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Implementation Science: IS

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https://www.readbyqxmd.com/read/29769096/a-methodology-for-generating-a-tailored-implementation-blueprint-an-exemplar-from-a-youth-residential-setting
#1
Cara C Lewis, Kelli Scott, Brigid R Marriott
BACKGROUND: Tailored implementation approaches are touted as more likely to support the integration of evidence-based practices. However, to our knowledge, few methodologies for tailoring implementations exist. This manuscript will apply a model-driven, mixed methods approach to a needs assessment to identify the determinants of practice, and pilot a modified conjoint analysis method to generate an implementation blueprint using a case example of a cognitive behavioral therapy (CBT) implementation in a youth residential center...
May 16, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29764462/empirical-and-conceptual-investigation-of-de-implementation-of-low-value-care-from-professional-and-health-care-system-perspectives-a-study-protocol
#2
Henna Hasson, Per Nilsen, Hanna Augustsson, Ulrica von Thiele Schwarz
BACKGROUND: A considerable proportion of interventions provided to patients lacks evidence of their effectiveness. This implies that patients may receive ineffective, unnecessary, or even harmful care. Thus, in addition to implementing evidence-based practices, there is also a need to abandon interventions that are not based on best evidence, i.e., low-value care. However, research on de-implementation is limited, and there is a lack of knowledge about how effective de-implementation processes should be carried out...
May 15, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29743090/effectiveness-of-a-multi-level-implementation-strategy-for-asd-interventions-study-protocol-for-two-linked-cluster-randomized-trials
#3
Lauren Brookman-Frazee, Aubyn C Stahmer
BACKGROUND: The Centers for Disease Control (2018) estimates that 1 in 59 children has autism spectrum disorder, and the annual cost of ASD in the U.S. is estimated to be $236 billion. Evidence-based interventions have been developed and demonstrate effectiveness in improving child outcomes. However, research on generalizable methods to scale up these practices in the multiple service systems caring for these children has been limited and is critical to meet this growing public health need...
May 9, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29720209/cluster-randomised-controlled-trial-of-a-theory-based-multiple-behaviour-change-intervention-aimed-at-healthcare-professionals-to-improve-their-management-of-type-2-diabetes-in-primary-care
#4
Justin Presseau, Joan Mackintosh, Gillian Hawthorne, Jill J Francis, Marie Johnston, Jeremy M Grimshaw, Nick Steen, Tom Coulthard, Heather Brown, Eileen Kaner, Marko Elovainio, Falko F Sniehotta
BACKGROUND: National diabetes audits in the UK show room for improvement in the quality of care delivered to people with type 2 diabetes in primary care. Systematic reviews of quality improvement interventions show that such approaches can be effective but there is wide variability between trials and little understanding concerning what explains this variability. A national cohort study of primary care across 99 UK practices identified modifiable predictors of healthcare professionals' prescribing, advising and foot examination...
May 2, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29712556/correction-to-updated-clinical-guidelines-experience-major-reporting-limitations
#5
Robin W M Vernooij, Laura Martínez García, Ivan Dario Florez, Laura Hidalgo Armas, Michiel H F Poorthuis, Melissa Brouwers, Pablo Alonso-Coello
After publication of the original article [1] it was brought to our attention that author Laura Hidalgo Armas was incorrectly included as Laura Hildago Armas.
April 30, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29695302/associations-among-unit-leadership-and-unit-climates-for-implementation-in-acute-care-a-cross-sectional-study
#6
Clayton J Shuman, Xuefeng Liu, Michelle L Aebersold, Dana Tschannen, Jane Banaszak-Holl, Marita G Titler
BACKGROUND: Nurse managers have a pivotal role in fostering unit climates supportive of implementing evidence-based practices (EBPs) in care delivery. EBP leadership behaviors and competencies of nurse managers and their impact on practice climates are widely overlooked in implementation science. The purpose of this study was to examine the contributions of nurse manager EBP leadership behaviors and nurse manager EBP competencies in explaining unit climates for EBP implementation in adult medical-surgical units...
April 25, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29695274/a-new-scale-for-the-evaluation-of-clinical-practice-guidelines-applicability-development-and-appraisal
#7
Hui Li, Runsheng Xie, Yangyang Wang, Xiuli Xie, Jingwen Deng, Chuanjian Lu
BACKGROUND: This study aimed to develop the clinical practice guidelines applicability evaluation (CPGAE-V1.0) scale and to evaluate its validity and reliability. METHODS: One hundred fifty assessors were invited to rate two rounds of importance scoring of the applicability indicators by using the 5-point Likert scale. Approved indicators formed the CPGAE-V1.0 scale, consisting of 19 items, arranged into 4 domains. We enrolled eligible clinicians from 8 institutions to evaluate 9 clinical practice guidelines using the CPGAE-V1...
April 25, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29695267/evaluation-of-the-foundations-in-knowledge-translation-training-initiative-preparing-end-users-to-practice-kt
#8
Jamie S Park, Julia E Moore, Radha Sayal, Bev J Holmes, Gayle Scarrow, Ian D Graham, Lianne Jeffs, Caitlyn Timmings, Shusmita Rashid, Alekhya Mascarenhas Johnson, Sharon E Straus
BACKGROUND: Current knowledge translation (KT) training initiatives are primarily focused on preparing researchers to conduct KT research rather than on teaching KT practice to end users. Furthermore, training initiatives that focus on KT practice have not been rigorously evaluated and have focused on assessing short-term outcomes and participant satisfaction only. Thus, there is a need for longitudinal training evaluations that assess the sustainability of training outcomes and contextual factors that may influence outcomes...
April 25, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29690882/implementation-of-evidence-based-weekend-service-recommendations-for-allied-health-managers-a-cluster-randomised-controlled-trial-protocol
#9
Mitchell N Sarkies, Jennifer White, Meg E Morris, Nicholas F Taylor, Cylie Williams, Lisa O'Brien, Jenny Martin, Anne Bardoel, Anne E Holland, Leeanne Carey, Elizabeth H Skinner, Kelly-Ann Bowles, Kellie Grant, Kathleen Philip, Terry P Haines
BACKGROUND: It is widely acknowledged that health policy and practice do not always reflect current research evidence. Whether knowledge transfer from research to practice is more successful when specific implementation approaches are used remains unclear. A model to assist engagement of allied health managers and clinicians with research implementation could involve disseminating evidence-based policy recommendations, along with the use of knowledge brokers. We developed such a model to aid decision-making for the provision of weekend allied health services...
April 24, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29685159/correction-to-exploring-multi-level-system-factors-facilitating-educator-training-and-implementation-of-evidence-based-practices-ebp-a-study-protocol
#10
Aubyn C Stahmer, Jessica Suhrheinrich, Patricia L Schetter, Elizabeth McGhee Hassrick
After publication of the original article [1] it was brought to our attention that author Elizabeth McGhee Hassrick was erroneously included as Elizabeth McGee Hassrick. The correct spelling of the author's name is included in the author list of this erratum.
April 23, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29678137/supporting-teams-to-optimize-function-and-independence-in-veterans-a-multi-study-program-and-mixed-methods-protocol
#11
Virginia Wang, Kelli Allen, Courtney H Van Houtven, Cynthia Coffman, Nina Sperber, Elizabeth P Mahanna, Cathleen Colón-Emeric, Helen Hoenig, George L Jackson, Teresa M Damush, Erika Price, Susan N Hastings
BACKGROUND: Successful implementation of new clinical programs depends on effectively establishing, reorganizing, or enhancing team structures and processes to coordinate the work of individuals who are interdependent in their tasks, manage relationships, and share responsibility for outcomes. However, a one-size-fits-all approach is rarely effective. In partnership with VA national clinical leaders and local clinical champions, the Optimizing Function and Independence VA Quality Enhancement Research Initiative program (Function QUERI) will evaluate efforts to implement team-based clinical programs for Veterans at risk for functional decline and disability...
April 20, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29673374/why-is-announcement-training-more-effective-than-conversation-training-for-introducing-hpv-vaccination-a-theory-based-investigation
#12
Teri L Malo, Megan E Hall, Noel T Brewer, Christine R Lathren, Melissa B Gilkey
BACKGROUND: Improving healthcare providers' communication about HPV vaccination is critical to increasing uptake. We previously demonstrated that training providers to use presumptive announcements to introduce HPV vaccination improved uptake, whereas training them to use participatory conversations had no effect. To understand how communication training changed provider perceptions and communication practices, we evaluated intermediate outcomes and process measures from our randomized clinical trial, with a particular focus on identifying mechanisms that might explain the announcement training's impact...
April 19, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29661227/correction-to-engaging-policy-makers-health-system-managers-and-policy-analysts-in-the-knowledge-synthesis-process-a-scoping-review
#13
Andrea C Tricco, Wasifa Zarin, Patricia Rios, Vera Nincic, Paul A Khan, Marco Ghassemi, Sanober Diaz, Ba' Pham, Sharon E Straus, Etienne V Langlois
Following the publication of the original article [1], it was brought to our attention that the letter 'l' was unfortunately omitted from the word 'health' in the article's title.
April 16, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29661195/impact-of-patient-involvement-on-clinical-practice-guideline-development-a-parallel-group-study
#14
Melissa J Armstrong, C Daniel Mullins, Gary S Gronseth, Anna R Gagliardi
BACKGROUND: Patient and public involvement (PPI) is recognized as a key component of clinical practice guideline development with important implications for guideline implementability. The impact of PPI on guidelines, however, has not been rigorously assessed. Better understanding of the impact of PPI must start with guideline question formation, which drives all subsequent development steps. The aim of this study was to investigate the effect of PPI on guideline question formation and validate a conceptual model of patient and public contributions to guidelines...
April 16, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29625615/to-fill-or-not-to-fill-a-qualitative-cross-country-study-on-dentists-decisions-in-managing-non-cavitated-proximal-caries-lesions
#15
F Schwendicke, L A Foster Page, L A Smith, M Fontana, W M Thomson, S R Baker
BACKGROUND: This study aimed to identify barriers and enablers for dentists managing non-cavitated proximal caries lesions using non- or micro-invasive (NI/MI) approaches rather than invasive and restorative methods in New Zealand, Germany and the USA. METHODS: Semi-structured interviews were conducted, focusing on non-cavitated proximal caries lesions (radiographically confined to enamel or the outer dentine). Twelve dentists from New Zealand, 12 from Germany and 20 from the state of Michigan (USA) were interviewed...
April 6, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29598824/an-integrated-community-health-worker-intervention-in-rural-nepal-a-type-2-hybrid-effectiveness-implementation-study-protocol
#16
Sheela Maru, Isha Nirola, Aradhana Thapa, Poshan Thapa, Lal Kunwar, Wan-Ju Wu, Scott Halliday, David Citrin, Ryan Schwarz, Indira Basnett, Naresh Kc, Khem Karki, Pushpa Chaudhari, Duncan Maru
BACKGROUND: Evidence-based medicines, technologies, and protocols exist to prevent many of the annual 300,000 maternal, 2.7 million neonatal, and 9 million child deaths, but they are not being effectively implemented and utilized in rural areas. Nepal, one of South Asia's poorest countries with over 80% of its population living in rural areas, exemplifies this challenge. Community health workers are an important cadre in low-income countries where human resources for health and health care infrastructure are limited...
March 29, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29587804/developing-measures-to-assess-constructs-from-the-inner-setting-domain-of-the-consolidated-framework-for-implementation-research
#17
Maria E Fernandez, Timothy J Walker, Bryan J Weiner, William A Calo, Shuting Liang, Betsy Risendal, Daniela B Friedman, Shin Ping Tu, Rebecca S Williams, Sara Jacobs, Alison K Herrmann, Michelle C Kegler
BACKGROUND: Scientists and practitioners alike need reliable, valid measures of contextual factors that influence implementation. Yet, few existing measures demonstrate reliability or validity. To meet this need, we developed and assessed the psychometric properties of measures of several constructs within the Inner Setting domain of the Consolidated Framework for Implementation Research (CFIR). METHODS: We searched the literature for existing measures for the 7 Inner Setting domain constructs (Culture Overall, Culture Stress, Culture Effort, Implementation Climate, Learning Climate, Leadership Engagement, and Available Resources)...
March 27, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29580249/evaluation-of-a-program-for-routine-implementation-of-shared-decision-making-in-cancer-care-study-protocol-of-a-stepped-wedge-cluster-randomized-trial
#18
Isabelle Scholl, Pola Hahlweg, Anja Lindig, Carsten Bokemeyer, Anja Coym, Henning Hanken, Volkmar Müller, Ralf Smeets, Isabell Witzel, Levente Kriston, Martin Härter
BACKGROUND: Shared decision-making (SDM) has become increasingly important in health care. However, despite scientific evidence, effective implementation strategies, and a prominent position on the health policy agenda, SDM is not widely implemented in routine practice so far. Therefore, we developed a program for routine implementation of SDM in oncology by conducting an analysis of the current state and a needs assessment in a pilot study based on the Consolidated Framework for Implementation Research (CFIR)...
March 27, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29580243/factors-associated-with-the-use-of-cognitive-aids-in-operating-room-crises-a-cross-sectional-study-of-us-hospitals-and-ambulatory-surgical-centers
#19
Shehnaz Alidina, Sara N Goldhaber-Fiebert, Alexander A Hannenberg, David L Hepner, Sara J Singer, Bridget A Neville, James R Sachetta, Stuart R Lipsitz, William R Berry
BACKGROUND: Operating room (OR) crises are high-acuity events requiring rapid, coordinated management. Medical judgment and decision-making can be compromised in stressful situations, and clinicians may not experience a crisis for many years. A cognitive aid (e.g., checklist) for the most common types of crises in the OR may improve management during unexpected and rare events. While implementation strategies for innovations such as cognitive aids for routine use are becoming better understood, cognitive aids that are rarely used are not yet well understood...
March 26, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29566717/toward-optimal-implementation-of-cancer-prevention-and-control-programs-in-public-health-a-study-protocol-on-mis-implementation
#20
Margaret Padek, Peg Allen, Paul C Erwin, Melissa Franco, Ross A Hammond, Benjamin Heuberger, Matt Kasman, Doug A Luke, Stephanie Mazzucca, Sarah Moreland-Russell, Ross C Brownson
BACKGROUND: Much of the cancer burden in the USA is preventable, through application of existing knowledge. State-level funders and public health practitioners are in ideal positions to affect programs and policies related to cancer control. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. Greater attention to mis-implementation should lead to use of effective interventions and more efficient expenditure of resources, which in the long term, will lead to more positive cancer outcomes...
March 23, 2018: Implementation Science: IS
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