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MCHwork: Transforming Learning

MCHwork: Transforming Learning

Session 1.3: Evidence-Based Implementation in MCH

MCHwork

Introduction

Implementation science starts by understanding how programs and practices work based on past experience, either from field applications, scientific studies, expert opinion, or consensus. It then identifies ways to replicate these successful processes in new settings, at larger scale, or with different populations to achieve similar, positive outcomes. According to the National Implementation Research Network: "It is the study of how a practice that is evidence-based gets translated to different contexts in the real world."¹ In this way, successful implementation connects the dots between evidence and practice.

Working in MCH, there is a growing need to understand how to effectively implement evidence-based practices in different settings and what it takes to move an evidence-based practice from the library or classroom to the field.2

The Evidence-Based Decision Making Core of the National MCH Workforce Development Center (WDC), Innovation Hub at the Association of Maternal and Child Health Programs (AMCHP), and the MCH Evidence Center strive to make this process easy. MCHwork provides a jump start to evidence-based implementation through a Ready-Set-Go approach. Use the following resources to start your learning, dig deeper, and move from knowledge to practice.

READY: Start Your Learning

Watch this introductory video from the WDC to learn about the four implementation stages and different types of evidence that form the foundation of evidence-based decision making at each stage:

SET: Dig Deeper

Watch this video about a new tool that highlights key considerations for implementing evidence-based programs effectively:

  • Trainings from the MCH Navigator and Partners:
    • Active Implementation Frameworks Overview Videos. These short videos provide an introduction to: Active Implementation Formulas; Evidence-based Practices; Implementation Stages; Implementation Drivers; and PDSA Improvement Cycles.
    • Implementation Stages Model Learning Module. This module provides an overview of Implementation Stages.  Implementation Stages provide guidance to Teams on their journey to implement selected programs and practices.  For applied purposes and illustration, the module uses state and local educational systems as context.
    • Implementation Stages Planning Tool Learning Module. This interactive lesson describes the key functions of the Implementation Stages Planning Tool and high-level activities related to the stages of implementation.  After the lesson, you should be able to use the tool to evaluate your stage-based work and create a stage-based action plan using data gathered from the tool. Requires free registration.
    • Innovative Approaches to Collecting Needs Assessment Data. This video reports on efforts to use innovative mixed-methods approaches to engage and involve families and community members in a statewide needs assessment. This broad-based approach provided opportunities for hundreds if not thousands of Kansans to participate in a statewide needs assessment and to provide a unique lens on issues that helped the state develop a meaningful, responsive, strategic plan to address maternal and child health issues in the state in the coming years.
  • Resources from the MCH Digital Library:
    • Implementation Stages Planning Tool. This resource supports the identification of the current stage of implementation, as well as supports planning and improvement by providing: (1) a flow chart to determine stage of implementation; (2) a list of appropriate stage-based activities; and (3) an outline of expected stage-based outcomes.

GO: Move from Knowledge to Practice

Implement what you've learned with these resources and tools:

 


References

  1. An Integrated Stage-Based Framework for Implementation of Early Childhood Programs and Systems. Allison Metz, National Implementation Research Network, UNC-Chapel Hill Sandra F. Naoom, National Implementation Research Network, UNC-Chapel Hill Tamara Halle, Child Trends.  Leah Bartley, University of Maryland School of Social Work. May 2015.
  2. Berkel, Mauricio, Schoenfelder, & Sandler, 2010; Durlak & Dupre, 2008; Fixsen, Naoom, Blase, Friedman, & Wallace, 2005; Meyers, Durlak & Wandersman, 2012.

 

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UE8MC25742; MCH Navigator for $225,000/year. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.