From single to multiple behaviour change approaches in implementation science

Justin Presseau, PhD | April 2, 2024 : Behaviour change theory-informed implementation intervention development and evaluation often focuses on improving sub-optimally performed clinical practice, redressing variations in care, or de-implementing lower-value care. In many instances, such approaches focus on a given clinical action as the target for change. However, the professional context of those delivering…

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The Stanford Lightning Report: An Implementation Science Rapid Qualitative Approach for Formative Evaluation

Catherine Brown Johnson, PhD and Steve Asch, MD, MPH | March 26, 2024: The Stanford Lightning Report is a structured but flexible rapid qualitative approach used to increase the pace of learning in healthcare implementation. Supporting Learning Health System goals as well as large-scale research agendas, it can be applied across settings, from quality improvement…

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Design Considerations in Embedded Pragmatic Trials: Separating Rigor from Idolatry

Gregory Simon, MD, MPH | September 12, 2023: This presentation will consider specific considerations in the design and implementation of embedded pragmatic trials, including: eligibility criteria, unit of allocation, method of allocation, standardization of “active” interventions, standardization of “control” interventions, blinding, and analytic strategy. For each of these design decisions, investigators must focus on the…

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Innovating Substance Use Disorder Treatment at Scale

Jeffrey De Flavio, MD | September 26, 2023: Across medicine clinical innovations take years to disseminate widely into practice, while some best practices in addiction medicine fail to ever gain widespread adoption. This presentation describes two private medical practices (Groups Recover Together and Affect Therapeutics) which have brought underutilized and evidence-based interventions to scale across…

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Proposing and Applying the Observational-Implementation Hybrid Approach

Justin Knox, PhD, MPH | October 10, 2023: We recently proposed the observational-implementation hybrid approach, or the incorporation of implementation science elements into observational studies in order to collect information that will allow for anticipation, estimation, and/or inference about the effects of interventions and implementation strategies. We describe this approach, including examples of how we…

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The Economics of Efficiency in Implementation Science

Todd Wagner, PhD | May 9, 2023: Efficiency is upheld as a cornerstone of high-quality care. Unfortunately, the term efficiency is used in different contexts, creating substantial confusion about what it means. In this talk, I define efficiency as it relates to the delivery of health care. I then review different frameworks for measuring it…

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