Dissertation
UNRAVELING THE TANGLES: THE IMPACT OF IMPLEMENTATION DIMENSIONS ON PARTICIPANT OUTCOMES SPANNING TREATMENT AND PREVENTION EVIDENCE-BASED PROGRAMS
Washington State University
Doctor of Philosophy (PhD), Washington State University
05/2024
DOI:
https://doi.org/10.7273/000006537
Abstract
Evidence-based programs (EBP) have been developed and tested to intervene against the increasing prevalence of mental, emotional, and behavioral (MEB) health problems (e.g., substance use) apparent for individuals across the life span. Moreover, EBPs are comprised of various approaches (i.e., promotion, prevention, treatment, and maintenance) that uniquely address MEB health problems; of interest to this dissertation are prevention and treatment approaches. High quality implementation of EBPs in various settings can be challenging. Implementation research seeks to understand the processes and strategies that work best to help translate and apply EBPs into practice in real world settings. To guide this process, implementation research examines implementation dimensions which indicate implementation success, processes, and serve as key outcomes. Moreover, implementation dimensions (e.g., fidelity, quality, adaptation, and responsiveness) can be used to predict participant outcomes. Despite extensive theory and research that highlights these relationships, more research is needed to understand how multiple implementation dimensions interact to predict participant outcomes. This dissertation consists of three manuscripts which examined the relationship between implementation dimensions and MEB health outcomes across treatment and prevention. Taken together, these three manuscripts aim to a) conduct two empirical studies to contribute to the literature examining implementation dimensions’ impact on participant outcomes (Manuscripts 1 and 2), and b) review dissemination and implementation literature to determine gaps in the guiding model (Manuscript 3). Together, these manuscripts illustrate the complexity of implementation research, the variations in relationships between implementation dimensions and participant outcomes, and highlights critical next steps for the field.
Metrics
Details
- Title
- UNRAVELING THE TANGLES
- Creators
- Kathryn E. Bruzios
- Contributors
- Brittany Cooper (Chair) - Washington State University, Human Development, Department ofAmy Salazar (Committee Member)David Smelson (Committee Member)Paul Strand (Committee Member)Elizabeth Weybright (Committee Member)
- Awarding Institution
- Washington State University
- Academic Unit
- Human Development, Department of
- Theses and Dissertations
- Doctor of Philosophy (PhD), Washington State University
- Publisher
- Washington State University
- Number of pages
- 211
- Identifiers
- 99901121132001842
- Language
- English
- Resource Type
- Dissertation