Posts Tagged ‘2022-2023’

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 and common strategies that can be used…

As evidence-based innovations (EBIs) are translated into clinical and community settings, implementation determinant frameworks can help understand the factors that impede or facilitate implementation outcomes. Use of different frameworks across implementation initiatives can impede shared learning. To develop a framework for shared learning in the DECIPHeR Alliance (decipheralliance.org), we conducted a crosswalk of three determinant…

Policy implementation is a key but often-ignored aspect of policy effectiveness. Public policy research typically considers the effects of having versus not having a policy on outcomes, without considering whether and how the policy was implemented – even though the effects of policies on their intended outcome depend upon degree of implementation. Experimental approaches to…

Drawing upon a strengths-based, cultural assets perspective, I will present evidence on the growth properties of prosocial behaviors and assert the need to incorporate prosocial behaviors as a marker of health and well being. The presentation will focus on risk and protective correlates and consequences of prosocial behaviors in U.S. Latine youth. Implications for prevention…

This presentation reports the cost-effectiveness analysis from a fully powered randomized clinical trial that featured a head-to-head comparison between telemedicine and digital health interventions for providing continuing care for patients with alcohol use disorder. A telemedicine intervention (telephone monitoring and counseling: TMC) and a mobile health intervention (Alcohol Comprehensive Health Enhancement Support System: A-CHESS) were…

FAIR (Families Actively Improving Relationships) is an evidence-based practice for parents referred to the child welfare system. Treatment addresses substance use (primarily opioids and/or methamphetamine), mental health, parenting, and ancillary needs. FAIR is community-based and relies on collaboration with service and community partners. As part of the NIH Helping to End Addiction Long-term (HEAL) initiative,…

Equity continues to garner attention in the field of implementation science. Coming from a learner perspective, this presentation will offer some recommendations and suggestions as to how to embed equity in implementation studies, with a focus on processes and outcomes.

Significant investments are being made to close the mental health (MH) treatment gap, which often exceeds 90% in many low- and middle-income countries (LMICs). However, limited attention has been paid to patient quality of care in nascent and evolving LMIC MH systems. In system assessments across sub-Saharan Africa, MH loss-to-follow-up often exceeds 50% and sub-optimal…

The ‘research to policy gap’ describes the failure to translate research findings into real-world, evidence-informed policies. This gap is dangerous to health systems and population health, but dissemination and implementation science (D&I) is poised to address this pervasive problem by designing effective strategies that promote evidence-informed policy and policy implementation success. To be most efficient…

Full realization of the societal benefits of our work in implementation science requires high levels of successful sustainment (maintenance) and scale-up/spread of our implementation strategies and the effective practices we strive to implement. This presentation offers a series of questions we should ask, and recommendations for actions we can – and should – take, to…