Mapping Approaches to Prepare for Implementation Transfer (MAP-IT)

Information

  • Research Project
  • 9788382
  • ApplicationId
    9788382
  • Core Project Number
    R21DA044261
  • Full Project Number
    5R21DA044261-02
  • Serial Number
    044261
  • FOA Number
    PAR-16-236
  • Sub Project Id
  • Project Start Date
    9/30/2018 - 5 years ago
  • Project End Date
    8/31/2020 - 3 years ago
  • Program Officer Name
    DUFFY, SARAH Q
  • Budget Start Date
    9/1/2019 - 4 years ago
  • Budget End Date
    8/31/2020 - 3 years ago
  • Fiscal Year
    2019
  • Support Year
    02
  • Suffix
  • Award Notice Date
    8/14/2019 - 4 years ago

Mapping Approaches to Prepare for Implementation Transfer (MAP-IT)

Project Summary/Abstract For implementation (and sustainment) of new interventions to be successful, it is critical that barriers are identified and addressed prior to change. It is challenging, however, for agencies to independently assess their own strengths and weaknesses and to develop plans for organizational improvement. Furthermore, the sheer number of strategies to promote implementation makes it difficult for agency leadership to decipher which are most appropriate for their own contexts and needs. This application proposes to develop and pilot test Mapping Approaches to Prepare for Implementation Transfer (MAP-IT), an organizational intervention that includes four key elements: (1) guidelines on forming an implementation workgroup to inform and promote implementation efforts, (2) instruction on mechanisms known to impact implementation, (3) tools and instruction for conducting an agency-driven diagnosis of potential implementation barriers, and (4) tools for developing an implementation blueprint to address identified barriers (including instruction on strategies for addressing potential barriers prior to implementation). The premise of this application is significant in that MAP-IT would provide a low-cost (agency-driven opportunity for deliberate implementation preparedness, without ongoing external coaching) and sustainable (skill development for multiple individuals within the organization that can be applied to future implementation efforts) alternative to promoting organizational adoption of new practices. The specific aims of the proposed research are as follows: Aim 1 ? developing a comprehensive implementation intervention to promote deliberate agency implementation preparation, MAP-IT, that builds on our previous work by adapting and integrating three established lines of research ? organizational assessment and feedback; taxonomy of implementation strategies; and visual-spatial decision making techniques, and AIM 2 ? conducting a 2-arm cluster randomized efficacy trial of the MAP-IT intervention, with 12 substance abuse treatment agencies randomized to either MAP-IT (EBP and MAP-IT trainings) or the control condition (EBP training only). Successful completion of the aims is expected to (1) establish preliminary evidence for the efficacy of a low-cost, sustainable alternative for improving implementation preparation that agencies can use to support and expedite implementation transfer, (2) shift the current paradigm by encouraging researchers (designing uptake studies) and health care agencies (independently striving to implement new practices) to place greater emphasis on pre-implementation preparations for change, (3) provide an empirical examination of how exploration and preparation can support implementation, using established measurement platforms and theoretical frameworks, and (4) provide documentation of agency selection of implementation strategies for promoting change in real-world settings. Findings from the proposed R21 will inform intervention effectiveness testing and implementation strategy selection in a future R01 aimed at improving uptake of best practices within behavioral healthcare delivery services using a full-scale randomized control trial.

IC Name
NATIONAL INSTITUTE ON DRUG ABUSE
  • Activity
    R21
  • Administering IC
    DA
  • Application Type
    5
  • Direct Cost Amount
    125000
  • Indirect Cost Amount
    42656
  • Total Cost
    167656
  • Sub Project Total Cost
  • ARRA Funded
    False
  • CFDA Code
    279
  • Ed Inst. Type
    ORGANIZED RESEARCH UNITS
  • Funding ICs
    NIDA:167656\
  • Funding Mechanism
    Non-SBIR/STTR RPGs
  • Study Section
    DIRH
  • Study Section Name
    Dissemination and Implementation Research in Health Study Section
  • Organization Name
    TEXAS CHRISTIAN UNIVERSITY
  • Organization Department
    MISCELLANEOUS
  • Organization DUNS
    043807882
  • Organization City
    FORT WORTH
  • Organization State
    TX
  • Organization Country
    UNITED STATES
  • Organization Zip Code
    761290001
  • Organization District
    UNITED STATES