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“Doing Translational Research,” the new BCTR podcast

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doing translational researchBCTR projects actively do translational research (TR) in their work to address the most pressing human problems, but the center, and projects, also study and advance the processes which make for effective translation of research into practice. Our new podcast, Doing Translational Research, features conversations from researchers, practitioners, and others involved in the process of doing TR, exploring what they study and how they connect and work with others to strengthen research and practice.

Our first episodes are now available on Soundcloud, Stitcher, and iTunes (search on "Doing Translational Research"). In our first episode, BCTR director Karl Pillemer interviews Cornell professor of nutritional science Carol Devine. Professor Devine studies how food choices over the life course are shaped by life transitions, social roles, and the lived environment. In episode two, Karl talks with Charles Izzo, a research associate in the BCTR whose work focuses on factors that influence the quality of interactions between those in the helping professions (youth workers, home visitors) and the clients they serve.

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Doing Translational Research podcast: Charles Izzo

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Wednesday, March 2, 2016

Charles Izzo
Bronfenbrenner Center for Translational Research, Cornell University

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Talks at Twelve: Charles Izzo and Elliott Smith, Thursday, March 10, 2016

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event-izzo-smith

Creating Conditions for Healthy Development in Residential Youth Care Settings: Recent Findings from the CARE Program
Charles Izzo and Elliott Smith, BCTR

Thursday, March 10, 2016
12:00-1:00 PM
Beebe Hall, 2nd floor conference room



In their talk, Drs. Izzo and Smith will describe results from a multi-site evaluation of Children and Residential Experiences (CARE), a program that helps residential care agencies follow a set of evidence-informed principles in order to improve their child care practice. They will summarize the program design and the results from an 11-site study, which used an Interrupted Time Series (ITS) design to demonstrate a decline in behavioral incidents resulting from CARE’s 3-year implementation. They will also discuss the ITS as a powerful evaluation option for human service agencies that wish to make good use of their administrative data.

 

Charles Izzo is a research associate in the BCTR studying the multi-level processes by which programmed interventions influence human functioning and health. Currently, his work focuses on factors that influence the quality of interactions between those in the helping professions (youth workers, home visitors) and the clients they serve, and translating research knowledge into useful tools for practitioners and administrators.

Elliott Smith is associate director of the National Data Archive on Child Abuse and Neglect and a developmental psychologist with a passion for quantitative data who applies statistical methods to data from many sources, including administrative databases and surveys. His goal is to understand factors that impact youth-caregiver relationships and to make science-based contributions to the practice wisdom of human service professionals, educators, and parents.

 

This talk is open to all. Lunch will be served. Metered parking is available in the Plantations lot across the road from Beebe Hall. No registration or RSVP required except for groups of 5 or more. We ask that larger groups email Patty at pmt6@cornell.edu letting us know of your plans to attend so that we can order enough lunch.

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Regional CARE events share findings from 5-year study

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RCCP director Martha Holden addressing attendees

RCCP director Martha Holden addressing attendees

The BCTR’s Residential Child Care Project (RCCP) disseminates model techniques and systems to prevent institutional child abuse and neglect. The RCCP’s CARE Model guides childcare agencies to support safe environments, strong programmatic elements, and a wide-variety of treatment programs and interventions that are trauma-sensitive and developmentally appropriate.

Supported by The Duke Endowment, the RCCP is completing a 5-year multi-site study of the CARE Model by analyzing data and writing papers to disseminate study outcomes. Additionally, the RCCP set up a series of Community of Practice regional events to share the new information with their CARE agencies, allowing agencies and the RCCP to not only learn from the research, but from one another in a collaborative way through discussion and networking.

One such Community of Practice regional event took place on August 12, 2015 at Waterford Country School in Connecticut.  RCCP staff began by providing the context for the research. Specifically, Debbie Sellers (BCTR director of research and evaluation) gave a presentation explaining translational research (TR) and the RCCP approach to TR.  Charlie Izzo (RCCP research associate) described the CARE Theory of Change, which outlines the change processes RCCP facilitates at each agency, and how these relate to the expected measurable outcomes.

Next, RCCP staff summarized the results from three related CARE studies. Charlie Izzo described the results of a study conducted across 11 agencies demonstrating that CARE implementation led to an average decline in three types of behavioral incidents: aggression toward staff, aggression towards peers, and property destruction. Izzo also presented findings from a study across 13 agencies demonstrating that CARE implementation led to a significant improvement in youth reports of the quality of their relationship with agency direct care providers. Finally, Michael Nunno co-presented with representatives from an experienced CARE agency about a study they conducted together. These findings replicated and extended the findings of the Duke study, demonstrating that CARE led not only to fewer behavioral incidents, but also fewer physical restraints and less frequent use of psychotropic medication.

The Connecticut audience was a diverse group, including agency administrators, program managers, and supervisors, as well as board members and those in research/evaluation roles. Of particular interest to attendees was the finding that as relationship quality improved, behavioral incidents decreased.  This information would support, encourage and validate the efforts of front line staff.  

Attendees were actively involved throughout the day in helping to clarify the interpretation and practical significance of the findings, and proposing future research directions that would help inform their efforts to implement CARE and better meet the needs of children and families. For example, during a discussion about their unique roles in implementing CARE, clinicians realized that they are a natural group to educate agency direct care staff about applying CARE principles in their daily work.  RCCP staff is incorporating this clinician input into a tool in development that measures implementation quality across agency sectors.  Agency clinicians also stimulated discussion about developing a tool to specifically assess practices that clinicians use to strengthen CARE implementation and sustainability over time.

The day ended with a series of interactive small-group discussions about the essential elements within the CARE implementation process led by Lisa McCabe and Frank Kuhn that were most likely to lead to positive outcomes and long-term sustainability. The ideas generated through these discussions not only helped the CARE team refine its implementation processes, but also pointed the way toward several promising research questions.

William Martin, executive director for Waterford was particularly pleased with the opportunities that this event provided for his staff, “I want to say that being asked to host this event provided an opportunity for my staff that they never could have gotten any other way,” and that RCCP “continues to do things that change our lives here at Waterford Country School and I could not be more appreciative.”

Two additional Community of Practice regional events were held on May 20, 2015 in Statesville, NC and on October 15, 2015 in Brisbane, Australia.

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RCCP at the 2014 EUSARF conference

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The 13th European Scientific Association on Residential and Family Care for Children and Adolescents Conference (EUSARF) 2014 was held in Copenhagen, Denmark on September 2-5, 2014 and the BCTR's Residential Child Care Project (RCCP) was well represented. This conference is held biannually and presents an opportunity for researchers and practitioners from Europe and around the world to exchange and discuss the latest international research and practice in child and family care. The heading for this year’s conference was "Making a Difference," focusing on ways to translate positive experiences and outcomes into best practices that make a difference in the lives of vulnerable children and their families.

Nunno, Holden, Izzo, and Kuhn

Nunno, Holden, Izzo, and Kuhn

The RCCP's Michael Nunno, Martha Holden, Charlie Izzo, Frank Kuhn, Bill Martin, and Sharon Butcher presented a symposium on Implementing, Evaluating and Sustaining a Research and Principle-based Program Model in Residential Care with Children and Adolescents: Learning from the Cornell CARE Program Experience. During this 2-hour symposium, the RCCP faculty

  • gave an overview of the CARE model and implementation process
  • shared the preliminary results from the 4- year quasi-experimental study of 14 agencies implementing the CARE model
  • discussed the complexity of implementing a principled-based model in residential therapeutic care organizations
  • and used a single case study to illustrate the impact of CARE and the RCCP’s Therapeutic Crisis Intervention (TCI) System on one organization that has a range of services to children and families

The conference also saw the launch of a new book, Therapeutic Residential Care For Children and Youth: Developing Evidence-Based International Practice, edited by J. Whitaker, J. del Valle and L. Holmes (Jessica Kinsgley Publishers). Martha Holden, James Anglin, Michael Nunno, and Charlie Izzo wrote the chapter, Engaging the Total Therapeutic Residential Care Program in a Process of Quality Improvement: Learning from the CARE Model, contributing the effort to take an international look at the current practice in therapeutic residential care.

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BCTR at the Global Implementation Conference

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The Global Implementation Conference (GIC) was held in Washington DC on August 19-21, 2013. Several BCTR staff attended the conference and were on the program. The GIC provided a unique forum to share the latest information about implementation science, practice, and policy that supports organizational change, system transformation, and implementation in human services and other real-world settings. Participants from diverse backgrounds and settings gathered to share ideas and research. The 2013 GIC theme was Putting Implementation into Practice: Tools for Quality and Sustainability.

Izzo

Izzo

Charles Izzo and Frank Kuhn from The Residential Child Care Project presented Examining the Flow of Implementation Events to Help Interpret Evaluation Results and Inform Programming at the Measures & Tools practice group.

 

 

 

 

Dotterweich and Powers

Dotterweich and Powers

Marilyn Ray, Jutta Dotterweich, and Jane Powers from ACT for Youth presented Using Quality Implementation Framework to Inform Evaluation and Quality Improvement at the Implementation Science Synthesis practice group.

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Talks at Twelve: Charles Izzo, Thursday, February 9, 2012

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The Promise and Perils: Helping Direct-service Organizations Use Evaluation Data to Monitor Program Success
Charles Izzo, Research Associate, Bronfenbrenner Center for Translational Research

Thursday, February 9, 2012
12:00 - 1:00 PM
Beebe Hall, 2nd floor conference room



Lunch will be served. This talk is open to all.  Metered parking is available across Plantations Rd. in The Plantations lot.

The potential for data to guide program management and promote organizational learning is often celebrated, but it is unclear how often this occurs in practice. Practitioners and administrators hope to learn "how we can do things better," but the data are often too general, too narrow, or too late to be relevant for these kinds of decisions. This presentation will describe one attempt to conduct an evaluation that not only tests hypotheses about program impact, but also helps agency personnel monitor their progress in the program and understand some dynamics that affect their functioning. We will describe how we measure key components of the theory of change, and our efforts to help agencies benefit from these measurement data.

Charles Izzo has a Ph.D. in Clinical Psychology and conducts research in a variety of applied settings. His work focuses on factors that affect care-giving practices, and how youth-adult relationships and interactions influence child behavior and development. His work also examines the pathways by which programs produce intended changes in the children and families they serve. He is also experienced working with administrators to make use of secondary data, helping local agencies with program planning and development, and training non-academics in research methods.

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