Using Planned and Unplanned Adaptation to Implement Universal Alcohol Screening and Brief Intervention to Prevent Alcohol-Exposed Pregnancies in Four Primary Care Health Systems
Unplanned adaptations were observed across the 4 cases and emphasized the importance of flexible, adaptive designs when implementing evidence-based practice in dynamic settings. Participation of the health system in planning, including decisions to modify electronic health records and workflows, supported adapting to unplanned circumstances to achieve implementation goals.
Authors
- Robyn N. M. Sedotto (ORCID: https://orcid.org/0000-0003-3265-0748)
- Steven J. Ondersma (ORCID: https://orcid.org/0000-0003-1134-7723)
- Daniel P. Alford (ORCID: https://orcid.org/0000-0002-6250-8390)
- Jacqueline German
- Amy Harlowe
- Amy M. Loree (ORCID: https://orcid.org/0000-0003-1634-7343)
- Mary Kate Weber
- Diane K. King (ORCID: https://orcid.org/0000-0002-2778-8761)
- Bonnie G. McRee
Institutions
- Boston University (US)
- Boston Medical Center (US)
- Centers for Disease Control and Prevention (US)
- University of Connecticut (US)
- University of Alaska Anchorage (US)
- Henry Ford Health System (US)
- University of Michigan–Flint (US)
- Michigan State University (US)
Publication Details
- Journal
- Substance Use & Addiction Journal
- Published
- 2024-09-20
- DOI
- https://doi.org/10.1177/29767342241271404
- Citations
- 2
- Primary Topic
- Prenatal Substance Exposure Effects
- Type
- article
- Field-Weighted Citation Impact
- 2.22
Funders
- School of Medicine, Boston University
- University of Connecticut
- University of Alaska Anchorage
- Centers for Disease Control and Prevention