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Implementation Science: IS

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https://www.readbyqxmd.com/read/28327198/improving-the-adaptability-of-who-evidence-informed-guidelines-for-nutrition-actions-results-of-a-mixed-methods-evaluation
#1
Maria Cecilia Dedios, Alexo Esperato, Luz Maria De-Regil, Juan Pablo Peña-Rosas, Susan L Norris
BACKGROUND: Over the past decade, the World Health Organization (WHO) has implemented a standardized, evidence-informed guideline development process to assure technically sound and policy-relevant guidelines. This study is an independent evaluation of the adaptability of the guidelines produced by the Evidence and Programme Guidance unit, at the Department of Nutrition for Health and Development (NHD). The study systematizes the lessons learned by the NHD group at WHO. METHODS: We used a mixed methods approach to determine the adaptability of the nutrition guidelines...
March 21, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28327157/factors-influencing-implementation-of-a-patient-decision-aid-in-a-developing-country-an-exploratory-study
#2
Wen Ting Tong, Yew Kong Lee, Chirk Jenn Ng, Ping Yein Lee
BACKGROUND: Most studies on barriers and facilitators to implementation of patient decision aids (PDAs) are conducted in the west; hence, the findings may not be transferable to developing countries. This study aims to use a locally developed insulin PDA as an exemplar to explore the barriers and facilitators to implementing PDAs in Malaysia, an upper middle-income country in Asia. METHODS: Qualitative methodology was adopted. Nine in-depth interviews (IDIs) and three focus group discussions (FGDs) were conducted with policymakers (n = 6), medical officers (n = 13), diabetes educators (n = 5) and a nurse, who were involved in insulin initiation management at an academic primary care clinic...
March 21, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28314388/erratum-to-behavior-change-interventions-and-policies-influencing-primary-healthcare-professionals-practice-an-overview-of-reviews
#3
Bhupendrasinh F Chauhan, Maya M Jeyaraman, Amrinder Singh Mann, Justin Lys, Becky Skidmore, Kathryn M Sibley, Ahmed M Abou-Setta, Ryan Zarychanski
No abstract text is available yet for this article.
March 17, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28292307/describing-knowledge-encounters-in-healthcare-a-mixed-studies-systematic-review-and-development-of-a-classification
#4
REVIEW
Dominic Hurst, Sharon Mickan
BACKGROUND: Implementation science seeks to promote the uptake of research and other evidence-based findings into practice, but for healthcare professionals, this is complex as practice draws on, in addition to scientific principles, rules of thumb and a store of practical wisdom acquired from a range of informational and experiential sources. The aims of this review were to identify sources of information and professional experiences encountered by healthcare workers and from this to build a classification system, for use in future observational studies, that describes influences on how healthcare professionals acquire and use information in their clinical practice...
March 14, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28292304/design-and-implementation-of-electronic-health-record-integrated-clinical-prediction-rules-icpr-a-randomized-trial-in-diverse-primary-care-settings
#5
David A Feldstein, Rachel Hess, Thomas McGinn, Rebecca G Mishuris, Lauren McCullagh, Paul D Smith, Michael Flynn, Joseph Palmisano, Gheorghe Doros, Devin Mann
BACKGROUND: Clinical prediction rules (CPRs) represent a method of determining individual patient risk to help providers make more accurate decisions at the point of care. Well-validated CPRs are underutilized but may decrease antibiotic overuse for acute respiratory infections. The integrated clinical prediction rules (iCPR) study builds on a previous single clinic study to integrate two CPRs into the electronic health record and assess their impact on practice. This article discusses study design and implementation of a multicenter cluster randomized control trial of the iCPR clinical decision support system, including the tool adaptation, usability testing, staff training, and implementation study to disseminate iCPR at multiple clinical sites across two health care systems...
March 14, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28292299/adoption-reach-and-implementation-of-a-cancer-education-intervention-in-african-american-churches
#6
Sherie Lou Zara Santos, Erin K Tagai, Mary Ann Scheirer, Janice Bowie, Muhiuddin Haider, Jimmie Slade, Min Qi Wang, Cheryl L Holt
BACKGROUND: Use of technology is increasing in health promotion and has continued growth potential in intervention research. Guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, this paper reports on the adoption, reach, and implementation of Project HEAL (Health through Early Awareness and Learning)-a community-based implementation trial of a cancer educational intervention in 14 African American churches. We compare adoption, reach, and implementation at the organizational and participant level for churches in which lay peer community health advisors (CHAs) were trained using traditional classroom didactic methods compared with a new online system...
March 14, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28279207/using-getting-to-outcomes-to-facilitate-the-use-of-an-evidence-based-practice-in-va-homeless-programs-a-cluster-randomized-trial-of-an-implementation-support-strategy
#7
Matthew Chinman, Sharon McCarthy, Gordon Hannah, Thomas Hugh Byrne, David A Smelson
BACKGROUND: Incorporating evidence-based integrated treatment for dual disorders into typical care settings has been challenging, especially among those serving Veterans who are homeless. This paper presents an evaluation of an effort to incorporate an evidence-based, dual disorder treatment called Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking-Veterans Edition (MISSION-Vet) into case management teams serving Veterans who are homeless, using an implementation strategy called Getting To Outcomes (GTO)...
March 9, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28274245/identifying-barriers-to-and-facilitators-of-tuberculosis-contact-investigation-in-kampala-uganda-a-behavioral-approach
#8
Irene Ayakaka, Sara Ackerman, Joseph M Ggita, Phoebe Kajubi, David Dowdy, Jessica E Haberer, Elizabeth Fair, Philip Hopewell, Margaret A Handley, Adithya Cattamanchi, Achilles Katamba, J Lucian Davis
BACKGROUND: The World Health Organization recommends routine household tuberculosis contact investigation in high-burden countries but adoption has been limited. We sought to identify barriers to and facilitators of TB contact investigation during its introduction in Kampala, Uganda. METHODS: We collected cross-sectional qualitative data through focus group discussions and interviews with stakeholders, addressing three core activities of contact investigation: arranging household screening visits through index TB patients, visiting households to screen contacts and refer them to clinics, and evaluating at-risk contacts coming to clinics...
March 9, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28264720/improving-and-sustaining-delivery-of-cpt-for-ptsd-in-mental-health-systems-a-cluster-randomized-trial
#9
Shannon Wiltsey Stirman, Erin P Finley, Norman Shields, Joan Cook, Rachel Haine-Schlagel, James F Burgess, Linda Dimeff, Kelly Koerner, Michael Suvak, Cassidy A Gutner, David Gagnon, Tasoula Masina, Matthew Beristianos, Kera Mallard, Vanessa Ramirez, Candice Monson
BACKGROUND: Large-scale implementation of evidence-based psychotherapies (EBPs) such as cognitive processing therapy (CPT) for posttraumatic stress disorder can have a tremendous impact on mental and physical health, healthcare utilization, and quality of life. While many mental health systems (MHS) have invested heavily in programs to implement EBPs, few eligible patients receive EBPs in routine care settings, and clinicians do not appear to deliver the full treatment protocol to many of their patients...
March 6, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28264693/a-tailored-programme-to-implement-recommendations-for-multimorbid-patients-with-polypharmacy-in-primary-care-practices-process-evaluation-of-a-cluster-randomized-trial
#10
Cornelia Jäger, Jost Steinhäuser, Tobias Freund, Sarah Kuse, Joachim Szecsenyi, Michel Wensing
BACKGROUND: We developed and evaluated a tailored programme to implement three evidence-based recommendations for multimorbid patients with polypharmacy into primary care practices: structured medication counselling including brown bag reviews, the use of medication lists and medication reviews. No effect on the primary outcome was found. This process evaluation aimed to identify factors associated with outcomes by exploring nine hypotheses specified in the logic model of the tailored programme...
March 6, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28259168/methods-for-designing-interventions-to-change-healthcare-professionals-behaviour-a-systematic-review
#11
REVIEW
Heather L Colquhoun, Janet E Squires, Niina Kolehmainen, Cynthia Fraser, Jeremy M Grimshaw
BACKGROUND: Systematic reviews consistently indicate that interventions to change healthcare professional (HCP) behaviour are haphazardly designed and poorly specified. Clarity about methods for designing and specifying interventions is needed. The objective of this review was to identify published methods for designing interventions to change HCP behaviour. METHODS: A search of MEDLINE, Embase, and PsycINFO was conducted from 1996 to April 2015. Using inclusion/exclusion criteria, a broad screen of abstracts by one rater was followed by a strict screen of full text for all potentially relevant papers by three raters...
March 4, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28253900/testing-the-leadership-and-organizational-change-for-implementation-loci-intervention-in-substance-abuse-treatment-a-cluster-randomized-trial-study-protocol
#12
Gregory A Aarons, Mark G Ehrhart, Joanna C Moullin, Elisa M Torres, Amy E Green
BACKGROUND: Evidence-based practice (EBP) implementation represents a strategic change in organizations that requires effective leadership and alignment of leadership and organizational support across organizational levels. As such, there is a need for combining leadership development with organizational strategies to support organizational climate conducive to EBP implementation. The leadership and organizational change for implementation (LOCI) intervention includes leadership training for workgroup leaders, ongoing implementation leadership coaching, 360° assessment, and strategic planning with top and middle management regarding how they can support workgroup leaders in developing a positive EBP implementation climate...
March 3, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28245849/the-physician-s-experience-of-changing-clinical-practice-a-struggle-to-unlearn
#13
Divya M Gupta, Richard J Boland, David C Aron
BACKGROUND: Changing clinical practice is a difficult process, best illustrated by the time lag between evidence and use in practice and the extensive use of low-value care. Existing models mostly focus on the barriers to learning and implementing new knowledge. Changing clinical practice, however, includes not only the learning of new practices but also unlearning old and outmoded knowledge. There exists sparse literature regarding the unlearning that takes place at a physician level...
February 28, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28241770/application-of-the-consolidated-framework-for-implementation-research-to-assess-factors-that-may-influence-implementation-of-tobacco-use-treatment-guidelines-in-the-viet-nam-public-health-care-delivery-system
#14
Nancy VanDevanter, Pritika Kumar, Nam Nguyen, Linh Nguyen, Trang Nguyen, Frances Stillman, Bryan Weiner, Donna Shelley
BACKGROUND: Services to treat tobacco dependence are not readily available to smokers in low-middle income countries (LMICs) where smoking prevalence remains high. We are conducting a cluster randomized controlled trial comparing the effectiveness of two strategies for implementing tobacco use treatment guidelines in 26 community health centers (CHCs) in Viet Nam. Guided by the Consolidated Framework for Implementation Research (CFIR), prior to implementing the trial, we conducted formative research to (1) identify factors that may influence guideline implementation and (2) inform further modifications to the intervention that may be necessary to translate a model of care delivery from a high-income country (HIC) to the local context of a LMIC...
February 28, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28241771/use-of-theory-to-plan-or-evaluate-guideline-implementation-among-physicians-a-scoping-review
#15
REVIEW
Laurel Liang, Susanne Bernhardsson, Robin W M Vernooij, Melissa J Armstrong, André Bussières, Melissa C Brouwers, Anna R Gagliardi
BACKGROUND: Guidelines support health care decision-making and high quality care and outcomes. However, their implementation is sub-optimal. Theory-informed, tailored implementation is associated with guideline use. Few guideline implementation studies published up to 1998 employed theory. This study aimed to describe if and how theory is now used to plan or evaluate guideline implementation among physicians. METHODS: A scoping review was conducted. MEDLINE, EMBASE, and The Cochrane Library were searched from 2006 to April 2016...
February 27, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28231840/intervention-planning-for-a-digital-intervention-for-self-management-of-hypertension-a-theory-evidence-and-person-based-approach
#16
Rebecca Band, Katherine Bradbury, Katherine Morton, Carl May, Susan Michie, Frances S Mair, Elizabeth Murray, Richard J McManus, Paul Little, Lucy Yardley
BACKGROUND: This paper describes the intervention planning process for the Home and Online Management and Evaluation of Blood Pressure (HOME BP), a digital intervention to promote hypertension self-management. It illustrates how a Person-Based Approach can be integrated with theory- and evidence-based approaches. The Person-Based Approach to intervention development emphasises the use of qualitative research to ensure that the intervention is acceptable, persuasive, engaging and easy to implement...
February 23, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28222751/planning-to-be-routine-habit-as-a-mediator-of-the-planning-behaviour-relationship-in-healthcare-professionals
#17
Sebastian Potthoff, Justin Presseau, Falko F Sniehotta, Marie Johnston, Marko Elovainio, Leah Avery
BACKGROUND: Gaps in the quality of care provided to people with type 2 diabetes are regularly identified. Healthcare professionals often have a strong intention to follow practice guidelines during consultations with people with type 2 diabetes; however, this intention does not always translate into action. Action planning (planning when, where and how to act) and coping planning (planning how to overcome pre-identified barriers) have been hypothesised to help with the enactment of intentions by creating mental cue-response links that promote habit formation...
February 21, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28212657/pharmacists-views-and-reported-practices-in-relation-to-a-new-generic-drug-substitution-policy-in-lebanon-a-mixed-methods-study
#18
Fadi El-Jardali, Racha Fadlallah, Rami Z Morsi, Nour Hemadi, Mounir Al-Gibbawi, Magda Haj, Suzan Khalil, Youssef Saklawi, Diana Jamal, Elie A Akl
BACKGROUND: Governments in both developed and developing countries have adopted generic drug substitution policies to decrease pharmaceutical expenditures and improve access to medicine. In August 2015, the Ministry of Public Health (MOPH) in Lebanon introduced generic drug substitution and a unified medical prescription form as policy instruments to promote generic drug use. The objective of this exploratory study was to examine the attitudes of community pharmacists and the reported practices in relation to the implementation of the new generic drug substitution policy...
February 17, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28209201/understanding-the-performance-of-community-health-volunteers-involved-in-the-delivery-of-health-programmes-in-underserved-areas-a-realist-synthesis
#19
REVIEW
Gaëlle Vareilles, Jeanine Pommier, Bruno Marchal, Sumit Kane
BACKGROUND: The recruitment of community health volunteers (CHVs) to support the delivery of health programmes is an established approach in underserved areas and in particular where there are health inequalities due to the scarcity of trained human resources. However, there is a dearth of evidence about what works to improve CHVs' performance. This review aimed to synthesise existing literature to explain why, how and under which circumstances intervention approaches to improve the performance of CHVs are more likely to be successful...
February 16, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28202031/making-sense-of-complexity-in-context-and-implementation-the-context-and-implementation-of-complex-interventions-cici-framework
#20
Lisa M Pfadenhauer, Ansgar Gerhardus, Kati Mozygemba, Kristin Bakke Lysdahl, Andrew Booth, Bjørn Hofmann, Philip Wahlster, Stephanie Polus, Jacob Burns, Louise Brereton, Eva Rehfuess
BACKGROUND: The effectiveness of complex interventions, as well as their success in reaching relevant populations, is critically influenced by their implementation in a given context. Current conceptual frameworks often fail to address context and implementation in an integrated way and, where addressed, they tend to focus on organisational context and are mostly concerned with specific health fields. Our objective was to develop a framework to facilitate the structured and comprehensive conceptualisation and assessment of context and implementation of complex interventions...
February 15, 2017: Implementation Science: IS
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