scholarly journals Protocol for a hybrid type 3 cluster randomized trial of a technical assistance system supporting coalitions and evidence-based drug prevention programs

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Louis D. Brown ◽  
Sarah M. Chilenski ◽  
Rebecca Wells ◽  
Eric C. Jones ◽  
Janet A. Welsh ◽  
...  
Keyword(s):  
Substance Use ◽  
Technical Assistance ◽  
Drug Prevention ◽  
Interactive Systems ◽  
Evidence Based ◽  
Interactive Systems Framework ◽  
Ebp Implementation ◽  
Prevention Support System ◽  
Systems Framework ◽  
The Impact

Abstract Background Over 5000 community anti-drug coalitions operating in the USA serve as a cornerstone of federal drug prevention. These coalitions, however, have demonstrated effectiveness in preventing substance use only when they use technical assistance (TA) and implement evidence-based programs (EBPs). The absence of TA and EBP implementation by coalitions is a key research-to-practice gap. The Coalition Check-Up TA system is designed to fill this gap by supporting community coalition implementation of EBPs. Existing TA models for evidence-based coalition approaches are resource intensive and coalition model specific. The Coalition Check-Up is a lower cost strategy that works with a variety of types of coalitions to support sustainable implementation of EBPs. This study protocol describes a hybrid type 3 effectiveness-implementation trial applying Wandersman’s Interactive Systems Framework to test the effects of the Coalition Check-Up on coalition EBP implementation capacity and outcomes. The Interactive Systems Framework outlines how the prevention support system—especially TA—bolsters EBP dissemination and implementation. Methods Using a cluster randomized controlled design, this trial will test the overall effectiveness of the Coalition Check-Up, including how it contributes to EBP implementation and prevention of youth substance use. The first aim is to estimate the impact of the Coalition Check-Up on coalitions’ capacity to do their work. We will recruit 68 anti-drug coalitions for random assignment to the Coalition Check-Up or “TA as usual” condition. We will evaluate whether the Coalition Check-Up improves coalition capacity using measures of coalition member responses about team processes, coalition network composition, and collaborative structure. Our second aim is to estimate the impact of the Coalition Check-Up on implementation of EBPs, and our third aim is to estimate the impact of the Coalition Check-Up on youth substance use. Discussion This project will clarify how the Coalition Check-Up, a scalable approach to TA due to its low cost, affects coalition capacity to support EBP implementation. Analyses also provide insight into causal pathways from the prevention support system to the prevention delivery system outlined by the Interactive Systems Framework. Results will build the evidence-base for how to support community coalitions’ sustainable implementation of evidence-based prevention programs and policies. Trial registration Clinicaltrials.gov registration number NCT04592120. Registered on October 19, 2020.

scholarly journals Translating Evidence-Based Policy to Practice: A Multilevel Partnership Using the Interactive Systems Framework

2013 ◽  
Vol 94 (3) ◽  
pp. 141-149 ◽  
Author(s):  
Melissa Lim Brodowski ◽  
Jacqueline M. Counts ◽  
Rebecca J. Gillam ◽  
Linda Baker ◽  
Valerie Spiva Collins ◽  
...  
Keyword(s):  
Interactive Systems ◽  
Evidence Based ◽  
Interactive Systems Framework ◽  
Evidence Based Policy ◽  
Systems Framework

scholarly journals “Turning the tide” in Treatment of substance use: A nursing response

2017 ◽  
Vol 8 (2) ◽  
pp. 116 ◽  
Author(s):  
Julie Worley ◽  
Kathleen R. Delaney
Keyword(s):  
Substance Use ◽  
Healthcare Provider ◽  
Substance Use Disorders ◽  
Evidence Based ◽  
Review Of Literature ◽  
Evidence Based Treatment ◽  
The Impact

Objective: To analyze science and practice surrounding nursing approaches to substance use disorders (SUDs) and make recommendations for the future.Methods: A review of literature and topics related to healthcare provider stigma, science surrounding SUDs, nursing approaches to SUDs in education and practice and evidence based treatment was conducted, analyzed and synthesized.Results: Stigma is embedded in nursing approach to SUDs, up to date information regarding SUDs is not widely disseminated or practiced in nursing.Conclusions: To reduce the impact of stigma and to bring nurses into the “turning the Tide” movement requires an understanding of how beliefs root stigma, building knowledge related to SUDs as an illness, and expansion of nurses' skill when intervening with individuals dealing with SUDs.

Innovative Adaptation of Training and Technical Assistance

2022 ◽  
pp. 239-264
Author(s):  
Holly N. Hagle ◽  
Yifei Liu ◽  
Deena M. Murphy ◽  
Laurie Krom
Keyword(s):  
Substance Use ◽  
Behavioral Health ◽  
Community Involvement ◽  
Technical Assistance ◽  
Mental Illnesses ◽  
Evidence Based ◽  
Telecommunication Services ◽  
Face To Face ◽  
Rapid Transition ◽  
Behavioral Health Workforce

The behavioral health workforce is pivotal to provide evidence-based services (EBPs) for patients with mental illnesses or substance use disorders. The COVID-19 pandemic has exacerbated existing healthcare issues for these patients and highlighted the need for a well-trained workforce. The stay-at-home orders compelled a rapid transition to delivering behavioral health services from traditional face-to-face encounters to telehealth/telecommunication services. Training and technical assistance (TTA) networks supporting the behavioral health workforce's educational needs quickly moved to virtual delivery. This shift has resulted in innovations and adaptations categorized into four areas: adapting is crucial, convening stakeholders is essential, resources (human and technological) are needed, and community involvement is integral. Future TTA efforts should focus on sharing the successful virtual adaptations to EBPs.

scholarly journals Using the Interactive Systems Framework in Understanding the Relation Between General Program Capacity and Implementation in Afterschool Settings

2012 ◽  
Vol 50 (3-4) ◽  
pp. 311-320 ◽  
Author(s):  
Linda C. Halgunseth ◽  
Chakema Carmack ◽  
Sharon S. Childs ◽  
Linda Caldwell ◽  
Amanda Craig ◽  
...  
Keyword(s):  
Interactive Systems ◽  
Interactive Systems Framework ◽  
General Program ◽  
Program Capacity ◽  
Systems Framework

scholarly journals Optima TB: A tool to help optimally allocate tuberculosis spending

2021 ◽  
Vol 17 (9) ◽  
pp. e1009255
Author(s):  
Lara Goscé ◽  
Gerard J. Abou Jaoude ◽  
David J. Kedziora ◽  
Clemens Benedikt ◽  
Azfar Hussain ◽  
...  
Keyword(s):  
Priority Setting ◽  
Disease Transmission ◽  
Technical Assistance ◽  
Transmission Model ◽  
People Living With Hiv ◽  
Evidence Based ◽  
Middle Income ◽  
Substantial Impact ◽  
Local Stakeholders ◽  
The Impact

Approximately 85% of tuberculosis (TB) related deaths occur in low- and middle-income countries where health resources are scarce. Effective priority setting is required to maximise the impact of limited budgets. The Optima TB tool has been developed to support analytical capacity and inform evidence-based priority setting processes for TB health benefits package design. This paper outlines the Optima TB framework and how it was applied in Belarus, an upper-middle income country in Eastern Europe with a relatively high burden of TB. Optima TB is a population-based disease transmission model, with programmatic cost functions and an optimisation algorithm. Modelled populations include age-differentiated general populations and higher-risk populations such as people living with HIV. Populations and prospective interventions are defined in consultation with local stakeholders. In partnership with the latter, demographic, epidemiological, programmatic, as well as cost and spending data for these populations and interventions are then collated. An optimisation analysis of TB spending was conducted in Belarus, using program objectives and constraints defined in collaboration with local stakeholders, which included experts, decision makers, funders and organisations involved in service delivery, support and technical assistance. These analyses show that it is possible to improve health impact by redistributing current TB spending in Belarus. Specifically, shifting funding from inpatient- to outpatient-focused care models, and from mass screening to active case finding strategies, could reduce TB prevalence and mortality by up to 45% and 50%, respectively, by 2035. In addition, an optimised allocation of TB spending could lead to a reduction in drug-resistant TB infections by 40% over this period. This would support progress towards national TB targets without additional financial resources. The case study in Belarus demonstrates how reallocations of spending across existing and new interventions could have a substantial impact on TB outcomes. This highlights the potential for Optima TB and similar modelling tools to support evidence-based priority setting.

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