The Prevention Delivery System: Organizational Context and Use of Comprehensive Programming Frameworks

Livet, Melanie; Courser, Matthew; Wandersman, Abraham

doi:10.1007/s10464-008-9164-1

Cited by 45 publications

(64 citation statements)

References 27 publications

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“…[14][15][16] Other organizational factors affecting implementation include the fit between the new program and the agency's mission and goals. 17 At the level of the training and support system, training needs to ensure that providers are adequately trained to conduct the intervention and that the resources to support providers once implementation begins, such as retraining and mechanisms for local problem solving, are in place.…”

mentioning

confidence: 99%

Provider Perspectives on Evidence-Based HIV Prevention Interventions: Barriers and Facilitators to Implementation

Owczarzak

Dickson‐Gómez

2011

AIDS Patient Care and STDs

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Since the beginning of the HIV/AIDS epidemic, community-based organizations (CBOs) have been key players in combating this disease through grassroots prevention programs and close ties to at-risk populations. Increasingly, both funding agencies and public health institutions require that CBOs implement evidence-based HIV prevention interventions, most of which are researcher developed. However, after completing training for these evidence-based interventions (EBIs), agencies may either abandon plans to implement them or significantly modify the intervention. Based on 22 semistructured interviews with HIV prevention service providers, this article explores the barriers and facilitators to dissemination and implementation of EBIs included in the Centers for Disease Control and Prevention's (CDC) Diffusion of Effective Behavioral Interventions (DEBI) program. Results suggest that there is a tension between the need to implement interventions with fidelity and the lack of guidance on how to adapt the interventions for their constituencies and organizational contexts. Findings suggest the need for HIV prevention intervention development and dissemination that integrate community partners in all phases of research and dissemination.

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mentioning

confidence: 99%

Provider Perspectives on Evidence-Based HIV Prevention Interventions: Barriers and Facilitators to Implementation

Owczarzak

Dickson‐Gómez

2011

AIDS Patient Care and STDs

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“…When such a Prevention Support System is present and well connected to the other stakeholders it can create a strong partnership among policy makers/funders, researchers, and practitioners, increasing the capacity of each and addressing the key barriers to improved children's mental health (Livet et al 2008;Wilkinson et al 2009). …”

Section: History and Evolution Of The Partnershipmentioning

confidence: 99%

A State Agency–University Partnership for Translational Research and the Dissemination of Evidence-Based Prevention and Intervention

Bumbarger

Campbell

2011

Adm Policy Ment Health

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This article describes a decade-long partnership between the Prevention Research Center at Penn State and the Pennsylvania Commission on Crime and Delinquency. This partnership has evolved into a multi-agency initiative supporting the implementation of nearly 200 replications of evidence-based prevention and intervention programs, and a series of studies indicating a significant and sustained impact on youth outcomes and more efficient utilization of system resources. We describe how the collaboration has developed into a sophisticated prevention support infrastructure, discuss the partnership and policy lessons learned throughout this journey, and identify remaining issues in promoting this type of research-policy partnership.

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“…A number of conceptual models, frameworks and theories have been developed in the implementation science literature to guide successful EBP implementation Meyers, Joseph, & Wandersman, 2012). For example: Diffusion of Innovation theory focuses on the influences of opinions of potential adopters about a new innovation ; the PROmoting School-community-university Partnerships to Enhance Resilience (PROSPER) model ) takes a partnership support approach to implementation; Aarons and colleagues' Exploration, Adoption/Preparation, Implementation and Sustainment model emphasize "inner" and "outer" organization context factors ; and the Interactive Systems Framework (Wandersman et al, 2008) focuses on building local capacity for implementation and the multiple ecological factors that interact to impact this. In general, these frameworks propose that providers are more likely to adopt, implement and sustain a new program if a number of essential provider, program and setting elements (internal organization functioning and external variables) exist.…”

Section: Sustained Implementation Of Evidence-based Programs In Disadmentioning

confidence: 99%

“…Effective leadership is respected, respectful, empowering, creative and able to negotiate and resolve conflict (Livet, Courser, & Wandersman, 2008 Ongoing supervision that allows time to practice program delivery skills, review clinical cases and 23 receive feedback can prevent burnout and improve program delivery confidence and fidelity Pallas et al, 2013;.…”

Section: Leadership Style (N = 6)mentioning

confidence: 99%

“…A manager or leader's ability to empower staff, have a clear vision for the team, communicate clear goals and have respect in the community influences program sustainment and overall workplace functioning Livet, Courser, & Wandersman, 2008;. Studies show that this type of transformational leadership can also impact attitudes toward EBP adoption(Gregory A Aarons, 2006) and is associated with successful implementation efforts (Michealis, Stegmaier, & Sonntag, 2009.…”

Section: Workplace Characteristicsmentioning

confidence: 99%

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Evaluating the implementation and sustainability of an evidence-based intervention: delivering Triple P within Indigenous child welfare agencies

Hodge¹

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In both Indigenous and non-Indigenous populations, research clearly links evidence-based parenting programs to decreases in child behavior problems, dysfunctional parenting, and child abuse and maltreatment. However, Indigenous families often do not have adequate opportunities to access these programs. This is due to a number of compounding program, service organization, process and interaction factors that are reviewed and evaluated in this thesis.Chapter 1 provides a rationale and overview for evaluating factors that impact initial and long-term use of evidence-based programs (EBPs). It presents the case for developing and evaluating a framework of supports for sustainment of EBPs developed specifically for providers working in disadvantage communities. The research plan presented involves: a systematic review and conceptual framework of barriers and enablers to implementation and sustainment in real-world practice settings; development and validation of a scale measuring inhibitors and enablers to program sustainment; and evaluation of outcomes for implementation and sustainment for providers who are trained in the Triple P -Positive Parenting Program, as an example EBP, both internationally in varied service settings and specifically for Indigenous Australians working in the child protection sector.Chapter 2 presents a review of the literature (submitted for publication) pertaining to provider implementation and sustainment of EBPs with families and communities experiencing disadvantage. Important factors that facilitate success and create barriers to program sustainment are synthesized into key themes. These themes are drawn on to develop the Sustained Implementation Support Framework for EBPs. The need to develop a conceptual framework and a measure to guide and evaluate EBP implementation in community settings is established.Chapter 3 outlines the preliminary validation of a measure, the Sustained Implementation Support Scale, of enablers and inhibitors (program benefits, program burden, workplace support, workplace cohesion and leadership style) to EBP sustainment (submitted for publication). This study demonstrated that practitioners sustaining implementation at least three years post training were more likely to have supervision/peer support, reported higher levels of program benefit, workplace support and positive leadership style, and lower program burden compared to practitioners who were non-sustainers. Workplace cohesion was not significantly related to iii sustained implementation. This highlights the potential benefit of using an evaluation measure to assess service provider perceptions of sustainment inhibitors and enablers to enhance capacity to sustain EBPs.Chapter 4 consists of a paper (submitted for publication) reporting on the use of the Statement of parts of the thesis submitted to qualify for the award of another degreeNone.ix Acknowledgements

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The Prevention Delivery System: Organizational Context and Use of Comprehensive Programming Frameworks

Cited by 45 publications

References 27 publications

Provider Perspectives on Evidence-Based HIV Prevention Interventions: Barriers and Facilitators to Implementation

Provider Perspectives on Evidence-Based HIV Prevention Interventions: Barriers and Facilitators to Implementation

A State Agency–University Partnership for Translational Research and the Dissemination of Evidence-Based Prevention and Intervention

Evaluating the implementation and sustainability of an evidence-based intervention: delivering Triple P within Indigenous child welfare agencies

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