Global implementation research and applications最新文献

{"title":"Implementation Science and Provision of Better Health Care in Latin America: Challenges and Opportunities","authors":"Carlos Alberto dos Santos Treichel, Felipe Agudelo Hernández","doi":"10.1007/s43477-023-00111-5","DOIUrl":"https://doi.org/10.1007/s43477-023-00111-5","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"59 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connecting Clinical Capacity and Intervention Sustainability in Resource-Variable Pediatric Oncology Centers in Latin America","authors":"Virginia McKay, Yichen Chen, Kim Prewitt, Sara Malone, Maria Puerto-Torres, Carlos Acuña-Aguirre, Yvania Alfonso-Carreras, Shilel Y. Alvarez-Arellano, Leticia A. Andrade-Sarmiento, Daniela Arce-Cabrera, Deiby Argüello-Vargas, Mariuxy D. C. Barragán-García, Rosario Batista-Del-Cid, Erika E. Blasco-Arriaga, Maria D. C. Cach-Castaneda, Gloria I. Ceballo-Batista, Mayra Chávez-Rios, Maria E. Costa, Maria E. Cuencio-Rodriguez, Rosdali Diaz-Coronado, Ever A. Fing-Soto, Teresa D. J. García-Sarmiento, Wendy C. Gómez-García, Cinthia J. Hernández-González, Yajaira V. Jimenez-Antolinez, Maria S. Juarez-Tobias, Esmeralda M. León-López, Norma A. Lopez-Facundo, Ruth A. Martínez Soria, Scheybi T. Miralda-Méndez, Erika Montalvo, Carlos M. Pérez-Alvarado, Clara K. Perez-Fermin, Monica L. Quijano-Lievano, Beatriz Salas-Mendoza, Edwin E. Sanchez-Fuentes, Marcia X. Serrano-Landivar, Veronica Soto-Chavez, Isidoro Tejocote-Romero, Sergio Valle, Elizabeth A. Vasquez-Roman, Juliana Texeira Costa, Adolfo Cardenas-Aguirre, Meenakshi Devidas, Douglas A. Luke, Asya Agulnik","doi":"10.1007/s43477-023-00106-2","DOIUrl":"https://doi.org/10.1007/s43477-023-00106-2","url":null,"abstract":"Abstract Clinical capacity for sustainability, or the clinical resources needed to sustain an evidence-based practice, represent proximal determinants that contribute to intervention sustainment. We examine the relationship between clinical capacity for sustainability and sustainment of PEWS, an evidence-based intervention to improve outcomes for pediatric oncology patients in resource-variable hospitals. We conducted a cross-sectional survey among Latin American pediatric oncology centers participating in Proyecto Escala de Valoración de Alerta Temprana (EVAT), an improvement collaborative to implement Pediatric Early Warning Systems (PEWS). Hospitals were eligible if they had completed PEWS implementation. Clinicians were eligible to participate if they were involved in PEWS implementation or used PEWS in clinical work. The Spanish-language survey consisted of 56 close and open-ended questions about the respondent, hospital, participants’ assessment of clinical capacity to sustain PEWS using the clinical sustainability assessment tool (CSAT), and perceptions about PEWS and its use as an intervention. Results were analyzed using a multi-level modeling approach to examine the relationship between individual, hospital, intervention, and clinical capacity determinants to PEWS sustainment. A total of 797 responses from 37 centers in 13 countries were included in the analysis. Eighty-seven percent of participants reported PEWS sustainment. After controlling for individual, hospital, and intervention factors, clinical capacity was significantly associated with PEWS sustainment (OR 3.27, p < .01). Marginal effects from the final model indicate that an increasing capacity score has a positive influence (11% for every additional CSAT point) of predicting PEWS sustainment. PEWS is a sustainable intervention and clinical capacity to sustain PEWS contributes meaningfully to PEWS sustainment.","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"12 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134954537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and Barriers of Implementing an Evidence-Based Practice in a Rural Community Setting: A Qualitative Case Study","authors":"Jennifer Smith Ramey, Fred Volk, Fred Milacci","doi":"10.1007/s43477-023-00105-3","DOIUrl":"https://doi.org/10.1007/s43477-023-00105-3","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"82 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation Research in Refugee Resettlement: A Rapid Scoping Review","authors":"Miriam Potocky","doi":"10.1007/s43477-023-00104-4","DOIUrl":"https://doi.org/10.1007/s43477-023-00104-4","url":null,"abstract":"Abstract The world today has the highest number of refugees in history. Resettlement is a durable solution for some. Due to the stressors and traumas of forced migration, resettled refugees experience disproportionate rates of physical and mental health difficulties. Dissemination of knowledge about evidence-based interventions for this population has advanced greatly; however, knowledge about implementation is scant. This rapid scoping review was conducted to identify the characteristics of implementation research in refugee resettlement and commonly reported implementation barriers. Four major databases were searched for relevant studies conducted from 2018 to 2023. Data were extracted on implementation characteristics, outcomes, and barriers. Frequency analyses were conducted to summarize the data. Fifty-three studies were included. The most frequently implemented evidence-based interventions were physical health education/promotion, trauma-focused therapies, and parenting interventions. Acceptability and feasibility were the most frequently studied implementation outcomes, typically measured by client retention rates. The most common implementation strategies were adapting an intervention to the local refugee context, training stakeholders, and using iterative evaluation. Reported rates of desirable outcomes were high. Most studies used mixed methods, one-group pretest–posttest, or qualitative research designs. The most cited implementation barriers were lack of time, budget constraints, workflow disruption, and limited availability of interpreters. This study is the first to assess implementation research in refugee resettlement. This is a nascent field with potential for improving service quality and outcomes for this vulnerable population. Limitations and suggestions for application are discussed.","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136233694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Theory to Implementation in Practice: A Qualitative Case Study of the Implementation of Virtual Reality in Mental Healthcare","authors":"Hanneke Kip, Gillian K. G. Buitelaar-Huijsse, Marileen T. E. Kouijzer, Saskia M. Kelders","doi":"10.1007/s43477-023-00101-7","DOIUrl":"https://doi.org/10.1007/s43477-023-00101-7","url":null,"abstract":"Abstract While virtual reality (VR) shows much promise for treatment of psychiatric disorders, it is not widely used in practice. Models as the Consolidated Framework for Implementation Research (CFIR) can be used to guide implementation, but not much is known about how to translate these models into concrete implementation processes. To identify relevant implementation factors, accompanying objectives and strategies, and points of improvement for the implementation of VR in mental healthcare. This case study took place at two organizations for mental healthcare. In Phase 1, an implementation plan with factors, objectives and strategies was developed based on the CFIR, previous research, and experiences from practice. In Phase 2, therapists’ experiences with the implementation process were identified via interviews. Deductive coding with the previously identified factors was used to investigate if and how the factors were experienced and to identify points of improvement regarding the accompanying objectives and strategies. Implementation factors, objectives, and strategies were identified for five domains: characteristics of therapists, patients, the intervention, inner setting and outer setting. In the interviews, few factors related to patients and the outer setting were identified. Points of improvement were related to available time for using VR, suitable skills training, and integration in treatment protocols and organizational structures. Our study showed that most formulated implementation factors were experienced by participants, but that there was room for improvement. Our findings underline the need for systematic and iterative development of multi-level implementation interventions, inspired by theories and framework from behavioural sciences.","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135218390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Standardized Outcome Measures for Motor Function in a Neurorehabilitation Hospital","authors":"Camilla Biering Lundquist, Susanne Lillelund, Gunhild Mo Hansen, Vibeke Dalgaard Knudsen, Uwe M. Pommerich, Hanne Pallesen, Iris Charlotte Brunner","doi":"10.1007/s43477-023-00103-5","DOIUrl":"https://doi.org/10.1007/s43477-023-00103-5","url":null,"abstract":"Abstract International guidelines recommend the use of standardized outcome measures post-stroke. The aim of this study was to delineate and evaluate the implementation of four motor function outcome measures. This study describes the application of a multifaceted strategy that integrates various approaches to augment implementation. The study was conducted among physical therapists in a sub-acute neurorehabilitation hospital. The implementation process was guided by the Knowledge-to-Action Cycle, and a taxonomy for implementation outcomes was systematically employed to analyze and evaluate the implementation process. Focus group interviews were conducted both prior and 6 months subsequent to an implementation period. Additionally, data from healthcare records were extracted to monitor the penetration of the new procedures. All 70 employed physical therapists underwent training on the application of the four selected outcome measures. Barriers identified in the focus group interviews encompassed perceived acceptability and appropriateness of the outcome measures, time consumption for testing, and perceived lack of relevance for certain patients. These barriers were mitigated through local adaptions. However, 6 months post-implementation, the adoption and penetration of the new procedures were only partially satisfactory. Some physical therapists still expressed reluctance toward employing outcome measures, and findings from the healthcare records corroborated the interview results. Specifically, adherence to testing procedures surpassed the pre-defined threshold of 75% for only one outcome measure at one pre-defined time point. A persistent effort is required to enhance acceptability, adoption, penetration, and to ensure the sustainability of the new procedures.","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135779211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Health Before Pregnancy: Evaluating the Feasibility of Community-Based Preconception Care Package in Rural Central India","authors":"Rutuja Sunil Kolhe, Rhea Aggarwal, Abhishek V. Raut, Chetna Maliye, Subodh S. Gupta, Bishan Swarup Garg, K. Sophiya, Radhika Sharma, Anuj Mundra, Arjun Kumar Jakasania, Amey Dhatrak, Ashwini Kalantri, Poonam Shivkumar","doi":"10.1007/s43477-023-00102-6","DOIUrl":"https://doi.org/10.1007/s43477-023-00102-6","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"232 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136032573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Implementation of the EU School Fruit and Vegetables Scheme: Cross Country Study","authors":"Biljana Meshkovska, Sarah Forberger, Janine Wendt, Daniel A. Scheller, Elena Castellari, Giulia Tiboldo, Aleksandra Luszczynska, Nanna Lien","doi":"10.1007/s43477-023-00100-8","DOIUrl":"https://doi.org/10.1007/s43477-023-00100-8","url":null,"abstract":"Abstract The European Union (EU) School Fruit and Vegetables Scheme is a nutrition policy program. It has three actions: delivery of fruit and vegetables in schools, accompanying educational and information measures. The aim of this study is to identify barriers and facilitators to the implementation of the Scheme as perceived by implementers at government level. This work is a qualitative, exploratory study using the Consolidated Framework for Implementation Research (CFIR) to guide data collection and analysis. Twenty-three semi-structured interviews were conducted with representatives ( n = 29) from agriculture, health and education, across 10 EU member states and the EU. Qualitative data were coded inductively. Themes were mapped to constructs of the CFIR. We found content in regard to 19 out of 26 constructs of the CFIR. Some example constructs are: adaptability, external policy and incentives, networks and communications, knowledge and beliefs and executing. Flexibility in how the scheme is designed and implemented and newly established cooperation between implementing ministries are facilitators. However, the timing of the yearly budget allocation is a barrier. Taking EU funding for granted is a potential disincentive to improvement, although the EU funding facilitates sustainability. Despite agreement on what the overall goals of the Scheme are, there is ambiguity as to what the perceived primary goal is, which may be a barrier. Some goal ambiguity may be useful at the supranational level, enabling politically acceptable framing and continuation of the financing of the Scheme, but this translates into a potential barrier to design and implementation at country and school level.","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135741370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Case for Assessing and Reporting on Facilitator Fidelity: Introducing the Fidelity of Implementation in Parenting Programs Guideline","authors":"Mackenzie Martin, Yulia Shenderovich, E. B. Caron, Justin D. Smith, Godfrey Siu, Susan M. Breitenstein","doi":"10.1007/s43477-023-00092-5","DOIUrl":"https://doi.org/10.1007/s43477-023-00092-5","url":null,"abstract":"Abstract The sizeable body of evidence indicating that parenting programs have a positive impact on children and families highlights the potential public health benefits of their implementation on a large scale. Despite evidence and global attention, beyond the highly controlled delivery of parenting programs via randomized trials, little is known about program effectiveness or how to explain the poorer results commonly observed when implemented in community settings. Researchers, practitioners, and policymakers must work together to identify what is needed to spur adoption and sustainment of evidence-based parenting programs in real-world service systems and how to enhance program effectiveness when delivered via these systems. Collecting, analyzing, and using facilitator fidelity data is an important frontier through which researchers and practitioners can contribute. In this commentary, we outline the value of assessing facilitator fidelity and utilizing the data generated from these assessments; describe gaps in research, knowledge, and practice; and recommend directions for research and practice. In making recommendations, we describe a collaborative process to develop a preliminary guideline—the Fidelity of Implementation in Parenting Programs Guideline or FIPP—to use when reporting on facilitator fidelity. Readers are invited to complete an online survey to provide comments and feedback on the first draft of the guideline.","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136192186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of organizational capacity in intervention efficacy in a church-based cancer education program: A configurational analysis.","authors":"Cheryl L Knott, Edward J Miech, Nathaniel Woodard, Maisha Huq","doi":"10.1007/s43477-023-00089-0","DOIUrl":"10.1007/s43477-023-00089-0","url":null,"abstract":"<p><p>It is well-established in the field of implementation science that the context in which an intervention is delivered can play a crucial role in how well it is implemented. However, less is known about how organizational context or capacity relates to efficacy outcomes, particularly with health promotion interventions delivered outside of healthcare settings. The present study examined whether organizational capacity indicators were linked to key efficacy outcomes in an evidence-based cancer control intervention delivered in 13 African American churches in Maryland. Outcomes included increases in colorectal cancer knowledge and self-report colonoscopy screening behavior from baseline to follow-up. We used Coincidence Analysis to identify features of organizational capacity that uniquely distinguished churches with varying levels of cancer knowledge and screening. Indicators of organizational capacity (e.g., congregation size, prior health promotion experience) were from an existing measure of church organizational capacity for health promotion. A single solution pathway accounted for greater increases in colorectal cancer knowledge over 12 months, a combination of two conditions: conducting 3 or more health promotion activities in the prior 2 years together with not receiving any technical assistance from outside partners in the prior 2 years. A single condition accounted for greater increases in colonoscopy screening over 24 months: churches that had conducted health promotion activities in 1-4 different topical areas in the prior 2 years. Findings highlight aspects of organizational capacity (e.g., prior experience in health promotion) that may facilitate intervention efficacy and can help practitioners identify organizational settings most promising for intervention impact.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"3 1","pages":"284-294"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10723821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45276195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}