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1. Finite-sample adjustments for comparing clustered adaptive interventions using data from a clustered SMART

Author

Pan, Wenchu, Almirall, Daniel, Kilbourne, Amy M., Quanbeck, Andrew, and Wang, Lu

Subjects
Statistics - Methodology
Abstract

Adaptive interventions, aka dynamic treatment regimens, are sequences of pre-specified decision rules that guide the provision of treatment for an individual given information about their baseline and evolving needs, including in response to prior intervention. Clustered adaptive interventions (cAIs) extend this idea by guiding the provision of intervention at the level of clusters (e.g., clinics), but with the goal of improving outcomes at the level of individuals within the cluster (e.g., clinicians or patients within clinics). A clustered, sequential multiple-assignment randomized trials (cSMARTs) is a multistage, multilevel randomized trial design used to construct high-quality cAIs. In a cSMART, clusters are randomized at multiple intervention decision points; at each decision point, the randomization probability can depend on response to prior data. A challenge in cluster-randomized trials, including cSMARTs, is the deleterious effect of small samples of clusters on statistical inference, particularly via estimation of standard errors. \par This manuscript develops finite-sample adjustment (FSA) methods for making improved statistical inference about the causal effects of cAIs in a cSMART. The paper develops FSA methods that (i) scale variance estimators using a degree-of-freedom adjustment, (ii) reference a t distribution (instead of a normal), and (iii) employ a ``bias corrected" variance estimator. Method (iii) requires extensions that are unique to the analysis of cSMARTs. Extensive simulation experiments are used to test the performance of the methods. The methods are illustrated using the Adaptive School-based Implementation of CBT (ASIC) study, a cSMART designed to construct a cAI for improving the delivery of cognitive behavioral therapy (CBT) by school mental health professionals within high schools in Michigan.

Published
2024

2. Using Stakeholder Values to Promote Implementation of an Evidence-Based Mobile Health Intervention for Addiction Treatment in Primary Care Settings

Author

Quanbeck, Andrew

Subjects
Information technology, T58.5-58.64, Public aspects of medicine, RA1-1270
Abstract

BackgroundMost evidence-based practices (EBPs) do not find their way into clinical use, including evidence-based mobile health (mHealth) technologies. The literature offers implementers little practical guidance for successfully integrating mHealth into health care systems. ObjectiveThe goal of this research was to describe a novel decision-framing model that gives implementers a method of eliciting the considerations of different stakeholder groups when they decide whether to implement an EBP. MethodsThe decision-framing model can be generally applied to EBPs, but was applied in this case to an mHealth system (Seva) for patients with addiction. The model builds from key insights in behavioral economics and game theory. The model systematically identifies, using an inductive process, the perceived gains and losses of different stakeholder groups when they consider adopting a new intervention. The model was constructed retrospectively in a parent implementation research trial that introduced Seva to 268 patients in 3 US primary care clinics. Individual and group interviews were conducted to elicit stakeholder considerations from 6 clinic managers, 17 clinicians, and 6 patients who were involved in implementing Seva. Considerations were used to construct decision frames that trade off the perceived value of adopting Seva versus maintaining the status quo from each stakeholder group’s perspective. The face validity of the decision-framing model was assessed by soliciting feedback from the stakeholders whose input was used to build it. ResultsPrimary considerations related to implementing Seva were identified for each stakeholder group. Clinic managers perceived the greatest potential gain to be better care for patients and the greatest potential loss to be cost (ie, staff time, sustainability, and opportunity cost to implement Seva). All clinical staff considered time their foremost consideration—primarily in negative terms (eg, cognitive burden associated with learning a new system) but potentially in positive terms (eg, if Seva could automate functions done manually). Patients considered safety (anonymity, privacy, and coming from a trusted source) to be paramount. Though payers were not interviewed directly, clinic managers judged cost to be most important to payers—whether Seva could reduce total care costs or had reimbursement mechanisms available. This model will be tested prospectively in a forthcoming mHealth implementation trial for its ability to predict mHealth adoption. Overall, the results suggest that implementers proactively address the cost and burden of implementation and seek to promote long-term sustainability. ConclusionsThis paper presents a model implementers may use to elicit stakeholders’ considerations when deciding to adopt a new technology, considerations that may then be used to adapt the intervention and tailor implementation, potentially increasing the likelihood of implementation success. Trial RegistrationClinicalTrials.gov NCT01963234; https://clinicaltrials.gov/ct2/show/NCT01963234 (Archived by WebCite at http://www.webcitation.org/78qXQJvVI)

Published
2019
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7. Adoption of opioid-prescribing guidelines in primary care: a realist synthesis of contextual factors

Author

Quanbeck, Andrew

Subjects
Practice guidelines (Medicine) -- Evaluation, Opioids -- Dosage and administration, Primary health care -- Methods, Health, Science and technology
Abstract

Context: Primary care clinics Objective: As part of an effort to design an implementation strategy tailoring tool, our research group sought to understand what is known about how contextual factors and prescriber characteristics affect the adoption of guideline-concordant opioid-prescribing practices in primary care settings. Study Design and Analysis: We conducted a realist synthesis of 71 articles. Setting or Dataset: Global literature review Population Studied: Patients on long-term opioid therapy for chronic pain Intervention/Instrument: N/A Outcome Measures: Adoption of clinical guidelines for opioid prescribing in primary care settings. Results: We found that adoption is related to contextual factors at the individual, clinic, health system and environmental levels, which operate via intrapersonal, interpersonal, organisational and structural mechanisms. Prescriber level factors tending towards adherence included: training in palliative care, pain management, mental health, or addiction medicine; frequent, high-volume opioid prescribing; medication for opioid use disorder prescribing; and knowing someone who has died of an opioid overdose. Prescriber level factors tending towards non-adherence included low-volume, low-dose prescribing; pharmaceutical company-sponsored training in opioids; and incentives from pharmaceutical companies. Clinic level factors tending towards adherence included a team- based culture; interdisciplinarity; and a culture of QI. Clinic level factors tending towards non-adherence included turf battles and clinician conflict about opioid prescribing. Health system factors tending towards adherence included clear policies toward opioid prescribing, including mandates; and resources devoted to supporting guideline adherence. Health system factors tending towards non- adherence included high demand/low support; workflows that do not accommodate guideline concordant care; administrative intrusion into clinical decision-making; and inadequate prescriber compensation. Environmental factors tending towards non-adherence included poverty and health disparities. Conclusion: A static model cannot capture the complexity of the relationships between context, mechanisms and outcomes regarding adherence to opioid prescribing guidelines. Instead, deeper understanding requires dynamic models that conceptualize clusters of contextual factors and mechanisms that tend toward guideline concordance and clusters that tend toward non-concordance., Presenters Andrew Quanbeck, [...]

Published
2023

14. Mobile delivery of treatment for alcohol use disorders: a review of the literature

Author

Quanbeck, Andrew, Chih, Ming-Yuan, Isham, Andrew, Johnson, Roberta, and Gustafson, David

Subjects
Alcoholism treatment -- Methods, Text messaging -- Usage -- Health aspects, Telemedicine -- Methods, Mobile devices -- Usage -- Health aspects, Text messaging, Health
Abstract

The advent of mobile-phone technology has been one of the most influential technological advances in world history. In 2014, the International Telecommunications Union (ITU) estimated that the number of mobile-phone [...]

Published
2014

16. Additional file 4 of The Balanced Opioid Initiative: protocol for a clustered, sequential, multiple-assignment randomized trial to construct an adaptive implementation strategy to improve guideline-concordant opioid prescribing in primary care

Author

Quanbeck, Andrew, Almirall, Daniel, Jacobson, Nora, Brown, Randall T., Landeck, Jillian K., Madden, Lynn, Cohen, Andrew, Brienna M. F. Deyo, Robinson, James, Johnson, Roberta A., and Schumacher, Nicholas

Subjects
TheoryofComputation_MATHEMATICALLOGICANDFORMALLANGUAGES, ComputingMilieux_THECOMPUTINGPROFESSION, Data_FILES, ComputingMilieux_COMPUTERSANDSOCIETY, ComputingMilieux_LEGALASPECTSOFCOMPUTING
Abstract

Additional file 4:. Proof of ethics

Published
2020
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17. Additional file 1 of The Balanced Opioid Initiative: protocol for a clustered, sequential, multiple-assignment randomized trial to construct an adaptive implementation strategy to improve guideline-concordant opioid prescribing in primary care

Author

Quanbeck, Andrew, Almirall, Daniel, Jacobson, Nora, Brown, Randall T., Landeck, Jillian K., Madden, Lynn, Cohen, Andrew, Brienna M. F. Deyo, Robinson, James, Johnson, Roberta A., and Schumacher, Nicholas

Subjects
surgical procedures, operative, digestive system, digestive system diseases
Abstract

Additional file 1:. Supplementary appendix: Balanced Opioid Initiative trial design and primary analysis protocol

Published
2020
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18. Additional file 2 of The Balanced Opioid Initiative: protocol for a clustered, sequential, multiple-assignment randomized trial to construct an adaptive implementation strategy to improve guideline-concordant opioid prescribing in primary care

Author

Quanbeck, Andrew, Almirall, Daniel, Jacobson, Nora, Brown, Randall T., Landeck, Jillian K., Madden, Lynn, Cohen, Andrew, Brienna M. F. Deyo, Robinson, James, Johnson, Roberta A., and Schumacher, Nicholas

Abstract

Additional file 2:. CONSORT checklist for cluster-randomized trials

Published
2020
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19. Additional file 5 of The Balanced Opioid Initiative: protocol for a clustered, sequential, multiple-assignment randomized trial to construct an adaptive implementation strategy to improve guideline-concordant opioid prescribing in primary care

Author

Quanbeck, Andrew, Almirall, Daniel, Jacobson, Nora, Brown, Randall T., Landeck, Jillian K., Madden, Lynn, Cohen, Andrew, Brienna M. F. Deyo, Robinson, James, Johnson, Roberta A., and Schumacher, Nicholas

Subjects
TheoryofComputation_MATHEMATICALLOGICANDFORMALLANGUAGES, TheoryofComputation_LOGICSANDMEANINGSOFPROGRAMS, Data_FILES
Abstract

Additional file 5:. Proof of funding

Published
2020
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20. Additional file 3 of The Balanced Opioid Initiative: protocol for a clustered, sequential, multiple-assignment randomized trial to construct an adaptive implementation strategy to improve guideline-concordant opioid prescribing in primary care

Author

Quanbeck, Andrew, Almirall, Daniel, Jacobson, Nora, Brown, Randall T., Landeck, Jillian K., Madden, Lynn, Cohen, Andrew, Brienna M. F. Deyo, Robinson, James, Johnson, Roberta A., and Schumacher, Nicholas

Abstract

Additional file 3:. StaRI Checklist

Published
2020
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22. Lessons Learned from Scaling up a Patient Engagement in Primary Care Quality Improvement Practice Transformation Intervention

Author

Pandhi, Nancy, Jacobson, Nora, Crowder, Madison, Quanbeck, Andrew, Hass, Mollie, and Davis, Sarah

Subjects
Patient Care Team, Primary Health Care, education, Humans, Pilot Projects, Patient Participation, Ambulatory Care Facilities, Quality Improvement, Article, Qualitative Research, United States
Abstract

Health care transformation calls for patient engagement in quality improvement (PEQI), yet practice participation remains low. This pilot study of 8 primary care clinics at 7 statewide locations sought to determine the most effective strategies for disseminating a previously successful single-system PEQI intervention. Qualitative data were obtained through site visits, interviews, observations, and journaling. All material pertaining to barriers, recruitment/retention, and implementation was extracted, compared, and categorized. Five teams partially completed the intervention and 3 finished. These 3 teams did not ask for shorter trainings and were assigned a quality improvement (QI) coach. Multiple barriers to recruitment, implementation, and retention were noted at the organizational and clinic/team level, including turnover, shifting priorities, cross-level communication difficulties, lack of QI knowledge, and confusion between patient engagement and patient activation. These findings suggest that QI facilitation and dedicated time can help primary care teams identify and overcome barriers to PEQI.

Published
2019

23. Disseminating quality improvement: study protocol for a large cluster-randomized trial

Author

French Michael T, Pulvermacher Alice, Ford James H, Gustafson David H, Quanbeck Andrew R, McConnell K, and McCarty Dennis

Subjects
Medicine (General), R5-920
Abstract

Abstract Background Dissemination is a critical facet of implementing quality improvement in organizations. As a field, addiction treatment has produced effective interventions but disseminated them slowly and reached only a fraction of people needing treatment. This study investigates four methods of disseminating quality improvement (QI) to addiction treatment programs in the U.S. It is, to our knowledge, the largest study of organizational change ever conducted in healthcare. The trial seeks to determine the most cost-effective method of disseminating quality improvement in addiction treatment. Methods The study is evaluating the costs and effectiveness of different QI approaches by randomizing 201 addiction-treatment programs to four interventions. Each intervention used a web-based learning kit plus monthly phone calls, coaching, face-to-face meetings, or the combination of all three. Effectiveness is defined as reducing waiting time (days between first contact and treatment), increasing program admissions, and increasing continuation in treatment. Opportunity costs will be estimated for the resources associated with providing the services. Outcomes The study has three primary outcomes: waiting time, annual program admissions, and continuation in treatment. Secondary outcomes include: voluntary employee turnover, treatment completion, and operating margin. We are also seeking to understand the role of mediators, moderators, and other factors related to an organization's success in making changes. Analysis We are fitting a mixed-effect regression model to each program's average monthly waiting time and continuation rates (based on aggregated client records), including terms to isolate state and intervention effects. Admissions to treatment are aggregated to a yearly level to compensate for seasonality. We will order the interventions by cost to compare them pair-wise to the lowest cost intervention (monthly phone calls). All randomized sites with outcome data will be included in the analysis, following the intent-to-treat principle. Organizational covariates in the analysis include program size, management score, and state. Discussion The study offers seven recommendations for conducting a large-scale cluster-randomized trial: provide valuable services, have aims that are clear and important, seek powerful allies, understand the recruiting challenge, cultivate commitment, address turnover, and encourage rigor and flexibility. Trial Registration ClinicalTrials. govNCT00934141

Published
2011
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26. Effects of automated smartphone mobile recovery support and telephone continuing care in the treatment of alcohol use disorder: study protocol for a randomized controlled trial

Author

McKay, James R., primary, Gustafson, David H., additional, Ivey, Megan, additional, McTavish, Fiona, additional, Pe-Romashko, Klaren, additional, Curtis, Brenda, additional, Oslin, David A., additional, Polsky, Daniel, additional, Quanbeck, Andrew, additional, and Lynch, Kevin G., additional

Published
2018
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28. A randomized matched-pairs study of feasibility, acceptability, and effectiveness of systems consultation: a novel implementation strategy for adopting clinical guidelines for Opioid prescribing in primary care

Author

Quanbeck, Andrew, primary, Brown, Randall T., additional, Zgierska, Aleksandra E., additional, Jacobson, Nora, additional, Robinson, James M., additional, Johnson, Roberta A., additional, Deyo, Brienna M., additional, Madden, Lynn, additional, Tuan, Wen-Jan, additional, and Alagoz, Esra, additional

Published
2018
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31. Proceedings of the 8th Annual Conference on the Science of Dissemination and Implementation

Author

Chambers, David, Simpson, Lisa, Hill-Briggs, Felicia, Neta, Gila, Vinson, Cynthia, Beidas, Rinad, Marcus, Steven, Aarons, Gregory, Hoagwood, Kimberly, Schoenwald, Sonja, Evans, Arthur, Hurford, Matthew, Rubin, Ronnie, Hadley, Trevor, Barg, Frances, Walsh, Lucia, Adams, Danielle, Mandell, David, Martin, Lindsey, Mignogna, Joseph, Mott, Juliette, Hundt, Natalie, Kauth, Michael, Kunik, Mark, Naik, Aanand, Cully, Jeffrey, McGuire, Alan, White, Dominique, Bartholomew, Tom, McGrew, John, Luther, Lauren, Rollins, Angie, Salyers, Michelle, Cooper, Brittany, Funaiole, Angie, Richards, Julie, Lee, Amy, Lapham, Gwen, Caldeiro, Ryan, Lozano, Paula, Gildred, Tory, Achtmeyer, Carol, Ludman, Evette, Addis, Megan, Marx, Larry, Bradley, Katharine, VanDeinse, Tonya, Wilson, Amy Blank, Stacey, Burgin, Powell, Byron, Bunger, Alicia, Cuddeback, Gary, Barnett, Miya, Stadnick, Nicole, Brookman-Frazee, Lauren, Lau, Anna, Dorsey, Shannon, Pullmann, Michael, Mitchell, Shannon, Schwartz, Robert, Kirk, Arethusa, Dusek, Kristi, Oros, Marla, Hosler, Colleen, Gryczynski, Jan, Barbosa, Carolina, Dunlap, Laura, Lounsbury, David, O’Grady, Kevin, Brown, Barry, Damschroder, Laura, Waltz, Thomas, Ritchie, Mona, Atkins, David, Imel, Zac E., Xiao, Bo, Can, Doğan, Georgiou, Panayiotis, Narayanan, Shrikanth, Berkel, Cady, Gallo, Carlos, Sandler, Irwin, Brown, C. Hendricks, Wolchik, Sharlene, Mauricio, Anne Marie, Mehrotra, Sanjay, Chandurkar, Dharmendra, Bora, Siddhartha, Das, Arup, Tripathi, Anand, Saggurti, Niranjan, Raj, Anita, Hughes, Eric, Jacobs, Brian, Kirkendall, Eric, Loeb, Danielle, Trinkley, Katy, Yang, Michael, Sprowell, Andrew, Nease, Donald, Lyon, Aaron, Lewis, Cara, Boyd, Meredith, Melvin, Abigail, Nicodimos, Semret, Liu, Freda, Jungbluth, Nathanial, Flynn, Allen, Landis-Lewis, Zach, Sales, Anne, Baloh, Jure, Ward, Marcia, Zhu, Xi, Bennett, Ian, Unutzer, Jurgen, Mao, Johnny, Proctor, Enola, Vredevoogd, Mindy, Chan, Ya-Fen, Williams, Nathaniel, Green, Phillip, Bernstein, Steven, Rosner, June-Marie, DeWitt, Michelle, Tetrault, Jeanette, Dziura, James, Hsiao, Allen, Sussman, Scott, O’Connor, Patrick, Toll, Benjamin, Jones, Michael, Gassaway, Julie, Tobin, Jonathan, Zatzick, Douglas, Bradbury, Angela R., Patrick-Miller, Linda, Egleston, Brian, Olopade, Olufunmilayo I., Hall, Michael J., Daly, Mary B., Fleisher, Linda, Grana, Generosa, Ganschow, Pamela, Fetzer, Dominique, Brandt, Amanda, Farengo-Clark, Dana, Forman, Andrea, Gaber, Rikki S., Gulden, Cassandra, Horte, Janice, Long, Jessica, Chambers, Rachelle Lorenz, Lucas, Terra, Madaan, Shreshtha, Mattie, Kristin, McKenna, Danielle, Montgomery, Susan, Nielsen, Sarah, Powers, Jacquelyn, Rainey, Kim, Rybak, Christina, Savage, Michelle, Seelaus, Christina, Stoll, Jessica, Stopfer, Jill, Yao, Shirley, Domchek, Susan, Hahn, Erin, Munoz-Plaza, Corrine, Wang, Jianjin, Delgadillo, Jazmine Garcia, Mittman, Brian, Gould, Michael, Liang, Shuting, Kegler, Michelle C., Cotter, Megan, Phillips, Emily, Hermstad, April, Morton, Rentonia, Beasley, Derrick, Martinez, Jeremy, Riehman, Kara, Gustafson, David, Marsch, Lisa, Mares, Louise, Quanbeck, Andrew, McTavish, Fiona, McDowell, Helene, Brown, Randall, Thomas, Chantelle, Glass, Joseph, Isham, Joseph, Shah, Dhavan, Liebschutz, Jane, Lasser, Karen, Watkins, Katherine, Ober, Allison, Hunter, Sarah, Lamp, Karen, Ewing, Brett, Iwelunmor, Juliet, Gyamfi, Joyce, Blackstone, Sarah, Quakyi, Nana Kofi, Plange-Rhule, Jacob, Ogedegbe, Gbenga, Kumar, Pritika, Van Devanter, Nancy, Nguyen, Nam, Nguyen, Linh, Nguyen, Trang, Phuong, Nguyet, Shelley, Donna, Rudge, Sian, Langlois, Etienne, Tricco, Andrea, Ball, Sherry, Lambert-Kerzner, Anne, Sulc, Christine, Simmons, Carol, Shell-Boyd, Jeneen, Oestreich, Taryn, O’Connor, Ashley, Neely, Emily, McCreight, Marina, Labebue, Amy, DiFiore, Doreen, Brostow, Diana, Ho, P. Michael, Aron, David, Harvey, Jillian, McHugh, Megan, Scanlon, Dennis, Lee, Rebecca, Soltero, Erica, Parker, Nathan, McNeill, Lorna, Ledoux, Tracey, McIsaac, Jessie-Lee, MacLeod, Kate, Ata, Nicole, Jarvis, Sherry, Kirk, Sara, Purtle, Jonathan, Dodson, Elizabeth, Brownson, Ross, Curran, Geoffrey, Pyne, Jeffrey, Ehrhart, Mark, Torres, Elisa, Miech, Edward, Stevens, Kathleen, Hamilton, Alison, Cohen, Deborah, Padgett, Deborah, Morshed, Alexandra, Patel, Rupa, Prusaczyk, Beth, Aron, David C., Gupta, Divya, Hand, Rosa, Abram, Jenica, Wolfram, Taylor, Hastings, Molly, Moreland-Russell, Sarah, Tabak, Rachel, Ramsey, Alex, Baumann, Ana, Kryzer, Emily, Montgomery, Katherine, Lewis, Ericka, Padek, Margaret, Mamaril, Cezar Brian, Mays, Glen, Branham, Keith, Timsina, Lava, Hogg, Rachel, Fagan, Abigail, Shapiro, Valerie, Brown, Eric, Haggerty, Kevin, Hawkins, David, Oesterle, Sabrina, Catalano, Richard, McKay, Virginia, Dolcini, M. Margaret, Hoffer, Lee, Moin, Tannaz, Li, Jinnan, Duru, O. Kenrik, Ettner, Susan, Turk, Norman, Chan, Charles, Keckhafer, Abigail, Luchs, Robert, Ho, Sam, Mangione, Carol, Selby, Peter, Zawertailo, Laurie, Minian, Nadia, Balliunas, Dolly, Dragonetti, Rosa, Hussain, Sarwar, Lecce, Julia, Chinman, Matthew, Acosta, Joie, Ebener, Patricia, Malone, Patrick S., Slaughter, Mary, Freedman, Darcy, Flocke, Susan, Lee, Eunlye, Matlack, Kristen, Trapl, Erika, Ohri-Vachaspati, Punam, Taggart, Morgan, Borawski, Elaine, Parrish, Amanda, Harris, Jeffrey, Kohn, Marlana, Hammerback, Kristen, McMillan, Becca, Hannon, Peggy, Swindle, Taren, Whiteside-Mansell, Leanne, Ward, Wendy, Holt, Cheryl, Santos, Sheri Lou, Tagai, Erin, Scheirer, Mary Ann, Carter, Roxanne, Bowie, Janice, Haider, Muhiuddin, Slade, Jimmie, Wang, Min Qi, Masica, Andrew, Ogola, Gerald, Berryman, Candice, Richter, Kathleen, Shelton, Rachel, Jandorf, Lina, Erwin, Deborah, Truong, Khoa, Javier, Joyce R., Coffey, Dean, Schrager, Sheree M., Palinkas, Lawrence, Miranda, Jeanne, Johnson, Veda, Hutcherson, Valerie, Ellis, Ruth, Kharmats, Anna, Marshall-King, Sandra, LaPradd, Monica, Fonseca-Becker, Fannie, Kepka, Deanna, Bodson, Julia, Warner, Echo, Fowler, Brynn, Shenkman, Elizabeth, Hogan, William, Odedina, Folakami, De Leon, Jessica, Hooper, Monica, Carrasquillo, Olveen, Reams, Renee, Hurt, Myra, Smith, Steven, Szapocznik, Jose, Nelson, David, Mandal, Prabir, and Teufel, James

Subjects
Medicine(all), Health Policy, Public Health, Environmental and Occupational Health, Meeting Abstracts
Abstract

Table of contents A1 Introduction to the 8th Annual Conference on the Science of Dissemination and Implementation: Optimizing Personal and Population Health David Chambers, Lisa Simpson D1 Discussion forum: Population health D&I research Felicia Hill-Briggs D2 Discussion forum: Global health D&I research Gila Neta, Cynthia Vinson D3 Discussion forum: Precision medicine and D&I research David Chambers S1 Predictors of community therapists’ use of therapy techniques in a large public mental health system Rinad Beidas, Steven Marcus, Gregory Aarons, Kimberly Hoagwood, Sonja Schoenwald, Arthur Evans, Matthew Hurford, Ronnie Rubin, Trevor Hadley, Frances Barg, Lucia Walsh, Danielle Adams, David Mandell S2 Implementing brief cognitive behavioral therapy (CBT) in primary care: Clinicians' experiences from the field Lindsey Martin, Joseph Mignogna, Juliette Mott, Natalie Hundt, Michael Kauth, Mark Kunik, Aanand Naik, Jeffrey Cully S3 Clinician competence: Natural variation, factors affecting, and effect on patient outcomes Alan McGuire, Dominique White, Tom Bartholomew, John McGrew, Lauren Luther, Angie Rollins, Michelle Salyers S4 Exploring the multifaceted nature of sustainability in community-based prevention: A mixed-method approach Brittany Cooper, Angie Funaiole S5 Theory informed behavioral health integration in primary care: Mixed methods evaluation of the implementation of routine depression and alcohol screening and assessment Julie Richards, Amy Lee, Gwen Lapham, Ryan Caldeiro, Paula Lozano, Tory Gildred, Carol Achtmeyer, Evette Ludman, Megan Addis, Larry Marx, Katharine Bradley S6 Enhancing the evidence for specialty mental health probation through a hybrid efficacy and implementation study Tonya VanDeinse, Amy Blank Wilson, Burgin Stacey, Byron Powell, Alicia Bunger, Gary Cuddeback S7 Personalizing evidence-based child mental health care within a fiscally mandated policy reform Miya Barnett, Nicole Stadnick, Lauren Brookman-Frazee, Anna Lau S8 Leveraging an existing resource for technical assistance: Community-based supervisors in public mental health Shannon Dorsey, Michael Pullmann S9 SBIRT implementation for adolescents in urban federally qualified health centers: Implementation outcomes Shannon Mitchell, Robert Schwartz, Arethusa Kirk, Kristi Dusek, Marla Oros, Colleen Hosler, Jan Gryczynski, Carolina Barbosa, Laura Dunlap, David Lounsbury, Kevin O'Grady, Barry Brown S10 PANEL: Tailoring Implementation Strategies to Context - Expert recommendations for tailoring strategies to context Laura Damschroder, Thomas Waltz, Byron Powell S11 PANEL: Tailoring Implementation Strategies to Context - Extreme facilitation: Helping challenged healthcare settings implement complex programs Mona Ritchie S12 PANEL: Tailoring Implementation Strategies to Context - Using menu-based choice tasks to obtain expert recommendations for implementing three high-priority practices in the VA Thomas Waltz S13 PANEL: The Use of Technology to Improve Efficient Monitoring of Implementation of Evidence-based Programs - Siri, rate my therapist: Using technology to automate fidelity ratings of motivational interviewing David Atkins, Zac E. Imel, Bo Xiao, Doğan Can, Panayiotis Georgiou, Shrikanth Narayanan S14 PANEL: The Use of Technology to Improve Efficient Monitoring of Implementation of Evidence-based Programs - Identifying indicators of implementation quality for computer-based ratings Cady Berkel, Carlos Gallo, Irwin Sandler, C. Hendricks Brown, Sharlene Wolchik, Anne Marie Mauricio S15 PANEL: The Use of Technology to Improve Efficient Monitoring of Implementation of Evidence-based Programs - Improving implementation of behavioral interventions by monitoring emotion in spoken speech Carlos Gallo, C. Hendricks Brown, Sanjay Mehrotra S16 Scorecards and dashboards to assure data quality of health management information system (HMIS) using R Dharmendra Chandurkar, Siddhartha Bora, Arup Das, Anand Tripathi, Niranjan Saggurti, Anita Raj S17 A big data approach for discovering and implementing patient safety insights Eric Hughes, Brian Jacobs, Eric Kirkendall S18 Improving the efficacy of a depression registry for use in a collaborative care model Danielle Loeb, Katy Trinkley, Michael Yang, Andrew Sprowell, Donald Nease S19 Measurement feedback systems as a strategy to support implementation of measurement-based care in behavioral health Aaron Lyon, Cara Lewis, Meredith Boyd, Abigail Melvin, Semret Nicodimos, Freda Liu, Nathanial Jungbluth S20 PANEL: Implementation Science and Learning Health Systems: Intersections and Commonalities - Common loop assay: Methods of supporting learning collaboratives Allen Flynn S21 PANEL: Implementation Science and Learning Health Systems: Intersections and Commonalities - Innovating audit and feedback using message tailoring models for learning health systems Zach Landis-Lewis S22 PANEL: Implementation Science and Learning Health Systems: Intersections and Commonalities - Implementation science and learning health systems: Connecting the dots Anne Sales S23 Facilitation activities of Critical Access Hospitals during TeamSTEPPS implementation Jure Baloh, Marcia Ward, Xi Zhu S24 Organizational and social context of federally qualified health centers and variation in maternal depression outcomes Ian Bennett, Jurgen Unutzer, Johnny Mao, Enola Proctor, Mindy Vredevoogd, Ya-Fen Chan, Nathaniel Williams, Phillip Green S25 Decision support to enhance treatment of hospitalized smokers: A randomized trial Steven Bernstein, June-Marie Rosner, Michelle DeWitt, Jeanette Tetrault, James Dziura, Allen Hsiao, Scott Sussman, Patrick O’Connor, Benjamin Toll S26 PANEL: Developing Sustainable Strategies for the Implementation of Patient-Centered Care across Diverse US Healthcare Systems - A patient-centered approach to successful community transition after catastrophic injury Michael Jones, Julie Gassaway S27 PANEL: Developing Sustainable Strategies for the Implementation of Patient-Centered Care across Diverse US Healthcare Systems - Conducting PCOR to integrate mental health and cancer screening services in primary care Jonathan Tobin S28 PANEL: Developing Sustainable Strategies for the Implementation of Patient-Centered Care across Diverse US Healthcare Systems - A comparative effectiveness trial of optimal patient-centered care for US trauma care systems Douglas Zatzick S29 Preferences for in-person communication among patients in a multi-center randomized study of in-person versus telephone communication of genetic test results for cancer susceptibility Angela R Bradbury, Linda Patrick-Miller, Brian Egleston, Olufunmilayo I Olopade, Michael J Hall, Mary B Daly, Linda Fleisher, Generosa Grana, Pamela Ganschow, Dominique Fetzer, Amanda Brandt, Dana Farengo-Clark, Andrea Forman, Rikki S Gaber, Cassandra Gulden, Janice Horte, Jessica Long, Rachelle Lorenz Chambers, Terra Lucas, Shreshtha Madaan, Kristin Mattie, Danielle McKenna, Susan Montgomery, Sarah Nielsen, Jacquelyn Powers, Kim Rainey, Christina Rybak, Michelle Savage, Christina Seelaus, Jessica Stoll, Jill Stopfer, Shirley Yao and Susan Domchek S30 Working towards de-implementation: A mixed methods study in breast cancer surveillance care Erin Hahn, Corrine Munoz-Plaza, Jianjin Wang, Jazmine Garcia Delgadillo, Brian Mittman Michael Gould S31Integrating evidence-based practices for increasing cancer screenings in safety-net primary care systems: A multiple case study using the consolidated framework for implementation research Shuting (Lily) Liang, Michelle C. Kegler, Megan Cotter, Emily Phillips, April Hermstad, Rentonia Morton, Derrick Beasley, Jeremy Martinez, Kara Riehman S32 Observations from implementing an mHealth intervention in an FQHC David Gustafson, Lisa Marsch, Louise Mares, Andrew Quanbeck, Fiona McTavish, Helene McDowell, Randall Brown, Chantelle Thomas, Joseph Glass, Joseph Isham, Dhavan Shah S33 A multicomponent intervention to improve primary care provider adherence to chronic opioid therapy guidelines and reduce opioid misuse: A cluster randomized controlled trial protocol Jane Liebschutz, Karen Lasser S34 Implementing collaborative care for substance use disorders in primary care: Preliminary findings from the summit study Katherine Watkins, Allison Ober, Sarah Hunter, Karen Lamp, Brett Ewing S35 Sustaining a task-shifting strategy for blood pressure control in Ghana: A stakeholder analysis Juliet Iwelunmor, Joyce Gyamfi, Sarah Blackstone, Nana Kofi Quakyi, Jacob Plange-Rhule, Gbenga Ogedegbe S36 Contextual adaptation of the consolidated framework for implementation research (CFIR) in a tobacco cessation study in Vietnam Pritika Kumar, Nancy Van Devanter, Nam Nguyen, Linh Nguyen, Trang Nguyen, Nguyet Phuong, Donna Shelley S37 Evidence check: A knowledge brokering approach to systematic reviews for policy Sian Rudge S38 Using Evidence Synthesis to Strengthen Complex Health Systems in Low- and Middle-Income Countries Etienne Langlois S39 Does it matter: timeliness or accuracy of results? The choice of rapid reviews or systematic reviews to inform decision-making Andrea Tricco S40 Evaluation of the veterans choice program using lean six sigma at a VA medical center to identify benefits and overcome obstacles Sherry Ball, Anne Lambert-Kerzner, Christine Sulc, Carol Simmons, Jeneen Shell-Boyd, Taryn Oestreich, Ashley O'Connor, Emily Neely, Marina McCreight, Amy Labebue, Doreen DiFiore, Diana Brostow, P. Michael Ho, David Aron S41 The influence of local context on multi-stakeholder alliance quality improvement activities: A multiple case study Jillian Harvey, Megan McHugh, Dennis Scanlon S42 Increasing physical activity in early care and education: Sustainability via active garden education (SAGE) Rebecca Lee, Erica Soltero, Nathan Parker, Lorna McNeill, Tracey Ledoux S43 Marking a decade of policy implementation: The successes and continuing challenges of a provincial school food and nutrition policy in Canada Jessie-Lee McIsaac, Kate MacLeod, Nicole Ata, Sherry Jarvis, Sara Kirk S44 Use of research evidence among state legislators who prioritize mental health and substance abuse issues Jonathan Purtle, Elizabeth Dodson, Ross Brownson S45 PANEL: Effectiveness-Implementation Hybrid Designs: Clarifications, Refinements, and Additional Guidance Based on a Systematic Review and Reports from the Field - Hybrid type 1 designs Brian Mittman, Geoffrey Curran S46 PANEL: Effectiveness-Implementation Hybrid Designs: Clarifications, Refinements, and Additional Guidance Based on a Systematic Review and Reports from the Field - Hybrid type 2 designs Geoffrey Curran S47 PANEL: Effectiveness-Implementation Hybrid Designs: Clarifications, Refinements, and Additional Guidance Based on a Systematic Review and Reports from the Field - Hybrid type 3 designs Jeffrey Pyne S48 Linking team level implementation leadership and implementation climate to individual level attitudes, behaviors, and implementation outcomes Gregory Aarons, Mark Ehrhart, Elisa Torres S49 Pinpointing the specific elements of local context that matter most to implementation outcomes: Findings from qualitative comparative analysis in the RE-inspire study of VA acute stroke care Edward Miech S50 The GO score: A new context-sensitive instrument to measure group organization level for providing and improving care Edward Miech S51 A research network approach for boosting implementation and improvement Kathleen Stevens, I.S.R.N. Steering Council S52 PANEL: Qualitative methods in D&I Research: Value, rigor and challenge - The value of qualitative methods in implementation research Alison Hamilton S53 PANEL: Qualitative methods in D&I Research: Value, rigor and challenge - Learning evaluation: The role of qualitative methods in dissemination and implementation research Deborah Cohen S54 PANEL: Qualitative methods in D&I Research: Value, rigor and challenge - Qualitative methods in D&I research Deborah Padgett S55 PANEL: Maps & models: The promise of network science for clinical D&I - Hospital network of sharing patients with acute and chronic diseases in California Alexandra Morshed S56 PANEL: Maps & models: The promise of network science for clinical D&I - The use of social network analysis to identify dissemination targets and enhance D&I research study recruitment for pre-exposure prophylaxis for HIV (PrEP) among men who have sex with men Rupa Patel S57 PANEL: Maps & models: The promise of network science for clinical D&I - Network and organizational factors related to the adoption of patient navigation services among rural breast cancer care providers Beth Prusaczyk S58 A theory of de-implementation based on the theory of healthcare professionals’ behavior and intention (THPBI) and the becker model of unlearning David C. Aron, Divya Gupta, Sherry Ball S59 Observation of registered dietitian nutritionist-patient encounters by dietetic interns highlights low awareness and implementation of evidence-based nutrition practice guidelines Rosa Hand, Jenica Abram, Taylor Wolfram S60 Program sustainability action planning: Building capacity for program sustainability using the program sustainability assessment tool Molly Hastings, Sarah Moreland-Russell S61 A review of D&I study designs in published study protocols Rachel Tabak, Alex Ramsey, Ana Baumann, Emily Kryzer, Katherine Montgomery, Ericka Lewis, Margaret Padek, Byron Powell, Ross Brownson S62 PANEL: Geographic variation in the implementation of public health services: Economic, organizational, and network determinants - Model simulation techniques to estimate the cost of implementing foundational public health services Cezar Brian Mamaril, Glen Mays, Keith Branham, Lava Timsina S63 PANEL: Geographic variation in the implementation of public health services: Economic, organizational, and network determinants - Inter-organizational network effects on the implementation of public health services Glen Mays, Rachel Hogg S64 PANEL: Building capacity for implementation and dissemination of the communities that care prevention system at scale to promote evidence-based practices in behavioral health - Implementation fidelity, coalition functioning, and community prevention system transformation using communities that care Abigail Fagan, Valerie Shapiro, Eric Brown S65 PANEL: Building capacity for implementation and dissemination of the communities that care prevention system at scale to promote evidence-based practices in behavioral health - Expanding capacity for implementation of communities that care at scale using a web-based, video-assisted training system Kevin Haggerty, David Hawkins S66 PANEL: Building capacity for implementation and dissemination of the communities that care prevention system at scale to promote evidence-based practices in behavioral health - Effects of communities that care on reducing youth behavioral health problems Sabrina Oesterle, David Hawkins, Richard Catalano S68 When interventions end: the dynamics of intervention de-adoption and replacement Virginia McKay, M. Margaret Dolcini, Lee Hoffer S69 Results from next-d: can a disease specific health plan reduce incident diabetes development among a national sample of working-age adults with pre-diabetes? Tannaz Moin, Jinnan Li, O. Kenrik Duru, Susan Ettner, Norman Turk, Charles Chan, Abigail Keckhafer, Robert Luchs, Sam Ho, Carol Mangione S70 Implementing smoking cessation interventions in primary care settings (STOP): using the interactive systems framework Peter Selby, Laurie Zawertailo, Nadia Minian, Dolly Balliunas, Rosa Dragonetti, Sarwar Hussain, Julia Lecce S71 Testing the Getting To Outcomes implementation support intervention in prevention-oriented, community-based settings Matthew Chinman, Joie Acosta, Patricia Ebener, Patrick S Malone, Mary Slaughter S72 Examining the reach of a multi-component farmers’ market implementation approach among low-income consumers in an urban context Darcy Freedman, Susan Flocke, Eunlye Lee, Kristen Matlack, Erika Trapl, Punam Ohri-Vachaspati, Morgan Taggart, Elaine Borawski S73 Increasing implementation of evidence-based health promotion practices at large workplaces: The CEOs Challenge Amanda Parrish, Jeffrey Harris, Marlana Kohn, Kristen Hammerback, Becca McMillan, Peggy Hannon S74 A qualitative assessment of barriers to nutrition promotion and obesity prevention in childcare Taren Swindle, Geoffrey Curran, Leanne Whiteside-Mansell, Wendy Ward S75 Documenting institutionalization of a health communication intervention in African American churches Cheryl Holt, Sheri Lou Santos, Erin Tagai, Mary Ann Scheirer, Roxanne Carter, Janice Bowie, Muhiuddin Haider, Jimmie Slade, Min Qi Wang S76 Reduction in hospital utilization by underserved patients through use of a community-medical home Andrew Masica, Gerald Ogola, Candice Berryman, Kathleen Richter S77 Sustainability of evidence-based lay health advisor programs in African American communities: A mixed methods investigation of the National Witness Project Rachel Shelton, Lina Jandorf, Deborah Erwin S78 Predicting the long-term uninsured population and analyzing their gaps in physical access to healthcare in South Carolina Khoa Truong S79 Using an evidence-based parenting intervention in churches to prevent behavioral problems among Filipino youth: A randomized pilot study Joyce R. Javier, Dean Coffey, Sheree M. Schrager, Lawrence Palinkas, Jeanne Miranda S80 Sustainability of elementary school-based health centers in three health-disparate southern communities Veda Johnson, Valerie Hutcherson, Ruth Ellis S81 Childhood obesity prevention partnership in Louisville: creative opportunities to engage families in a multifaceted approach to obesity prevention Anna Kharmats, Sandra Marshall-King, Monica LaPradd, Fannie Fonseca-Becker S82 Improvements in cervical cancer prevention found after implementation of evidence-based Latina prevention care management program Deanna Kepka, Julia Bodson, Echo Warner, Brynn Fowler S83 The OneFlorida data trust: Achieving health equity through research & training capacity building Elizabeth Shenkman, William Hogan, Folakami Odedina, Jessica De Leon, Monica Hooper, Olveen Carrasquillo, Renee Reams, Myra Hurt, Steven Smith, Jose Szapocznik, David Nelson, Prabir Mandal S84 Disseminating and sustaining medical-legal partnerships: Shared value and social return on investment James Teufel

Published
2016

32. The effect of bundling medication-assisted treatment for opioid addiction with mHealth: study protocol for a randomized clinical trial

Author

Gustafson, David H., primary, Landucci, Gina, additional, McTavish, Fiona, additional, Kornfield, Rachel, additional, Johnson, Roberta A., additional, Mares, Marie-Louise, additional, Westergaard, Ryan P., additional, Quanbeck, Andrew, additional, Alagoz, Esra, additional, Pe-Romashko, Klaren, additional, Thomas, Chantelle, additional, and Shah, Dhavan, additional

Published
2016
Full Text
View/download PDF

33. Implementing an mHealth system for substance use disorders in primary care: a mixed methods study of clinicians’ initial expectations and first year experiences

Author

Mares, Marie-Louise, primary, Gustafson, David H., additional, Glass, Joseph E., additional, Quanbeck, Andrew, additional, McDowell, Helene, additional, McTavish, Fiona, additional, Atwood, Amy K., additional, Marsch, Lisa A., additional, Thomas, Chantelle, additional, Shah, Dhavan, additional, Brown, Randall, additional, Isham, Andrew, additional, Nealon, Mary Jane, additional, and Ward, Victoria, additional

Published
2016
Full Text
View/download PDF

35. Managing your way to better addiction treatment outcomes: Deming's insights transformed Toyota, why not your business?

Author

Quanbeck, Andrew

Subjects
Drug treatment centers -- Management, Customer relationship management, Health, Health care industry, Psychology and mental health, Customer relationship management, Company business management, Management, Works
Abstract

In his seminal book, "Out of the Crisis," W. Edwards Deming famously posited that 85% of customer problems can be attributed to poor processes. In a field plagued by long [...]

Published
2009

36. The effect of an information and communication technology (ICT) on older adults’ quality of life: study protocol for a randomized control trial

Author

Gustafson, David H, primary, McTavish, Fiona, additional, Gustafson, David H, additional, Mahoney, Jane E, additional, Johnson, Roberta A, additional, Lee, John D, additional, Quanbeck, Andrew, additional, Atwood, Amy K, additional, Isham, Andrew, additional, Veeramani, Raj, additional, Clemson, Lindy, additional, and Shah, Dhavan, additional

Published
2015
Full Text
View/download PDF

43. Additional file 1: of A randomized matched-pairs study of feasibility, acceptability, and effectiveness of systems consultation: a novel implementation strategy for adopting clinical guidelines for Opioid prescribing in primary care

Author

Quanbeck, Andrew, Brown, Randall, Zgierska, Aleksandra, Jacobson, Nora, Robinson, James, Johnson, Roberta, Brienna Deyo, Madden, Lynn, Wen-Jan Tuan, and Alagoz, Esra

Subjects
3. Good health
Abstract

Figures A-G, PDF, Time series quality indicator outcomes. (PDF 350Â kb)

44. Additional file 1: of The effect of bundling medication-assisted treatment for opioid addiction with mHealth: study protocol for a randomized clinical trial

Author

Gustafson, David, Landucci, Gina, McTavish, Fiona, Kornfield, Rachel, Johnson, Roberta, Marie-Louise Mares, Westergaard, Ryan, Quanbeck, Andrew, Alagoz, Esra, Klaren Pe-Romashko, Thomas, Chantelle, and Dhavan Shah

Subjects
3. Good health
Abstract

Completed SPIRIT Checklist, the addendum to which contains the completed WHO Checklist. (DOC 148 kb)

46. Additional file 1: of Effects of automated smartphone mobile recovery support and telephone continuing care in the treatment of alcohol use disorder: study protocol for a randomized controlled trial

Author

McKay, James, Gustafson, David, Ivey, Megan, McTavish, Fiona, Klaren Pe-Romashko, Curtis, Brenda, Oslin, David, Polsky, Daniel, Quanbeck, Andrew, and Lynch, Kevin

Subjects
3. Good health
Abstract

SPIRIT 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents*. (DOC 122 kb)

47. Additional file 1: of A randomized matched-pairs study of feasibility, acceptability, and effectiveness of systems consultation: a novel implementation strategy for adopting clinical guidelines for Opioid prescribing in primary care

Author

Quanbeck, Andrew, Brown, Randall, Zgierska, Aleksandra, Jacobson, Nora, Robinson, James, Johnson, Roberta, Brienna Deyo, Madden, Lynn, Wen-Jan Tuan, and Alagoz, Esra

Subjects
3. Good health
Abstract

Figures A-G, PDF, Time series quality indicator outcomes. (PDF 350Â kb)

48. Additional file 1: of The effect of bundling medication-assisted treatment for opioid addiction with mHealth: study protocol for a randomized clinical trial

Author

Gustafson, David, Landucci, Gina, McTavish, Fiona, Kornfield, Rachel, Johnson, Roberta, Marie-Louise Mares, Westergaard, Ryan, Quanbeck, Andrew, Alagoz, Esra, Klaren Pe-Romashko, Thomas, Chantelle, and Dhavan Shah

Subjects
3. Good health
Abstract

Completed SPIRIT Checklist, the addendum to which contains the completed WHO Checklist. (DOC 148 kb)

49. Additional file 1: of Effects of automated smartphone mobile recovery support and telephone continuing care in the treatment of alcohol use disorder: study protocol for a randomized controlled trial

Author

McKay, James, Gustafson, David, Ivey, Megan, McTavish, Fiona, Klaren Pe-Romashko, Curtis, Brenda, Oslin, David, Polsky, Daniel, Quanbeck, Andrew, and Lynch, Kevin

Subjects
3. Good health
Abstract

SPIRIT 2013 Checklist: Recommended items to address in a clinical trial protocol and related documents*. (DOC 122 kb)

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