A model for rigorously applying the Exploration, Preparation, Implementation, Sustainment (EPIS) framework in the design and measurement of a large scale collaborative multi-site study

被引：70

作者：

Becan J.E. ^{[1
]}

Bartkowski J.P. ^{[2
]}

Knight D.K. ^{[1
]}

Wiley T.R.A. ^{[3
]}

DiClemente R. ^{[4
]}

Ducharme L. ^{[5
]}

Welsh W.N. ^{[6
]}

Bowser D. ^{[7
]}

McCollister K. ^{[8
]}

Hiller M. ^{[6
]}

Spaulding A.C. ^{[4
]}

Flynn P.M. ^{[1
]}

Swartzendruber A. ^{[9
]}

Dickson M.F. ^{[10
]}

Fisher J.H. ^{[11
]}

Aarons G.A. ^{[12
]}

机构：

[1] Institute of Behavioral Research, Texas Christian University, Box 298740, Fort Worth, 76129, TX

[2] Department of Sociology, University of Texas at San Antonio, San Antonio, TX

[3] National Institute on Drug Abuse, Bethesda, MD

[4] Rollins School of Public Health, Emory University, Atlanta, GA

[5] National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD

[6] Department of Criminal Justice, Temple University, Philadelphia, PA

[7] Heller School for Social Policy and Management, Brandeis University, Waltham, MA

[8] Health Economics Research Group, University of Miami, Miami, FL

[9] College of Public Health, Epidemiology and Biostatistics, University of Georgia, Athens, GA

[10] Behavioral Science, University of Kentucky, Lexington, KY

[11] The National Center on Addiction and Substance Abuse, New York, NY

[12] Department of Psychiatry, and Child and Adolescent Services Research Center, University of California, San Diego, CA

来源：

Health & Justice | / 6卷 / 1期

基金：

美国国家卫生研究院;

关键词：

Conceptual frameworks; Data-driven decision making; Exploration; Preparation; Implementation; Sustainment; Facilitation; Juvenile justice; Substance use;

D O I：

10.1186/s40352-018-0068-3

中图分类号：

学科分类号：

摘要：

Background: This paper describes the means by which a United States National Institute on Drug Abuse (NIDA)-funded cooperative, Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS), utilized an established implementation science framework in conducting a multi-site, multi-research center implementation intervention initiative. The initiative aimed to bolster the ability of juvenile justice agencies to address unmet client needs related to substance use while enhancing inter-organizational relationships between juvenile justice and local behavioral health partners. Methods: The EPIS (Exploration, Preparation, Implementation, Sustainment) framework was selected and utilized as the guiding model from inception through project completion; including the mapping of implementation strategies to EPIS stages, articulation of research questions, and selection, content, and timing of measurement protocols. Among other key developments, the project led to a reconceptualization of its governing implementation science framework into cyclical form as the EPIS Wheel. The EPIS Wheel is more consistent with rapid-cycle testing principles and permits researchers to track both progressive and recursive movement through EPIS. Moreover, because this randomized controlled trial was predicated on a bundled strategy method, JJ-TRIALS was designed to rigorously test progress through the EPIS stages as promoted by facilitation of data-driven decision making principles. The project extended EPIS by (1) elucidating the role and nature of recursive activity in promoting change (yielding the circular EPIS Wheel), (2) by expanding the applicability of the EPIS framework beyond a single evidence-based practice (EBP) to address varying process improvement efforts (representing varying EBPs), and (3) by disentangling outcome measures of progression through EPIS stages from the a priori established study timeline. Discussion: The utilization of EPIS in JJ-TRIALS provides a model for practical and applied use of implementation frameworks in real-world settings that span outer service system and inner organizational contexts in improving care for vulnerable populations. Trial registration: NCT02672150. Retrospectively registered on 22 January 2016. © 2018, The Author(s).

引用

共 44 条

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