{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T18:10:14Z","timestamp":1777745414600,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["UF1MH121942"],"award-info":[{"award-number":["UF1MH121942"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR003107"],"award-info":[{"award-number":["UL1TR003107"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Implementation Research and Practice"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is a growing interest in practice-based implementation research, yet too often research prioritizes and is most successful in academic settings. During a national implementation trial to evaluate the effectiveness of Collaborative Care for co-occurring opioid use and mental health disorders, we lost three of our 11 participating implementation sites, all representing community sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>To better understand needed supports for implementation trial participation, we conducted exit interviews ( n\u2009=\u20095) with key staff at these community sites. Interview transcripts were double-coded and analyzed using Rapid Assessment Process. Qualitative themes were iteratively reviewed by the study team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three themes emerged characterizing challenges for community sites, including that: (1) research threatens sites\u2019 most precious resource\u2014staff; (2) staff lack comfort with and skills for research; and (3) research participation in its current form does not offer a clear return on investment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Learnings from this work illuminate some of the barriers community sites face when trying to participate in multisite implementation research. An undercurrent of participant perspectives was the belief that community sites like theirs are just not set up to successfully participate in clinical trial research, including population-based implementation trials. Future implementation trials should consider strategies that disrupt traditional approaches, increasing the equitable inclusion of diverse practice settings in implementation research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26334895241267023","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T07:00:21Z","timestamp":1723618821000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Are we being equitable enough? Lessons learned from sites lost in an implementation trial"],"prefix":"10.1177","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4221-1362","authenticated-orcid":false,"given":"Elizabeth J.","family":"Austin","sequence":"first","affiliation":[{"name":"Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Ferro","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Saxon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA"},{"name":"Center of Excellence in Substance Addiction Treatment and Education, VA Puget Sound, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C.","family":"Fortney","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA"},{"name":"Advancing Integrated Mental Health Solutions (AIMS) Center, University of Washington, Seattle, WA, USA"},{"name":"Center of Innovation for Veteran-Centered and Value-Driven Care, Health Services Research & Development, VA Puget Sound, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey M.","family":"Curran","sequence":"additional","affiliation":[{"name":"Departments of Pharmacy Practice and Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA"},{"name":"Central Arkansas Veterans Health Care System, Little Rock, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna D.","family":"Ratzliff","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA"},{"name":"Advancing Integrated Mental Health Solutions (AIMS) Center, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily C.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, USA"},{"name":"Center of Innovation for Veteran-Centered and Value-Driven Care, Health Services Research & Development, VA Puget Sound, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"bibr1-26334895241267023","volume-title":"Rapid assessment process: An introduction","author":"Beebe J.","year":"2001"},{"key":"bibr2-26334895241267023","volume-title":"Viral justice: How we grow the world we want","author":"Benjamin R.","year":"2022"},{"key":"bibr3-26334895241267023","volume-title":"Constructing grounded theory","author":"Charmaz K.","year":"2006"},{"key":"bibr4-26334895241267023","doi-asserted-by":"publisher","DOI":"10.1188\/14.ONF.89-91"},{"key":"bibr5-26334895241267023","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2022.04.210411"},{"key":"bibr6-26334895241267023","first-page":"107","volume":"4","author":"Davis M. M.","year":"2012","journal-title":"Journal of Healthcare Leadership"},{"key":"bibr7-26334895241267023","doi-asserted-by":"publisher","DOI":"10.2217\/cer.14.52"},{"key":"bibr8-26334895241267023","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2020.100608"},{"issue":"1","key":"bibr9-26334895241267023","volume":"15","author":"Khalil-Khan A.","year":"2023","journal-title":"Cureus"},{"key":"bibr10-26334895241267023","doi-asserted-by":"publisher","DOI":"10.1080\/13814788.2017.1375092"},{"key":"bibr11-26334895241267023","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.12458"},{"key":"bibr12-26334895241267023","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2012.05.120100"},{"key":"bibr13-26334895241267023","doi-asserted-by":"publisher","DOI":"10.1002\/lrh2.10248"},{"key":"bibr14-26334895241267023","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.4.403"},{"key":"bibr15-26334895241267023","doi-asserted-by":"publisher","DOI":"10.18865\/ed.29.S1.113"},{"key":"bibr16-26334895241267023","doi-asserted-by":"publisher","DOI":"10.1177\/104973201129119299"}],"container-title":["Implementation Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26334895241267023","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26334895241267023","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26334895241267023","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:40:40Z","timestamp":1777462840000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26334895241267023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":16,"alternative-id":["10.1177\/26334895241267023"],"URL":"https:\/\/doi.org\/10.1177\/26334895241267023","relation":{},"ISSN":["2633-4895","2633-4895"],"issn-type":[{"value":"2633-4895","type":"print"},{"value":"2633-4895","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"26334895241267023"}}