Abstract
As the field of implementation has rapidly evolved, distinct implementation science and practice components have emerged. Siloing based on professional identities is beginning to occur, with a lack of adequate opportunities for implementation intermediaries, practice leaders, policy leaders, and researchers to interact and collaborate. This chapter details how the field of implementation is in danger of following a path reminiscent of the one previously traveled by intervention science – a path that has led to a longstanding divide between science and practice. We present a training agenda intended to curtail the emerging science–practice gap in implementation and argue that the gap can be minimized by opportunities for implementation stakeholders to participate in (a) pragmatic research, (b) team science, and (c) interprofessional education. Recommendations are made for professional development opportunities that include these components to address the science to practice gap in implementation.
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References
Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4–23. https://doi.org/10.1007/s10488-010-0327-7
Becker, E. M., Smith, A. M., & Jensen-Doss, A. (2013). Who’s using treatment manuals? A national survey of practicing therapists. Behaviour Research and Therapy, 51(10), 706–710. https://doi.org/10.1016/j.brat.2013.07.008
Behavioral Research in Diabetes Group Exchange - BRIDGE - Psychosocial Aspects of Diabetes (PSAD) Study Group. (n.d.). Retrieved 24 June 2016, from http://uvtapp.uvt.nl/fsw/spits.ws.frmShowpage?v_page_id=9618214012013366
Charns, M. P., Egede, L. E., Rumsfeld, J. S., McGlynn, G. C., & Yano, E. M. (2014). Advancing partnered research in the VA healthcare system: The pursuit of increased research engagement, responsiveness, and impact. Journal of General Internal Medicine, 29(S4), 811–813. https://doi.org/10.1007/s11606-014-3060-1
Cook, B. G., & Odom, S. L. (2013). Evidence-based practices and implementation science in special education. Exceptional Children, 79(2), 135–144. https://doi.org/10.1177/001440291307900201
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(1), 50.
Eccles, M. P., & Mittman, B. S. (2006). Welcome to implementation science. Implementation Science, 1(1), 1–3.
Ehrhart, M. G., Aarons, G. A., & Farahnak, L. R. (2015). Going above and beyond for implementation: The development and validity testing of the Implementation Citizenship Behavior Scale (ICBS). Implementation Science, 10(1), 65.
Fedoroff, I. C., & Taylor, S. (2001). Psychological and pharmacological treatments of social phobia: A meta-analysis. Journal of Clinical Psychopharmacology, 21(3), 311–324.
Franks, R. P., & Bory, C. T. (2015). Who supports the successful implementation and sustainability of evidence-based practices? Defining and understanding the roles of intermediary and purveyor organizations. New Directions for Child and Adolescent Development, 2015(149), 41–56. https://doi.org/10.1002/cad.20112
Gaglio, B., Phillips, S. M., Heurtin-Roberts, S., Sanchez, M. A., & Glasgow, R. E. (2014). How pragmatic is it? Lessons learned using PRECIS and RE-AIM for determining pragmatic characteristics of research. Implementation Science, 9(1), 96.
García-Izquierdo, A. L., Aguinis, H., & Ramos-Villagrasa, P. J. (2010). Science–Practice Gap in e-Recruitment. International Journal of Selection and Assessment, 18(4), 432–438. https://doi.org/10.1111/j.1468-2389.2010.00525.x
Garland, A. F., Brookman-Frazee, L., Hurlburt, M. S., Accurso, E. C., Zoffness, R. J., Haine-Schlagel, R., & Ganger, W. (2010). Mental health care for children with disruptive behavior problems: A view inside therapists’ offices. Psychiatric Services, 61(8), 788–795. https://doi.org/10.1176/ps.2010.61.8.788
Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., … Research Network on Youth Mental Health. (2008). Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research, 35(1–2), 98–113. https://doi.org/10.1007/s10488-007-0148-5
Gonzales, R., Handley, M. A., Ackerman, S., & O’sullivan, P. S. (2012). A framework for training health professionals in implementation and dissemination science. Academic medicine: Journal of the Association of American Medical Colleges, 87(3), 271–278.
Glasgow, R. E. (2013). What does it mean to be pragmatic? Pragmatic methods, measures, and models to facilitate research translation. Health Education & Behavior, 40(3), 257–265.
Glasgow, R. E., & Chambers, D. (2012). Developing robust, sustainable, implementation systems using rigorous, rapid and relevant science. Clinical and Translational Science, 5(1), 48–55. https://doi.org/10.1111/j.1752-8062.2011.00383.x
Glasgow, R. E., & Riley, W. T. (2013). Pragmatic measures: What they are and why we need them. American Journal of Preventive Medicine, 45(2), 237–243. https://doi.org/10.1016/j.amepre.2013.03.010
Glasgow, R. E., Vinson, C., Chambers, D., Khoury, M. J., Kaplan, R. M., & Hunter, C. (2012). National Institutes of Health approaches to dissemination and implementation science: Current and future directions. American Journal of Public Health, 102(7), 1274–1281.
Hammick, M., Freeth, D., Koppel, I., Reeves, S., & Barr, H. (2007). A best evidence systematic review of interprofessional education: BEME Guide no. 9. Medical Teacher, 29(8), 735–751. https://doi.org/10.1080/01421590701682576
Ho, K., Jarvis-Selinger, S., Borduas, F., Frank, B., Hall, P., Handfield-Jones, R., … Rouleau, M. (2008). Making interprofessional education work: The strategic roles of the academy. Academic Medicine, 83(10), 934–940. https://doi.org/10.1097/ACM.0b013e3181850a75
Illingworth, P., & Chelvanayagam, S. (2007). Benefits of interprofessional education in health care. British Journal of Nursing, 16(2), 121–124.
Johnston, C. A., & Moreno, J. P. (2016). Bridging the science-practice gap in obesity treatment. American Journal of Lifestyle Medicine, 10(2), 100–103. https://doi.org/10.1177/1559827615620381
Kazdin, A. E. (2010). Problem-solving skills training and parent management training for oppositional defiant disorder and conduct disorder. In Evidence- based psychotherapies for children and adolescents (pp. 211–226).
Kerns, S. E., Cevasco, M., Comtois, K. A., Dorsey, S., King, K., McMahon, R., … Trupin, E. W. (2015). An interdisciplinary university-based initiative for graduate training in evidence-based treatments for children’s mental health. Journal of Emotional and Behavioral Disorders.https://doi.org/10.1177/1063426615583457
Kuller, A. M., Ott, B. D., Goisman, R. M., Wainwright, L. D., & Rabin, R. J. (2009). Cognitive behavioral therapy and schizophrenia: A survey of clinical practices and views on efficacy in the United States and United Kingdom. Community Mental Health Journal, 46(1), 2–9. https://doi.org/10.1007/s10597-009-9223-6
Lewis, C., Borntrager, C., Martinez, R., Weiner, B. J., Kim, M., Barwick, M., & Comtois, K. A. (2014). Systematic review and synthesis of dissemination and implementation science instruments: Description of a protocol to promote rigorous evaluation. Implementation Science, (in press).
Lewis, C. C., Weiner, B. J., Stanick, C., & Fischer, S. M. (2015). Advancing implementation science through measure development and evaluation: A study protocol. Implementation Science, 10, 102. https://doi.org/10.1186/s13012-015-0287-0
Lewis, C., Darnell, D., Kerns, S., Monroe-DeVita, M., Landes, S. J., Lyon, A. R., et al. (2016). Proceedings of the 3rd Biennial Conference of the Society for Implementation Research Collaboration (SIRC) 2015: Advancing efficient methodologies through community partnerships and team science. Implementation Science, 11(1), 1–38. https://doi.org/10.1186/s13012-016-0428-0
Lyon, A. R., Stirman, S. W., Kerns, S. E., & Bruns, E. J. (2011). Developing the mental health workforce: Review and application of training approaches from multiple disciplines. Administration and Policy in Mental Health and Mental Health Services Research, 38(4), 238–253.
Marriott, B. R., Rodriguez, A. L., Landes, S. J., Lewis, C. C., & Comtois, K. A. (2016). A methodology for enhancing implementation science proposals: Comparison of face-to-face versus virtual workshops. Implementation Science, 11, 62. https://doi.org/10.1186/s13012-016-0429-z
Martinez, R. G., Lewis, C. C., & Weiner, B. J. (2014). Instrumentation issues in implementation science. Implementation Science, 9(1), 118. https://doi.org/10.1186/s13012-014-0118-8
McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments. A review of current efforts. American Psychology, 65(2), 73–84.
Meissner, H. I., Glasgow, R. E., Vinson, C. A., Chambers, D., Brownson, R. C., Green, L. W., … Mittman, B. (2013). The U.S. training institute for dissemination and implementation research in health. Implementation Science, 8(1), 12. https://doi.org/10.1186/1748-5908-8-12
National Cancer Institute. (n.d.). Team science toolkit: About team science. Retrieved 2 June 2015, from https://www.teamsciencetoolkit.cancer.gov/public/WhatIsTS.aspx
Nisbet, G., Hendry, G. D., Rolls, G., & Field, M. J. (2008). Interprofessional learning for pre-qualification health care students: An outcomes-based evaluation. Journal of Interprofessional Care, 22(1), 57–68. https://doi.org/10.1080/13561820701722386
Palinkas, L. A., Aarons, G. A., Horwitz, S., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2011). Mixed method designs in implementation research. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 44–53. https://doi.org/10.1007/s10488-010-0314-z
Powell, B. J., McMillen, J. C., Proctor, E. K., Carpenter, C. R., Griffey, R. T., Bunger, A. C., … York, J. L. (2012). A compilation of strategies for implementing clinical innovations in health and mental health. Medical Care Research and Review, 69(2), 123–157.
Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., … Kirchner, J. E. (2015). A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10(1), 21.
Proctor, E. K., & Chambers, D. A. (2016). Training in dissemination and implementation research: A field-wide perspective. Translational Behavioral Medicine, 1–12. https://doi.org/10.1007/s13142-016-0406-8
Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 24–34. https://doi.org/10.1007/s10488-008-0197-4
Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., … Hensley, M. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76. https://doi.org/10.1007/s10488-010-0319-7
Proctor, E. K., Landsverk, J., Baumann, A. A., Mittman, B. S., Aarons, G. A., Brownson, R. C., … Chambers, D. (2013). The implementation research institute: Training mental health implementation researchers in the United States. Implementation Science, 8, 105. https://doi.org/10.1186/1748-5908-8-105
Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Koppel, I., & Hammick, M. (2010). The effectiveness of interprofessional education: Key findings from a new systematic review. Journal of Interprofessional Care, 24(3), 230–241. https://doi.org/10.3109/13561820903163405
Selby, J. V., Beal, A. C., & Frank, L. (2012). The Patient-Centered Outcomes Research Institute (PCORI) national priorities for research and initial research agenda. JAMA, 307(15), 1583–1584.
Scaccia, J. P., Cook, B. S., Lamont, A., Wandersman, A., Castellow, J., Katz, J., & Beidas, R. S. (2015). A practical implementation science heuristic for organizational readiness: R = Mc2. Journal of Community Psychology, 43(4), 484–501. https://doi.org/10.1002/jcop.21698
Sethi, S., Kerns, S. E. U., Sanders, M. R., & Ralph, A. (2014). The international dissemination of evidence-based parenting interventions: Impact on practitioner content and process self-efficacy. International Journal of Mental Health Promotion, 16(2), 126–137. https://doi.org/10.1080/14623730.2014.917896
Shea, C. M., Jacobs, S. R., Esserman, D. A., Bruce, K., & Weiner, B. J. (2014). Organizational readiness for implementing change: A psychometric assessment of a new measure. Implementation Science, 9(7), 1–15.
Simons, A. D., Padesky, C. A., Montemarano, J., Lewis, C. C., Murakami, J., Lamb, K., … Beck, A. T. (2010). Training and dissemination of cognitive behavior therapy for depression in adults: A preliminary examination of therapist competence and client outcomes. Journal of Consulting and Clinical Psychology, 78(5), 751–756. https://doi.org/10.1037/a0020569
Stokols, D., Hall, K. L., Taylor, B. K., & Moser, R. P. (2008). The science of team science: Overview of the field and introduction to the supplement. American Journal of Preventive Medicine, 35(2, Supplement), S77–S89. https://doi.org/10.1016/j.amepre.2008.05.002
Stokols, D., Misra, S., Moser, R. P., Hall, K. L., & Taylor, B. K. (2008). The ecology of team science: Understanding contextual influences on transdisciplinary collaboration. American Journal of Preventive Medicine, 35(2, Supplement), S96–S115. https://doi.org/10.1016/j.amepre.2008.05.003
Straus, S. E., Brouwers, M., Johnson, D., Lavis, J. N., Légaré, F., Majumdar, S. R., … Grimshaw, J. (2011). Core competencies in the science and practice of knowledge translation: Description of a Canadian strategic training initiative. Implementation Science, 6, 127. https://doi.org/10.1186/1748-5908-6-127
Thorpe, K. E., Zwarenstein, M., Oxman, A. D., Treweek, S., Furberg, C. D., Altman, D. G., … Chalkidou, K. (2009). A pragmatic–explanatory continuum indicator summary (PRECIS): A tool to help trial designers. Journal of Clinical Epidemiology, 62(5), 464–475. https://doi.org/10.1016/j.jclinepi.2008.12.011
Weiner, B. J. (2009). A theory of organizational readiness for change. Implementation Science, 4(1), 67.
Weisz, J. R., Jensen-Doss, A., & Hawley, K. M. (2006). Evidence-based youth psychotherapies versus usual clinical care: A meta-analysis of direct comparisons. American Psychologist, 61(7), 671–689. https://doi.org/10.1037/0003-066X.61.7.671
Weisz, J. R., Ng, M. Y., & Bearman, S. K. (2014). Odd couple? Reenvisioning the relation between science and practice in the dissemination-implementation era. Clinical Psychological Science, 2(1), 58–74. https://doi.org/10.1177/2167702613501307
WHO | Framework for action on interprofessional education and collaborative practice. (n.d.). Retrieved 2 June 2015, from http://www.who.int/hrh/resources/framework_action/en/
Wuchty, S., Jones, B. F., & Uzzi, B. (2007). The increasing dominance of teams in production of knowledge. Science, 316(5827), 1036–1039. https://doi.org/10.1126/science.1136099
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Lyon, A.R., Comtois, K.A., Kerns, S.E.U., Landes, S.J., Lewis, C.C. (2020). Closing the Science–Practice Gap in Implementation Before It Widens. In: Albers, B., Shlonsky, A., Mildon, R. (eds) Implementation Science 3.0. Springer, Cham. https://doi.org/10.1007/978-3-030-03874-8_12
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