The failure of success: Challenges of disseminating effective substance abuse prevention programs

Backer, Thomas E.

doi:10.1002/(sici)1520-6629(200005)28:3<363::aid-jcop10>3.0.co;2-t

Cited by 139 publications

(124 citation statements)

References 6 publications

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“…It is also a factor that deserves consideration by programs preparing to implement new treatment innovations in clinical practices (Simpson & Dansereau in press;Simpson, 2002). Historically, a shortcoming in the research community has been the assumption that simply conducting treatment research and publishing it in journals will lead to popular use by substance abuse treatment organizations (Backer, 2000). It is now clear that this is not enough.…”

Section: Introductionmentioning

confidence: 99%

Using organizational assessment as a tool for program change

Courtney¹,

Joe²,

Rowan-Szal³

et al. 2007

Journal of Substance Abuse Treatment

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Organizational functioning within substance abuse treatment organizations is important to the transfer of research innovations into practice. Programs should be performing well for new interventions to be implemented successfully. The present study examined characteristics of treatment programs that participated in an assessment and training workshop designed to improve organizational functioning. The workshop was attended by directors and clinical supervisors from 53 community-based treatment units in a single state in the Southwest. Logistic regression analysis was used to examine attributes related to program-level decisions to engage in a structured process for making organizational changes. Findings showed that programs with higher needs and pressures, and those with more limited institutional resources, and poorer ratings of staff attributes and organizational climate were most likely to engage in a change strategy. Furthermore, organizations with greater staff consensus (i.e., smaller standard deviations) on ratings of organizational climate also were more likely to engage in change.

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Section: Introductionmentioning

confidence: 99%

Using organizational assessment as a tool for program change

Courtney¹,

Joe²,

Rowan-Szal³

et al. 2007

Journal of Substance Abuse Treatment

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“…This was probably a selfselected group bias because academic focus was not recommended by the article. These results are consistent with the findings of previous dissemination studies showing that passive diffusion is unlikely to produce behavior change and that Webbased diffusion specifically is ineffective in this regard (Backer, 2000;Buller, Buller, & Kave, 2005;Lewis et al, 2005). The fact that participants reported that the article influenced their answers, in contrast to the objective evidence that it did not, indicates that participants may not have fully understood or been able to effectively apply the findings of the article.…”

Section: Study 1: Discussionmentioning

confidence: 99%

“…There was no evidence, however, as to whether participants' attitudes and intentions in Study 2 translated into real-world behavior. According to Backer (2000), ''the single, most common failure of past dissemination strategies . .…”

Section: Discussionmentioning

confidence: 99%

Diffusion of treatment research: does open access matter?

Hardisty

Haaga

2008

J Clin Psychol

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Advocates of the Open Access movement claim that removing access barriers will substantially increase the diffusion of academic research. If successful, this movement could play a role in efforts to increase utilization of psychotherapy research by mental health practitioners. In a pair of studies, mental health professionals were given either no citation, a normal citation, a linked citation, or a free access citation and were asked to find and read the cited article. After 1 week, participants read a vignette on the same topic as the article and gave recommendations for an intervention. In both studies, those given the free access citation were more likely to read the article, yet only in one study did free access increase the likelihood of making intervention recommendations consistent with the article. © 2008 Wiley Periodicals, Inc. J Clin Psychol/In Session 64: 1–19, 2008.

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“…Despite increasing interest in implementation science and a growing literature on program sustainability [1][2][3][4][5], few previous studies have empirically measured the specific factors associated with sustainability. The purpose of this study was to examine key predictors of sustained implementation of low-literacy health education programs in Head Start, a federally-funded preschool program in the United States that serves approximately one million low-income families each year.…”

Section: Introductionmentioning

confidence: 99%

Predictors of Sustained Implementation of Low-Literacy Health Education Programs

Nelson¹,

Teutsch²,

Herman³

2014

J Community Med Health Educ

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Sustained implementation of health education interventions is important to optimize the impact of initial investments in program development and training. From 2002-2012, the Health Care Institute (HCI) at UCLA trained 192 Head Start grantees, serving low-income preschool children and families in the U.S., on how to implement lowliteracy health education programs, using a train-the-trainer (TTT) model. The purpose of this study was to investigate what key factors of implementation are associated with sustainability of HCI programs, based on an online survey of Head Start grantees who have participated in the HCI TTT. A 51% response rate was achieved, with 96 surveys returned from the 188 sent to agencies that are still open. Of the grantees responding to the survey, 84% reported that they continue to implement HCI programs and 71% continue to implement them annually. Key predictors of annual implementation included: engagement of stakeholders at all levels; continuing to provide incentives for families; putting HCI into the annual training and technical assistance budget; sending additional staff to the TTT; seeing an improvement in overall program performance; and adapting HCI topics to meet local Head Start grantee needs. Qualitative responses described these same factors in additional detail. These results are consistent with previous research on program sustainability and suggest which elements of implementation may be most important as initial and ongoing investments, if sustainability is a program goal.

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The failure of success: Challenges of disseminating effective substance abuse prevention programs

Cited by 139 publications

References 6 publications

Using organizational assessment as a tool for program change

Using organizational assessment as a tool for program change

Diffusion of treatment research: does open access matter?

Predictors of Sustained Implementation of Low-Literacy Health Education Programs

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