Abstract
BackgroundWe describe the use of a conceptual framework and implementation protocol to prepare effective health services interventions for implementation in community-based (i.e., non-academic-affiliated) settings.MethodsThe framework is based on the experiences of the U.S. Centers for Disease Control and Prevention (CDC) Replicating Effective Programs (REP) project, which has been at the forefront of developing systematic and effective strategies to prepare HIV interventions for dissemination. This article describes the REP framework, and how it can be applied to implement clinical and health services interventions in community-based organizations.ResultsREP consists of four phases: pre-conditions (e.g., identifying need, target population, and suitable intervention), pre-implementation (e.g., intervention packaging and community input), implementation (e.g., package dissemination, training, technical assistance, and evaluation), and maintenance and evolution (e.g., preparing the intervention for sustainability). Key components of REP, including intervention packaging, training, technical assistance, and fidelity assessment are crucial to the implementation of effective interventions in health care.ConclusionREP is a well-suited framework for implementing health care interventions, as it specifies steps needed to maximize fidelity while allowing opportunities for flexibility (i.e., local customizing) to maximize transferability. Strategies that foster the sustainability of REP as a tool to implement effective health care interventions need to be developed and tested.
Highlights
We describe the use of a conceptual framework and implementation protocol to prepare effective health services interventions for implementation in community-based settings
Closing the gap between research and practice has been a priority for many agencies, including the U.S National Institutes of Health, Veterans Health Administration (VHA) and the Agency for Healthcare Research and Quality [1]
A primary reason for this research-to-practice gap is the lack of a framework for implementing effective interventions in community-based organizations that maintains fidelity while maximizing transferability when the interventions are adopted across different settings [2,3,4]
Summary
Implementing evidence-based interventions in health care: application of the replicating effective programs framework. Amy M Kilbourne*†1,2, Mary S Neumann, Harold A Pincus, Mark S Bauer and Ronald Stall. Address: 1VA Ann Arbor National Serious Mental Illness Treatment Research and Evaluation Center; Ann Arbor, MI, USA, 2Department of Psychiatry, University of Michigan; Ann Arbor, MI, USA, 3Division of HIV/AIDS Prevention; National Center for HIV, STD, and TB Prevention; Centers for Disease Control and Prevention; Atlanta, GA, USA, 4Department of Psychiatry, Columbia University; New York, NY, USA, 5VA Boston Healthcare System and Harvard Medical School, Boston, MA, USA and 6Graduate School of Public Health, University of Pittsburgh; Pittsburgh, PA, USA. Published: 9 December 2007 Implementation Science 2007, 2:42 doi:10.1186/1748-5908-2-42.
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