Project UPLIFT: Adoption and implementation experiences of an epilepsy self-management program.

Area of Science:

• Epilepsy self-management
• Telehealth interventions
• Mental health in chronic conditions

Background:

• Project UPLIFT is an evidence-based, 8-session group telehealth program designed to prevent and treat depression in people with epilepsy (PWE).
• Since 2012, community providers have been trained to deliver UPLIFT, but limited research exists on its adoption, implementation, and maintenance.

Purpose of the Study:

• To understand the adoption, implementation, and practice-based maintenance experiences of UPLIFT program adopters.
• To identify facilitators and challenges in delivering the UPLIFT program to people with epilepsy.

Main Methods:

• A cross-sectional online survey was distributed to 120 UPLIFT program adopters.
• The survey used closed- and open-ended questions based on the RE-AIM model to assess reach, effectiveness, adoption, implementation, and maintenance.
• Quantitative data were analyzed using frequencies and cross-tabs; qualitative data were analyzed thematically.

Main Results:

• 34% (41 respondents) completed the survey, representing diverse organizations.
• Key facilitators included participant interest, training, and organizational support; recruitment was the main challenge.
• Despite funding challenges, most implementers found UPLIFT effective and plan to continue offering it.

Conclusions:

• Implementation surveys offer valuable insights into program adoption and impact for dissemination trainees.
• Program champions, strong partnerships, and sustained funding are crucial for successful implementation and maintenance.
• Refining implementation support, including referral systems and ongoing training, can enhance program adoption and long-term success.