Going the distance: Technical assistance to community prevention coalitions and its impact on prevention coalitions over time.

Chilenski, Sarah M.; Welsh, Janet A.; Perkins, Daniel F.; Hoffman, Lesa

doi:10.1037/cpb0000180

Cited by 3 publications

(2 citation statements)

References 56 publications

(88 reference statements)

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“…These regular check-ins are typically short (e.g., 30–60 min) but allow for continued relationship building using motivational interviewing techniques, information sharing, problem-solving, and other prompt support [ 42 ]. Our previous research suggests monthly TA provider contact enhances coalition program implementation and sustainability [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

“…For instance, PROSPER and Communities That Care, two coalition-based approaches to prevention, have demonstrated effectiveness in implementing EBPs. Both entailed a 25% Full-Time-Equivalent TA provider per coalition [ 14 , 15 ]. Budget-constrained TA providers often use group-based regional trainings and webinars that are not individualized or evidence-based [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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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%

Section: Introductionmentioning

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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Quality improvement lessons learned from National Implementation of the “Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook”

Sullivan,

Shin,

Chan

et al. 2024

Health Services Research

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ObjectiveTo evaluate nationwide implementation of a Guidebook designed to standardize safety practices across VA‐delivered and VA‐purchased care (i.e., Community Care) and identify lessons learned and strategies to improve them.Data Sources and Study SettingQualitative data collected from key informants at 18 geographically diverse VA facilities across 17 Veterans Integrated Services Networks (VISNs).Study DesignWe conducted semi‐structured interviews from 2019 to 2022 with VISN Patient Safety Officers (PSOs) and VA facility patient safety and quality managers (PSMs and QMs) and VA Facility Community Care (CC) staff to assess lessons learned by examining organizational contextual factors affecting Guidebook implementation based on the Consolidated Framework for Implementation Research (CFIR).Data Collection/Extraction MethodsInterviews were conducted virtually with 45 facility staff and 10 VISN PSOs. Using directed content analysis, we identified CFIR factors affecting implementation. These factors were mapped to the Expert Recommendations for Implementing Change (ERIC) strategy compilation to identify lessons learned that could be useful to our operational partners in improving implementation processes. We met frequently with our partners to discuss findings and plan next steps.Principal FindingsSix CFIR constructs were identified as both facilitators and barriers to Guidebook implementation: (1) planning for implementation; (2) engaging key knowledge holders; (3) available resources; (4) networks and communications; (5) culture; and (6) external policies. The two CFIR constructs that were only barriers included: (1) cosmopolitanism and (2) executing implementation.ConclusionsOur findings suggest several important lessons: (1) engage all collaborators involved in implementation; (2) ensure end‐users have opportunities to provide feedback; (3) describe collaborators' purpose and roles/responsibilities clearly at the start; (4) communicate information widely and repeatedly; and (5) identify how multiple high priorities can be synergistic. This evaluation will help our partners and key VA leadership to determine next steps and future strategies for improving Guidebook implementation through collaboration with VA staff.

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Translation of a longitudinal survey of veterans’ well-being into action by a research-practice-policy partnership

Perkins,

McCarthy,

Morgan

et al. 2024

Front. Public Health

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IntroductionResearch-practice-policy partnerships are shifting the academic research paradigm toward collaboration and research-informed action at community and policy levels. In this case study, researchers partnered with philanthropic foundations to actualize data findings from a rigorous, longitudinal study.ContextIn 2016, a survey of post-9/11 military veterans began assessing veterans’ well-being in key domains: health, vocation (education and employment), finances, and social relationships. Data were collected from 9,566 veterans with three study aims: document factors affecting well-being, describe the use of transition-assistance programs and distill them into common components, and identify components associated with positive changes in veterans’ well-being.Partnership formation and prioritiesThe study evolved into a partnership among an academic applied research center and philanthropic funders to disseminate survey findings, investigate additional research questions of practical application, and help ensure public and private funds are invested in evidence-informed programs and services that support veterans’ well-being. Four RPP partnership goals were identified.Mechanisms and actionsGoal 1 included survey expansion to capture data on emerging concerns (e.g., COVID-19 impacts, educational experiences, burn pit exposure, civic engagement, social-media use). This resulted in eight waves of data collection over 6.5 years. Goal 2 involved co-interpretation of data to define successful military-to-civilian transition (MCT) and strategic communications to engage national leaders in policy change for veterans. Goal 3 focused on evaluation support of partners’ organizational portfolios and programs, which resulted in new tools such as an online screener that veteran-serving providers could use to identify veterans’ MCT risks and respond with tailored, research-informed resources and program components. Goal 4 allowed for the application of research findings with an innovative model for using longitudinal study variables within robust comparison analyses to assess partners’ program components; propensity matching demonstrated that effective component use leads to better outcomes for veterans (e.g., higher salaries).DiscussionPartnerships can equip funders and service organizations with credible data, clear messaging, and tools to advocate for and champion the well-being of populations. This partnership, galvanized by using data for co-learning and collaborative action, has augmented the nation’s understanding of veterans’ reintegration and has led to veterans receiving data-driven support for successful transitions and enhanced well-being.

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Going the distance: Technical assistance to community prevention coalitions and its impact on prevention coalitions over time.

Cited by 3 publications

References 56 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

Quality improvement lessons learned from National Implementation of the “Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook”

Translation of a longitudinal survey of veterans’ well-being into action by a research-practice-policy partnership

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