PUBLICATIONS

Advancing a conceptual model of evidence-based practice implementation in public service sectors

This paper proposes the original EPIS framework, a
multi-level, four phase model of implementation process
(i.e., Exploration, Preparation, Implementation,
Sustainment) and outer and inner context factors.

EPIS ADVANCEMENTS

Stanton, M., Ali, S.B., & the SUSTAIN Center Team. (2022). A typology of power in implementation: Building on the exploration, preparation, implementation, sustainment (EPIS) framework to advance mental health and HIV health equity. Implementation Research and Practice, 3(Jan-Dec), 1–16.

EPIS Systematic review

Moullin, J. C., Dickson, K. S., Stadnick, N. A., Rabin, B., & Aarons, G. A. (2019). Systematic review of the exploration, preparation, implementation, sustainment (EPIS) framework. Implementation Science, 14(1), 1-16.

Effective implementation of evidence-based practices (EBPs) remains a significant challenge. Numerous existing models and frameworks identify key factors and processes to facilitate implementation. However, there is a need to better understand how individual models and frameworks are applied in research projects, how they can support the implementation process, and how they might advance implementation science. This systematic review examines and describes the research application of a widely used implementation framework, the Exploration, Preparation, Implementation, Sustainment (EPIS) framework.

EPIS BOOK CHAPTER

Moullin, J.C., Dickson, K., Stadnick, N., Becan, J.E., Wiley, T., Phillips, J., Hatch, M., & Aarons, G.A. (2020). Exploration, Preparation, Implementation, Sustainment (EPIS) Framework. In Nilsen, P. and Birken, S. (Eds.), Handbook on Implementation Science. Edward Elgar Publishing Ltd., Cheltenham, U.K.

The EPIS Framework has been disseminated, adopted, and used in diverse health, allied health, and social care settings both domestically and abroad. Below on this page are links to some publications that used or cited EPIS, or influenced EPIS development.

Crable, E. L., Lengnick-Hall, R., Stadnick, N. A., Moullin, J. C., & Aarons, G. A. (2022). Where is "policy" in dissemination and implementation science? Recommendations to advance theories, models, and frameworks: EPIS as a case example. Implementation science : IS, 17(1), 80. https://doi.org/10.1186/s13012-022-01256-x

Stanton, M., Ali, S.B., & the SUSTAIN Center Team. (2022). A typology of power in implementation: Building on the exploration, preparation, implementation, sustainment (EPIS) framework to advance mental health and HIV health equity. Implementation Research and Practice, 3(Jan-Dec), 1–16.

Moullin, J.C., Dickson, K.S., Stadnick, N.A. et al. Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Implementation Sci 14, 1 (2019). https://doi.org/10.1186/s13012-018-0842-6

Chambers DA: Commentary: Increasing the Connectivity Between Implementation Science and Public Health: Advancing Methodology, Evidence Integration, and Sustainability. Annu Rev Public Health 2018, 39:1-4.

Mazzucca S, Tabak RG, Pilar M, Ramsey AT, Baumann AA, Kryzer E, Lewis EM, Padek M, Powell BJ, Brownson RC: Variation in research designs used to test the effectiveness of dissemination and implementation strategies: A review. Frontiers in Public Health 2018, 6.

Proceedings from the 10th Annual Conference on the Science of Dissemination and Implementation. In Science of Dissemination and Implementation; 2018; Arlington, VA, USA. Implementation Science; 2017: 728.

Shelton RC, Cooper BR, Stirman SW: The sustainability of evidence-based interventions and practices in public health and health care. Annu Rev Public Health 2018.

Watson DP, Adams EL, Shue S, Coates H, McGuire A, Chesher J, Jackson J, Omenka OI: Defining the external implementation context: An integrative systematic literature review. BMC Health Services Research 2018, 18:209.

Aarons GA, Ehrhart MG, Moullin JC, Torres EM, Green AE: Testing the Leadership and Organizational Change for Implementation (LOCI) Intervention in substance abuse treatment: A cluster randomized trial study protocol. Implement Sci 2017, 12:29.

Brownson, Ross C., Graham A. Colditz, and Enola K. Proctor (eds), Dissemination and Implementation Research in Health: Translating Science to Practice, 2nd edn (2017; online edn, Oxford Academic, 23 Nov. 2017)

Leavy B, Kwak L, Hagströmer M, Franzén E: Evaluation and implementation of highly challenging balance training in clinical practice for people with Parkinson’s disease: protocol for the HiBalance effectiveness-implementation trial. BMC Neurology 2017, 17:27.

Lewis CC, Stanick C, Lyon A, Darnell D, Locke J, Puspitasari A, Marriott BR, Dorsey CN, Larson M, Jackson C, et al: Proceedings of the Fourth Biennial Conference of the Society for Implementation Research Collaboration (SIRC) 2017: Implementation mechanisms: What makes implementation work and why? part 1. In Society for Implementation Research Collaboration; 2018. Implementation Science; 2017

Palinkas LA, Cooper BR: Mixed methods evaluation in dissemination and implementation science. In Dissemination and Implementation Research in Health: Translating Science to Practice. Edited by Brownson RC, Colditz G, Proctor EK. New York: Oxford University Press; 2017

QUALRIS workgroup: Qualitative research in implementation science. National Cancer Institute; 2017.

Skolarus TA, Lehmann T, Tabak RG, Harris J, Lecy J, Sales AE: Assessing citation networks for dissemination and implementation research frameworks. Implement Sci 2017, 12:97.

de Melo MNT, de Sá RMPF, Filho DAM: Sustainability of an innovative school food program: a case study in the northeast of Brazil. SciELO Public Health 2016, 21:1899-1908.

Gleacher AA, Olin SS, Nadeem E, Pollock M, Ringle V, Bickman L, Hoagwood K: Implementing a measurement feedback system in community mental health clinics: a case study of multilevel barriers and facilitators.Adm Policy Ment Hlth 2016:1-15.

Knight DK, Belenko S, Wiley T, Robertson AA, Arrigona N, Dennis M, Bartkowski JP, McReynolds LS, Becan JE, Knudsen HK, et al: Juvenile Justice—Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS): a cluster randomized trial targeting system-wide improvement in substance use services. Implement Sci 2016, 11:57.

Peltzer K, Prado G, Horigian V, Weiss S, Cook R, Sifunda S, Jones D: Prevention of mother-to-child transmission (PMTCT) implementation in rural community health centres in Mpumalanga province, South Africa. Journal of Psychology in Africa 2016, 26:415-418.

Rabin BA, Lewis CC, Norton WE, Neta G, Chambers D, Tobin JN, Brownson RC, Glasgow RE: Measurement resources for dissemination and implementation research in health. Implement Sci 2016, 11:42.

Tricco AC, Ashoor HM, Cardoso R, MacDonald H, Cogo E, Kastner M, McKibbon A, Grimshaw JM, Straus SE: Sustainability of knowledge translation interventions in healthcare decision-making: a scoping review.Implement Sci 2016, 11:55.

Willging CE, Green AE, Ramos MM: Implementing school nursing strategies to reduce LGBTQ adolescent suicide: a randomized cluster trial study protocol. Implement Sci 2016, 11:145.

Gates LB, Hughes A, Kim DH: Influence of staff attitudes and capacity on the readiness to adopt a career development and employment approach to services in child welfare systems. Journal of Public Child Welfare2015, 9:323-340.

Lewis CC, Stanick CF, Martinez RG, Weiner BJ, Kim M, Barwick M, Comtois KA: The Society for Implementation Research Collaboration Instrument Review Project: A methodology to promote rigorous evaluation.Implement Sci 2015, 10:2.

Moore LA, Aarons GA, Davis JH, Novins DK: How do providers serving American Indians and Alaska Natives with substance abuse problems define evidence-based treatment? Psychol Serv 2015, 12:92-100.

Moullin JC, Sabater-Hernández D, Fernandez-Llimos F, Benrimoj SI: A systematic review of implementation frameworks of innovations in healthcare and resulting generic implementation framework. Health Research Policy and Systems 2015, 13:16.

Nilsen, P. Making sense of implementation theories, models and frameworks. Implementation Sci 10, 53 (2015). https://doi.org/10.1186/s13012-015-0242-0

Wiley T, Belenko S, Knight D, Bartkowski J, Robertson A, Aarons G, Wasserman G, Leukefeld C, DiClemente R, Jones D: Juvenile Justice-Translating Research Interventions for Adolescents in the Legal System (JJ-TRIALS): a multi-site, cooperative implementation science cooperative. Implement Sci 2015, 10:A43.

Aarons GA, Ehrhart MG, Farahnak LR: The Implementation Leadership Scale (ILS): Development of a brief measure of unit level implementation leadership. Implement Sci 2014, 9:157.

Aarons GA, Ehrhart MG, Farahnak LR, Sklar M: Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation. Annu Rev Public Health 2014, 35:255-274.

Ehrhart MG, Aarons GA, Farahnak LR: Assessing the organizational context for EBP implementation: The development and validity testing of the Implementation Climate Scale (ICS). Implement Sci 2014, 9:157.

Shoup JA, Gaglio B, Varda D, Glasgow RE: Network analysis of RE-AIM framework: Chronology of the field and the connectivity of its contributors. Translational Behavioral Medicine 2014, 5:216-232.

Williams JR, Blais MPB, D, Dusablon T, Williams WO, Hennessy KD: Predictors of the decision to adopt motivational interviewing in community health settings. The Journal of Behavioral Health Services & Research2014, 41:294-307.

Chambers DA, Glasgow RE, Stange KC: The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change. Implement Sci 2013, 8:117.

Stirman SW, Miller CJ, Toder K, Calloway A: Development of a framework and coding system for modifications and adaptations of evidence-based interventions. Implement Sci 2013, 8:65.

Aarons GA, Fettes DL, Sommerfeld DH, Palinkas LA: Mixed methods for implementation research: Application to evidence-based practice implementation and staff turnover in community-based organizations providing child welfare services. Child Maltreatment 2012, 17:67-79.

Aarons GA, Green AE, Palinkas LA, Self-Brown S, Whitaker DJ, Lutzker JR, Silovsky JF, Hecht DB, Chaffin MJ: Dynamic adaptation process to implement an evidence-based child maltreatment intervention. Implement Sci 2012, 7:1-9.

Patterson TL, Semple SJ, Chavarin CV, Mendoza DV, Santos LE, Chaffin M, Palinkas L, Strathdee SA, Aarons GA: Implementation of an efficacious intervention for high risk women in Mexico: protocol for a multi-site randomized trial with a parallel study of organizational factors. Implement Sci 2012, 7:105.

Proctor EK, Powell BJ, Baumann AA, Hamilton AM, Santens RL: Writing implementation research grant proposals: Ten key ingredients. Implement Sci 2012, 7:96.

Rabin BA, Purcell P, Naveed S, P MR, Henton MD, Proctor EK, Brownson RC, Glasgow RE: Advancing the application, quality and harmonization of implementation science measures. Implement Sci 2012, 7:119.

Stirman SW, Kimberly J, Cook N, Calloway A, Castro F, Charns M: The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implement Sci2012, 7:17.

Tabak RG, Khoong EC, Chambers DA, Brownson RC: Bridging research and practice: Models for dissemination and implementation research. Am J Prev Med 2012, 43:337-350.

Aarons G: Organizational Climate for Evidence-Based Practice Implementation: Development of a New Scale. Proceedings of the Annual Association for Behavioral and Cognitive Therapies: November 2011; Toronto 2011.

Aarons GA, Hurlburt M, Horwitz SM: Advancing a conceptual model of evidence-based practice implementation in public service sectors. Adm Policy Ment Hlth 2011, 38:4-23.

Palinkas LA, Aarons GA, Horwitz S, Chamberlain P, Hurlburt M, Landsverk J: Mixed method designs in implementation research. Adm Policy Ment Hlth 2011, 38:44-53.

McLeod BD, Weisz JR: The Therapy Process Observational Coding System for Child Psychotherapy-Strategies Scale. J Clin Child Adolesc Psychol 2010, 39:436–443.

Beidas RS, Barmish AJ, Kendall PC: Training as usual: Can therapist behavior change after reading a manual and attending a brief workshop on cognitive behavioral therapy for youth anxiety? the Behavior Therapist 2009, 32:97-101.

Dimeff LA, Koerner K, Woodcock EA, Beadnell B, Brown MZ, Skutch JM, Paves AP, Bazinet A, Harned MS: Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills. Behav Res Ther 2009, 47:921-930.

Stumpf RE, Higa-McMillan CK, Chorpita BF: Implementation of evidence-based services for youth: Assessing provider knowledge. Behavior modification 2009, 33:48-65.

Glisson C, Landsverk J, Schoenwald S, Kelleher K, Hoagwood K, Mayberg S, Green P, Research Network on Youth Mental Health: Assessing the organizational social context (OSC) of mental health services: Implications for research and practice. Adm Policy Ment Hlth 2008, 35:98-113.

Holt DT, Armenakis AA, Feild HS, Harris SG: Readiness for organizational change: The systematic development of a scale. J Appl Behav Sci 2007, 43:232-255.

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Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Peacock R: Storylines of research in diffusion of innovation: A meta-narrative approach to systematic review. Social Science & Medicine 2005, 61:417-430.

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Patterson MG, West MA, Shackleton VJ, Dawson JF, Lawthom R, Maitlis S, Robinson DL, Wallace AM: Validating the organizational climate measure: Links to managerial practices, productivity and innovation. Journal of Organizational Behavior 2005, 26:379-408.

Aarons GA: Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Ment Health Serv Res 2004, 6:61-74.

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