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Implementation Science at UW

Keywords: United States

✪ Enduring contributions to implementation science: Honoring the legacy of Bryan R. Garner

Authors:

Sara J Becker, James H Ford II, Joseph E Glass, Heather J Gotham, Hannah K Knudsen, Andrew Quanbeck, Mat Roosa & Emily C Williams

University of Washington affiliated authors are displayed in bold.

✪ Open Access

Published: October 2025

Read the full text in the open access journal Frontiers in Health Services

With heavy hearts, we are writing to celebrate the scientific contributions of our colleague and friend, Bryan R. Garner, PhD, who passed away incomprehensibly at the age of 49 on June 20, 2025. Bryan was a professor at The Ohio State University, where he served as Director of Dissemination & Implementation Science in the Division of General Internal Medicine and Director of Dissemination & Implementation Research for the Center for the Advancement of Team Science, Analytics, and Systems Thinking (CATALYST). Bryan formed enduring collaborations and friendships across the institutions where he worked and trained. He maintained career-long relationships with colleagues from Texas Christian University, where he earned his PhD in Experimental Psychology (1–3), and from Chestnut Health Systems (4–7) and RTI International (8–10), where he built and expanded his research program.

Implementing Payer Partnerships for Patient Care Programs within Clinically Integrated Networks of Community Pharmacies: A Qualitative Study

Authors:

Christopher Daly, Durdana N. Iqbal, Jessica B. Finke, Kim C. Coley, William R. Doucette, Stefanie P. Ferreri, Sophia M.C. Herbert, David M. Jacobs, Randy McDonough, Melissa A. Somma McGivney, Wesley Nuffer, Megan G. Smith & Jennifer L. Bacci

University of Washington affiliated authors are displayed in bold.

Subscription Required for Full Text Access

Published: October 2025

Read the full text in the subscription access journal Journal of the American Pharmacy Association

Tailored strategies to increase the use of an evidence-based psychotherapy for posttraumatic stress disorder: A stepped-wedge randomized trial in military clinics

Authors:

Craig S Rosen, Alan L Peterson, David S Riggs, Christopher K Haddock, Chunki Fong, Stacey Young-McCaughan, Jeffrey Cook, Katherine Anne Comtois, Elisa V Borah, C Adrian Davis, Katherine A Dondanville, Erin P Finley, Sara A Jahnke, Melissa Mistretta, Andrea Neitzer, Shannon Wiltsey-Stirman, Erin R Frick, Olivia Hayes, Spencer Clayton, Allison M Conforte, Araceli Flores, Jeremy Jinkerson , Zachary K Jones, Hana J Kim, Margaret Letendre, Jared S Link, Debra Nofziger, Erik N Ringdahl, John W Waggoner, Craig Woodworth, Emily Ho, Carmen P McLean & TACTICS Research Group

University of Washington affiliated authors are displayed in bold.

Subscription Required for Full Text Access

Published: October 2025

Read the full text in the subscription access journal Journal of Anxiety Disorders

✪ Process evaluation and lessons learned from the formation of a multi-sector partnership: the Healing Experiences of Adversity among Latinos (HEALthy4You)

Authors:

Clare Viglione, Amy Westermann, Job Godino, Kyung E Rhee, Blanca Melendrez, Xin M Tu, David L Boyle, Michael Hogarth, Gregory A Aarons, Noe C Crespo, Pradeep Gidwani, Margarita Holguin, Cynthia Juarez, Deysi B Merino-Gonzalez, Liliana Osorio, Herminia Ramirez, Micaela Smith, Alec Terrana, Gary S Firestein & Eric Hekler

University of Washington affiliated authors are displayed in bold.

✪ Open Access

Published: October 2025

Read the full text in the open access journal Frontiers in Health Services

Abstract:

The Healing Experiences of Adversity Among Latinos (HEALthy4You; H4Y) study was a multi-sector partnership between an academic research institution, a Federally Qualified Health Center (FQHC), and a multi-sector collective impact coalition focused on childhood obesity prevention. The goal of HEALthy4You was to develop community-centered and culturally appropriate precision interventions within FQHCs for Latino families to address predictors of adverse child experiences and treat childhood obesity. A multidisciplinary and multi-sector research, clinical, and community team (N = 29) was formed in September 2020 to co-design the study, which launched in June 2022. The team utilized a co-creation approach combined with the Exploration, Preparation, Implementation, and Sustainment framework to facilitate a collaborative design process. We conducted an internal and retrospective process evaluation in March 2023 to identify antecedents and situational factors associated with project formation, with a focus on understanding tensions and challenges with a broad partnership structure. We outline the team's co-creation process and describe internal challenges and pitfalls that emerged when developing the project. We sought to better understand the impact of differing perspectives, priorities, and goals between disciplines, sectors, and roles; differing approaches to evidence and evidence production; and team strategies to mitigate and manage competing pressures and priorities. This case report describes lessons learned, intending to share insights to support future development of best practices in project, partner, and team formation between researchers, clinicians, and community members. More specifically, these lessons could help inform community-led research endeavors between academic institutions, FQHCs, and community-based organizations (CBOs).

**This abstract is posted with permission under the Creative Commons Attribution 4.0 International License**

✪ A pragmatic approach to estimating the cost to deliver and participate in implementation strategies

Authors:

Hannah Cheng, Maryam Abdel Magid, Mark P. McGovern, James H. Ford II, Veena Manja, Hélène Chokron Garneau & Todd H. Wagner

University of Washington affiliated authors are displayed in bold.

✪ Open Access

Published: October 2025

Read the full text in the open access journal Implementation Science

Abstract:

The Healing Experiences of Adversity Among Latinos (HEALthy4You; H4Y) study was a multi-sector partnership between an academic research institution, a Federally Qualified Health Center (FQHC), and a multi-sector collective impact coalition focused on childhood obesity prevention. The goal of HEALthy4You was to develop community-centered and culturally appropriate precision interventions within FQHCs for Latino families to address predictors of adverse child experiences and treat childhood obesity. A multidisciplinary and multi-sector research, clinical, and community team (N = 29) was formed in September 2020 to co-design the study, which launched in June 2022. The team utilized a co-creation approach combined with the Exploration, Preparation, Implementation, and Sustainment framework to facilitate a collaborative design process. We conducted an internal and retrospective process evaluation in March 2023 to identify antecedents and situational factors associated with project formation, with a focus on understanding tensions and challenges with a broad partnership structure. We outline the team's co-creation process and describe internal challenges and pitfalls that emerged when developing the project. We sought to better understand the impact of differing perspectives, priorities, and goals between disciplines, sectors, and roles; differing approaches to evidence and evidence production; and team strategies to mitigate and manage competing pressures and priorities. This case report describes lessons learned, intending to share insights to support future development of best practices in project, partner, and team formation between researchers, clinicians, and community members. More specifically, these lessons could help inform community-led research endeavors between academic institutions, FQHCs, and community-based organizations (CBOs).

**This abstract is posted with permission under the Creative Commons Attribution 4.0 International License**

✪ Editorial: Using the RE-AIM framework and other implementation theories, models, and frameworks to guide the implementation and evaluation of rural health innovations

Authors:

Heather Schacht Reisinger, Teresa Damush, Teresa Damush,Erin Balkenende, Edwin Wong, Kanika Arora, Rachael R. Kenney, Laura D. Taylor & Monica Matthieu

University of Washington affiliated authors are displayed in bold.

✪ Open Access

Published: October 2025

Read the full text in the open access journal Frontiers in Health Services

✪ Environmental sustainability, an essential outcome for implementation scientists to improve health

Authors:

Virginia Mckay, Emmanuel Tetteh, Nicholas Wong, C Bradley Kramer & Jason Burnham

University of Washington affiliated authors are displayed in bold.

✪ Open Access

Published: October 2025

Read the full text in the open access journal Frontiers in Health Services

Abstract:

While there is evidence of humans' harmful impact on the environment, translating such evidence into changes is challenging. Implementation science can facilitate a shift from a reactive to proactive approach in tackling environmental sustainability. This article aims to spur further discussion among implementation scientists to incorporate environmental sustainability within their research, while also offering concepts relevant to environmental science researchers seeking to apply implementation science principles.

**This abstract is posted with permission under the Creative Commons Attribution 4.0 International License**

✪ Predictors of skill trajectories in the implementation of cognitive behavioral therapy

Authors:

Patty B. Kuo, Amber Calloway, Max A. Halvorson & Torrey A. Creed

University of Washington affiliated authors are displayed in bold.

✪ Open Access

Published: September 2025

Read the full text in the open access journal Implementation Science Communication

Abstract:

Background

Cognitive behavioral therapy (CBT), an umbrella term for therapeutic techniques guided by cognitive behavioral theory, is an evidence-based approach for many psychiatric conditions in youth. A stronger dose of CBT delivery is thought to improve youth clinical outcomes. While a critical indicator of care quality, measuring the use of CBT techniques feasibly and affordably is challenging. Certain CBT techniques (e.g., more concrete and observable) may be easier to measure than others using low-cost methods, such as clinician self-report; however, this has not been studied.

Method

To assess the concordance of three methods of measuring CBT technique use with direct observation (DO), clinicians from 27 community agencies (n = 126; Mage = 37.7 years, SD = 12.8; 76% female) were randomized 1:1:1 to a self-report, chart-stimulated recall (CSR; semistructured interviews with the chart available), or behavioral rehearsal (BR; simulated role-plays) condition. In previous work using a global score aggregating 12 CBT techniques, only BR produced scores that did not differ from DO. This secondary analysis examined the concordance of these alternate methods with DO for each discrete CBT technique, testing for differential concordance across cognitive techniques (e.g., cognitive education) compared to behavioral techniques (e.g., behavioral activation).

Results

Results of three-level mixed effects regression models indicated that BR scores did not differ significantly from DO for any techniques, and for nine techniques, neither did CSR (all ps > .05). Contrastingly, self-report scores differed from DO for all but one technique, with greater concordance for behavioral than cognitive techniques (z = −3.29, p < .001).

Conclusions

Unlike previous findings using an aggregate score, we found that both BR and CSR did not differ significantly from DO for most techniques tested. These findings have implications within implementation research and usual care settings; they support multiple viable measurement methods that are less resource-intensive than DO.

**This abstract is posted with permission under the Creative Commons Attribution 4.0 International License**

✪ Testing Three Alternate Methods to Direct Observation in Measuring Use of Discrete Youth Cognitive Behavioral Techniques: A Secondary Analysis

Authors:

Simone H Schriger, Steven C Marcus, Emily M Becker-Haimes, Shannon Dorsey, David S Mandell, Bryce D McLeod, Sonja K Schoenwald & Rinad S Beidas

University of Washington affiliated authors are displayed in bold.

✪ Open Access

Published: September 2025

Read the full text in the open access journal Implementation Research and Practice

Abstract:

Background

Cognitive behavioral therapy (CBT), an umbrella term for therapeutic techniques guided by cognitive behavioral theory, is an evidence-based approach for many psychiatric conditions in youth. A stronger dose of CBT delivery is thought to improve youth clinical outcomes. While a critical indicator of care quality, measuring the use of CBT techniques feasibly and affordably is challenging. Certain CBT techniques (e.g., more concrete and observable) may be easier to measure than others using low-cost methods, such as clinician self-report; however, this has not been studied.

Method

To assess the concordance of three methods of measuring CBT technique use with direct observation (DO), clinicians from 27 community agencies (n = 126; Mage = 37.7 years, SD = 12.8; 76% female) were randomized 1:1:1 to a self-report, chart-stimulated recall (CSR; semistructured interviews with the chart available), or behavioral rehearsal (BR; simulated role-plays) condition. In previous work using a global score aggregating 12 CBT techniques, only BR produced scores that did not differ from DO. This secondary analysis examined the concordance of these alternate methods with DO for each discrete CBT technique, testing for differential concordance across cognitive techniques (e.g., cognitive education) compared to behavioral techniques (e.g., behavioral activation).

Results

Results of three-level mixed effects regression models indicated that BR scores did not differ significantly from DO for any techniques, and for nine techniques, neither did CSR (all ps > .05). Contrastingly, self-report scores differed from DO for all but one technique, with greater concordance for behavioral than cognitive techniques (z = −3.29, p < .001).

Conclusions

Unlike previous findings using an aggregate score, we found that both BR and CSR did not differ significantly from DO for most techniques tested. These findings have implications within implementation research and usual care settings; they support multiple viable measurement methods that are less resource-intensive than DO.

**This abstract is posted with permission under the Creative Commons Attribution 4.0 International License**

✪ Implementing Social Media Strategies in Community-Partnered HIV Research: Practical Considerations From 3 Ongoing Studies

Authors:

Elena P Rosenberg-Carlson, Tamra B Loeb, Raquel G Hernandez, Jane J Lee, Aima A Ahonkhai, Jessica M Perkins, Chunqing Lin, Sung-Jae Lee, Sharon Hurt, Luke Johnsen & Alison B Hamilton.

University of Washington affiliated authors are displayed in bold.

✪ Open Access

Published: September 2025

Read the full text in the open access journal JMIR Public Health Surveillance

Abstract:

Background

In recent years, social media has emerged as a pivotal tool in implementation science efforts to address the HIV epidemic. Engaging community partners is essential to ensure the successful and equitable implementation of social media strategies. There is a notable lack of scholarship addressing the operational considerations for studies using social media strategies in community-partnered HIV research. This article seeks to bridge this gap by consolidating field notes and practical considerations derived from 3 ongoing NIH-supported studies focused on Ending the HIV Epidemic in the United States.

Objective

This article aims to inform the design, planning, and implementation of operationally effective community-partnered social media strategies in HIV research, ultimately contributing to enhancements in HIV practice and improved outcomes across the HIV prevention and care continua.

Methods

Supported by the University of California, Los Angeles Rapid, Rigorous, Relevant (3R) Implementation Science Hub, the 3 Ending the HIV Epidemic projects convened to form the community-partnered social media campaigns working group. The working group used the Consolidated Framework for Implementation Research to help identify and organize key barriers and facilitators of relevance to implementation of the projects’ social media strategies. Given the high degree of interrelatedness across reported factors, the working group thematically synthesized the content into 5 practical considerations to inform use of community-partnered social media strategies in HIV research.

Results

The practical considerations identified by the community-partnered social media campaigns working group include the following: (1) the power and pitfalls of social media platforms (ie, opportunities and challenges inherent to social media platforms that may affect use of social media strategies in HIV research), (2) messengers and messages matter (ie, ensuring the appropriateness, acceptability, and quality of social media messengers and content), (3) the significance of the sociopolitical environment (ie, characterizing the sociopolitical environment surrounding HIV and its potential impact on implementing social media strategies to reach priority populations), (4) investing in academic-community partnerships (ie, cultivating positive and productive academic-community partnerships to support implementation of social media strategies in HIV research), and (5) the alignment of the institutional environment and research approach (ie, assessing and working to address features of institutional environments that may impact implementation of social media strategies in community-partnered HIV research).

Conclusion

As use of social media in HIV research and practice continues to grow, the practical considerations presented in this paper can help research teams anticipate factors that may impact implementation of community-partnered social media strategies and take early action to mitigate potential challenges. By understanding and addressing the unique challenges and opportunities of social media in community-partnered HIV research, we can leverage these platforms to accelerate progress toward ending the HIV epidemic.

**This abstract is posted with permission under the Creative Commons Attribution 4.0 International License**