A model for rigorously applying the Exploration, Preparation, Implementation, Sustainment (EPIS) framework in the design and measurement of a large scale collaborative multi-site study

Jennifer E. Becan, John P. Bartkowski, Danica K. Knight, Tisha R.A. Wiley, Ralph DiClemente, Lori Ducharme, Wayne N. Welsh, Diana Bowser, Kathryn McCollister, Matthew Hiller, Anne C. Spaulding, Patrick M. Flynn, Andrea Swartzendruber, Megan F. Dickson, Jacqueline Horan Fisher, Gregory A. Aarons

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background: This paper describes the means by which a United States National Institute on Drug Abuse (NIDA)-funded cooperative, Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS), utilized an established implementation science framework in conducting a multi-site, multi-research center implementation intervention initiative. The initiative aimed to bolster the ability of juvenile justice agencies to address unmet client needs related to substance use while enhancing inter-organizational relationships between juvenile justice and local behavioral health partners. Methods: The EPIS (Exploration, Preparation, Implementation, Sustainment) framework was selected and utilized as the guiding model from inception through project completion; including the mapping of implementation strategies to EPIS stages, articulation of research questions, and selection, content, and timing of measurement protocols. Among other key developments, the project led to a reconceptualization of its governing implementation science framework into cyclical form as the EPIS Wheel. The EPIS Wheel is more consistent with rapid-cycle testing principles and permits researchers to track both progressive and recursive movement through EPIS. Moreover, because this randomized controlled trial was predicated on a bundled strategy method, JJ-TRIALS was designed to rigorously test progress through the EPIS stages as promoted by facilitation of data-driven decision making principles. The project extended EPIS by (1) elucidating the role and nature of recursive activity in promoting change (yielding the circular EPIS Wheel), (2) by expanding the applicability of the EPIS framework beyond a single evidence-based practice (EBP) to address varying process improvement efforts (representing varying EBPs), and (3) by disentangling outcome measures of progression through EPIS stages from the a priori established study timeline. Discussion: The utilization of EPIS in JJ-TRIALS provides a model for practical and applied use of implementation frameworks in real-world settings that span outer service system and inner organizational contexts in improving care for vulnerable populations. Trial registration: NCT02672150. Retrospectively registered on 22 January 2016.

Original languageEnglish (US)
Article number9
JournalHealth and Justice
Volume6
Issue number1
DOIs
StatePublished - Dec 1 2018

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Social Justice
Translational Medical Research
National Institute on Drug Abuse (U.S.)
Aptitude
justice
Evidence-Based Practice
Vulnerable Populations
Research
legal system
Decision Making
Randomized Controlled Trials
Research Personnel
Outcome Assessment (Health Care)
adolescent
Health
drug abuse
science

Keywords

  • Conceptual frameworks
  • Data-driven decision making
  • Exploration, Preparation, Implementation, Sustainment
  • Facilitation
  • Juvenile justice
  • Substance use

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Law

Cite this

A model for rigorously applying the Exploration, Preparation, Implementation, Sustainment (EPIS) framework in the design and measurement of a large scale collaborative multi-site study. / Becan, Jennifer E.; Bartkowski, John P.; Knight, Danica K.; Wiley, Tisha R.A.; DiClemente, Ralph; Ducharme, Lori; Welsh, Wayne N.; Bowser, Diana; McCollister, Kathryn; Hiller, Matthew; Spaulding, Anne C.; Flynn, Patrick M.; Swartzendruber, Andrea; Dickson, Megan F.; Fisher, Jacqueline Horan; Aarons, Gregory A.

In: Health and Justice, Vol. 6, No. 1, 9, 01.12.2018.

Research output: Contribution to journalArticle

Becan, JE, Bartkowski, JP, Knight, DK, Wiley, TRA, DiClemente, R, Ducharme, L, Welsh, WN, Bowser, D, McCollister, K, Hiller, M, Spaulding, AC, Flynn, PM, Swartzendruber, A, Dickson, MF, Fisher, JH & Aarons, GA 2018, 'A model for rigorously applying the Exploration, Preparation, Implementation, Sustainment (EPIS) framework in the design and measurement of a large scale collaborative multi-site study', Health and Justice, vol. 6, no. 1, 9. https://doi.org/10.1186/s40352-018-0068-3
Becan, Jennifer E. ; Bartkowski, John P. ; Knight, Danica K. ; Wiley, Tisha R.A. ; DiClemente, Ralph ; Ducharme, Lori ; Welsh, Wayne N. ; Bowser, Diana ; McCollister, Kathryn ; Hiller, Matthew ; Spaulding, Anne C. ; Flynn, Patrick M. ; Swartzendruber, Andrea ; Dickson, Megan F. ; Fisher, Jacqueline Horan ; Aarons, Gregory A. / A model for rigorously applying the Exploration, Preparation, Implementation, Sustainment (EPIS) framework in the design and measurement of a large scale collaborative multi-site study. In: Health and Justice. 2018 ; Vol. 6, No. 1.
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AU - Flynn, Patrick M.

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