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Related Experiment Videos

A process for developing an implementation intervention: QUERI Series.

Geoffrey M Curran1, Snigda Mukherjee, Elise Allee

  • 1Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, North Little Rock, Arkansas, USA. currangeoffreym@uams.edu

Implementation Science : IS
|March 21, 2008
PubMed
Summary
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This study outlines a two-step process for developing interventions to help VA substance use disorder clinics adopt guideline-based depression care. This method aids in tailoring strategies for specific clinic needs and barriers.

Area of Science:

  • Implementation Science
  • Healthcare Quality Improvement
  • Clinical Practice Guidelines

Background:

  • Describes a process for developing implementation interventions for Veterans Affairs (VA) substance use disorder (SUD) clinics.
  • Focuses on assisting clinics in adopting evidence-based practices for depression treatment.
  • Part of a series on implementation science frameworks from the VA Quality Enhancement Research Initiative (QUERI).

Purpose of the Study:

  • To detail a structured methodology for creating tailored implementation interventions.
  • To support the adoption of guideline-based depression care in SUD treatment settings.
  • To offer a replicable process for multi-site implementation studies.

Main Methods:

  • Employs a two-step approach: formative evaluation for needs assessment and multi-disciplinary team-based intervention development.

Related Experiment Videos

  • Utilizes observations and key informant interviews (staff and patients) for data collection.
  • Investigates macro- and micro-level determinants of organizational and provider behavior.

    • Main Results:

    • The described process facilitates site-specific diagnosis of implementation needs, barriers, and facilitators.
    • Multi-disciplinary teams effectively interpret data to design tailored interventions.
    • The methodology integrates formative evaluation with expert-driven intervention design.

    Conclusions:

    • Presents a structured, optional method for designing small-scale, multi-site implementation studies.
    • The process is adapted from an evidence-based quality improvement strategy proven in primary care.
    • The efficacy of this implementation development process is being evaluated across various specialty care settings.