# Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model

> **NIH NIH R01** · OREGON SOCIAL LEARNING CENTER, INC. · 2022 · $662,345

## Abstract

PROJECT SUMMARY/ABSTRACT
 This proposal, in response to PAR-16-455, aims to test the impact of an empirically derived implementation
strategy—under real-world conditions and across multiple child service systems—on successful adoption and
sustainment of two evidence-based programs that address adolescent substance abuse: Treatment Foster
Care Oregon (TFCO; formerly Multidimensional Treatment Foster Care) and Multidimensional Family Therapy
(MDFT), both developed with funding from NIDA. Methods for this study utilize “technology-based approaches”
for “implementing large-scale change.” Leveraging previous data focused on developing and testing the 8-
staged Stages of Implementation Completion (SIC) tool—a measure of implementation progress from
Engagement (Stage 1) to development of Competency (Stage 8)—a randomized evaluation of a SIC Coaching
Strategy (SIC-CS) is proposed. Study activities include extending the SIC into the Sustainment Phase and
testing the SIC-CS to support the adoption of new evidence-based programs.
 Previous findings with the SIC suggest its potential utility as a measure of implementation fidelity. The
overarching goal of this proposal is to evaluate if the integration of implementation fidelity (fidelity to the
implementation process) with intervention fidelity (fidelity to the clinical intervention) can increase the
probability that a new organizational site not only successfully adopts a program but develops the infrastructure
to ensure it can sustain. Patterns of cost and resource allocation will be examined using the Cost of
Implementing New Strategies (COINS) cost mapping tool, an adjunct to the SIC, to assess how resource use
impacts program sustainability. A web-based SIC and COINS tool provides feedback about a site's
implementation behavior relative to other successful sites and will be used in the current study as part of the
SIC-CS. Purveyors for TFCO and MDFT will be trained to integrate SIC coaching into their existing coaching
activities with newly adopting sites randomized to receive the SIC-CS. SIC data and feedback will be withheld
from sites randomized to Standard (STAND) Consultation. Within a rapid audit and feedback system, it is
hypothesized that sites that receive integrated implementation and intervention fidelity feedback as part of their
technical assistance will more likely develop sustainable programs than sites that receive standard support.
 Study targets include the following specific aims: (a) evaluate the effect of SIC-CS on outcomes of program
adoption and sustainment, (b) extend the SIC to include measurement of sustainment, and (c) examine cost
and resource patterns most likely to yield sustainable programs. This data-driven approach to guide new sites
has the potential to help them to implement sustainable evidence-based programs for adolescent substance
abuse and other high-risk behaviors. If successful, the study will have a significant impact for organizations
adopting new programs an...

## Key facts

- **NIH application ID:** 10348696
- **Project number:** 5R01DA044745-05
- **Recipient organization:** OREGON SOCIAL LEARNING CENTER, INC.
- **Principal Investigator:** Lisa Saldana
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $662,345
- **Award type:** 5
- **Project period:** 2018-04-01 → 2024-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10348696

## Citation

> US National Institutes of Health, RePORTER application 10348696, Facilitating Sustainment Through Implementation Feedback: The SIC Coaching Model (5R01DA044745-05). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10348696. Licensed CC0.

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