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Updated: May 8, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Iterative quality improvement can occur faster than one element at a time
Mary Jane Rotheram-Borus1, Dallas Swendeman, Bruce F Chorpita
1University of California, Los Angeles.
The American Psychologist
|September 11, 2013
Summary
Disruptive innovations in evidence-based interventions are crucial for real-world application. The authors argue against a false dichotomy between testing elements individually and immediate service implementation for behavioral interventions.
Area of Science:
- Behavioral Science
- Intervention Design
- Public Health
Background:
- Critiques of previous work on designing and diffusing evidence-based interventions (EBIs) are addressed.
- The dominant scientific paradigm emphasizes systematic, element-by-element testing before service application.
- Real-world complexities necessitate alternative approaches to EBI development and dissemination.
Purpose of the Study:
- To respond to commentary regarding the application of disruptive innovations in EBIs.
- To challenge the notion that rigorous, isolated testing is a mandatory prerequisite for EBI implementation.
- To advocate for flexible approaches that balance scientific rigor with urgent societal needs.
Main Methods:
- Conceptual analysis and response to scholarly critique.
- Discussion of real-world constraints in behavioral intervention research and implementation.
- Argumentation for a pragmatic approach to EBI design and diffusion.
Main Results:
- The authors maintain that a strict "test-first" approach is a false dichotomy.
- Real-world complexities, including urgent needs and funding, necessitate concurrent testing and application.
- Disruptive innovations offer a pathway to more effective and timely EBI diffusion.
Conclusions:
- The dichotomy between pre-application testing and immediate service delivery is artificial.
- Integrating disruptive innovations allows for more responsive and impactful EBI design and implementation.
- Future research and practice should embrace adaptive strategies for behavioral interventions.
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