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"Implementation research"

Gila Neta, Ross C Brownson, David A Chambers
The field of epidemiology has been defined as the study of the spread and control of disease. However, epidemiology frequently focuses on studies of etiology and distribution of disease at the cost of understanding the best ways to control disease. Moreover, only a small fraction of scientific discoveries is translated into public health practice, and the process from discovery to translation is exceedingly slow. Given the importance of translational science, the future of epidemiologic training should include competency in implementation science, whose goal is to rapidly move evidence into practice...
September 27, 2017: American Journal of Epidemiology
Eamonn Eeles, Judy McCrow, Andrew Teodorczuk, Gideon A Caplan
OBJECTIVES: Implementation research into delirium care is lacking. Exploiting known practice barriers to understand what management strategies work best in delirium is a means of prioritising care interventions. A consensus approach to determining priority interventions in delirium was derived and related to reference standards in health-care practice. METHODS: A workshop of 20 experts was held at the Australasian Delirium Association conference 2016. Structured small group work, iterative ranking and a 21-member check were undertaken to (i) explore research barriers in delirium care; (ii) explore how barriers related to individual items of multicomponent interventions; and (iii) rank multicomponent interventions in relation to each statement within the newly released Australian Commission on Safety and Quality in Health Care delirium standard...
October 13, 2017: Australasian Journal on Ageing
Chelsea Canan, Jennifer M Polinski, G Caleb Alexander, Mary K Kowal, Troyen A Brennan, William H Shrank
Objective: Improved methods to identify nonmedical opioid use can help direct health care resources to individuals who need them. Automated algorithms that use large databases of electronic health care claims or records for surveillance are a potential means to achieve this goal. In this systematic review, we reviewed the utility, attempts at validation, and application of such algorithms to detect nonmedical opioid use. Materials and Methods: We searched PubMed and Embase for articles describing automatable algorithms that used electronic health care claims or records to identify patients or prescribers with likely nonmedical opioid use...
November 1, 2017: Journal of the American Medical Informatics Association: JAMIA
Zarnie Khadjesari, Silia Vitoratou, Nick Sevdalis, Louise Hull
INTRODUCTION: Over the past 10 years, research into methods that promote the uptake, implementation and sustainability of evidence-based interventions has gathered pace. However, implementation outcomes are defined in different ways and assessed by different measures; the extent to which these measures are valid and reliable is unknown. The aim of this systematic review is to identify and appraise studies that assess the measurement properties of quantitative implementation outcome instruments used in physical healthcare settings, to advance the use of precise and accurate measures...
October 8, 2017: BMJ Open
M Ridwan Ansari, Elan Lazuardi, Frank Stephen Wignall, Constant Karma, Sylvanus A Sumule, Siti Nadia, Robert Magnani
BACKGROUND: Relatively little attention has been directed to the significant HIV prevention role that voluntary medical male circumcision (VMMC) can play in populations with moderate levels of HIV prevalence. One such location is Tanah Papua, Indonesia, which in 2013 had a general population HIV prevalence of 2.3% concentrated among indigenous Papuans (2.9% prevalence), very few of whom are circumcised. This article reports the findings of an implementation research study assessing the acceptability and feasibility of introducing VMMC for HIV prevention...
October 5, 2017: Current HIV Research
Byron J Powell, Cameo F Stanick, Heather M Halko, Caitlin N Dorsey, Bryan J Weiner, Melanie A Barwick, Laura J Damschroder, Michel Wensing, Luke Wolfenden, Cara C Lewis
BACKGROUND: Advancing implementation research and practice requires valid and reliable measures of implementation determinants, mechanisms, processes, strategies, and outcomes. However, researchers and implementation stakeholders are unlikely to use measures if they are not also pragmatic. The purpose of this study was to establish a stakeholder-driven conceptualization of the domains that comprise the pragmatic measure construct. It built upon a systematic review of the literature and semi-structured stakeholder interviews that generated 47 criteria for pragmatic measures, and aimed to further refine that set of criteria by identifying conceptually distinct categories of the pragmatic measure construct and providing quantitative ratings of the criteria's clarity and importance...
October 3, 2017: Implementation Science: IS
S Lind, L Wallin, T Brytting, C J Fürst, J Sandberg
In high-income countries a large proportion of all deaths occur in hospitals. A common way to translate knowledge into clinical practice is developing guidelines for different levels of health care organisations. During 2012, national clinical guidelines for palliative care were published in Sweden. Later, guidance for palliative care was issued by the National Board of Health and Welfare. The aim of this study was two-fold: to investigate perceptions regarding these guidelines and identify obstacles and opportunities for implementation of them in acute care hospitals...
September 21, 2017: Health Policy
Bright I Nwaru, Charles Friedman, John Halamka, Aziz Sheikh
There is increasing international policy and clinical interest in developing learning health systems and delivering precision medicine, which it is hoped will help reduce variation in the quality and safety of care, improve efficiency, and lead to increasing the personalisation of healthcare. Although reliant on similar policies, informatics tools, and data science and implementation research capabilities, these two major initiatives have thus far largely progressed in parallel. In this opinion piece, we argue that they should be considered as complementary, synergistic initiatives whereby the creation of learning health systems infrastructure can support and catalyse the delivery of precision medicine that maximises the benefits and minimises the risks associated with treatments for individual patients...
October 2, 2017: BMC Medicine
Ietje Reerink, Sorrel Ml Namaste, Alia Poonawala, Christina Nyhus Dhillon, Nancy Aburto, Deepika Chaudhery, Hou Kroeun, Marcia Griffiths, Mohammad Raisul Haque, Anabelle Bonvecchio, Maria Elena Jefferds, Rahul Rawat
An effective delivery strategy coupled with relevant social and behaviour change communication (SBCC) have been identified as central to the implementation of micronutrient powders (MNP) interventions, but there has been limited documentation of what works. Under the auspices of "The Micronutrient Powders Consultation: Lessons Learned for Operational Guidance," three working groups were formed to summarize experiences and lessons across countries regarding MNP interventions for young children. This paper focuses on programmatic experiences related to MNP delivery (models, platforms, and channels), SBCC, and training...
September 2017: Maternal & Child Nutrition
Marieke Vossenaar, Alison Tumilowicz, Alexis D'Agostino, Anabelle Bonvecchio, Ruben Grajeda, Cholpon Imanalieva, Laura Irizarry, Generose Mulokozi, Minarto Noto Sudardjo, Narantsetseg Tsevegsuren, Lynnette M Neufeld
Continual course correction during implementation of nutrition programmes is critical to address factors that might limit coverage and potential for impact. Programme improvement requires rigorous scientific inquiry to identify and address implementation pathways and the factors that affect them. Under the auspices of "The Micronutrient Powders Consultation: Lessons Learned for Operational Guidance," 3 working groups were formed to summarize experiences and lessons across countries regarding micronutrient powder (MNP) interventions for young children...
September 2017: Maternal & Child Nutrition
Christina Nyhus Dhillon, Danya Sarkar, Rolf Dw Klemm, Lynnette M Neufeld, Rahul Rawat, Alison Tumilowicz, Sorrel Ml Namaste
Iron deficiency anaemia is estimated to be the leading cause of years lived with disability among children. Young children's diets are often inadequate in iron and other micronutrients, and provision of essential vitamin and minerals has long been recommended. With the limited programmatic success of iron drop/syrup interventions, interest in micronutrient powders (MNP) has increased. MNP are a mixture of vitamins and minerals, enclosed in single-dose sachets, which are stirred into a child's portion of food immediately before consumption...
September 2017: Maternal & Child Nutrition
John Ovretveit, Brian Mittman, Lisa Rubenstein, David A Ganz
Purpose The purpose of this paper is to enable improvers to use recent knowledge from implementation science to carry out improvement changes more effectively. It also highlights the importance of converting research findings into practical tools and guidance for improvers so as to make research easier to apply in practice. Design/methodology/approach This study provides an illustration of how a quality improvement (QI) team project can make use of recent findings from implementation research so as to make their improvement changes more effective and sustainable...
October 9, 2017: International Journal of Health Care Quality Assurance
Luise Adametz, Felicitas Richter, Julia Mühleck, Katharina Wick, Bernhard Strauß, Uwe Berger
Background Prevalence rates for eating disorders remained stable over the years despite the implementation of numerous prevention strategies. This may be due to discrepancies between research and practice and scientific findings are not fully applied to the care of risk groups. The school-based programs PriMa and Torera for primary prevention of eating disorders have been delivered in Thuringian schools since 2004. A current survey provides information on barriers and facilitators for a long-term implementation in the school routine...
September 28, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
Narendra K Arora, Soumya Swaminathan, Archisman Mohapatra, Hema S Gopalan, Vishwa M Katoch, Maharaj K Bhan, Reeta Rasaily, Chander Shekhar, Vasantha Thavaraj, Malabika Roy, Manoja K Das, Kerri Wazny, Rakesh Kumar, Ajay Khera, Neerja Bhatla, Vanita Jain, Avula Laxmaiah, M K C Nair, Vinod K Paul, Prema Ramachandran, Siddharth Ramji, Umesh Vaidya, I C Verma, Dheeraj Shah, Rajiv Bahl, Shamim Qazi, Igor Rudan, Robert E Black
In India, research prioritization in Maternal, Newborn, and Child Health and Nutrition (MNCHN) themes has traditionally involved only a handful of experts mostly from major cities. The Indian Council of Medical Research (ICMR)-INCLEN collaboration undertook a nationwide exercise engaging faculty from 256 institutions to identify top research priorities in the MNCHN themes for 2016-2025. The Child Health and Nutrition Research Initiative method of priority setting was adapted. The context of the exercise was defined by a National Steering Group (NSG) and guided by four Thematic Research Subcommittees...
May 2017: Indian Journal of Medical Research
Jacqueline Ramke, Babar Qureshi, Clare E Gilbert
No abstract text is available yet for this article.
April 2017: Middle East African Journal of Ophthalmology
L C Chang, L L Liao, M I Chen, Y Z Niu, P L Hsieh
We designed a school-based, nationwide program called the 'New Era in Eye Health' to strengthen teacher training and to examine whether the existence of a government vision care policy influenced teachers' vision care knowledge and students' behavior. Baseline data and 3-month follow-up data were compared. A random sample of teachers (n = 660) from school vision health clusters in 22 cities/counties in Taiwan were invited to participate in our study and 436 agreed to participate (response rate = 66.1%). The mean age of participant teachers was 41...
October 1, 2017: Health Education Research
Violeta J Rodriguez, Richard P LaCabe, C Kyle Privette, K Marie Douglass, Karl Peltzer, Gladys Matseke, Audrey Mathebula, Shandir Ramlagan, Sibusiso Sifunda, Guillermo Willy Prado, Viviana Horigian, Stephen M Weiss, Deborah L Jones
The Joint United Nations Programme on HIV and AIDS proposed to reduce the vertical transmission of HIV from ∼72,200 to ∼8300 newly infected children by 2015 in South Africa (SA). However, cultural, infrastructural, and socio-economic barriers hinder the implementation of the prevention of mother-to-child transmission (PMTCT) protocol, and research on potential solutions to address these barriers in rural areas is particularly limited. This study sought to identify challenges and solutions to the implementation, uptake, and sustainability of the PMTCT protocol in rural SA...
December 2017: SAHARA J: Journal of Social Aspects of HIV/AIDS Research Alliance
Lori A Orlando, Nina R Sperber, Corrine Voils, Marshall Nichols, Rachel A Myers, R Ryanne Wu, Tejinder Rakhra-Burris, Kenneth D Levy, Mia Levy, Toni I Pollin, Yue Guan, Carol R Horowitz, Michelle Ramos, Stephen E Kimmel, Caitrin W McDonough, Ebony B Madden, Laura J Damschroder
PurposeImplementation research provides a structure for evaluating the clinical integration of genomic medicine interventions. This paper describes the Implementing Genomics in Practice (IGNITE) Network's efforts to promote (i) a broader understanding of genomic medicine implementation research and (ii) the sharing of knowledge generated in the network.MethodsTo facilitate this goal, the IGNITE Network Common Measures Working Group (CMG) members adopted the Consolidated Framework for Implementation Research (CFIR) to guide its approach to identifying constructs and measures relevant to evaluating genomic medicine as a whole, standardizing data collection across projects, and combining data in a centralized resource for cross-network analyses...
September 14, 2017: Genetics in Medicine: Official Journal of the American College of Medical Genetics
Sherifat Oduola, Til Wykes, Dan Robotham, Tom K J Craig
OBJECTIVES: Key challenges for mental health healthcare professionals to implement research alongside clinical activity have been highlighted, such as insufficient time to apply research skills and lack of support and resources. We examined the impact of employing dedicated staff to promote research in community mental health clinical settings. DESIGN: Quasiexperiment before and after study. SETTING: South London and Maudsley National Health Service Foundation Trust...
September 11, 2017: BMJ Open
H D Hadjistavropoulos, M M Nugent, D Dirkse, N Pugh
BACKGROUND: Depression and anxiety are prevalent and under treated conditions that create enormous burden for the patient and the health system. Internet-delivered cognitive behavior therapy (ICBT) improves patient access to treatment by providing therapeutic information via the Internet, presented in sequential lessons, accompanied by brief weekly therapist support. While there is growing research supporting ICBT, use of ICBT within community mental health clinics is limited. In a recent trial, an external unit specializing in ICBT facilitated use of ICBT in community mental health clinics in one Canadian province (ISRCTN42729166; registered November 5, 2013)...
September 12, 2017: BMC Psychiatry
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