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MIND THE IMPLEMENTATION GAP
How implementation science helps get
research into practice
SRA annual conference 9 December 2...
About the Colebrooke Centre
• first and only UK centre specialising in implementation
science and practice in child and fa...
Evaluation of My Baby’s Brain –
Hertfordshire County Council

© Colebrooke Centre for Evidence and
Implementation 2013
Let Teachers Shine –
Shine Foundation

© Colebrooke Centre for Evidence and
Implementation 2013
The science-practice gap

© Colebrooke Centre for Evidence and Implementation 2013
The science-practice gap

Research
dissemination
and translation
initiatives
© Colebrooke Centre for Evidence and Implemen...
Blank slide for charts etc.

© Colebrooke Centre for Evidence and
Implementation 2013
The science-practice gap

Research
dissemination
and translation
initiatives
© Colebrooke Centre for Evidence and Implemen...
The science-practice gap
Implementation

Research
dissemination
and translation
initiatives
© Colebrooke Centre for Eviden...
The implementation gap
• what is known is not adopted by policy / practice
but also …

• what is adopted is not operationa...
Implementation
• active and planned efforts to identify approaches
that (will) work and to deliver them sustainably and
at...
© Colebrooke Centre for Evidence and Implementation 2013
The emergence of implementation science
• systematic study of implementation informed
by theory
– processes, strategies, c...
Implementation matters!
“The level of implementation achieved is an
important determinant of programme
outcomes. Achieving...
Anything times zero is zero

effective
practices

effective
implementation

enabling
contexts

Used with permission of NIR...
What doesn’t work
• disseminating research and good practice

© Colebrooke Centre for Evidence and Implementation 2013
© Colebrooke Centre for Evidence and Implementation 2013
What doesn’t work
• disseminating research and good practice
• Just Do It

© Colebrooke Centre for Evidence and Implementa...
What doesn’t work
•
•
•
•

disseminating research and good practice
Just Do It
training
guidelines

© Colebrooke Centre fo...
© Colebrooke Centre for Evidence and Implementation 2013
we need to get better at turning
research into something that can
be implemented

© Colebrooke Centre for Evidence and Imp...
principles

populations

practices

implementation
supports
© Colebrooke Centre for Evidence and Implementation 2013
what is the ‘it’ in ‘does it work?’ or
‘should it be rolled out?’

© Colebrooke Centre for Evidence and Implementation 201...
we need to get better at
researching implementation

© Colebrooke Centre for Evidence and Implementation 2013
Implementation stages

installation

initial
implement’n

full
implement’n

exploration

Fixsen et al, 2005; Metz and Barc...
Implementation stages

installation

initial
implement’n

full
implement’n

exploration

Fixsen et al, 2005; Metz and Barc...
Implementation stages

installation

initial
implement’n

full
implement’n

sustained
implement’n

exploration

Substantiv...
Implementation strategies
planning

policy context

educating

quality
management

financing

infrastructure
Powell et al,...
Implementation drivers

Integrated &
Compensatory

Leadership
© Fixsen & Blasé, 2008
A very chilling thought!
“All organizations
[and systems] are designed,
intentionally or unwittingly,
to achieve precisely...
Systems support for innovation
Prism

Prison

© Colebrooke Centre for Evidence and Implementation 2013
Where implementation outcomes fit in –
expanding the ‘logic model’

Inputs

Outputs

Implemen
tation
Outcomes

Service or
...
Key messages
• implementation matters – it’s key to getting
research into policy and practice
• moving forward requires pa...
References
Chaudoir S, Dugan A and Barr C (2013) ‘Measuring factors affecting implementation of health innovations: a
syst...
The Colebrooke Centre for Evidence and Implementation
55 St John Street
London EC1M 4AN
0203 551 7666
jlewis@cevi.org.uk
w...
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SRAconf Plenary: Mind the implementation gap, Jane Lewis

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"MIND THE IMPLEMENTATION GAP: How implementation science helps get research into practice" Jane Lewis, Director of Implementation Support, The Colebrooke Centre for Evidence and Implementation at the SRA annual conference 2013

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Transcript of "SRAconf Plenary: Mind the implementation gap, Jane Lewis"

  1. 1. MIND THE IMPLEMENTATION GAP How implementation science helps get research into practice SRA annual conference 9 December 2013 Jane Lewis Director of Implementation Support The Colebrooke Centre for Evidence and Implementation
  2. 2. About the Colebrooke Centre • first and only UK centre specialising in implementation science and practice in child and family services • social enterprise, not-for-profit • services – design and selection of interventions – implementation strategies and support – implementation evaluation • for local government, voluntary sector, central government, philanthropies, improvement bodies • leading application and development of implementation theory, evidence and frameworks for UK context © Colebrooke Centre for Evidence and Implementation 2013
  3. 3. Evaluation of My Baby’s Brain – Hertfordshire County Council © Colebrooke Centre for Evidence and Implementation 2013
  4. 4. Let Teachers Shine – Shine Foundation © Colebrooke Centre for Evidence and Implementation 2013
  5. 5. The science-practice gap © Colebrooke Centre for Evidence and Implementation 2013
  6. 6. The science-practice gap Research dissemination and translation initiatives © Colebrooke Centre for Evidence and Implementation 2013
  7. 7. Blank slide for charts etc. © Colebrooke Centre for Evidence and Implementation 2013
  8. 8. The science-practice gap Research dissemination and translation initiatives © Colebrooke Centre for Evidence and Implementation 2013
  9. 9. The science-practice gap Implementation Research dissemination and translation initiatives © Colebrooke Centre for Evidence and Implementation 2013
  10. 10. The implementation gap • what is known is not adopted by policy / practice but also … • what is adopted is not operationalised as intended • what is operationalised as intended is not sustained • what is operationalised as intended is not used at scale © Colebrooke Centre for Evidence and Implementation 2013
  11. 11. Implementation • active and planned efforts to identify approaches that (will) work and to deliver them sustainably and at scale in ways that maximise their effectiveness • from letting it happen to helping it happen to making it happen (Greenhalgh et al, 2004) • ‘the nexus between research and practice’ (Chaudoir et al, 2013) © Colebrooke Centre for Evidence and Implementation 2013
  12. 12. © Colebrooke Centre for Evidence and Implementation 2013
  13. 13. The emergence of implementation science • systematic study of implementation informed by theory – processes, strategies, contexts – to produce evidenced and replicable methods, frameworks and systems • draws on all research methods • beyond evidence-based programmes and narrow questions of fidelity (Ghate, 2013) © Colebrooke Centre for Evidence and Implementation 2013
  14. 14. Implementation matters! “The level of implementation achieved is an important determinant of programme outcomes. Achieving good implementation … can lead to much stronger benefits for participants.” Durlak and Dupre, 2008 – review of over 500 quantitative studies © Colebrooke Centre for Evidence and Implementation 2013
  15. 15. Anything times zero is zero effective practices effective implementation enabling contexts Used with permission of NIRN © Colebrooke Centre for Evidence and Implementation 2013 intended outcomes
  16. 16. What doesn’t work • disseminating research and good practice © Colebrooke Centre for Evidence and Implementation 2013
  17. 17. © Colebrooke Centre for Evidence and Implementation 2013
  18. 18. What doesn’t work • disseminating research and good practice • Just Do It © Colebrooke Centre for Evidence and Implementation 2013
  19. 19. What doesn’t work • • • • disseminating research and good practice Just Do It training guidelines © Colebrooke Centre for Evidence and Implementation 2013
  20. 20. © Colebrooke Centre for Evidence and Implementation 2013
  21. 21. we need to get better at turning research into something that can be implemented © Colebrooke Centre for Evidence and Implementation 2013
  22. 22. principles populations practices implementation supports © Colebrooke Centre for Evidence and Implementation 2013
  23. 23. what is the ‘it’ in ‘does it work?’ or ‘should it be rolled out?’ © Colebrooke Centre for Evidence and Implementation 2013
  24. 24. we need to get better at researching implementation © Colebrooke Centre for Evidence and Implementation 2013
  25. 25. Implementation stages installation initial implement’n full implement’n exploration Fixsen et al, 2005; Metz and Barclay, 2012 © Colebrooke Centre for Evidence and Implementation 2013 sustained implement’n
  26. 26. Implementation stages installation initial implement’n full implement’n exploration Fixsen et al, 2005; Metz and Barclay, 2012 © Colebrooke Centre for Evidence and Implementation 2013 sustained implement’n
  27. 27. Implementation stages installation initial implement’n full implement’n sustained implement’n exploration Substantive innovations take 2-4 years to full implementation Fixsen et al, 2005; Metz and Barclay, 2012 © Colebrooke Centre for Evidence and Implementation 2013
  28. 28. Implementation strategies planning policy context educating quality management financing infrastructure Powell et al, 2012 © Colebrooke Centre for Evidence and Implementation 2013
  29. 29. Implementation drivers Integrated & Compensatory Leadership © Fixsen & Blasé, 2008
  30. 30. A very chilling thought! “All organizations [and systems] are designed, intentionally or unwittingly, to achieve precisely the results they get” R Spencer Darling © Colebrooke Centre for Evidence and Implementation 2013
  31. 31. Systems support for innovation Prism Prison © Colebrooke Centre for Evidence and Implementation 2013
  32. 32. Where implementation outcomes fit in – expanding the ‘logic model’ Inputs Outputs Implemen tation Outcomes Service or treatment outcomes © Colebrooke Centre for Evidence and Implementation 2013 Impact
  33. 33. Key messages • implementation matters – it’s key to getting research into policy and practice • moving forward requires partnerships • get better at turning research into something that can be implemented • get better at researching implementation • get better at implementation © Colebrooke Centre for Evidence and Implementation 2013
  34. 34. References Chaudoir S, Dugan A and Barr C (2013) ‘Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures’ Implementation Science 8:22 Durlak J and DuPre E (2008) ‘Implementation Matters: ‘A Review of Research on the Influence of Implementation on Program Outcomes and the Factors Affecting Implementation’ American Journal of Community Psychology 41: 327:350 Fixsen D, Naoom S, Blasé K, Friedman R and Wallace F (2005) Implementation Research: A synthesis of the literature National Implementation Research Network Tampa FL: University of South Florida Ghate D (2013) ‘Good enough: when is evidence-based intervention ready for dissemination?’ Pre-conference discussion paper for Jacobs Foundation conference London: The Colebrooke Centre for Evidence and Implementation http://www.cevi.org.uk/docs/Good_Enough_Ghate_2013.pdf Greenhalgh T, Robert G, MacFarlane F, Bate P and Kyriakidou O (2004) ‘Diffusion of Innovations in Service Organizations: Systematic Review and Recommendations’ Milbank Quarterly vol 82 (4) 582-629 Lipsey M (2009) ‘The primary factors that characterise effective interventions with juvenile offenders: a metaanalytic overview’ Victims and Offenders 4: 124-147 McIntosh K, Martinez R, Ty S and McClain M (2013) ‘Scientific research in school psychology: leading researchers weight in on its past, present and future’ Journal of School Psychology 51 267-318 Metz and Barclay (2012) ‘Active implementation frameworks for program success’ Zero to 3 March 2012 11-18 Meyers D, Durlak J and Wandersman A (2012) ‘The Quality Implementation Framework: A synthesis of critical steps in the implementation process’ American Journal of Community Psychology 50:462-480 Powell B, McMillen J, Proctor E, Carpenter C, Griffey R, Bunger A, Glass J and York J (2012) ‘A Compilation of Strategies for Implementing Clinical Innovations in Health and Mental Health’ Medical Care Research and Review 69(2) 123-157 © Colebrooke Centre for Evidence and Implementation 2013
  35. 35. The Colebrooke Centre for Evidence and Implementation 55 St John Street London EC1M 4AN 0203 551 7666 jlewis@cevi.org.uk www.cevi.org.uk © Colebrooke Centre for Evidence and Implementation 2013
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