Design Elements in Implementation Research: A Structured Review of Child Welfare and Child Mental Health Studies
- 1.2k Downloads
Implementation science is an emerging field of research with considerable penetration in physical medicine and less in the fields of mental health and social services. There remains a lack of consensus on methodological approaches to the study of implementation processes and tests of implementation strategies. This paper addresses the need for methods development through a structured review that describes design elements in nine studies testing implementation strategies for evidence-based interventions addressing mental health problems of children in child welfare and child mental health settings. Randomized trial designs were dominant with considerable use of mixed method designs in the nine studies published since 2005. The findings are discussed in reference to the limitations of randomized designs in implementation science and the potential for use of alternative designs.
KeywordsChild welfare Child mental health Implementation research Research design
Support for this manuscript was provided by the following grants: P30 MH074678, DA019984, MH040859, DA024370, P30 MH068579, and MH080916.
- Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (in press). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research.Google Scholar
- Brown, C. H., Wang, W., Kellam, S. G., Muthén, B. O., Petras, H., Toyinbo, P., et al. (2008). Methods for testing theory and evaluating impact in randomized field trials: Intent-to-treat analyses for integrating the perspectives of person, place, and time. Drug and Alcohol Dependence, S95, S74–S104.CrossRefGoogle Scholar
- Duan, N., Wells, K., Braslow, J., & Weisz, J. (2002). Randomized encouragement trial: A paradigm for public health intervention evaluation. Unpublished Manuscript.Google Scholar
- Herschell, A. D., McNeil, C. B., Urquiza, A. J., McGrath, J. M., Zebell, N. M., Timmer, S. G., et al. (2009). Evaluation of a treatment manual and workshops for disseminating parent–child interaction therapy. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 63–81.CrossRefPubMedGoogle Scholar
- Murphy, S., Oslin, D., & Ten-Have, T. (2008, June). Convergence: Five committees, one dialogue. Paper presented at the NIMH conference, Crystal City, VA.Google Scholar
- National Research Council and Institute of Medicine (Ed.). (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: National Academy Press.Google Scholar
- Pawson, R., & Tilley, N. (1997). Realistic evaluation. London: Sage Publications Ltd.Google Scholar
- Poduska, J., Kellam, S. G., Brown, C. H., Ford, C., Keegan, N., Windham, A., et al. (2009). A group randomized control trial of a classroom-based intervention aimed at preventing early risk factors for drug abuse: Integrating effectiveness and implementation research. Implementation Science, 4(56), 1–11.Google Scholar
- Proctor, E., 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.CrossRefPubMedGoogle Scholar