Research
Objectives
The overall objective of the Organization and Implementation Science Team is to translate organization science theories into practical and actionable implementation science activities. Specifically, the team will test implementation strategies that involve or change the organizational environment in order to positively impact public health through improved use of evidence-based practices.
Projects
Suicide prevention for Texas children through care coordination and monitoring
This is an observational cross-sectional health services research survey study that will identify state-wide access gaps in community treatment across Texas, identify the types of families who may benefit from increased care coordination, and collaborate with administrators to develop a plan to address those access gaps.
Implementing trimorbid care for people experiencing homelessness in Austin
This project includes two studies that evaluate the implementaiton of integrated trimorbid medical, mental health, and substance use care among people experiencing homelessness. The first study is an ongoing SAMHSA-funded evaluation of the Mobile, Medical, Mental Health (M3) treatment team which is a collaboration between Integral Care, the Travis County Local Mental Health Authority, and CommUnity Care, an Austin-based Federally-qualified health center. We are currently awaiting funding notification for the second study from Central Health to evaluate the implementation of a trimorbid care model across Permanent Supportive Housing projects in Travis County.
Sexual assault prevention in the U.S. Army, Army Reserves, and National Guard
We have completed two studies as part of this project and are awaiting funding notification for the third. Our completed studies were an interview study of U.S. Army Sexual Assault Prevention and Response (SAPR) professionals in the Active Duty, Army Reserve, and National Guard, and a community advisory board of SAPR professionals that helped co-develop our proposed multi-site randomized controlled Type III Hybrid Trial. Our newest proposal would implement Bringing In The Bystander, an evidence-based sexual assault prevention program, and randomize prevention personnel to receive training and coaching in Getting To Outcomes, an evidence-based implementation program. The study will determine the extent to which Getting To Outcomes increases the Reach, Effectiveness, Adoption, Implementation, and Maintenance of Bringing In The Bystander
https://www.rand.org/pubs/tools/TL259/introduction.html
University of New Hampshire Bringing In The Bystander overview
Implementing Stress First Aid among harm reduction workers
This is a Hybrid Type I efficacy trial of Stress First Aid among harm reduction workers across Texas and the four continuous states. By Hybrid Type I trial, we mean that the study focuses on determining whether the Stress First Aid intervention affects social-support, burnout, secondary traumatic stress, use of mental health care, engagement, and turnover. A secondary aim is to collect data about how Stress FIrst Aid is implemented to support future implementation work.
Community care coordination for the Veterans Health Administration
This is completed study where the data analyses are not yet complete and there are several opportunities for students to participate. The study used surveys to compare Veterans Health Administration (VHA) primary care patients’ experience of coordination for VHA specialty care vs. community-based specialty care (CC); examine how clinicians’ experience of coordination relates to that of their patients; and examine how patients’ experience of coordination in VHA and CC relates to test duplication, medication problems, A1C control (in diabetes), self-efficacy, and patient satisfaction.
