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"Implementation research"

Jakub Gajewski, Leon Bijlmakers, Ruairí Brugha
Surgery has the potential to address one of the largest, neglected burdens of disease in low- and middle-income countries (LMICs), especially in sub-Saharan Africa (SSA). The Lancet Commission on Global Surgery (LCoGS) has provided a blueprint for a systems approach to making safe emergency and elective surgery accessible and affordable and has started to enable African governments to develop national surgical plans. This editorial outlines an important gap, which is the need for surgical systems research, especially at district hospitals which are the first point of surgical care for rural communities, to inform the implementation of country plans...
April 8, 2018: International Journal of Health Policy and Management
James F Phillips, John Koku Awoonor-Williams, Ayaga A Bawah, Belinda Afriyie Nimako, Nicholas S Kanlisi, Mallory C Sheff, Patrick O Asuming, Pearl E Kyei, Adriana Biney, Elizabeth F Jackson
BACKGROUND: The completion of an implementation research project typically signals the end of research. In contrast, the Ghana Health Service has embraced a continuous process of evidence-based programming, wherein each research episode is followed by action and a new program of research that monitors and guides the utilization of lessons learned. This paper reviews the objectives and design of the most recent phase in this process, known as a National Program for Strengthening the Implementation of the Community-based Health Planning and Services (CHPS) Initiative in Ghana (CHPS+)...
June 22, 2018: BMC Health Services Research
Kirsti Malterud, Aase Aamland, Kristina Riis Iden
BACKGROUND: Research often fails to impose substantial shifts in clinical practice. Evidence-based health care requires implementation of documented interventions, with implementation research as a science-informed strategy to identify core experiences from the process and share preconditions for achievement. Evidence developed in hospital contexts is often neither relevant nor feasible for primary care. Different evidence types may constitute a point of departure, stretching and testing the transferability of the intervention by piloting it in primary care...
June 21, 2018: BMC Family Practice
Carrie B Jackson, Laurel A Brabson, Lauren B Quetsch, Amy D Herschell
Consistent with Baldwin and Ford's model (Pers Psychol 41(1):63-105, 1988), training transfer is defined as the generalization of learning from a training to everyday practice in the workplace. The purpose of this review was to examine the influence of work-environment factors, one component of the model hypothesized to influence training transfer within behavioral health. An electronic literature search guided by the Consolidated Framework for Implementation Research's inner setting domain was conducted was conducted on Medline OVID, Medline EMBASE, and PsycINFO databases...
June 19, 2018: Advances in Health Sciences Education: Theory and Practice
Barbara Pisano Messing, Elizabeth C Ward, Cathy Lazarus, Keri Ryniak, Melissa Kim, Jessica Silinonte, Dorothy Gold, Carol B Thompson, Karen T Pitman, Ray Blanco, Ryan Sobel, Karen Harrer, Karen Ulmer, Geoffrey Neuner, Kruti Patel, Mei Tang, Gregory Lee
Head and neck cancer (HNC) guidelines recommend regular multidisciplinary team (MDT) monitoring and early intervention to optimize dysphagia outcomes; however, many factors affect the ability to achieve these goals. The aims of this study were to explore the barriers/facilitators to establishing and sustaining a MDT HNC care pathway and to examine the dysphagia-related speech-language pathology (SLP) and dietetic components of the pathway. Using the Consolidated Framework for Implementation Research (CFIR), a mixed methods study design was used to evaluate an established MDT HNC pathway...
June 19, 2018: Dysphagia
Rebekka M Lee, Shoba Ramanadhan, Gina R Kruse, Charles Deutsch
Background: Strong partnerships are critical to integrate evidence-based prevention interventions within clinical and community-based settings, offering multilevel and sustainable solutions to complex health issues. As part of Massachusetts' 2012 health reform, The Prevention and Wellness Trust Fund (PWTF) funded nine local partnerships throughout the state to address hypertension, pediatric asthma, falls among older adults, and tobacco use. The initiative was designed to improve health outcomes through prevention and disease management strategies and reduce healthcare costs...
2018: Frontiers in Public Health
Bindiya Meggi, Lara Vojnov, Nedio Mabunda, Adolfo Vubil, Alcina Zitha, Ocean Tobaiwa, Chishamiso Mudenyanga, Dadirayi Mutsaka, Timothy Bollinger, Osvaldo Loquiha, Trevor F Peter, Ilesh V Jani
BACKGROUND: Failure to timely diagnose HIV in infants is a major barrier for scaling-up paediatric antiretroviral treatment (ART). WHO recommends birth testing for earlier diagnosis and to improve test coverage, but current diagnosis takes 2-3 weeks to complete, thereby limiting the ability of care givers to provide follow-on care, especially in low-resource settings. We evaluated the benefit of implementing rapid diagnosis of HIV at birth in primary health care maternity wards in Mozambique...
2018: PloS One
Jessica E Carter, Srinivas Pyati, Frances A Kanach, Ann Miller W Maxwell, Charles M Belden, Christopher M Shea, Thomas Van de Ven, Jillian Thompson, Helen Hoenig, Karthik Raghunathan
BACKGROUND: Complementary integrative health therapies have a perioperative role in the reduction of pain, analgesic use, and anxiety, and increasing patient satisfaction. However, long implementation lags have been quantified. The Consolidated Framework for Implementation Research (CFIR) can help mitigate this translational problem. METHODS: We reviewed evidence for several nonpharmacological treatments (CFIR domain: characteristics of interventions) and studied external context and organizational readiness for change by surveying providers at 11 Veterans Affairs (VA) hospitals (domains: outer and inner settings)...
June 12, 2018: Anesthesia and Analgesia
Avishek Hazra, M E Khan, Subrato Kumar Mondal
Over 90% of households in rural Uttar Pradesh, the most populous state of India, have at least one mobile phone. However, ownership of mobile phone among women is quite low. Implementation research was conducted in Uttar Pradesh to examine (a) whether providing information on selected maternal and child health (MCH) behaviors to a husband's mobile phone would enhance the man's knowledge and lead to discussions in their family, and (b) whether such discussions would help in the adoption of healthy practices...
June 14, 2018: Journal of Health Communication
Manoja Kumar Das, Chetna Chaudhary, Sadhu Charan Mohapatra, Vinod Kumar Srivastava, Najam Khalique, Santosh Kumar Kaushal, Rajesh Khanna, Surojit Chatterji
Background: Neonatal death remains a global challenge contributing to 45% of underfive deaths. With rising institutional delivery, to accelerate decline in neonatal mortality rate (NMR) improvement in the quality of perinatal care requires attention. Objectives: This implementation research targeted improving service delivery readiness for quality of newborn care at public health facilities in three districts of Uttar Pradesh, India, with high NMR. Materials and Methods: This before-after study assessed the facility readiness and quality of newborn services at 42 health facilities...
April 2018: Indian Journal of Community Medicine
Anna Janssen, Tracy Robinson, Melissa Brunner, Paul Harnett, Kylie E Museth, Tim Shaw
BACKGROUND: Multidisciplinary teams (MDTs) are an integral component in the delivery of health care. This is particularly evident in the delivery of cancer care, where multidisciplinary teams are internationally recognized as the preferred method for service delivery. The use of health information systems and technology are key enabling factors for building the capacity of MDTs to engage in improvement and implementation projects but there is scant research on how MDTs make use of technology and information systems or the kinds of systems needed for them to undertake improvement and implementation research...
June 13, 2018: BMC Health Services Research
Jean L Paul, Hanna Leslie, Alison H Trainer, Clara Gaff
This systematic literature review investigates factors impacting on clinicians' decisions to offer genetic tests in their practice, and maps them to a theoretical behaviour change framework. Better understanding of these factors will inform the design of effective interventions to integrate genomics tests into clinical care. We conducted a narrative synthesis of empirical research of medical specialists' perspectives on and experiences of offering genetic tests to their patients. This review was based upon the PRISMA statement and guidelines for reviewing qualitative research...
June 11, 2018: European Journal of Human Genetics: EJHG
Andrew J Satin
Simulation in obstetrics is a widely accepted and valuable tool that benefits all levels of learners from medical students to maternal-fetal medicine subspecialists. What began as an adjunct to medical education now has a rapidly expanding role in acquisition of new and innovative procedures, team and unit training, and safety and quality initiatives. The number of obstetric simulation peer-reviewed reports has increased exponentially in recent years, yet only a small percentage of reports primarily addresses clinical outcomes...
June 6, 2018: Obstetrics and Gynecology
Farah Asa'ad, Marco Fiore, Aniello Alfieri, Paolo Daniele Maria Pigatto, Chiara Franchi, Emilio Berti, Carlo Maiorana, Giovanni Damiani
Psoriasis is a skin inflammatory disease characterized by an increased body of comorbidities, including parodontopathy. Despite the visibility of skin lesions, prognostic biomarkers, related to disease monitoring and therapeutic effectiveness, are still missing. Although several markers have been studied, none of them has been identified as an independent prognostic factor. This concise review aims to summarize the current knowledge and results in saliva research applied to psoriasis. Combination of different markers could improve the prognostic prediction in patients with psoriasis...
2018: BioMed Research International
Erica Di Ruggiero, Nancy Edwards
Objectives: The objective of this paper is to investigate what participatory health research (PHR) can offer implementation research (IR) and vice versa and discuss what health research funders can do to foster the intersection of both fields. Methods: We contrast points of divergence and convergence between IR and PHR. We reflect on whether community engagement is necessary and on the unintended consequences of participation in IR. We describe how a research funder can incentivize PHR in IR...
2018: BioMed Research International
James H Ford, Eric L Osborne, Mehret T Assefa, Amy M McIlvaine, Ahney M King, Kevin Campbell, Mark P McGovern
BACKGROUND: Access to integrated services for individuals with co-occurring substance use and mental health disorders is a long-standing public health issue. Receiving integrated treatment services are both more effective and preferred by patients and families versus parallel or fragmented care. National policy statements and expert consensus guidelines underscore the benefits of integrated treatment. Despite decades of awareness, adequate treatment for individuals with co-occurring substance use and mental health disorders occurs infrequently...
June 8, 2018: BMC Health Services Research
Raluca Barac, Melissa Kimber, Sabine Johnson, Melanie Barwick
Despite the emerging literature documenting gains in clinician competence following consultation, little empirical work has examined consultation as an implementation strategy. To this end, the present study examined consultation in the context of implementing motivational interviewing in four community child and youth mental health organizations. We used qualitative methods with a dual goal: to describe the consultation process and to explore trainees' perspectives on consultation. Participants included 22 clinicians and 9 supervisors who received monthly, group, phone-based consultation for seven months following training in motivational interviewing...
June 8, 2018: Journal of Evidence-informed Social Work
Paolo Zanaboni, Patrice Ngangue, Gisele Irène Claudine Mbemba, Thomas Roger Schopf, Trine Strand Bergmo, Marie-Pierre Gagnon
BACKGROUND: Digital health can empower citizens to manage their health and address health care system problems including poor access, uncoordinated care and increasing costs. Digital health interventions are typically complex interventions. Therefore, evaluations present methodological challenges. OBJECTIVE: The objective of this study was to provide a systematic overview of the methods used to evaluate the effects of internet-based digital health interventions for citizens...
June 7, 2018: Journal of Medical Internet Research
Shamil Haroon, Darren Wooldridge, Jan Hoogewerf, Krishnarajah Nirantharakumar, John Williams, Lina Martino, Neeraj Bhala
BACKGROUND: Alcohol misuse is an important cause of premature disability and death. While clinicians are recommended to ask patients about alcohol use and provide brief interventions and specialist referral, this is poorly implemented in routine practice. We undertook a national consultation to ascertain the appropriateness of proposed standards for recording information about alcohol use in electronic health records (EHRs) in the UK and to identify potential barriers and facilitators to their implementation in practice...
June 7, 2018: BMC Medical Informatics and Decision Making
Fátima Estrada, Leticia Suárez-López, Celia Hubert, Betania Allen-Leigh, Lourdes Campero, Lizeth Cruz-Jimenez
OBJECTIVE: To explore demographic, socioeconomic and reproductive factors associated with pregnancy desire among adolescents in five Latin American countries. DESIGN: Secondary analysis using nationally representative, cross-sectional data from UNICEF Multiple Indicator Cluster Surveys (MICS). SETTING: Cuba, the Dominican Republic, El Salvador, Mexico, and Panama. POPULATION: Adolescents 15-19 years who were pregnant or mothers (n=4,207)...
June 7, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
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