Abstract
A lack of community and leadership support has been previously identified as a potential barrier to engaging in implementation research. With the aim to identify specific support factors influencing implementation research behavior, we performed an online survey of health researchers in the USA in 2018. Implementation research behaviors and perceived support for implementation research were measured. Support was measured from 1 (none) to 5 (most) community members/leaders perceived to have a characteristic. Measurement of engagement in each implementation research behavior was binary. We performed multivariable logistic regression models of perceived support as predictors of engagement of each implementation research behavior. Of the 1767 health researchers, 90.4% reported using implementation measures, 49.7% reported participating in implementation studies, and only 37.2% reported applying for implementation-focused funding. Implementation measure use was more likely with each increase in perceived level of support in the form of community concern with implementation and having leaders prioritize implementation efforts. Existing efforts to increase implementation research nearly tripled the likelihood of participating in an implementation study and more than doubled studying previously successful intervention trials in a real-world setting. To increase engagement in implementation research, efforts beyond raising community awareness of implementation science are needed. Engaging leadership may be more likely to generate the funding and structural support needed to reduce barriers to implementation research engagement.
Similar content being viewed by others
Data Availability
The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.
References
Berg-Schlosser, D., De Meur, G., Rihoux, B., & Ragin, C. C. (2009). Qualitative comparative analysis (QCA) as an approach. Configurational Comparative Methods: Qualitative Comparative Analysis (QCA) and Related Techniques, 1, 18
Brekke, J. S., Ell, K., & Palinkas, L. A. (2007). Translational science at the national institute of mental health: Can social work take its rightful place? Research on Social Work Practice, 17(1), 123–133. https://doi.org/10.1177/1049731506293693
Brownson, R. C., Fielding, J. E., & Green, L. W. (2018). Building capacity for evidence-based public health: Reconciling the pulls of practice and the push of research. Annual Review of Public Health, 39, 27–53. https://doi.org/10.1146/annurev-publhealth-040617-014746
Chambers, D., Simpson, L., Hill-Briggs, F., Neta, G., Vinson, C., Chambers, D., Beidas, R., Marcus, S., Aarons, G., Hoagwood, K., Schoenwald, S., Evans, A., Hurford, M., Rubin, R., Hadley, T., Barg, F., Walsh, L., Adams, D., Mandell, D., &, Teufel, J. (2016). Proceedings of the 8th Annual Conference on the Science of Dissemination and Implementation: Washington, DC, USA. 14–15 December 2015. Implementation science : IS, 11(Suppl 2), 100. https://doi.org/10.1186/s13012-016-0452-0
Chambers, D., Simson, L., & Neta, G. (2018). Proceedings from the 10th Annual Conference on the Science of Dissemination and Implementation. Implementation Science, 13(4), 1–67. https://doi.org/10.1186/s13012-018-0728-7
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4, 50. https://doi.org/10.1186/1748-5908-4-50
Durlak, J. A., & DuPre, E. P. (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(3–4), 327–350. https://doi.org/10.1007/s10464-008-9165-0
Edwards, R. W., Jumper-Thurman, P., Plested, B. A., Oetting, E. R., & Swanson, L. (2000). Community readiness: Research to practice. Journal of Community Psychology, 28(3), 291–307. https://doi.org/10.1002/(SICI)1520-6629(200005)28:3%3c291::AID-JCOP5%3e3.0.CO;2-9
Glasgow, R. E., & Emmons, K. M. (2007). How can we increase translation of research into practice? Types of evidence needed. Annual Review of Public Health, 28, 413–433. https://doi.org/10.1146/annurev.publhealth.28.021406.144145
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(8), 1261–1267
Gresham, F., Gansle, K., Noell, G., & Cohen, S. (1993). Treatment integrity of school-based behavioral intervention studies: 1980–1990. School Psychology Review, 22, 254–272
Gresham, F., MacMillan, D., Beebe-Frankenberger, M., & Bocian, K. (2000). Treatment integrity in learning disabilities intervention research: Do we really know how treatments are implemented? Learning Disabilities Research & Practice, 15(4), 198–205. https://doi.org/10.1207/SLDRP1504_4
Kostadinov, I., Daniel, M., Stanley, L., Gancia, A., & Cargo, M. (2015). A systematic review of community readiness tool applications: Implications for reporting. International Journal of Environmental Research and Public Health, 12(4), 3453–3468. https://doi.org/10.3390/ijerph120403453
Kurtessis, J. N., Eisenberger, R., Ford, M. T., Buffardi, L. C., Stewart, K. A., & Adis, C. S. J. J. O. M. (2017). Perceived organizational support: A meta-analytic evaluation of organizational support theory. Journal of Management, 43(6), 1854–1884
Lauer, M. (2018). Trends in Diversity within the NIH-funded Workforce. Extramural Nexus. Retrieved January 14, 2020 from https://nexus.od.nih.gov/all/2018/08/07/trends-in-diversity-within-the-nih-funded-workforce/
Liu, W., Fan, X., Ji, R., & Jiang, Y. (2019). Perceived community support, users’ interactions, and value co-creation in online health community: The moderating effect of social exclusion. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph17010204
Lobb, R., & Colditz, G. A. (2013). Implementation science and its application to population health. Annual Review of Public Health, 34, 235–251. https://doi.org/10.1146/annurev-publhealth-031912-114444
McIntyre, L. L., Gresham, F. M., DiGennaro, F. D., & Reed, D. D. (2007). Treatment integrity of school-based interventions with children in the journal of applied behavior analysis 1991–2005. Journal of Applied Behavior Analysis, 40(4), 659–672
Morris, Z. S., Wooding, S., & Grant, J. (2011). The answer is 17 years, what is the question: Understanding time lags in translational research. Journal of the Royal Society of Medicine, 104(12), 510–520. https://doi.org/10.1258/jrsm.2011.110180
Peterson, L., Homer, A. L., & Wonderlich, S. A. (1982). The integrity of independent variables in behavior analysis. Journal of Applied Behavior Analysis, 15(4), 477–492. https://doi.org/10.1901/jaba.1982.15-477
Prasad, V., & Ioannidis, J. P. (2014). Evidence-based de-implementation for contradicted, unproven, and aspiring healthcare practices [journal article]. Implementation Science, 9(1), 1–5. https://doi.org/10.1186/1748-5908-9-1
Prochaska, J. O., & DiClemente, C. C. (2005). The transtheoretical approach. Handbook of Psychotherapy Integration, 2, 147–171
Rogers, E. M. (2003). Diffusion of Innovations, 5th Edition. Free Press. https://books.google.com/books?id=9U1K5LjUOwEC
Savage, N. (2018). Collaboration is the key to cancer research. Nature, 556(7700), S1–S3. https://doi.org/10.1038/d41586-018-04164-7
Savitz, D. A., & Olshan, A. F. (1995). Multiple comparisons and related issues in the interpretation of epidemiologic data. American Journal of Epidemiology, 142(9), 904–908. https://doi.org/10.1093/oxfordjournals.aje.a117737%JAmericanJournalofEpidemiology
Stevens, E. R., Shelley, D., & Boden-Albala, B. (2020a). Barriers to engagement in implementation science research: A national survey. Translational Behavioral Medicine. https://doi.org/10.1093/tbm/ibz193
Stevens, E. R., Shelley, D., & Boden-Albala, B. (2020b). Perceptions of barriers and facilitators to engaging in implementation science: A qualitative study. Public Health, 185, 318–323. https://doi.org/10.1016/j.puhe.2020.06.016
Stevens, E. R., Shelley, D., & Boden-Albala, B. (2020c). Unrecognized implementation science engagement among health researchers in the USA: A national survey. Implementation Science Communications, 1(1), 39. https://doi.org/10.1186/s43058-020-00027-3
US Department of Health & Human Services. (2018). NIH RePORTER. Retrieved March 30, 2018 from https://projectreporter.nih.gov/reporter.cfm
Wheeler, J. J., Baggett, B. A., Fox, J., & Blevins, L. (2006). Treatment integrity: A review of intervention studies conducted with children with autism. Focus on Autism and Other Developmental Disabilities, 21(1), 45–54
Whitaker, R. G., Sperber, N., Baumgartner, M., Thiem, A., Cragun, D., Damschroder, L., Miech, E. J., Slade, A., & Birken, S. (2020). Coincidence analysis: A new method for causal inference in implementation science. Implementation Science, 15(1), 108. https://doi.org/10.1186/s13012-020-01070-3
Acknowledgements
The author wishes to acknowledge Drs. Donna Shelley and Bernadette Boden-Albala for their contributions to the survey design.
Funding
This study was funded by the New York University Dean’s Doctoral Research Scholarship.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts of interest to declare.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study protocol was approved by New York University IRB and all participants gave consent when completing the survey.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Stevens, E.R. The Influence of Community and Leadership Support on Implementation Research Behaviors. Glob Implement Res Appl 1, 102–108 (2021). https://doi.org/10.1007/s43477-021-00015-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s43477-021-00015-2