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Table 2 How REP addresses multilevel barriers to implementing effective treatments in health care settings

From: Implementing evidence-based interventions in health care: application of the replicating effective programs framework

Level Barriers REP components addressing barriers
Health care purchasers Lack of awareness of evidence-based interventions
Lack of a "business case" for technology transfer models
Business case for REP process (added value of training/TA) via evaluation
Health plan Different provider organizations fragment implementation efforts
Lack of financial incentives to implement intervention
Package can be disseminated to several sites
REP training
Community Working Group (CWG) to include plan/purchaser and minority representatives- match model to program/state mandates
Practice organizations Lack of time, resources to train staff in intervention
Interventions not adapted to practice organization
Lack of engagement if intervention is imposed on them
Manual and guidance on intervention application through TA to facilitate customization to local sites based on input from site representatives from CWG, enhance group scheduling, phone self-management sessions, and culturally appropriate options including community and family engagement
Provider Lack of time, information
Lack of training opportunities in intervention
Competing priorities
REP packaging- manual on how to supplement provider services
Patient/consumer Lack of access to customized interventions
Lack of ongoing support, interest
Identification and packaging of interventions tailored to different populations; Identification of intervention core elements