Fostering More-Effective Public Health by Identifying Administrative Evidence-Based Practices

Abstract Background Relatively little guidance exists on how to use virtual implementation facilitation to successfully implement evidence-based practices and innovations into clinical programs. Yet virtual methods are increasingly common. They have potentially wider reach, emergent public health situations necessitate their use, and restrictions on resources can make them more attractive. We therefore outline a set of principles for virtual external implementation facilitation and a series of recommendations based on extensive experience successfully using virtual external implementation facilitation in a national program. Model and recommendations Success in virtual external implementation facilitation may be achieved by facilitators applying three overarching principles: pilot everything, incorporate a model, and prioritize metacognition. Five practical principles also help: plan in advance, communicate in real time, build relationships, engage participants, and construct a virtual room for participants. We present eight concrete suggestions for enacting the practical principles: (1) assign key facilitation roles to facilitation team members to ensure the program runs smoothly; (2) create small cohorts of participants so they can have meaningful interactions; (3) provide clarity and structure for all participant interactions; (4) structure program content to ensure key points are described, reinforced, and practiced; (5) use visuals to supplement audio content; (6) build activities into the agenda that enable participants to immediately apply knowledge at their own sites, separate from the virtual experience; (7) create backup plans whenever possible; and (8) engage all participants in the program. Summary These principles represent a novel conceptualization of virtual external implementation facilitation, giving structure to a process that has been, to date, inadequately described. The associated actions are demonstrably useful in supporting the principles and offer teams interested in virtual external implementation facilitation concrete methods by which to ensure success. Our examples stem from experiences in healthcare. But the principles can, in theory, be applied to virtual external implementation facilitation regardless of setting, as they and the associated actions are not setting specific.

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A Model for Sustaining Evidence-Based Practices in a Statewide System

Families in Society The Journal of Contemporary Social Services ◽

10.1606/1044-3894.2017.5 ◽

2017 ◽

Vol 98 (1) ◽

pp. 18-26 ◽

Cited By ~ 7

Author(s):

Jason M. Lang ◽

Kellie G. Randall ◽

Michelle Delaney ◽

Jeffrey J. Vanderploeg

Keyword(s):

Public Health ◽

Cognitive Behavioral Therapy ◽

Quality Indicators ◽

Behavioral Therapy ◽

Health Impact ◽

Evidence Based ◽

Evidence Based Practices ◽

The Public ◽

The Past ◽

Large Systems

Over the past 20 years, efforts have been made to broadly disseminate evidence-based practices (EBPs). However, the public health impact of EBPs has yet to be realized and most EBPs are not sustained. Few structured models exist for disseminating and sustaining EBPs across large systems. This article describes the EBP Dissemination and Support Center (DSC) model and how it was used to sustain trauma-focused cognitive behavioral therapy (TF-CBT) across Connecticut. More than 600 clinicians at 35 agencies have been trained and nearly all agencies have sustained TF-CBT for up to 9 years. More than 6,200 children have received TF-CBT and have shown improvements in outcomes and quality indicators. Recommendations are made for using or adapting the DSC model.

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A Public Health Perspective on the Transport of Evidence-Based Practices

Clinical Psychology Science and Practice ◽

10.1093/clipsy.bph092 ◽

2006 ◽

Vol 11 (4) ◽

pp. 360-363 ◽

Cited By ~ 3

Author(s):

Sonja K. Schoenwald ◽

Scott W. Henggeler

Keyword(s):

Public Health ◽

Evidence Based ◽

Public Health Perspective ◽

Evidence Based Practices

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Addressing College Drinking as a Statewide Public Health Problem: Key Findings From the Maryland Collaborative

Health Promotion Practice ◽

10.1177/1524839917711399 ◽

2017 ◽

Vol 19 (2) ◽

pp. 303-313 ◽

Cited By ~ 2

Author(s):

Amelia M. Arria ◽

David H. Jernigan

Keyword(s):

Public Health ◽

Health Problem ◽

Public Health Problem ◽

College Drinking ◽

Evidence Based ◽

Student Survey ◽

Evidence Based Practices ◽

Research Attention ◽

Individual Level ◽

High Risk Drinking

Excessive drinking among college students is a serious and pervasive public health problem. Although much research attention has focused on developing and evaluating evidence-based practices to address college drinking, adoption has been slow. The Maryland Collaborative to Reduce College Drinking and Related Problems was established in 2012 to bring together a network of institutions of higher education in Maryland to collectively address college drinking by using both individual-level and environmental-level evidence-based approaches. In this article, the authors describe the findings of this multilevel, multicomponent statewide initiative. To date, the Maryland Collaborative has succeeded in providing a forum for colleges to share knowledge and experiences, strengthen existing strategies, and engage in a variety of new activities. Administration of an annual student survey has been useful for guiding interventions as well as evaluating progress toward the Maryland Collaborative’s goal to measurably reduce high-risk drinking and its radiating consequences on student health, safety, and academic performance and on the communities surrounding college campuses. The experiences of the Maryland Collaborative exemplify real-world implementation of evidence-based approaches to reduce this serious public health problem.

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Implementing administrative evidence based practices: lessons from the field in six local health departments across the United States

BMC Health Services Research ◽

10.1186/s12913-015-0891-3 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 4

Author(s):

Kathleen Duggan ◽

Kristelle Aisaka ◽

Rachel G. Tabak ◽

Carson Smith ◽

Paul Erwin ◽

...

Keyword(s):

United States ◽

The United States ◽

Evidence Based ◽

Local Health ◽

Health Departments ◽

Local Health Departments ◽

Evidence Based Practices ◽

Administrative Evidence

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New models and taxonomies to understand and address the commercial determinants of health

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1322 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A B Gilmore ◽

L Robertson ◽

M Petticrew ◽

N Maani Hessari

Keyword(s):

Public Health ◽

Determinants Of Health ◽

Health Policies ◽

Evidence Based ◽

Health It ◽

Public Health Policies ◽

Problems And Solutions ◽

Transnational Companies ◽

Risk Framing ◽

Effective Public Health

Abstract Current models of the determinants of health risk framing public health problems and solutions in ways that obscure the role that the private sector, in particular large transnational companies, play in shaping population health. This presentation will propose a new conceptual model of the commercial determinants of health which recognises the commercial sector's direct, indirect, upstream and downstream influences on health. It will also present emerging evidence-based taxonomies that draw together evidence on the key corporate practices which stymie the implementation of effective public health policies. In so doing, the presentation will explore how we move from understanding to addressing the commercial determinants of health.

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Public Health Communication and Engagement on Social Media during the COVID-19 Pandemic

10.31219/osf.io/7hypj ◽

2020 ◽

Author(s):

Lisa Teichmann ◽

Sean Nossek ◽

Aengus Bridgman ◽

Peter John Loewen ◽

Taylor Owen ◽

...

Keyword(s):

Public Health ◽

Social Media ◽

Mixed Method ◽

Evidence Based ◽

Evidence Based Practices ◽

Public Health Communication ◽

Government Communication ◽

Health Related ◽

Cross Platform ◽

Method Approach

Social media provides governments the opportunity to directly communicate with their constituents. During a pandemic, reaching as many citizens as possible with health messaging is critical to reducing the spread of the disease. This study evaluates efforts to spread healthcare information by Canadian local, provincial, and federal governments during the first five months of the COVID-19 pandemic. We collect all health-related communications coming from government accounts on Facebook and Twitter and analyze the data using a nested mixed method approach. We first identify quantifiable features linked with citizen engagement, before subsequently performing content analysis on outlier posts. We make two critical contributions to existing knowledge about government communication, particularly during public health crises. We identify cross-platform variations in strategy effectiveness and draw attention to specific, evidence-based practices that can increase engagement with government health information.

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Effectiveness of Contact Tracing on Viral Disease Mitigation and Suppression: An Evidence-Based Review (Preprint)

10.2196/preprints.32468 ◽

2021 ◽

Author(s):

Kelly Jean Craig ◽

Rubina Rizvi ◽

Van C Willis ◽

William J Kassler ◽

Gretchen Purcell Jackson

Keyword(s):

Public Health ◽

Social Interactions ◽

Scientific Literature ◽

Disease Incidence ◽

Viral Disease ◽

Contact Tracing ◽

Evidence Based ◽

Inclusion Criteria ◽

Disease Outcomes ◽

Effective Public Health

BACKGROUND Contact tracing in association with quarantine and isolation is an important public health tool to control outbreaks of infectious diseases. This strategy has been widely implemented in the current coronavirus disease 2019 (COVID-19) pandemic. The effectiveness of this non-pharmaceutical intervention (NPI) is largely dependent on social interactions within the population and its combination with other interventions. Given the high transmissibility of SARS-CoV-2, small serial intervals, and asymptomatic transmission patterns, the effectiveness of contact tracing for this novel agent is largely unknown. OBJECTIVE To identify and synthesize evidence regarding the effectiveness of contact tracing on infectious viral disease outcomes based on prior scientific literature. METHODS An evidence-based review was conducted to identify studies from MEDLINE (including pre-print medRxiv server content) related to the effectiveness of contact tracing in viral outbreaks. The search dates were from database inception to July 24, 2020. Outcomes of interest were measures of incidence, transmission, hospitalization, and mortality. RESULTS Out of 159 unique records retrieved, 45 records were reviewed at the full-text level, with 24 meeting all inclusion criteria. Included studies utilized mathematical modeling (n=14), observational (n=8), and systematic review (n=2) approaches. Only two studies considered digital contact tracing. Contact tracing was mostly evaluated in combination with other NPIs and/or pharmaceutical interventions (PIs). While some degree of effectiveness in decreasing viral disease incidence, transmission, and resulting hospitalizations and mortality was observed, these results were highly dependent on epidemic severity (R0 value), number of contacts traced (including pre-symptomatic and asymptomatic cases), timeliness, duration, and compliance with combination interventions such as isolation, quarantine, and treatment. Contact tracing effectiveness was particularly limited by logistical challenges associated with increased outbreak size and speed of spread. CONCLUSIONS Timely deployment of contact tracing strategically layered with other NPIs could be an effective public health tool for mitigating and suppressing infectious outbreaks by decreasing viral disease incidence, transmission, and resulting hospitalizations and mortality.

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