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Facilitating Implementation Fidelity for Sustainment: Considering the How with the What

OCTOBER 9, 2020

Lisa Saldana, PhD
Senior Scientist
Oregon Social Learning Center

About the Presentation: Previous data focused on developing and testing the 8-staged Stages of Implementation Completion (SIC)— an observational tool of implementation progress from Engagement (Stage 1) to development of Competency (Stage 8) — provides a unique and rich source of real-world activities conducted by sites attempting to implement an EBP, and an assessment of inner and outer context variables of the sites. The SIC maps onto three phases of implementation (pre-implementation, implementation, and sustainment), and was developed as part of an implementation trial to assess sites’ implementation process behavior and obtainment of milestones. Originally developed to assess the implementation of two different implementation approaches for an EBP for youth in the child welfare and juvenile justice systems, the SIC now has been adapted or customized for over 40 program initiatives/evaluations. Using these multiple adaptations, an empirically driven Universal SIC was developed. The Universal SIC maintains the original 8-stages of the SIC, with items within each stage representing those that were found to be common across EBPs. This Universal SIC now is being utilized by a number of initiatives to track and guide the implementation of EBPs.

Recent advances with the SIC suggest its potential utility as a measure of implementation fidelity; the SIC can reliably predict successful program start-up and achievement of program competency for sustainment based on both the quality and quantity of implementation activity completion.  The SIC might then serve as a measure of implementation fidelity, across the span of implementation from Engagement to achievement of Competency in program delivery. The relative importance of each of the pre-implementation stages early on in the implementation process will be described, with data presented to illustrate the importance of strong pre-implementation behavior, including pacing and activity completion.

About the Presenter:  Lisa Saldana is a senior scientist at Oregon Social Learning Center, with a research emphasis in welfare populations and evidence-based practice. A clinical psychologist by training, she is an implementation scientist focused on the development, evaluation, and implementation of evidence-based practices. Lisa is the primary developer of the Stages of Implementation Completion (SIC) and Cost of Implementing New Strategies (COINS) implementation tools, as well as the R3 Supervisor Implementation strategy, a workforce approach focused on frontline staff. Lisa also is the developer of the FAIR model, an integrative treatment for parental substance abuse and child neglect that has undergone rigorous testing and was recently funded to evaluate as an implementation effectiveness trial. She is the founder of the ODI Clinic, where FAIR has been provided to local families since 2013.