Uptake of Evidence-based Practices Progress in the Past Decade

2011 ◽  
Author(s):  
Cari McCarty
Keyword(s):  
Evidence Based ◽  
Evidence Based Practices ◽  
The Past

A Model for Sustaining Evidence-Based Practices in a Statewide System

2017 ◽  
Vol 98 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Jason M. Lang ◽  
Kellie G. Randall ◽  
Michelle Delaney ◽  
Jeffrey J. Vanderploeg
Keyword(s):  
Public Health ◽  
Cognitive Behavioral Therapy ◽  
Quality Indicators ◽  
Behavioral Therapy ◽  
Health Impact ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
The Public ◽  
The Past ◽  
Large Systems

Over the past 20 years, efforts have been made to broadly disseminate evidence-based practices (EBPs). However, the public health impact of EBPs has yet to be realized and most EBPs are not sustained. Few structured models exist for disseminating and sustaining EBPs across large systems. This article describes the EBP Dissemination and Support Center (DSC) model and how it was used to sustain trauma-focused cognitive behavioral therapy (TF-CBT) across Connecticut. More than 600 clinicians at 35 agencies have been trained and nearly all agencies have sustained TF-CBT for up to 9 years. More than 6,200 children have received TF-CBT and have shown improvements in outcomes and quality indicators. Recommendations are made for using or adapting the DSC model.

scholarly journals Advancing understanding and identifying strategies for sustaining evidence-based practices: a review of reviews

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Sarah A. Birken ◽  
Emily R. Haines ◽  
Soohyun Hwang ◽  
David A. Chambers ◽  
Alicia C. Bunger ◽  
...  
Keyword(s):  
Theory Model ◽  
Future Research ◽  
Evidence Based ◽  
Potential Contribution ◽  
Evidence Based Practices ◽  
The Past ◽  
Review Of Reviews ◽  
Conceptual Relationships ◽  
Continuous Use ◽  
Cast Analysis

Abstract Background Implementation science has focused mainly on the initial uptake and use of evidence-based practices (EBPs), with less attention to sustainment—i.e., continuous use of these practices, as intended, over time in ongoing operations, often involving adaptation to dynamic contexts. Declining EBP use following implementation is well-documented yet poorly understood. Using theories, models, and frameworks (TMFs) to conceptualize sustainment could advance understanding. We consolidated knowledge from published reviews of sustainment studies to identify TMFs with the potential to conceptualize sustainment, evaluate past uses of TMFs in sustainment studies, and assess the TMFs’ potential contribution to developing sustainment strategies. Methods We drew upon reviews of sustainment studies published within the past 10 years, evaluated the frequency with which included articles used a TMF for conceptualizing sustainment, and evaluated the relevance of TMFs to sustainment research using the Theory, Model, and Framework Comparison and Selection Tool (T-CaST). Specifically, we examined whether the TMFs were familiar to researchers, hypothesized relationships among constructs, provided a face-valid explanation of relationships, and included sustainment as an outcome. Findings Nine sustainment reviews referenced 648 studies; these studies cited 76 unique TMFs. Only 28 TMFs were used in more than one study. Of the 19 TMFs that met the criteria for T-CaST analysis, six TMFs explicitly included sustainment as the outcome of interest, 12 offered face-valid explanations of proposed conceptual relationships, and six identified mechanisms underlying relationships between included constructs and sustainment. Only 11 TMFs performed adequately with respect to all these criteria. Conclusions We identified 76 TMFs that have been used in sustainment studies. Of these, most were only used once, contributing to a fractured understanding of sustainment. Improved reporting and use of TMFs may improve understanding of this critical topic. Of the more consistently used TMFs, few proposed face-valid relationships between included constructs and sustainment, limiting their ability to advance our understanding and identify potential sustainment strategies. Future research is needed to explore the TMFs that we identified as potentially relevant, as well as TMFs not identified in our study that nonetheless have the potential to advance our understanding of sustainment and identification of strategies for sustaining EBP use.

Bullying and Students with Disabilities: Legal and Practice Considerations

2012 ◽  
Vol 37 (2) ◽  
pp. 78-86 ◽  
Author(s):  
John W. Maag ◽  
Antonis Katsiyannis
Keyword(s):  
Students With Disabilities ◽  
Large Body ◽  
Federal Legislation ◽  
Evidence Based ◽  
Cognitive Disability ◽  
Evidence Based Practices ◽  
The Past ◽  
Bully Victims ◽  
Being Bullied ◽  
Scholarly Attention

Bullying in schools has received both media and scholarly attention for the past 20 years. A large body of research has identified variables associated with bullies, victims, and bully-victims in terms of predictive and preventative factors. However, less attention has been given to the role federal legislation and litigation has played in schools being held more accountable for bullying that may involve discriminatory practices based on disability. Students who have some obvious physical or cognitive disability are at greater risk for being bullied. When they retaliate, they are often considered bully-victims when, in reality, they are only trying to protect themselves in a manner consistent with their oftentimes limited skills. Students with emotional or behavioral disorders (EBD) are at particular risk for displaying bully-victim characteristics. The first purpose of this article is to describe legislative mandates and relevant litigation on bullying and harassment so that schools are better positioned to react appropriately and swiftly when bullying involving students with disabilities occurs. The second purpose is to describe evidence-based practices schools can implement for preventing bullying and responding to it appropriately.

Achieving Evidence-Based Practices in Colorectal Surgery

2014 ◽  
Author(s):  
Imran Hassan
Keyword(s):  
Colorectal Surgery ◽  
Evidence Based Medicine ◽  
Scientific Evidence ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
The Past ◽  
Hierarchy Of Evidence ◽  
Evidence Based Surgery ◽  
Key Resources ◽  
Based Medicine

The concept of evidence-based medicine (EBM) and evidence-based surgery (EBS) involves combining the best scientific evidence available with the clinician’s judgment while also considering the patient’s needs and preferences. In the past, the practice of colorectal surgery was based on tradition and anecdotal experience from experts rather than scientific rationale. However, the rise of EBM has led to changes in how colorectal surgery is performed. This review discusses the hierarchy of evidence, fundamental principles of EBS, and practicing evidence-based colorectal surgery. Tables review the Oxford Centre for Evidence-Based Medicine revised levels of evidence, four steps of evidence-based surgery, key resources for evidence-based surgery, the “PICO” technique, and the Dindo-Clavien classification system. This review contains 5 tables and 69 references.

Strategies for Developing Intermediary Organizations: Considerations for Practice

2017 ◽  
Vol 98 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Robert P. Franks ◽  
Christopher T. Bory
Keyword(s):  
Contextual Factors ◽  
Evidence Based ◽  
Research Practice ◽  
Evidence Based Practices ◽  
Intermediary Organization ◽  
Research And Practice ◽  
The Past ◽  
Intermediary Organizations ◽  
Practice Gap

While an increasing number of evidence-based practices and programs have been developed over the past two decades, there remains a significant gap between research and practice. Intermediary organizations help bridge this research–practice gap through various roles and functions. Intermediaries provide support to facilitate the implementation of evidence-based practices and build capacity to sustain such practices with fidelity. However, there is little guidance as to how to develop an intermediary organization and what strategies and contextual factors should be considered. The purpose of this article is to identify contextual factors that may impact the development of intermediary organizations and to recommend strategies for building the necessary capacities and competencies that correspond to the intermediary's identified roles and functions.

An Update on Evidence-Based Practices for Children and Adolescents in the Context of Policy, Research, and Practice: A Systems Perspective

2017 ◽  
pp. 607-618
Author(s):  
Ka Ho Brian Chor ◽  
Kimberly E. Hoagwood ◽  
Su-Chin Serene Olin
Keyword(s):  
Mental Health ◽  
Children And Adolescents ◽  
Policy Research ◽  
Evidence Based ◽  
Paradigm Shifts ◽  
Evidence Based Practices ◽  
Research And Practice ◽  
The Past ◽  
Policy Paradigm ◽  
Future Direction

Evidence-based practices (EBPs) for children and adolescents have undergone significant transformation in the past decade. This chapter synthesizes the major paradigm shifts in policy, research, and practice. The policy paradigm shifts include healthcare infrastructure changes that reshape the mental health delivery system, accountability of mental health care that is driven by quality indicators, and new financing policies under the Affordable Care Act. The research paradigm shifts include development of innovative dissemination and implementation (D&I) models to improve the spread and uptake of EBPs, and the use of optimal D&I designs and measures to empirically study system-level changes. The practice paradigm shifts include primary care integration, large-scale training, technological advances, and task shifting in EBPs. Moving from laboratory testing and knowledge translation of EBPs in the past decade, the current and future direction of EBPs necessitates concerted responses to these paradigm shifts among policymakers, researchers, practitioners, consumers, and families.

scholarly journals The Emergence of Single-Case Experimental Designs: A Historical Overview of The Methodological Necessity

2021 ◽  
Author(s):  
Orhan Aydin
Keyword(s):  
Special Education ◽  
Case Studies ◽  
Medical Literature ◽  
Single Case ◽  
Experimental Designs ◽  
Evidence Based ◽  
Historical Overview ◽  
Evidence Based Practices ◽  
The Past ◽  
Scientific World

The present study illustrates the historical adventure of single-case experimental designs (SCEDs) that have emerged from a clash of nomothetic and idiographic approaches since the past. The unique place of psychology in the birth of SCEDs is handled from different perspectives. As well as developments based on psychology, the position of SCEDs in the modern scientific world is explained by considering special education and medical literature. The need for single-case studies is depicted on the basis of the limitations of group experimental and case studies. The present study emphasizes the place of SCEDs, together with their specific strengths and limitations, in determining evidence-based practices in today’s behavioral sciences and other fields. The future holds promise for overcoming conflicts in SCEDs and increasing their dissemination in the science world.

Listening to Experts

2019 ◽  
pp. 94-112
Author(s):  
BillyÓ Foghlú
Keyword(s):  
Traditional Knowledge ◽  
Late Holocene ◽  
Analytical Techniques ◽  
Indigenous Communities ◽  
Evidence Based ◽  
Archaeological Record ◽  
Indigenous Australian ◽  
Evidence Based Practices ◽  
The Past ◽  
New Directions

Earth mounds are Late Holocene sites that have received little interpretation in Northern Australia’s archaeological record due to their visible similarity to natural features. This chapter will show how Indigenous traditional knowledge, coupled with new analytical techniques, has expanded the study of these sites in new directions. Indigenous communities’ engagement with their landscape and cultural epistemologies have provided concepts and evidence-based practices that take the interpretation of these sites beyond the biased lens of Western suppositions. The archaeology of listening is paramount in the interpretation of both the past and present meanings of these sites in Indigenous Australian communities.

scholarly journals Evidence-Based Practices in the Cardiac Catheterization Laboratory: A Scientific Statement From the American Heart Association

Circulation ◽  
2021 ◽  
Author(s):  
Sripal Bangalore ◽  
Gregory W. Barsness ◽  
George D. Dangas ◽  
Morton J. Kern ◽  
Sunil V. Rao ◽  
...  
Keyword(s):  
Cardiac Catheterization ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
The Past ◽  
Scientific Statement

Cardiac catheterization procedures have rapidly evolved and expanded in scope and techniques over the past few decades. However, although some practices have emerged based on evidence, many traditions have persisted based on beliefs and theoretical concerns. The aim of this review is to highlight common preprocedure, intraprocedure, and postprocedure catheterization laboratory practices where evidence has accumulated over the past few decades to support or discount traditionally held practices.

Sign in / Sign up

Export Citation Format

Share Document