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Characterizing Shared and Unique Implementation Influences in Two Community Services Systems for Autism: Applying the EPIS Framework to Two Large-Scale Autism Intervention Community Effectiveness Trials

Abstract

The purpose of this study was to examine common and unique factors influencing implementation process for two evidence-based interventions for children with autism spectrum disorder (ASD) in mental health and education service contexts. This study prospectively collected qualitative data from intervention developers and research staff on the implementation process within the context of two separate ASD intervention effectiveness trials. Results reveal common and unique factors influencing implementation in both study contexts. Implementation leadership and provider attitudes and motivation emerge as key influences on implementation across systems. These findings provide promising targets for modular implementation interventions that can be leveraged within growing, large-scale translation efforts in usual care.

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Funding

This study was funded by NIMH Grants R01MH111950, R01MH111981, R01MH094317, and IES Grant R324B070027.

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Correspondence to Lauren Brookman-Frazee.

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Brookman-Frazee, L., Chlebowski, C., Suhrheinrich, J. et al. Characterizing Shared and Unique Implementation Influences in Two Community Services Systems for Autism: Applying the EPIS Framework to Two Large-Scale Autism Intervention Community Effectiveness Trials. Adm Policy Ment Health 47, 176–187 (2020). https://doi.org/10.1007/s10488-019-00931-4

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Keywords

  • Autism
  • Implementation
  • Education
  • Mental health services
  • Effectiveness