Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS)
Abstract Background Implementing and sustaining evidence-based programs with fidelity may require multiple implementation strategies tailored to address multi-level, context-specific barriers and facilitators. Ideally, selecting and tailoring implementation strategies should be guided by theory, evi...
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BMC
2020-02-01
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Series: | Implementation Science Communications |
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Online Access: | https://doi.org/10.1186/s43058-020-00009-5 |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Byron J. Powell Amber D. Haley Sheila V. Patel Lisa Amaya-Jackson Beverly Glienke Mellicent Blythe Rebecca Lengnick-Hall Stacey McCrary Rinad S. Beidas Cara C. Lewis Gregory A. Aarons Kenneth B. Wells Lisa Saldana Mary M. McKay Morris Weinberger |
spellingShingle |
Byron J. Powell Amber D. Haley Sheila V. Patel Lisa Amaya-Jackson Beverly Glienke Mellicent Blythe Rebecca Lengnick-Hall Stacey McCrary Rinad S. Beidas Cara C. Lewis Gregory A. Aarons Kenneth B. Wells Lisa Saldana Mary M. McKay Morris Weinberger Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) Implementation Science Communications Implementation strategies Intervention mapping Tailored implementation strategies Evidence-based practice Mental health Children and youth |
author_facet |
Byron J. Powell Amber D. Haley Sheila V. Patel Lisa Amaya-Jackson Beverly Glienke Mellicent Blythe Rebecca Lengnick-Hall Stacey McCrary Rinad S. Beidas Cara C. Lewis Gregory A. Aarons Kenneth B. Wells Lisa Saldana Mary M. McKay Morris Weinberger |
author_sort |
Byron J. Powell |
title |
Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) |
title_short |
Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) |
title_full |
Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) |
title_fullStr |
Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) |
title_full_unstemmed |
Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) |
title_sort |
improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the collaborative organizational approach to selecting and tailoring implementation strategies (coast-is) |
publisher |
BMC |
series |
Implementation Science Communications |
issn |
2662-2211 |
publishDate |
2020-02-01 |
description |
Abstract Background Implementing and sustaining evidence-based programs with fidelity may require multiple implementation strategies tailored to address multi-level, context-specific barriers and facilitators. Ideally, selecting and tailoring implementation strategies should be guided by theory, evidence, and input from relevant stakeholders; however, methods to guide the selection and tailoring of strategies are not well-developed. There is a need for more rigorous methods for assessing and prioritizing implementation determinants (barriers and facilitators) and linking implementation strategies to determinants. The Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) is an intervention designed to increase the effectiveness of evidence-based practice implementation and sustainment. COAST-IS will enable organizational leaders and clinicians to use Intervention Mapping to select and tailor implementation strategies to address their site-specific needs. Intervention Mapping is a multi-step process that incorporates theory, evidence, and stakeholder perspectives to ensure that implementation strategies effectively address key determinants of change. Methods COAST-IS will be piloted with community mental health organizations that are working to address the needs of children and youth who experience trauma-related emotional or behavioral difficulties by engaging in a learning collaborative to implement an evidence-based psychosocial intervention (trauma-focused cognitive behavioral therapy). Organizations will be matched and then randomized to participate in the learning collaborative only (control) or to receive additional support through COAST-IS. The primary aims of this study are to (1) assess the acceptability, appropriateness, feasibility, and perceived utility of COAST-IS; (2) evaluate the organizational stakeholders’ fidelity to the core elements of COAST-IS; and (3) demonstrate the feasibility of testing COAST-IS in a larger effectiveness trial. Discussion COAST-IS is a systematic method that integrates theory, evidence, and stakeholder perspectives to improve the effectiveness and precision of implementation strategies. If effective, COAST-IS has the potential to improve the implementation and sustainment of a wide range of evidence-based practices in mental health and other sectors. Trial registration This study was registered in ClinicalTrials.gov ( NCT03799432 ) on January 10, 2019 (last updated August 5, 2019). |
topic |
Implementation strategies Intervention mapping Tailored implementation strategies Evidence-based practice Mental health Children and youth |
url |
https://doi.org/10.1186/s43058-020-00009-5 |
work_keys_str_mv |
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doaj-2ed63ffa13824cc4962893e109686fc92021-03-11T12:54:07ZengBMCImplementation Science Communications2662-22112020-02-011111310.1186/s43058-020-00009-5Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS)Byron J. Powell0Amber D. Haley1Sheila V. Patel2Lisa Amaya-Jackson3Beverly Glienke4Mellicent Blythe5Rebecca Lengnick-Hall6Stacey McCrary7Rinad S. Beidas8Cara C. Lewis9Gregory A. Aarons10Kenneth B. Wells11Lisa Saldana12Mary M. McKay13Morris Weinberger14Brown School, Washington University in St. LouisDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel HillDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel HillDepartment of Psychiatry & Behavioral Sciences, Duke University School of MedicineNorth Carolina Child Treatment Program, Center for Child and Family HealthNorth Carolina Child Treatment Program, Center for Child and Family HealthBrown School, Washington University in St. LouisBrown School, Washington University in St. LouisDepartment of Psychiatry, University of Pennsylvania Perelman School of MedicineMacColl Center for Health Care Innovation, Kaiser Permanente Washington Health Research InstituteDepartment of Psychiatry, Child and Adolescent Services Research Center, University of California San Diego School of MedicineDepartment of Psychiatry and Behavioral Sciences, David Geffen School of Medicine, University of California Los AngelesOregon Social Learning CenterBrown School, Washington University in St. LouisDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel HillAbstract Background Implementing and sustaining evidence-based programs with fidelity may require multiple implementation strategies tailored to address multi-level, context-specific barriers and facilitators. Ideally, selecting and tailoring implementation strategies should be guided by theory, evidence, and input from relevant stakeholders; however, methods to guide the selection and tailoring of strategies are not well-developed. There is a need for more rigorous methods for assessing and prioritizing implementation determinants (barriers and facilitators) and linking implementation strategies to determinants. The Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) is an intervention designed to increase the effectiveness of evidence-based practice implementation and sustainment. COAST-IS will enable organizational leaders and clinicians to use Intervention Mapping to select and tailor implementation strategies to address their site-specific needs. Intervention Mapping is a multi-step process that incorporates theory, evidence, and stakeholder perspectives to ensure that implementation strategies effectively address key determinants of change. Methods COAST-IS will be piloted with community mental health organizations that are working to address the needs of children and youth who experience trauma-related emotional or behavioral difficulties by engaging in a learning collaborative to implement an evidence-based psychosocial intervention (trauma-focused cognitive behavioral therapy). Organizations will be matched and then randomized to participate in the learning collaborative only (control) or to receive additional support through COAST-IS. The primary aims of this study are to (1) assess the acceptability, appropriateness, feasibility, and perceived utility of COAST-IS; (2) evaluate the organizational stakeholders’ fidelity to the core elements of COAST-IS; and (3) demonstrate the feasibility of testing COAST-IS in a larger effectiveness trial. Discussion COAST-IS is a systematic method that integrates theory, evidence, and stakeholder perspectives to improve the effectiveness and precision of implementation strategies. If effective, COAST-IS has the potential to improve the implementation and sustainment of a wide range of evidence-based practices in mental health and other sectors. Trial registration This study was registered in ClinicalTrials.gov ( NCT03799432 ) on January 10, 2019 (last updated August 5, 2019).https://doi.org/10.1186/s43058-020-00009-5Implementation strategiesIntervention mappingTailored implementation strategiesEvidence-based practiceMental healthChildren and youth |