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Presented at the 21st Annual Research Conference

Researching Implementation of Evidence-Based Practice: Intervention, Context, and Study Design

We're sorry, handouts are not available for this presentation.

Presenting: Gregory Aarons

All Authors for this paper: Gregory Aarons

Presentation Type: element of symposium

Synopsis: This presentation describes the statewide implementation of the SafeCare intervention for child neglect in Oklahoma. This large scale system change is being conducted in conjunction with an NIMH supported effectiveness trial. Contracted agencies that provide comprehensive home based services as part of the family preservation/family reunification services array are implementing SafeCare in addition to their array of services. This presentation focuses on an NIMH supported mixed-methods study of the implementation process and its outcomes.

Using Mixed-Methods for Studying Evidence-Based Practice Implementation

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Presenting: Danielle Fettes

All Authors for this paper: Danielle Fettes; Gregory Aarons; Lawrence Palinkas

Presentation Type: element of symposium

Synopsis: Mixed methods are particularly relevant for studying the implementation of evidence-based practices in systems of care because of the complexity of the service context and the multiple stakeholders involved. This presentation will provide an overview of mixed-methods research designs, and their contribution to understanding implementation of evidence-based practice and innovation in public sector services. It will then describe the approach being used in a state-wide implementation of SafeCare, an evidence-based practice to reduce child neglect.

Statewide Implementation of Evidence-Based Practice for Child Neglect: Comparison of Clinical and Administrative Perspectives on Implementation Criteria

We're sorry, handouts are not available for this presentation.

Presenting: Lawrence Palinkas

All Authors for this paper: Lawrence Palinkas; Gregory Aarons

Presentation Type: element of symposium

Synopsis: Cohesive organization cultures support innovation and are considered a prerequisite of successful implementation of evidence-based practices. We conducted semi-structured interviews with administrators, supervisors, and case-managers participating in a statewide effectiveness trial of SafeCare. Differences in implementation criteria were based on role in implementation and extent of interaction with families, researchers, and state agencies. Participants shared similar internal and external criteria for successful implementation but differences in perspective must be considered to facilitate evidence-based practice implementation.

Evidence-Based Practice Implementation in a Child-Welfare System of Care: Examination of a Statewide System Change

Download Handouts: 1.1 pdf

Session Number: 23 Room: Salon I

Presenting: Gregory Aarons; David Chambers

All Authors for this paper: Gregory Aarons; David Chambers

Presentation Type: brief symposium

Synopsis: Implementation of evidence-based practices in systems of care is a complex process. Mixed quantitative-qualitative research methods can address difficult design issues and have the potential to not only quantify results, but also to richly describe and depict challenges in the implementation process. This symposium describes an NIMH supported mixed-methods study of a statewide evidence-based practice implementation in Oklahoma. The “SafeCare” evidence-based practice for reducing child neglect is being implemented in a statewide randomized effectiveness trial. The present study provides an in-depth look at implementation process and outcomes by examining bi-directional effects of evidence-based practice implementation on the organizations and providers that make up the service system and the impact of organizational and provider factors on implementation fidelity and outcomes. We will first describe the SafeCare intervention and service system context. We will then give an overview of the theories, background, and design of the implementation study. Next we will describe how mixed-methods are integrated in the study design and give examples of how they are utilized in the study. Finally, we will present some preliminary results from qualitative and quantitative analyses. Final discussion will focus on the challenges and recommendations for conducting theory driven and empirically sound implementation research in systems of care.


Session Time: 2:30 PM - 3:30 PM