Social Network Analysis for Program Implementation

This paper introduces the use of social network analysis theory and tools for implementation research. The social network perspective is useful for understanding, monitoring, influencing, or evaluating the implementation process when programs, policies, practices, or principles are designed and scaled up or adapted to different settings. We briefly describe common barriers to implementation success and relate them to the social networks of implementation stakeholders. We introduce a few simple measures commonly used in social network analysis and discuss how these measures can be used in program implementation. Using the four stage model of program implementation (exploration, adoption, implementation, and sustainment) proposed by Aarons and colleagues [1] and our experience in developing multi-sector partnerships involving community leaders, organizations, practitioners, and researchers, we show how network measures can be used at each stage to monitor, intervene, and improve the implementation process. Examples are provided to illustrate these concepts. We conclude with expected benefits and challenges associated with this approach.

[1]  J. Lowery,et al.  Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science , 2009, Implementation science : IS.

[2]  Martin G. Everett,et al.  Analyzing social networks , 2013 .

[3]  Robert F. Boruch,et al.  Standards of Evidence: Criteria for Efficacy, Effectiveness and Dissemination , 2005, Prevention Science.

[4]  T. Valente,et al.  Identifying Opinion Leaders to Promote Behavior Change , 2007, Health education & behavior : the official publication of the Society for Public Health Education.

[5]  Jenine K Harris,et al.  Understanding mis-implementation in public health practice. , 2015, American journal of preventive medicine.

[6]  D. Knoke Understanding Social Networks: Theories, Concepts, and Findings , 2013 .

[7]  Lars Wallin,et al.  Individual determinants of research utilization by nurses: a systematic review update , 2011, Implementation science : IS.

[8]  C. Hendricks Brown,et al.  Translating the Intervention Approach into an Appropriate Research Design: The Next-Generation Adaptive Designs for Effectiveness and Implementation Research , 2014 .

[9]  G. Aarons,et al.  Advancing a Conceptual Model of Evidence-Based Practice Implementation in Public Service Sectors , 2010, Administration and Policy in Mental Health and Mental Health Services Research.

[10]  T. Boat,et al.  Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities , 2009 .

[11]  T. Valente,et al.  Community coalitions as a system: effects of network change on adoption of evidence-based substance abuse prevention. , 2007, American journal of public health.

[12]  Steffanie A Strathdee,et al.  A peer-education intervention to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users , 2007, AIDS.

[13]  Yinglin Xia,et al.  Observational Measures of Implementer Fidelity for a School-Based Preventive Intervention: Development, Reliability, and Validity , 2014, Prevention Science.

[14]  T. Valente Network Interventions , 2012, Science.

[15]  M Aickin,et al.  Randomized trial testing the effect of peer education at increasing fruit and vegetable intake. , 1999, Journal of the National Cancer Institute.

[16]  H. Bernard Research Methods in Anthropology: Qualitative and Quantitative Approaches , 1988 .

[17]  Johanne Saint-Charles,et al.  Different relationships for coping with ambiguity and uncertainty in organizations , 2009, Soc. Networks.

[18]  Thomas W. Valente,et al.  Social Networks and Health , 2010 .

[19]  J. Coleman,et al.  Medical Innovation: A Diffusion Study. , 1967 .

[20]  Louise A. Rohrbach,et al.  Addressing Core Challenges for the Next Generation of Type 2 Translation Research and Systems: The Translation Science to Population Impact (TSci Impact) Framework , 2013, Prevention Science.

[21]  Lawrence A. Palinkas,et al.  Translation and Implementation of Evidence-Based Practice , 2011 .

[22]  Fiona R Beyer,et al.  Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in overweight and obese people. , 2010, The Cochrane database of systematic reviews.

[23]  Mitsunori Ogihara,et al.  Partnerships for the Design, Conduct, and Analysis of Effectiveness, and Implementation Research: Experiences of the Prevention Science and Methodology Group , 2012, Administration and Policy in Mental Health and Mental Health Services Research.

[24]  Stephen M Shortell,et al.  Community Care Networks: Linking Vision to Outcomes for Community Health Improvement , 2003, Medical care research and review : MCRR.

[25]  Chih-Ping Chou,et al.  The interaction of social networks and child obesity prevention program effects: The pathways trial , 2014, Obesity.

[26]  Wei Wang,et al.  Predicting Program Start-Up Using the Stages of Implementation Measure , 2012, Administration and Policy in Mental Health and Mental Health Services Research.

[27]  Jean-Loup Guillaume,et al.  Fast unfolding of communities in large networks , 2008, 0803.0476.

[28]  Thomas W Valente,et al.  Social network diagnostics: a tool for monitoring group interventions , 2013, Implementation Science.

[29]  R Brian Haynes,et al.  Strategies to enhance venous thromboprophylaxis in hospitalized medical patients (SENTRY): a pilot cluster randomized trial , 2013, Implementation Science.

[30]  Gurminder Singh,et al.  Identifying key players in a social network: Measuring the extent of an individual's Neighbourhood Connectivity , 2010, 2010 IEEE International Workshop on: Business Applications of Social Network Analysis (BASNA).

[31]  K. Emmons,et al.  How can we increase translation of research into practice? Types of evidence needed. , 2007, Annual review of public health.

[32]  Alastair Baker,et al.  Crossing the Quality Chasm: A New Health System for the 21st Century , 2001, BMJ : British Medical Journal.

[33]  Karen A. Blase,et al.  Implementation Research: A Synthesis of the , 2005 .

[34]  Mark T. Greenberg,et al.  Social Networks and Community Prevention Coalitions , 2005, Journal of Primary Prevention.

[35]  Jeanne M. Poduska,et al.  Developing a Collaboration with the Houston Independent School District: Testing the Generalizability of a Partnership Model , 2011, Administration and Policy in Mental Health and Mental Health Services Research.

[36]  Sylvia Vassileva,et al.  Prevention of HIV and sexually transmitted diseases in high risk social networks of young Roma (Gypsy) men in Bulgaria: randomised controlled trial , 2006, BMJ : British Medical Journal.

[37]  Karen A. Blase,et al.  Implementation research: A synthesis of the literature (No. 231). University of South Florida, Louis de la Parte Florida Mental Health Implementation Research Network. , 2012 .

[38]  M E J Newman,et al.  Community structure in social and biological networks , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[39]  Tommaso Tempesti,et al.  Culturally Tailored, Family-Centered, Behavioral Obesity Intervention for Latino-American Preschool-aged Children , 2012, Pediatrics.

[40]  Thomas W. Valente,et al.  A Social Network Analysis of a Coalition Initiative to Prevent Underage Drinking in Los Angeles County , 2015, 2015 48th Hawaii International Conference on System Sciences.

[41]  Geoff Sutcliffe,et al.  A Computational Future for Preventing HIV in Minority Communities: How Advanced Technology Can Improve Implementation of Effective Programs , 2013, Journal of acquired immune deficiency syndromes.

[42]  S. Ennett,et al.  How effective is drug abuse resistance education? A meta-analysis of Project DARE outcome evaluations. , 1994, American journal of public health.

[43]  E. Rogers Diffusion of Innovations , 1962 .

[44]  David A. Chambers,et al.  The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change , 2013, Implementation Science.

[45]  David A. Chambers,et al.  The Interactive Systems Framework for Dissemination and Implementation: Enhancing the Opportunity for Implementation Science , 2012, American Journal of Community Psychology.

[46]  Petra Himmel,et al.  Network Epidemiology A Handbook For Survey Design And Data Collection , 2016 .

[47]  R. Glasgow,et al.  Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. , 2003, American journal of public health.

[48]  Geoffrey M. Curran,et al.  Effectiveness-implementation Hybrid Designs: Combining Elements of Clinical Effectiveness and Implementation Research to Enhance Public Health Impact , 2012, Medical care.

[49]  Stanley W. Borg Social Networks and Health: Models, Methods, and Applications , 2012 .

[50]  Douglas D. Perkins,et al.  Ecological Contexts in the Development of Coalitions for Youth Violence Prevention , 2012, Health education & behavior : the official publication of the Society for Public Health Education.

[51]  Nan Lin,et al.  Social capital and civic action: A network-based approach , 2008 .

[52]  D. Mackinnon,et al.  A multicommunity trial for primary prevention of adolescent drug abuse. Effects on drug use prevalence. , 1989, JAMA.

[53]  Stanley Wasserman,et al.  Social Network Analysis: Methods and Applications , 1994, Structural analysis in the social sciences.

[54]  Michelle C Kegler,et al.  How does community context influence coalitions in the formation stage? a multiple case study based on the Community Coalition Action Theory , 2010, BMC public health.

[55]  Thomas W Valente,et al.  Using network analysis to understand community-based programs: a case study from highland Madagascar. , 2003, International family planning perspectives.

[56]  D. Heckathorn,et al.  Extensions of Respondent-Driven Sampling: A New Approach to the Study of Injection Drug Users Aged 18–25 , 2002, AIDS and Behavior.

[57]  Thomas W Valente,et al.  Effects of a social-network method for group assignment strategies on peer-led tobacco prevention programs in schools. , 2003, American journal of public health.

[58]  D. Capurro,et al.  The Use of Social Networking Sites for Public Health Practice and Research: A Systematic Review , 2014, Journal of medical Internet research.

[59]  Alan Shiell,et al.  The privileging of communitarian ideas: citation practices and the translation of social capital into public health research. , 2005, American journal of public health.

[60]  Lawrence A. Palinkas,et al.  Inter-Organizational Collaboration in the Implementation of Evidence-based Practices Among Public Agencies Serving Abused and Neglected Youth , 2012, Administration and Policy in Mental Health and Mental Health Services Research.

[61]  Alan Stacy,et al.  Peer acceleration: effects of a social network tailored substance abuse prevention program among high-risk adolescents. , 2007, Addiction.

[62]  Wei Wang,et al.  An outcome evaluation of the Sources of Strength suicide prevention program delivered by adolescent peer leaders in high schools. , 2010, American journal of public health.

[63]  A. Neaigus,et al.  The network approach and interventions to prevent HIV among injection drug users. , 1998, Public health reports.

[64]  Stephen P. Borgatti,et al.  Identifying sets of key players in a social network , 2006, Comput. Math. Organ. Theory.

[65]  Thomas W. Valente Network models of the diffusion of innovations , 1996, Comput. Math. Organ. Theory.

[66]  Mohsen Malekinejad,et al.  Using Respondent-Driven Sampling Methodology for HIV Biological and Behavioral Surveillance in International Settings: A Systematic Review , 2008, AIDS and Behavior.

[67]  Lawrence A. Palinkas,et al.  Evidence-based Practice in Social Work: Development of a New Professional Culture , 2014 .

[68]  Thomas W. Valente,et al.  Mass Media and Interpersonal Influence in a Reproductive Health Communication Campaign in Bolivia , 1998 .

[69]  Eric Rice,et al.  Influence network linkages across implementation strategy conditions in a randomized controlled trial of two strategies for scaling up evidence-based practices in public youth-serving systems , 2013, Implementation Science.

[70]  B. C. Reed Evaluating Health Promotion Programs , 2003 .

[71]  S. Kellam,et al.  Developing and Maintaining Partnerships as the Foundation of Implementation and Implementation Science: Reflections over a Half Century , 2012, Administration and Policy in Mental Health and Mental Health Services Research.

[72]  Thomas W. Valente,et al.  Opinion Leadership and Social Contagion in New Product Diffusion , 2011, Mark. Sci..

[73]  R. Menninger Administration and policy in mental health , 1993, Administration and Policy in Mental Health and Mental Health Services Research.

[74]  E. Balas,et al.  Managing Clinical Knowledge for Health Care Improvement , 2000, Yearbook of Medical Informatics.

[75]  Thomas E. Backer,et al.  Evaluating community collaborations , 2003 .

[76]  Martin G. Everett,et al.  Induced, endogenous and exogenous centrality , 2010, Soc. Networks.

[77]  Kayo Fujimoto,et al.  A network assessment of community-based participatory research: linking communities and universities to reduce cancer disparities. , 2010, American journal of public health.

[78]  Guy Cafri,et al.  Expanding the Domains of Attitudes Towards Evidence-Based Practice: The Evidence Based Practice Attitude Scale-50 , 2010, Administration and Policy in Mental Health and Mental Health Services Research.

[79]  G. Robert,et al.  Diffusion of innovations in service organizations: systematic review and recommendations. , 2004, The Milbank quarterly.