2017
DOI: 10.1007/s13142-017-0493-1
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The dynamics of de-adoption: a case study of policy change, de-adoption, and replacement of an evidence-based HIV intervention

Abstract: Evidence-based intervention (EBI) de-adoption and its influence on public health organizations are largely unexplored within public health implementation research. However, a recent shift in support for HIV prevention EBIs by the Centers for Disease Control and Prevention provides an opportunity to explore EBI de-adoption. The current mixed-method study examines EBI de-adoption and the subsequent impact on a community-based organization (CBO) dedicated to HIV prevention. We conducted a case study with a CBO im… Show more

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Cited by 26 publications
(21 citation statements)
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“…We used published statistics from the original RESPECT randomized-control trial [ 25 , 26 ] and CDC publications characterizing standard program structure and protocols [ 28 ] to inform overall model design. We also used data from two RESPECT implementation studies to inform the characterization of human resources and acquire data on RESPECT clients, staff, and agencies [ 29 32 ]. Specific variables, descriptions, values, and empirical data sources for each variable used to inform simulation runs are provided in Table 1 .…”
Section: Methodsmentioning
confidence: 99%
“…We used published statistics from the original RESPECT randomized-control trial [ 25 , 26 ] and CDC publications characterizing standard program structure and protocols [ 28 ] to inform overall model design. We also used data from two RESPECT implementation studies to inform the characterization of human resources and acquire data on RESPECT clients, staff, and agencies [ 29 32 ]. Specific variables, descriptions, values, and empirical data sources for each variable used to inform simulation runs are provided in Table 1 .…”
Section: Methodsmentioning
confidence: 99%
“…Building on definitions of implementation and adoption by Rabin and Brownson (2017), we use the term de-implementation rather than deadoption. Emerging evidence suggests that, like implementation, de-implementation occurs as a process (Johns, Bayer, & Fairchild, 2016;McKay, Margaret Dolcini, & Hoffer, 2017), while de-adoption, like adoption, is a decision step situated within this de-implementation process.…”
Section: Defining De-implementationmentioning
confidence: 99%
“…System identification of de-implementation targets and throughout de-implementation efforts. These de-implementation stages can be further conceptualized within organizations using interventions targeted for de-implementation as part of a continuum of intervention delivery that includes adoption, implementation, and sustainment of interventions, as has been done by McKay et al (2017). Their work extends a previously developed implementation framework to include a distinct stage of de-implementation composed of several steps similar to some of those described above (Fixsen, Naoom, Blase, Friedman, & Wallace, 2005).…”
Section: Cognitive Individualmentioning
confidence: 99%
“…At the organizational level, sustainability of the practice change is the desired outcome . Sustaining a practice change requires a change in organizational systems, and in the case of substituting or modifying a clinical practice, policies may need to be revised or developed . However, at the organizational level, a “collective cognitive dissonance” can be the consequence of a group of providers unable to integrate new evidence and change practice.…”
Section: Resultsmentioning
confidence: 99%