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Scaling Up Psychological Treatments: A Countrywide Test of the Online Training of Therapists

Its focus is to identify the best methods that enhance the uptake and utilization of the intervention. Implementation research seeks to understand the processes and factors that are associated with successful integration of evidence-based interventions within a particular setting e. Implementation research assesses whether the core components of the original intervention were faithfully incorporated into the real-world setting i.

The services will be offered to depressed adults in 15 European regions.

David H. Barlow | Psychological & Brain Sciences

The current paper describes the evaluation protocol for this large-scale implementation project. Current summative evaluation study follows a naturalistic one-group pretest—posttest design and assesses three distinct stakeholders: patients, mental healthcare professionals, and mental healthcare organisations. The primary focal points of interest are reach, clinical effect, acceptability, appropriateness, implementation costs, and sustainability of the interventions in practice. Mixed-methods are used to provide an understanding of what quantitative the implementation projects have achieved and their meaning to various stakeholders qualitative.

The use of Internet interventions in routine practice is limited. MasterMind attempts to bridge the gap between routine practice and effectiveness research by evaluating the implementation of evidence-based Internet interventions for depressive disorders in routine mental healthcare settings in Europe.

We use cookies to help provide and enhance our service and tailor content and ads. By continuing you agree to the use of cookies. However, support to ensure evidence-based approaches are always used within education continues to be an ongoing goal Kelly and Perkins, Recognition that interventions need to be implemented properly gives EPs the opportunity not only to work in line with these principles but also to build capacity within others across an array of settings.

The role of the EP has moved from casework toward more effective systemic ways of working; therefore, the EP is in an exceptional position to:. Jaycox et al.

They emphasize the importance of becoming familiar with the school staff, its cultures and context through regular contact. In addition, the EP should be sensitive to individuals' workloads by asking school staff only to perform necessary tasks.

Throughout the process of implementation, there is a great deal of ongoing monitoring that must take place. Programme implementers should assess success throughout the implementation period and ensure it by adapting the programme to meet the needs of the setting. Therefore, teachers need to understand the importance of implementation monitoring. Players require motivation to fully incorporate these functions into their workload. Furthermore, it may be difficult for an EP to ensure that fidelity is being maintained by teachers, especially when there are competing job pressures.

It is therefore of paramount importance that positive working relationships are maintained and that communication is ongoing. The EP should adopt a flexible and sensitive approach in order to yield the best outcomes. A threat to any intervention is ignoring the whole system of which the school is a part. An example: a teacher wants to implement new class behavior guidelines.

For this to be successful, the class rules must be in line with the school and local authority policies and guidelines. Implementation science encourages us all to look at the wider multilevel influences at play. In addition, core implementation components must fit within the organizational components and other social, economic and political influences Sullivan et al.

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If the relationships between these factors are poor, there is less chance of the intervention being implemented with pure fidelity. Here, again, the EP can play a pivotal role in supporting the school's ability to acknowledge all contextual factors. Within every organization, there are many layers of staff, policies, systems and barriers. Promoting positive change therefore requires a multifaceted approach. If a teacher believes that an intervention is beneficial, they will be more likely to implement it with fidelity Datnow and Castellano, ; Waugh, Therefore, teachers who have previous experience of an evidence-based intervention which was implemented poorly, thereby yielding disadvantageous outcomes, are unlikely to be motivated to implement the same intervention successfully.

Due to these human belief systems, poor implementation could therefore impact on future implementation potential. In such cases the EP may have to sensitively challenge the beliefs that have led to evidence-based programmes being perceived as ineffective. Schools and EPs should work together to design and evaluate initiatives by properly adhering to implementation guidance. Only then is there the best chance of supporting positive change and having maximum impact on the lives of children and families. Finally, EPs are researchers and have much to offer the study of implementation science. Understanding the fundamentals of this approach and supporting other researchers offer additional opportunities to bring about positive change.

Implementation science is a universal strategy to ensure that programmes make sustainable positive differences. It acknowledges the systems in place, which interact with each other, and has the potential to significantly improve outcomes for individuals everywhere. Implementation science needs to be incorporated into the design and evaluation of every school programme to ensure effectiveness and sustainability. There are many challenges evident, and players should concentrate on long-term gains rather than short-term fixes to successfully embrace this approach and invest the necessary funding, support and attention.

The EP is in an ideal position to support the education system in using these principles and embracing new opportunities of joint working and cross-sector collaboration. The author confirms being the sole contributor of this work and approved it for publication. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Armenakis, A.

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Bosworth, K. The impact of leadership involvement in enhancing high school climate and reducing bullying: an exploratory study. Bronfenbrenner, U.

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Cambridge: Harvard University Press. CAPS Carroll, C. A conceptual framework for implementation fidlity. CASEL Collaborative for Academic , Social and Emotional Learning. Available online at: www. CAST Incredible Years. Dane, A. Program integrity in primary and early secondary prevention: are implementation effects out of control. Datnow, A.


Teachers' responses to success for all: how beliefs, experiences, and adaptations shape implementation. Dunst, C. Let's be PALS an evidence-based approach to professional development. Infant Young Child. Durlak, J. The importance of doing well in whatever you do: a commentary on the special section.

Early Child. Education Endowment Foundation Fallon, L. Promoting teachers' implementation of culturally and contextually relevant class-wide behavior plans. Fixsen, D.