Improving the Implementation of Evidence-based Programs That Respond to Community and Research Needs C Hendricks Brown, U Miami Patti Chamberlain, Ctr.

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Presentation transcript:

Improving the Implementation of Evidence-based Programs That Respond to Community and Research Needs C Hendricks Brown, U Miami Patti Chamberlain, Ctr for Res to Practice Jeanne Poduska, Am Inst Res Peter Wyman, U Rochester

Connecting the Dots: Hopkins Implementation Questions

Connecting the Dots: Hopkins Common Implementation Research Questions How to test whether intervention effects are sustained as supports are lifted? How to increase the adoption of a program, by communities as well as individuals? Does adaptation change outcomes? What support structures lead to successful implementation, high fidelity, and sustainability?

Connecting the Dots: Hopkins What things are Unique about Implementation Trials 1. The Role of Partnership between Community, Institution, and Researchers Communities and Institutions “Everyone must get this program” Researchers Rigorous design to produce relevant causal inferences Human Subjects Protection IRB, Institutional Safety, DSMB

Connecting the Dots: Hopkins It is possible to design/conduct Rigorous Trials addressing Implementation Questions CAL-40 Trial (Chamberlain) -- NIMH Test strategy to Improve the county-wide adoption rate of an evidence-based program -- randomize 40 counties Whole Day Trial: (Poduska) -- NIDA Test effectiveness, sustainability, and scalability of an integrated whole day intervention in first grade -- randomize classrooms/teachers Georgia Gatekeeper Trial (Wyman and Brown) -- NIMH Test effectiveness of QPR as it is “rolled out” in a community. -- randomize middle and high schools Sources of Strength Trial (Wyman and Brown) – SAMHSA, NIMH Test mediators, effectiveness, and sustainability of Sources of Strength for suicide prevention. -- randomize schools