the project (n=3). Their pre-implementation experiences were compared with the experts’ typology to identify consistencies and discrepancies. Results The participants’ experiences were congruent with two thirds of the strategies identified by the experts for specific ORI stages. The refinements included 12 strategies used in additional stages beyond the experts’ classification, four strategies from the ERIC list that were not included in the ORI typology, and five new strategies. Conclusions This study provides initial confirmation and refinements to the previously published ORI typology. The results offer guidance as to how ORI could be enhanced in the community mental health field.

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“…Alternatives include the Theoretical Domains Framework [ 32 , 33 ] or the Exploration, Preparation, Implementation, and Sustainment Framework [ 34 ]. Proctor et al’s reporting framework [ 2 ] could be augmented or replaced with the Workgroup for Intervention Development and Evaluation Research (WIDER) or the Template for Intervention Description and Replication (TIDieR) checklist and guide [ 35 – 37 ]. The behavior change technique taxonomy could be used in addition to ERIC or as a replacement, where appropriate [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Strengthening methods for tracking adaptations and modifications to implementation strategies

Haley

Powell

Walsh‐Bailey

et al. 2021

BMC Med Res Methodol

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Background Developing effective implementation strategies requires adequate tracking and reporting on their application. Guidelines exist for defining and reporting on implementation strategy characteristics, but not for describing how strategies are adapted and modified in practice. We built on existing implementation science methods to provide novel methods for tracking strategy modifications. Methods These methods were developed within a stepped-wedge trial of an implementation strategy package designed to help community clinics adopt social determinants of health-related activities: in brief, an ‘Implementation Support Team’ supports clinics through a multi-step process. These methods involve five components: 1) describe planned strategy; 2) track its use; 3) monitor barriers; 4) describe modifications; and 5) identify / describe new strategies. We used the Expert Recommendations for Implementing Change taxonomy to categorize strategies, Proctor et al.’s reporting framework to describe them, the Consolidated Framework for Implementation Research to code barriers / contextual factors necessitating modifications, and elements of the Framework for Reporting Adaptations and Modifications-Enhanced to describe strategy modifications. Results We present three examples of the use of these methods: 1) modifications made to a facilitation-focused strategy (clinics reported that certain meetings were too frequent, so their frequency was reduced in subsequent wedges); 2) a clinic-level strategy addition which involved connecting one study clinic seeking help with community health worker-related workflows to another that already had such a workflow in place; 3) a study-level strategy addition which involved providing assistance in overcoming previously encountered (rather than de novo) challenges. Conclusions These methods for tracking modifications made to implementation strategies build on existing methods, frameworks, and guidelines; however, as none of these were a perfect fit, we made additions to several frameworks as indicated, and used certain frameworks’ components selectively. While these methods are time-intensive, and more work is needed to streamline them, they are among the first such methods presented to implementation science. As such, they may be used in research on assessing effective strategy modifications and for replication and scale-up of effective strategies. We present these methods to guide others seeking to document implementation strategies and modifications to their studies. Trial registration clinicaltrials.gov ID: NCT03607617 (first posted 31/07/2018).

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Assessing Implementation Strategy Reporting in the Mental Health Literature: A Narrative Review

Cited by 19 publications

References 123 publications

Implementation Support Skills: Findings From a Systematic Integrative Review

Implementation Support Skills: Findings From a Systematic Integrative Review

Building organizational readiness: initial field testing of an expert-informed typology of implementation strategies

Strengthening methods for tracking adaptations and modifications to implementation strategies

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