Dissemination and Implementation of Evidence-Based Psychological Interventions

2015 ◽  
Author(s):  
R. Kathryn McHugh ◽  
David H. Barlow
Keyword(s):  
Stepped Care ◽  
Current Status ◽  
Psychological Interventions ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Future Directions ◽  
Research And Practice ◽  
Dissemination And Implementation Science ◽  
Care Models ◽  
Standardization Of Procedures

Chapter 13 explores the current status of research and future directions for the dissemination and implementation of evidence-based psychological interventions, including further emphasis on dissemination and implementation science, standardization of procedures for outcomes assessment, better collaboration between research and practice, transdiagnostic treatments, stepped-care models, integration of mental health care in primary care, and use of information technology.

scholarly journals Stepped-Care Approaches to Posttraumatic Stress Disorder: Sharpening Tools for the Clinician’s Toolbox

2017 ◽  
Vol 13 (2) ◽  
pp. 142 ◽  
Author(s):  
Jeffrey A. Cigrang ◽  
Alan L. Peterson
Keyword(s):  
Stress Disorder ◽  
Research Literature ◽  
Stepped Care ◽  
Current Status ◽  
Traumatic Experiences ◽  
Evidence Based ◽  
Care Model ◽  
Evidence Based Treatment ◽  
Potential Value ◽  
Care Models

<p> Austern (2017) presents three composite Veteran case studies using Written Exposure Therapy (WET; Sloan, Lee, Litwack, Sawyer, &amp; Marx, 2013) as a first-level intervention in a larger stepped-care model for PTSD.  The relatively minimalist WET intervention may be appealing to Veterans with PTSD who have opted not to seek out more time and therapist-intensive treatments.  In addition, writing has been used effectively in other protocols as a method of achieving exposure to memories of traumatic experiences.  Austern’s three cases demonstrate a range of success in using WET to engage Veterans in evidence-based treatment and reduce suffering associated with PTSD.  We comment on the current status of the research literature on stepped-care models for PTSD, the potential value of incorporating Motivational Interviewing principles and specific homework tasks into these efforts, and the promise that abbreviated interventions and stepped-care approaches may hold for helping clinicians manage their clinical caseloads and avoid burnout.</p><p> </p>

Adaptation in Dissemination and Implementation Science

2017 ◽  
Author(s):  
Ana A. Baumann ◽  
Leopoldo J. Cabassa ◽  
Shannon Wiltsey Stirman
Keyword(s):  
Implementation Science ◽  
Implementation Research ◽  
Implementation Strategies ◽  
Dissemination And Implementation ◽  
Research And Practice ◽  
Implementation Outcomes ◽  
Dissemination And Implementation Science ◽  
Dissemination And Implementation Research

This chapter focuses on adaptations in the context of dissemination and implementation research and practice. Consistent with the existing literature, the authors recommend that adaptations be proactively and iteratively determined, strongly informed by a variety of stakeholders, and that efforts be made to carefully describe and document the nature of the adaptations and evaluate their impact on desired service, health, and implementation outcomes. While this chapter focuses on adaptations to interventions and the context of practice, the authors also note that adaptations may need to be made to implementation strategies. Following the call by Proctor and colleagues for further precision in defining and operationalizing implementation strategies, and based on evidence that scholars are not necessarily reporting what and how they are adapting the interventions, scholars are urged to define and evaluate the adaptations they are making not only to the interventions and context of practice but also to the implementation strategies.

Diffusion of Innovations

2021 ◽  
pp. 610-638
Author(s):  
James W. Dearing
Keyword(s):  
External Validity ◽  
Diffusion Of Innovations ◽  
Change Processes ◽  
Dissemination And Implementation ◽  
Rapid Rise ◽  
Diffusion Study ◽  
Research And Practice ◽  
Dissemination And Implementation Science ◽  
Implementation Of Innovations

The main concepts of the diffusion of innovations represent a hybrid change research and practice paradigm that blends ideas that can now be found in life cycle, evolutionary, and teleological theories of social change. This chapter discusses why the paradigm developed in the ways that it did, including the shortcomings of this approach, especially for studying the role of organizations in change processes. The chapter also examines the rapid rise of dissemination and implementation science as conducted by health services and public health researchers and how those new literatures are related to diffusion. This paradigmatic evolution from descriptive and explanatory studies to intervention research utilizing diffusion concepts is a theme of this chapter, with emphases on organizational implementation of innovations, inter-organizational diffusion, external validity of innovations and how a recognition of the agency of adopters can reshape diffusion study.

Training in Evidence-Based Psychological Interventions

2015 ◽  
Author(s):  
R. Kathryn McHugh ◽  
David H. Barlow
Keyword(s):  
Current Status ◽  
Future Research ◽  
Psychological Interventions ◽  
Evidence Based ◽  
Research Directions ◽  
Clinician Training ◽  
Extant Literature ◽  
Future Research Directions ◽  
Novel Approaches ◽  
Effectiveness Of Training

This chapter provides an overview of the current status of clinician training including a description of training procedures, a brief review of the extant literature on the efficacy/effectiveness of training, and a discussion of novel approaches and future research directions in the area of evidence-based psychological interventions.

The Science of Dissemination and Implementation

2015 ◽  
Author(s):  
Sonja K. Schoenwald ◽  
R. Kathryn McHugh ◽  
David H. Barlow
Keyword(s):  
Mental Health ◽  
Routine Care ◽  
Psychological Interventions ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Conceptual Frameworks ◽  
Psychological Treatments ◽  
Factors Associated

This chapter explores the science of dissemination and implementation. It aims to familiarize readers with key constructs from the dominant theories, conceptual frameworks, and heuristic models increasingly informing research on facilitation of the systematic use of evidence-based psychological treatments in routine care. It highlights factors associated with dissemination or implementation in other fields and, where available, in mental health, and summarizes what is known about strategies to support dissemination or implementation. This chapter will serve as a framework for subsequent chapters describing efforts specific to the dissemination and implementation of psychological interventions.

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