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Program development portfolio

Research and implementation science

I use implementation science to ask where digital tools can help and how to test them in practice.

How EPIS guides the work

EPIS describes four phases for bringing a practice into routine use. Here’s how a clinic could apply them to the PCIT tools.

  1. Exploration

    Find where scoring takes extra time or past scores are hard to locate.

  2. Preparation

    Decide who scores measures, when to review trends, and what training staff need.

  3. Implementation

    Pilot the scorer and tracker. Check accuracy, time, and use in progress reviews.

  4. Sustainment

    Assign someone to monitor routine use and update the workflow as needs change.

EPIS frameworkAarons et al., 2011

What each tool helps us test

Proposed evaluation

PCIT Scorer

Turn completed caregiver measures into scores during a visit.

What to measure Scoring time and agreement with independently scored examples.

Proposed evaluation

PCIT Assessment Tracker

Bring scores across visits into one view for care planning and supervision.

What to measure Share of expected assessments entered and planned reviews that use a trend.

Dissertation pilot

TXT-ERS SMS Companion

Send a text that opens a brief activity on the participant’s phone.

What to measure Message delivery, survey completion, and feedback on clarity and relevance.

Proposed evaluation

QHealth Documentation Assistant

Keep documentation prompts and reference material together while writing a note.

What to measure Required note elements completed, writing time, and how well prompts fit the workflow.

West Chester University · Dissertation research

TXT-ERS feasibility pilot

Can a six-week text program be delivered reliably and feel relevant to immigrant-origin adolescents and emerging adults ages 14–25?

Study at a glance

  1. Baseline

    Enroll and assign

    Participants complete a survey, then are randomly assigned to one of two groups.

  2. Weeks 1–6

    Three texts per week

    InterventionEthnic-racial socialization + stress management
    ComparisonStress management only
  3. Weeks 6 and 8

    Repeat surveys

    Posttest after the final texts, then a follow-up at the start of Week 8.

Pilot targets

Texts delivered
≥95%
Week 6 survey completion
≥80%
Week 8 survey completion
≥75%
Mean acceptability rating
≥4/5

Sample text · Strengthening identity

From text message to activity

A scheduled study text arrives with a link to its companion activity.

  1. 01 · Receive a text

    TXT-ERS

    Week 2 · Message 2

    Think of a tradition, value, or memory from your background. What does it teach you about who you are?

    Open companion
  2. 02 · Open the companion

    TXT-ERS Companion

    Identity Exploration

    The text opens a reflection page. In Meaning Thread, connect a tradition, value, or memory to what it teaches you about your identity.

    Try Meaning Thread
Study rationale and survey measures

Ethnic-racial socialization can help young people connect with their cultural heritage and make sense of bias. A prior adolescent SMS pilot used participation records and interviews to assess feasibility and acceptability.

The main exploratory measure is ethnic-racial identity (MEIM-R). Surveys also ask about acculturative stress, coping, well-being, and experiences of discrimination.

Hughes et al., 2006Haack et al., 2024