TY - JOUR
KW - Alcohol-Related Disorders/diagnosis/therapy
KW - Evidence-Based Practice/methods
KW - Humans
KW - Multicenter Studies as Topic/methods/standards
KW - Pilot Projects
KW - Primary Health Care/methods
KW - Process Assessment (Health Care)/methods/standards
KW - Program Evaluation/methods/standards
AU - D. K. King
AU - S. J. Gonzalez
AU - J. A. Hartje
AU - B. L. Hanson
AU - C. Edney
AU - H. Snell
AU - R. J. Zoorob
AU - N. A. Roget
A1 - 
AB - The U.S. Preventive Services Task Force recommends that clinicians adopt universal alcohol screening and brief intervention as a routine preventive service for adults, and efforts are underway to support its widespread dissemination. The likelihood that healthcare systems will sustain this change, once implemented, is under-reported in the literature. This article identifies factors that were important to postimplementation sustainability of an evidence-based practice change to address alcohol misuse that was piloted within three diverse primary care organizations. The Centers for Disease Control and Prevention funded three academic teams to pilot and evaluate implementation of alcohol screening and brief intervention within multiclinic healthcare systems in their respective regions. Following the completion of the pilots, teams used the Program Sustainability Assessment Tool to retrospectively describe and compare differences across eight sustainability domains, identify strengths and potential threats to sustainability, and make recommendations for improvement. Health systems varied across all domains, with greatest differences noted for Program Evaluation, Strategic Planning, and Funding Stability. Lack of funding to sustain practice change, or data monitoring to promote fit and fidelity, was an indication of diminished Organizational Capacity in systems that discontinued the service after the pilot. Early assessment of sustainability factors may identify potential threats that could be addressed prior to, or during implementation to enhance Organizational Capacity. Although this study provides a retrospective assessment conducted by external academic teams, it identifies factors that may be relevant for translating evidence-based behavioral interventions in a way that assures that they are sustained within healthcare systems.
AD - University of Alaska Anchorage, Center for Behavioral Health Research and Services, Anchorage, AK, USA.; Baylor College of Medicine, Department of Family and Community Medicine, Houston, TX, USA.; University of Nevada, Reno, Center for the Application of Substance Abuse Technologies, Reno, NV, USA.; University of Alaska Anchorage, Center for Behavioral Health Research and Services, Anchorage, AK, USA.; University of Nevada, Reno, Center for the Application of Substance Abuse Technologies, Reno, NV, USA.; Meharry Medical College, Department of Family and Community Medicine, Nashville, TN, USA.; Baylor College of Medicine, Department of Family and Community Medicine, Houston, TX, USA.; University of Nevada, Reno, Center for the Application of Substance Abuse Technologies, Reno, NV, USA.
BT - Translational behavioral medicine
C5 - Financing & Sustainability; Measures; Opioids & Substance Use
CP - 5
CY - England
DO - 10.1093/tbm/ibx020
IS - 5
JF - Translational behavioral medicine
LA - eng
M1 - Journal Article
N2 - The U.S. Preventive Services Task Force recommends that clinicians adopt universal alcohol screening and brief intervention as a routine preventive service for adults, and efforts are underway to support its widespread dissemination. The likelihood that healthcare systems will sustain this change, once implemented, is under-reported in the literature. This article identifies factors that were important to postimplementation sustainability of an evidence-based practice change to address alcohol misuse that was piloted within three diverse primary care organizations. The Centers for Disease Control and Prevention funded three academic teams to pilot and evaluate implementation of alcohol screening and brief intervention within multiclinic healthcare systems in their respective regions. Following the completion of the pilots, teams used the Program Sustainability Assessment Tool to retrospectively describe and compare differences across eight sustainability domains, identify strengths and potential threats to sustainability, and make recommendations for improvement. Health systems varied across all domains, with greatest differences noted for Program Evaluation, Strategic Planning, and Funding Stability. Lack of funding to sustain practice change, or data monitoring to promote fit and fidelity, was an indication of diminished Organizational Capacity in systems that discontinued the service after the pilot. Early assessment of sustainability factors may identify potential threats that could be addressed prior to, or during implementation to enhance Organizational Capacity. Although this study provides a retrospective assessment conducted by external academic teams, it identifies factors that may be relevant for translating evidence-based behavioral interventions in a way that assures that they are sustained within healthcare systems.
PP - England
PY - 2018
SN - 1613-9860; 1613-9860
SP - 776
EP - 784
EP - 
T1 - Examining the sustainability potential of a multisite pilot to integrate alcohol screening and brief intervention within three primary care systems
T2 - Translational behavioral medicine
TI - Examining the sustainability potential of a multisite pilot to integrate alcohol screening and brief intervention within three primary care systems
U1 - Financing & Sustainability; Measures; Opioids & Substance Use
U2 - 29370421
U3 - 10.1093/tbm/ibx020
VL - 8
VO - 1613-9860; 1613-9860
Y1 - 2018
Y2 - Sep 8
ER -