307857
Examining implementation of an evidence-based prevention program using the Consolidated Framework for Implementation Research (CFIR)
With proper implementation, substance abuse EBPs can positively affect adolescent drug use and risky behaviors. Nonetheless, there is a lack of evidence regarding effective strategies and procedures that prepares organizations for successful implementation. The purpose of this study was to examine factors affecting adoption and implementation of an evidence-based drug and violence prevention program in school and community settings.
Methods
The Consolidated Framework for Implementation (CFIR) served as the conceptual framework for study. Based on the 5 domains and 39 constructs of the CFIR, a 43-item web-based instrument was developed to assess adoption and implementation factors. Study participants included a national list of users of an evidence-based drug and violence prevention program.
Results
Analysis of respondents (n=140) revealed a shift from teachers facilitating prevention programs to other professionals including: Prevention Specialists (46%), Teachers (3%), and other (33%). A majority of participants (86%) reported easy or very easy program implementation and 82% agreed or strongly agreed it could be adapted to better reflect the cultural diversity of their student population.
Conclusions
This research supports ongoing efforts to measure implementations of EBPs in school settings. The CFIR domains were useful to evaluate overall implementation procedures for all stakeholders: program developers, facilitators, and school and community members. The CFIR will be used to guide further thematic qualitative analyses of facilitators and barriers of implementation. Additional research is needed using theory-guided frameworks like CFIR to increase external validity and positive outcomes for adolescents.
Learning Areas:
Implementation of health education strategies, interventions and programsPlanning of health education strategies, interventions, and programs
Social and behavioral sciences
Learning Objectives:
Describe how the Consolidated Framework for Implementation Research (CFIR) is used to identify facilitators and adoption and implementation barriers of an EBP.
Describe the recommendations provided to the prevention program developers to overcome adoption and implementation barriers.
Keyword(s): Evidence-Based Practice, Children and Adolescents
Qualified on the content I am responsible for because: I am a doctoral student and have worked as a GA on a number of research projects. I am the PI for the research being submitted, as a scholar with the Institute for Translational Research in Adolescent Behavioral Health. Among my scientific interests have been the development of strategies to improve implementation of evidence-based practices to youth.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.