A Community Collaborative Approach to Scaling-Up Evidence-Based Practices: Moving Parent-Implemented Interventions from Research to Practice

  • Sarah R. RiethEmail author
  • Aubyn C. Stahmer
  • Lauren Brookman-Frazee
Part of the Autism and Child Psychopathology Series book series (ACPS)


Moving efficacious interventions for ASD from research to practice requires careful attention to the context in which the practices will be used. The EPIS (Exploration, Preparation, Implementation, and Sustainment) model from implementation science describes the inner (individual agencies and providers) and outer (sociopolitical climate, funding, etc.) context influences on the use of evidence-based practices in community mental health settings. Attention to the influences on implementation at all phases and levels can facilitate the ultimate success of the practice in the community. The following chapter describes the work of the BRIDGE Collaborative, a group of parents, providers, researchers, and funding agency representatives, in moving and scaling up a parent-implemented intervention for young children with or at risk for autism. The BRIDGE Collaborative addressed barriers at all levels of implementation through the use of targeted strategies aimed to support community uptake and use. The goal of this discussion is to provide a framework for how to effectively move evidence-based practices (EBP) from research to community-based delivery where children and families can benefit.


Parent-implemented intervention Implementation science Community-academic partnership Implementation strategies Scale-up 


  1. Aarons, G. A. (2006). Transformational and transactional leadership: Association with attitudes toward evidence-based practice. Psychiatric Services, 57, 1162–1169.CrossRefGoogle Scholar
  2. Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Sklar, M. (2014). Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation. Annual Review of Public Health, 35, 255–274.CrossRefGoogle Scholar
  3. Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38, 4–23. Scholar
  4. Addis, M. E., & Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, (2), 1–9.Google Scholar
  5. Brookman-Frazee, L., Stahmer, A. C., Lewis, K., Feder, J. D., & Reed, S. (2012). Building a research-community collaborative to improve community care for infants and toddlers at-risk for autism spectrum disorders. Journal of Community Psychology, 40, 715–734.CrossRefGoogle Scholar
  6. Carroll, C., Patterson, M., Wood, S., Booth, A., Rick, J., & Balain, S. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2.
  7. Chamberlain, P., Price, J., Reid, J., & Landsverk, J. (2008). Cascading implementation of a foster and kinship parent intervention. Child Welfare, 87, 27–48.PubMedPubMedCentralGoogle Scholar
  8. Curran, G. M., Bauer, M., Mittman, B., Pyne, J. M., & Stetler, C. (2012). Effectiveness-implementation hybrid designs: Combining elements of clinical effectiveness and implementation research to enhance public health impact. Medical Care, 50, 217–226.CrossRefGoogle Scholar
  9. Drahota, A. D., Meza, R., Brikho, B., Naaf, M., Estabillo, J., Spurgeon, E., et al. (2016). Community-academic partnerships: A systematic review of the state of the literature and recommendations for future research. Milbank Quarterly 94(1), 163–214.
  10. Eccles, M. P., & Mittman, B. (2006). Welcome to implementation science. Implementation Science, 1, 1–3.CrossRefGoogle Scholar
  11. Forgatch, M. S., Patterson, G. R., & DeGarmo, D. S. (2005). Evaluating fidelity: Predictive validity for a measure of competence adherence to the Oregon model of parent management training. Behavior Therapy, 36, 3–13.CrossRefGoogle Scholar
  12. Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93, 1261–1267.CrossRefGoogle Scholar
  13. Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly, 82, 581–629.CrossRefGoogle Scholar
  14. Grol, R., Bosch, M. C., Hulscher, M. E. J. L., Eccles, M. P., & Wensing, M. (2007). Planning and studying improvement in patient care: The use of theoretical perspectives. Milbank Quarterly, 85, 93–138.CrossRefGoogle Scholar
  15. Haine-Schlagel, R., & Martinez, J. (2015a). Appying an implementation science framework to the development and piloting of a parent engagement intervention for child mental health treatment. Philadelphia, PA: Society for Research in Child Development.Google Scholar
  16. Haine-Schlagel, R., & Martinez, J. (2015b). Pilot results of the Parent and Caregiver Active Partcipation Toolkit (PACT) in community based care. San Diego, CA: Society of Pediatric Psychology Annual Conference.Google Scholar
  17. Haine-Schlagel, R., Martinez, J., Roesch, S. C., Bustos, C., & Janicki, C. (under review). Randomized trial of the Parent and Caregiver Active Participation Toolkit for child mental health treatment.Google Scholar
  18. Hess, K. L., Morrier, M. J., Heflin, L. J., & Ivey, M. (2008). Autism treatment survey: Services received by children with autism spectrum disorders in public school classrooms. Journal of Autism and Developmental Disorders, 38, 961–971.CrossRefGoogle Scholar
  19. Hoagwood, K. (2003). The policy context for child and adolescent mental health services: Implications for systems reform and basic science development. Annals of the New York Academy of Sciences, 1008, 140–148.CrossRefGoogle Scholar
  20. Israel, B. A., Eng, E., Schulz, A. J., & Parker, E. A. (Eds.). (2005). Methods in community-based participatory research for health. San Francisco: Josey-Bass.Google Scholar
  21. Jones, L., & Wells, K. (2007). Strategies for academic and clinician engagement in community-participatory partnered research. The Journal of the American Medical Association, 197, 407–410.CrossRefGoogle Scholar
  22. LaVigna, G. W., Christian, L., & Willis, T. J. (2005). Developing behavioural services to meet defined standard within a national system of special education services. Developmental Neurorehabilitation, 8, 144–155.Google Scholar
  23. Lee, E., Stahmer, A. C., Reed, S., Searcy, K., & Brookman-Frazee, L. I. (2011). Differential learning of a blended intervention approach among therapists of varied backgrounds. Paper presented at the International Meeting for Autism Research, San Diego, CA,Google Scholar
  24. Lenfant, C. (2003). Clinical research to clinical practice – Lost in translation. New England Journal of Medicine, 349, 868–874. Scholar
  25. National Autism Center. (2009). National Standards Report. Randolph, MA: May Institute.Google Scholar
  26. National Autism Center. (2015). Findings and conclusions: National Standards Project, Phase 2. Randolph, MA: May Institute.Google Scholar
  27. Odom, S. L. (2009). The tie that binds: Evidence based practice, implementation science, and outcomes for children. Topics in Early Childhood Special Education, 29, 53–61.CrossRefGoogle Scholar
  28. Pepper, J., & Weitzman, E. (2004). It takes two to talk. Ontario: Hanen Center.Google Scholar
  29. Powell, B. J., McMillen, C., Proctor, E. K., Carpenter, C. R., Griffey, R. T., Bunger, A. C., et al. (2012). A compiliation of strategies for implementing clinical innovations in health and mental health. Medical Care Research and Review, 69, 123–157. Scholar
  30. Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., et al. (2015). A refined compilation of implementation strategies: Results from the Expert Recommendation for Implementing Change (ERIC) project. Implementation Science, 10.
  31. Price, R. H., Friedland, D. S., Choi, J., & Caplan, R. D. (1998). Jobloss and work transitions in a time of global economic change. In X. Arrigaga & S. Oskamp (Eds.), Addressing community problems: Psychologial research and interventions (pp. 195–222). Thousand Oaks, CA: Sage.Google Scholar
  32. Schein, E. (2004). Organizational culture and leadership (3rd ed.). San Francisco: Jossey-Bass.Google Scholar
  33. Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R. J., Rogers, S. J., McGee, G. G., et al. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders.
  34. Spoth, R., Clair, S., Greenberg, M., Redmond, C., & Shin, C. (2007). Toward dissemination of evidence-based family interventions: Maintenance of community-based partnership recruitment results and associated factors. Journal of Family Psychology, 21, 137–146.CrossRefGoogle Scholar
  35. Stahmer, A. C., Brookman-Frazee, L., Lee, E., Searcy, K., & Reed, S. (2011). Parent and multi-disciplinary provider perspectives on earliest intervention for children at-risk for autism spectrum disorders. Infants and Young Children, 24, 344–363.CrossRefGoogle Scholar
  36. Stahmer, A. C., Brookman-Frazee, L. I., Rieth, S. R., Stoner, J. T., & Wang, T. (2017). Parent perceptions of an adapted evidence-based practice for toddlers with autism in a community setting. Autism 21(2), 217–230.Google Scholar
  37. Stahmer, A. C., Collings, N., & Palinkas, L. (2005). Early intervention practices for children with autism: Descriptions from community providers. Focus on Autism and Other Developmental Disabilities, 20, 66–78.CrossRefGoogle Scholar
  38. Stirman, S. W., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science, 7.
  39. Suhrheinrich, J. (2015). A sustainable model for training teachers to use pivotal response training. Autism, 19, 713–723. Scholar
  40. Wong, C., Odom, S. L., Hume, K., Cox, A. W., Fettig, A., Kucharczyk, S., et al. (2014). Evidence-based practices for children youth, and young adults with autism spectrum disorder. Chapel Hill, NC: The University of North Carolina, Frank Porter Graham Child Development Institute, Autism Evidence Based Practice Review Group.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sarah R. Rieth
    • 1
    • 2
    Email author
  • Aubyn C. Stahmer
    • 3
  • Lauren Brookman-Frazee
    • 4
    • 5
  1. 1.Department of Child and Family DevelopmentSan Diego State UniversitySan DiegoUSA
  2. 2.Child and Adolescent Services Research Center, Rady Children’s HospitalSan DiegoUSA
  3. 3.Department of Psychiatry and Behavioral SciencesUC Davis MIND Institute, UC Davis Medical Center, Child and Adolescent Services Research CenterSacramentoUSA
  4. 4.Department of PsychiatryUniversity of CaliforniaLa JollaUSA
  5. 5.Child and Adolescent Services Research Center, Rady Children’s HospitalSan DiegoUSA

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