A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice.

Northwest Permanente, Portland, Oregon, USA.
Joint Commission journal on quality and patient safety / Joint Commission Resources 05/2008; 34(4):228-43.
Source: PubMed

ABSTRACT BACKGROUND: Although numerous studies address the efficacy and effectiveness of health interventions, less research addresses successfully implementing and sustaining interventions. As long as efficacy and effectiveness trials are considered complete without considering implementation in nonresearch settings, the public health potential of the original investments will not be realized. A barrier to progress is the absence of a practical, robust model to help identify the factors that need to be considered and addressed and how to measure success. A conceptual framework for improving practice is needed to integrate the key features for successful program design, predictors of implementation and diffusion, and appropriate outcome measures. DEVELOPING PRISM: A comprehensive model for translating research into practice was developed using concepts from the areas of quality improvement, chronic care, the diffusion of innovations, and measures of the population-based effectiveness of translation. PRISM--the Practical, Robust Implementation and Sustainability Model--evaluates how the health care program or intervention interacts with the recipients to influence program adoption, implementation, maintenance, reach, and effectiveness. DISCUSSION: The PRISM model provides a new tool for researchers and health care decision makers that integrates existing concepts relevant to translating research into practice.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Universities have long borne an influential role in sustainability. Nonetheless, the affinity toward eclectic and piecemeal practices has been addressed as oxymoron to the essence of sustainable development, and the need to hone campus members’ buy-in is credited to be cardinal for systemic transformation. Major attributes for systemic campus sustainability are identified, incorporated, and proposed via a conceptual model. Those attributes are key sustainable development areas as well as perception and motivation on the topics that must be taken into consideration by universities to be able to adhere to a more pragmatic and inclusive sustainable development. Thus, the central intent of the authors is to offer a mechanism which may facilitate as well as elevate systemic campus sustainability. An extensive review of the literature in the area of sustainability, perception, and motivation is conducted, which includes articles, journals, conference proceedings, university reports, books, and materials from websites. By extracting and integrating crucial constituents of sustainable development from various studies, this paper contributes to the existing literature on sustainable development providing an input to the implementation of systemic campus sustainability.
    Environment Development and Sustainability 12/2013; 15(6). DOI:10.1007/s10668-013-9451-3
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: There is great interest in the dissemination and implementation of evidence-based treatments and practices for children across schools and community mental health settings. A growing body of literature suggests that the use of one-time workshops as a training tool is ineffective in influencing therapist behavior and patient outcomes and that ongoing expert consultation and coaching is critical to actual uptake and quality implementation. Yet, we have very limited understanding of how expert consultation fits into the larger implementation support system, or the most effective consultation strategies. This commentary reviews the literature on consultation in child mental health, and proposes a set of core consultation functions, processes, and outcomes that should be further studied in the implementation of evidence-based practices for children.
    Administration and Policy in Mental Health and Mental Health Services Research 05/2013; DOI:10.1007/s10488-013-0502-8 · 3.44 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Many theoretical frameworks seek to describe the dynamic process of the implementation of innovations. Little is known, however, about factors related to decisions to adopt innovations and how the likelihood of adoption of innovations can be increased. Using a narrative synthesis approach, this paper compared constructs theorized to be related to adoption of innovations proposed in existing theoretical frameworks in order to identify characteristics likely to increase adoption of innovations. The overall goal was to identify elements across adoption frameworks that are potentially modifiable and, thus, might be employed to improve the adoption of evidence-based practices. The review identified 20 theoretical frameworks that could be grouped into two broad categories: theories that mainly address the adoption process (N = 10) and theories that address adoption within the context of implementation, diffusion, dissemination, and/or sustainability (N = 10). Constructs of leadership, operational size and structure, innovation fit with norms and values, and attitudes/motivation toward innovations each are mentioned in at least half of the theories, though there were no consistent definitions of measures for these constructs. A lack of precise definitions and measurement of constructs suggests further work is needed to increase our understanding of adoption of innovations.
    Administration and Policy in Mental Health and Mental Health Services Research 04/2013; DOI:10.1007/s10488-013-0486-4 · 3.44 Impact Factor


Available from