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 Systematic review
Moullin, J C, Dickson, K S, Stadnick, N A, Rabin, B A, Aarons, G A (In press) Systematic Review of the Exploration, Preparation, Implementation, Sustainment (EPIS) Framework. Implementation Science.
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.
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.
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.
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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.
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Green L, Kreuter M: Health program planning: An educational and ecological approach. Boston: McGraw Hill; 2005.
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.
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.
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.
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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.
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.
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.
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.
Atkins L, Francis J, Islam R, O’Connor D, Patey A, Ivers N, Foy R, Duncan EM, Colquhoun H, Grimshaw JM: A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implement Sci 2017, 12:77.
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.
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.
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.
Harden SM, Smith ML, Ory MG, Smith-Ray RL, Estabrooks PA, Glasgow RE: RE-AIM in clinical, community, and corporate settings: Perspectives, strategies, and recommendations to enhance public health impact.Frontiers in Public Health 2018, 6:71.
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.
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.
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.
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
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.
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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