ImpSci @ UW

Testing a multi-faceted strategy to support the implementation of ACEs screenings in primary care: results of a stepped-wedge pilot trial - Implementation Science Communications Background Adverse Childhood Experiences (ACEs) screenings are increasingly being used in primary care clinics to identify toxic stress and potential trauma in children. ACEs are negative life events (e.g., violence exposure) occurring before age 18, that can increase health risks when unaddressed. However, we lack evidence on the impact of ACEs screenings and how they can be feasibly implemented in community-based clinics. We partnered with federally qualified health clinics to test the impact of a multifaceted implementation strategy on ACEs screening reach and mental health referrals for children ages 0–5. Methods We conducted a Hybrid Type 2 pilot trial using a stepped-wedge design (2021–2024). Reach data was measured as the proportion of eligible children screened for ACEs, with data collected from Electronic Health Records. We also assessed the percentage of mental health service referrals among all eligible children. Study clinics (n = 3) switched from no ACEs screenings (control) to implementing ACEs screenings supported by the multi-faceted ACE implementation strategy (intervention). The tested strategy comprised personnel training (e.g., trauma-informed care), integrated technology, team-based screening workflows, and ongoing care team implementation support. Additional clinics (n = 2) implemented ACEs screenings as usual without the strategy and served as additional comparison sites for exploratory analyses. Log-binomial and robust Poisson regression models examined differences in screening reach and referrals and were adjusted for site and patient race. Results Screening reach rates increased in the intervention period, from 0.0% of patients screened during control to 11.2% screened during intervention. Mental health service referrals increased from 0.4% at control to 7.2% during the intervention, resulting in a risk difference (95% confidence interval) of 6.9% (6.0%, 7.7%). For both the reach and referral outcomes, risk differences were significantly greater for 18-to-60-month-old patients than for patients under 18-months-old. Discussion Healthcare policy efforts promoting ACEs screenings in primary care are commendable. We found that a multi-faceted implementation strategy informed by partners and designed to support ACEs screenings in community-based clinics was feasible. However, its impact was attenuated by policy requirements, clinics’ capacity to add ACEs screenings to strained workflows, and multiple impactful outer-context events related and unrelated to the COVID-19 pandemic. Trial registration Trial # NCT04916587 registered at clinicaltrials.gov on June 4, 2021, https://clinicaltrials.gov/study/NCT04916587

Adverse childhood experiences (ACES) are linked to lifespan physical & mental health problems. This study led by Monica Perez-Jolles improved ACES screening outcomes using a multi-faceted implementation strategy. @ucsd-disc.bsky.social @accordsresearch.bsky.social link.springer.com/article/10.1...

📢 Join us on October 14th for our EPIS Office Hours! Drop by to ask questions, hear from other EPIS users, and discuss applications of the #EPISFramework #impsci.

Register for either session here👇:
tinyurl.com/EPISOfficeHo...

⏰ Don`t forget to register for the next IMPACT webinar on Nov 26, 17-18.30 CET!
Dr. Julia Moore will talk on "Supporting Implementation: Core Competencies and Functions of Implementation Teams" followed by a round table discussion. #impsci 👉🏽  https://nursing.wufoo.com/forms/z1u6ciq81gfn7lm/

A Great Washington Shake Out bingo card. The free space is drop, cover, and hold on. Other spaces are filled with suggested activities such as telling a friend about shake out, registering for shake out, testing your evacuation plan, signing up for local emergency alerts, and learning about local hazards.

We're just 😱 2 weeks away 😱 from the Great Washington #ShakeOut. Looking for ways to shake up your ShakeOut game? Check out our bingo card for some good ideas and see if you can get a full house!

And don't forget to register at shakeout.org/washington/ to help us hit 1.7 million participants!

This Thursday's @uwbiostat.bsky.social seminar welcomes Xinwei Shen, PhD from UW Statistics presenting, "Generalization Beyond Data: A Distributional Perspective." Details at: bit.ly/48amMiA

Seattle to launch first connected network of community food micro-pantries Seattle is piloting the nation’s first connected network of community food micro-pantries. Powered by UW-led smart sensor research, the project will fight hunger, cut food waste, and improve...

What’s a micro-pantry? Small, volunteer-run pantries & fridges that provide 24/7, local access to food. UW and partners are piloting smart sensors to reduce waste and improve access. UW Epi’s Marie Spiker is studying how communities use micro-pantries to guide this model forward.

'Micro to Macro: Methods in Implementation Science'

Last chance to register www.eisummit.org

#EIS2025 #ImpSci #Evidence #Health #Research #Methods #AgedCare #Policy #ISHCA

@ishca-25.bsky.social @unimelb.bsky.social @curtinuniversity.bsky.social @deakinuniversity.bsky.social @latrobe

Poster titled: The Challenges of Behavior Change, with presenter PER NILSEN, Professor (Linköping University, Sweden). Talk description: Per Nilsen is a Professor of Social Medicine and Public Health at Linköping University, Sweden. An economist by training at Stockholm School of Economics, Sweden, Nilsen was responsible for building a research and educational program on implementation science at Linköping University, including a PhD course which is running annually since 2011. He takes particular interest in applying concepts and theories from beyond implementation science for improved understanding of the challenges involved in achieving behaviour and practice change. His paper "Making Sense of Implementation Theories, Models and Frameworks", published in Implementation Science, has been cited in nearly 5,000 publications. Nilsen has broad interests and has also authored books on rock artists like Prince, David Bowie and Iggy and the Stooges. For more information, contact LAPIS at: lapis@uw.edu Learn more about LAPIS at: https://globalhealth.washington.edu/our-work/health-system: strengthening/learning-action-policy-implementation-and-health: systems-lapis. Register for the Zoom here: https://washington.zoom.us/ meeting/register/xW0iS3NjRf K-WLGbEtHJvA

📢🔊 #impsci Webinar alert! Join our friends at LAPIS on Oct 6 for their next seminar, featuring global implementation science leader Dr. Per Nilsen from Linköping University, Sweden. To register ➡️ bit.ly/4pMbtmU

NIH races to spend its 2025 grant money — but fewer projects win funding Despite political obstacles, officials are on track to disburse all of the research funds allocated to US biomedical behemoth.

Staff members at the NIH seem to have done the impossible: spend the agency's $48 billion budget.

“Everyone has been rallying together to clean up the mess, but it’s a mess that did not need to be made,” an NIH program officer told me.

www.nature.com/articles/d41...

Poster titled: The Challenges of Behavior Change, with presenter PER NILSEN, Professor (Linköping University, Sweden). Talk description: Per Nilsen is a Professor of Social Medicine and Public Health at Linköping University, Sweden. An economist by training at Stockholm School of Economics, Sweden, Nilsen was responsible for building a research and educational program on implementation science at Linköping University, including a PhD course which is running annually since 2011. He takes particular interest in applying concepts and theories from beyond implementation science for improved understanding of the challenges involved in achieving behaviour and practice change. His paper "Making Sense of Implementation Theories, Models and Frameworks", published in Implementation Science, has been cited in nearly 5,000 publications. Nilsen has broad interests and has also authored books on rock artists like Prince, David Bowie and Iggy and the Stooges. For more information, contact LAPIS at: lapis@uw.edu Learn more about LAPIS at: https://globalhealth.washington.edu/our-work/health-system: strengthening/learning-action-policy-implementation-and-health: systems-lapis. Register for the Zoom here: https://washington.zoom.us/ meeting/register/xW0iS3NjRf K-WLGbEtHJvA

📢🔊 #impsci Webinar alert! Join our friends at LAPIS on Oct 6 for their next seminar, featuring global implementation science leader Dr. Per Nilsen from Linköping University, Sweden. To register ➡️ bit.ly/4pMbtmU

Check out this event that @uwsph.bsky.social is hosting on October 1st!

Just published: Testing Three Alternate Methods to Direct Observation in Measuring Use of Discrete Youth Cognitive Behavioral Techniques: A Secondary Analysis. #ImpSci journals.sagepub.com/doi/10.1177/...

How politics influence workplace health and safety Jordan Barab, former deputy assistant secretary for US Occupational Safety and Health Administration, presents Breysse Lecture on October 16

Join us Oct. 16! Jordan Barab, former deputy assistant secretary for the Occupational Safety & Health Administration (OSHA), will deliver the Breysse Lecture on "Workplace Safety and Health in the Current Political Landscape.” Get a sneak peek on our blog:
deohs.washington.edu/hsm-blog/how...

For Seattle folks… I’m giving a talk tonight at Obec Brewery (6:30) about science funding, the history of human computer interaction, and the future of AI. I’m off the clock, so I may get a little spicier than usual. If you’re around, please come!

I’m giving a free/public talk this Tues in Seattle about how US government investment in science laid the foundations for the field of human-computer interaction and how that field (and investment) connects to so many of the innovations that we take for granted, as well as the future of AI.

Any academic folks on H1B visas (even with stamps in passports) please get legal advice from your University attorneys before leaving the US.

Behavioral Health Student Assistance Programs: Leveraging Non-Traditional Mental Health Providers to Address Workforce Shortages and Mitigate the Youth Mental Health Crisis - Administration and Policy... Workforce shortages and other barriers have undermined efforts to address recent spikes in youth behavioral health problems. This study evaluates Washington State’s Behavioral Health Student Assistanc...

🚨Youth mental health needs are at an all-time high, but the workforce is stretched thin.

Our study of Washington State’s BH-SAP shows paraprofessionals in schools make a big impact:

✅ 2,500+ students supported
✅ More hope, stronger connections, fewer issues
✅ 96% found it helpful

Read Full study👇

Strange trend for researchers to be aware of: participants are using Chat GPT to respond to open-ended questions at the end of surveys. Be sure to look for common indicators of GenAI before coding qualitative data (e.g., numbered lists, double asterisks, etc.)

[FREE EVENT] Exploring Careers in Implementation: Paths Beyond Academia — The Center for Implementation Join this virtual event featuring panelists in diverse implementation roles to learn about careers in implementation support, strategy, and applied research beyond traditional academic tracks.

🔍 Looking for insights on careers in #ImpSci?

🎓 The Center for Implementation (TCI) & SIRC are hosting a free 90-min virtual panel on Sept 16, 2025
🗣️ Panelists share career journeys, tips for transitions, and opportunities beyond academia

🔗 Register: thecenterforimplementation.com/exploring-ca...

We are thrilled to release Issue #6 of our bulletin, including our latest updates, insights, and opportunities!

🔗https://www.canva.com/design/DAGqzVpLZbA/YBspFsuqGX4DmsmCkU4OoQ/view?utm_content=DAGqzVpLZbA&utm_campaign=designshare&utm_medium=link2&utm_source=uniquelinks&utlId=hb61f30913f

#ImpSci

Come work with us! We are recruiting a part-time Research Associate to join our #ImpSci in Health Care group. Please apply by October 10, 2025 - and let me know if you have any questions about the role. jobs.uzh.ch/job-vacancie...

📢 Join the ESPACOMP 2025 workshop in Malaga (12 Nov)! Hands-on training on evaluating & implementing medication adherence interventions with hybrid designs.

👉 Don’t miss the chance to join, learn, and exchange ideas with colleagues in the field!
#MedicationAdherence #ImpSci www.espacomp.eu

⏰Just 3 days left until our IMPACT webinar!
Prof. Per Nilsen & Dr. Julian Hong will share key insights on AI implementation in health care. Join online on Sept 17, 17:00 CEST. https://nursing.wufoo.com/forms/z1u6ciq81gfn7lm/ #impsci #AI

'Participatory and Adaptive Approaches to Implementation and Evidence Use'

Early bird closing 21 September register www.eisummit.org

#EIS2025 #ImpSci #Evidence #impact #frameworks #research #policy

@ishca-25.bsky.social

A beautiful piece of artwork that, one could say, resembles our logo. You have a salmon leaping out of a river, while in the distance the mountains and rolling hills are spread. And in the sky you see the bald eagle that our social media manager flew off into the sunset with.

Nobody panic, they left us notes to share with you...

💡Know before you go by downloading maps, checking for closures, and checking fire restrictions
🥾Remember to leave no trace
💧Stay hydrated

Oh wait, there’s one last one...

☁️PLEASE DON’T SET THE STATE ON FIRE ☁️🌈😊

Our @harborviewmedical Ethics Forum is back!! Join us TODAY 9/10 at 12pm via Zoom for the first forum of the year!

Thank you for everything Bryan Weiner! 💜💛

Enjoy what lies ahead @bjweiner.bsky.social - and … we may still know where to find you 😉 #ImpSci

Bryan with four PhD students after class on his final day of teaching. Bryan stands at the center of the five, who are lined up facing the camera in front of a blank classroom projection screen.

Bryan at the UW Global Health graduation ceremony, wearing regalia, smiling and clapping.

Bryan standing with two recent graduates of the UW Global Health PhD program while at D&I 2024. All three are facing the camera and smiling.

Bryan with many of the UW-affiliated attendees at D&I 2024, his final professional conference, with everyone arranged in rows facing the camera and smiling.

Our amazing Director @bjweiner.bsky.social is retiring from academia and professional life at the end of the month (sob) - please join us in thanking him for everything he has done for the field and people of #impsci #implementationScience. Bryan, we will miss you! 💜💛💜💛

Bryan with four PhD students after class on his final day of teaching. Bryan stands at the center of the five, who are lined up facing the camera in front of a blank classroom projection screen.

Bryan at the UW Global Health graduation ceremony, wearing regalia, smiling and clapping.

Bryan standing with two recent graduates of the UW Global Health PhD program while at D&I 2024. All three are facing the camera and smiling.

Bryan with many of the UW-affiliated attendees at D&I 2024, his final professional conference, with everyone arranged in rows facing the camera and smiling.

Our amazing Director @bjweiner.bsky.social is retiring from academia and professional life at the end of the month (sob) - please join us in thanking him for everything he has done for the field and people of #impsci #implementationScience. Bryan, we will miss you! 💜💛💜💛