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"Implementation research"

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https://www.readbyqxmd.com/read/28097842/in-hospital-capacity-building-in-research-and-management-for-pediatric-professionals
#1
Graciela Demirdjian, Susana Rodríguez, Juan C Vassallo, Vilma Irazola, Josefa Rodríguez
We describe an educational strategy aimed at capacity-building of hospital health care professionals in research and management initiated at a pediatric hospital in 2006, and the results obtained eight years after its implementation. Research and Management in Pediatrics (GIP) is an annual 250-hour course combining meetings and off-site assignments delivered through the Hospital's on-line campus. It provides students with practical tools for research (epidemiology, methodology, bibliographic search, evidencebased medicine, biostatistics) and management (strategic planning, management programs, health services research, quality improvement, health economics)...
February 1, 2017: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/28074572/the-sbirt-program-matrix-a-conceptual-framework-for-program-implementation-and-evaluation
#2
Frances K Del Boca, Bonnie McRee, Janice Vendetti, Donna Damon
BACKGROUND AND AIMS: Screening, Brief Intervention and Referral to Treatment (SBIRT) is a comprehensive, integrated, public health approach to the delivery of services to those at risk for the adverse consequences of alcohol and other drug use, and for those with probable substance use disorders. Research on successful SBIRT implementation has lagged behind studies of efficacy and effectiveness. This paper (1) outlines a conceptual framework, the SBIRT Program Matrix, to guide implementation research and program evaluation and (2) specifies potential implementation outcomes...
February 2017: Addiction
https://www.readbyqxmd.com/read/28057049/combined-use-of-the-consolidated-framework-for-implementation-research-cfir-and-the-theoretical-domains-framework-tdf-a-systematic-review
#3
REVIEW
Sarah A Birken, Byron J Powell, Justin Presseau, M Alexis Kirk, Fabiana Lorencatto, Natalie J Gould, Christopher M Shea, Bryan J Weiner, Jill J Francis, Yan Yu, Emily Haines, Laura J Damschroder
BACKGROUND: Over 60 implementation frameworks exist. Using multiple frameworks may help researchers to address multiple study purposes, levels, and degrees of theoretical heritage and operationalizability; however, using multiple frameworks may result in unnecessary complexity and redundancy if doing so does not address study needs. The Consolidated Framework for Implementation Research (CFIR) and the Theoretical Domains Framework (TDF) are both well-operationalized, multi-level implementation determinant frameworks derived from theory...
January 5, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28052780/stakeholder-meeting-integrated-knowledge-translation-approach-to-address-the-caregiver-support-gap
#4
Jayna M Holroyd-Leduc, Jacqueline McMillan, Nathalie Jette, Suzette C Brémault-Phillips, Wendy Duggleby, Heather M Hanson, Jasneet Parmar
Family caregivers are an integral and increasingly overburdened part of the health care system. There is a gap between what research evidence shows is beneficial to caregivers and what is actually provided. Using an integrated knowledge translation approach, a stakeholder meeting was held among researchers, family caregivers, caregiver associations, clinicians, health care administrators, and policy makers. The objectives of the meeting were to review current research evidence and conduct multi-stakeholder dialogue on the potential gaps, facilitators, and barriers to the provision of caregiver supports...
January 5, 2017: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/28031297/benefits-and-limitations-of-a-community-engaged-emergency-referral-system-in-a-remote-impoverished-setting-of-northern-ghana
#5
Sneha Patel, John Koku Awoonor-Williams, Rofina Asuru, Christopher B Boyer, Janet Awopole Yepakeh Tiah, Mallory C Sheff, Margaret L Schmitt, Robert Alirigia, Elizabeth F Jackson, James F Phillips
Although Ghana has a well-organized primary health care system, it lacks policies and guidelines for developing or providing emergency referral services. In 2012, an emergency referral pilot-the Sustainable Emergency Referral Care (SERC) initiative-was launched by the Ghana Health Service in collaboration with community stakeholders and health workers in one subdistrict of the Upper East Region where approximately 20,000 people reside. The pilot program was scaled up in 2013 to a 3-district (12-subdistrict) plausibility trial that served a population of approximately 184,000 over 2 years from 2013 to 2015...
December 23, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27995844/next-steps-for-meeting-the-needs-of-people-with-severe-mental-illness-in-low-and-middle-income-countries
#6
C Hanlon
The explicit inclusion of mental health within the Sustainable Development Goals is a welcome development, borne out of powerful advocacy using public health, economic and human rights arguments. As funding comes on line for scale-up of evidence-based mental health care by task-sharing with primary care, it is time to take stock about care for people affected by severe mental illness (SMI). The existing evidence base for task shared care for SMI provides an imperative to get started, but is skewed towards relatively more affluent and urban populations in middle-income countries where specialist mental health professionals provide most of the care...
December 20, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27993341/bridging-the-gap-between-research-and-practice-in-mental-health-service-settings-an-overview-of-developments-in-implementation-theory-and-research
#7
Shannon Wiltsey Stirman, Cassidy A Gutner, Kirsten Langdon, Jessica R Graham
Twenty years after Sobell's (1996) influential call to integrate advances in behavior therapy into clinical settings, significant progress has been made in implementation science. In this narrative review, we provide an overview of implementation research findings and highlight recent findings that can inform efforts to bridge the gap between research and practice in mental health service settings. Key findings are summarized, organized according to levels of influence described in two implementation frameworks: The Exploration, Planning, Implementation, and Sustainment Framework (EPIS; Aarons et al...
November 2016: Behavior Therapy
https://www.readbyqxmd.com/read/27977284/adaptation-and-implementation-of-a-trauma-focused-cognitive-behavioral-intervention-for-girls-in-child-welfare
#8
Wendy Auslander, Hollee McGinnis, Sarah Tlapek, Penny Smith, April Foster, Tonya Edmond, Jerry Dunn
This study describes the process of adapting and implementing Girls Aspiring toward Independence (GAIN), a trauma-focused, group-based therapy adapted from Cognitive Behavioral Intervention for Trauma in Schools (CBITS) for girls in child welfare. Descriptive data were examined on 3 outcomes: posttraumatic stress disorder (PTSD), depression, and social problem-solving skills among adolescent girls in the child welfare system. Qualitative and quantitative methods were utilized to inform the adaptation of the CBITS intervention, evaluate feasibility, treatment fidelity, and acceptability, and to test the effects of the intervention...
December 15, 2016: American Journal of Orthopsychiatry
https://www.readbyqxmd.com/read/27976656/using-nonpneumatic-anti-shock-garment-for-postpartum-hemorrhage-management-and-referral-at-the-public-health-facilities-a-pilot-study-in-two-districts-of-bihar
#9
Jyoti Sharma, Preeti Negandhi, Ankan Mukherjee Das, Ghanashyam Sethy, Sutapa B Neogi
BACKGROUND: Nonpneumatic anti-shock garment (NASG) is a first-aid device that can save lives of women experiencing postpartum hemorrhage (PPH). OBJECTIVE: The aim was to explore the feasibility of implementation of NASG intervention at select public health primary care facilities in two high priority districts of Bihar. METHODS: Qualitative design was used to document the NASG implementation process. In-depth interviews were conducted with health-care providers in November-December 2015...
October 2016: Indian Journal of Public Health
https://www.readbyqxmd.com/read/27938400/developing-the-ethics-of-implementation-research-in-health
#10
Vijayaprasad Gopichandran, Valerie A Luyckx, Nikola Biller-Andorno, Amy Fairchild, Jerome Singh, Nhan Tran, Abha Saxena, Pascal Launois, Andreas Reis, Dermot Maher, Mahnaz Vahedi
Implementation research (IR) is growing in recognition as an important generator of practical knowledge that can be translated into health policy. With its aim to answer questions about how to improve access to interventions that have been shown to work but have not reached many of the people who could benefit from them, IR involves a range of particular ethical considerations that have not yet been comprehensively covered in international guidelines on health research ethics. The fundamental ethical principles governing clinical research apply equally in IR, but the application of these principles may differ depending on the IR question, context, and the nature of the proposed intervention...
December 9, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27938374/research-on-health-equity-in-the-sdg-era-the-urgent-need-for-greater-focus-on-implementation
#11
EDITORIAL
Kumanan Rasanathan, Theresa Diaz
BACKGROUND: The tremendous increase in knowledge on inequities in health and their drivers in recent decades has not been matched by improvements in health inequities themselves, or by systematic evidence of what works to reduce health inequities. Within health equity research there is a skew towards diagnostic studies in comparison to intervention studies showing evidence of how interventions can reduce disparities. MAIN TEXT: The lack of sufficient specific evidence on how to implement specific policies and interventions in specific contexts to reduce health inequities creates policy confusion and partly explains the lack of progress on health inequities...
December 9, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27938369/achieving-development-goals-for-hiv-tuberculosis-and-malaria-in-sub-saharan-africa-through-integrated-antenatal-care-barriers-and-challenges
#12
EDITORIAL
Freya J I Fowkes, Bridget L Draper, Margaret Hellard, Mark Stoové
BACKGROUND: The global health community is currently transitioning from the Millennium Development Goals (MDGs) to the Sustainable Development Goals (SDGs). Unfortunately, progress towards maternal, newborn and infant health MDGs has lagged significantly behind other key health goals, demanding a renewed global effort in this key health area. The World Health Organization and other institutions heralded integrated antenatal care (ANC) as the best way to address the inter-related health issues of HIV, tuberculosis (TB) and malaria in the high risk groups of pregnant women and infants; integrated ANC services also offer a mechanism to address slow progress towards improved maternal health...
December 12, 2016: BMC Medicine
https://www.readbyqxmd.com/read/27910723/powered-mobility-intervention-understanding-the-position-of-tool-use-learning-as-part-of-implementing-the-alp-tool
#13
Lisbeth Nilsson, Josephine Durkin
PURPOSE: To explore the knowledge necessary for adoption and implementation of the Assessment of Learning Powered mobility use (ALP) tool in different practice settings for both adults and children. To consult with a diverse population of professionals working with adults and children, in different countries and various settings; who were learning about or using the ALP tool, as part of exploring and implementing research findings. METHOD: Classical grounded theory with a rigorous comparative analysis of data from informants together with reflections on our own rich experiences of powered mobility practice and comparisons with the literature...
December 2, 2016: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/27909208/evaluation-of-a-national-telemedicine-initiative-in-the-veterans-health-administration-factors-associated-with-successful-implementation
#14
Lauren Stevenson, Sherry Ball, Leah M Haverhals, David C Aron, Julie Lowery
BACKGROUND: The Consolidated Framework for Implementation Research was used to evaluate implementation facilitators and barriers of Specialty Care Access Network-Extension for Community Healthcare Outcomes (SCAN-ECHO) within the Veterans Health Administration. SCAN-ECHO is a video teleconferencing-based programme where specialist teams train and mentor remotely-located primary care providers in providing routine speciality care for common chronic illnesses. The goal of SCAN-ECHO was to improve access to speciality care for Veterans...
November 30, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27906733/routine-inpatient-human-immunodeficiency-virus-screening-missed-prevention-opportunities
#15
Daniel C Baker
PURPOSE/OBJECTIVES: This article reviews the current guidelines for human immunodeficiency virus (HIV) screening among inpatients and explores adherence to the guidelines and barriers to their implementation. BACKGROUND: In 2006, the Centers for Disease Control and Prevention released updated recommendations suggesting HIV screening for all patients in all healthcare settings. DESCRIPTION: A nonsystematic review of current HIV screening guidelines, as well as research and nonresearch literature, addressing rates of inpatient screening was performed...
January 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/27906041/implementation-of-the-better-2-program-a-qualitative-study-exploring-barriers-and-facilitators-of-a-novel-way-to-improve-chronic-disease-prevention-and-screening-in-primary-care
#16
Nicolette Sopcak, Carolina Aguilar, Mary Ann O'Brien, Candace Nykiforuk, Kris Aubrey-Bassler, Richard Cullen, Eva Grunfeld, Donna Patricia Manca
BACKGROUND: BETTER (Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Primary Care) is a patient-based intervention to improve chronic disease prevention and screening (CDPS) for cardiovascular disease, diabetes, cancer, and associated lifestyle factors in patients aged 40 to 65. The key component of BETTER is a prevention practitioner (PP), a health care professional with specialized skills in CDPS who meets with patients to develop a personalized prevention prescription, using the BETTER toolkit and Brief Action Planning...
December 1, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27902559/using-an-implementation-research-framework-to-identify-potential-facilitators-and-barriers-of-an-intervention-to-increase-hpv-vaccine-uptake
#17
Rebecca Selove, Maya Foster, Raquel Mack, Maureen Sanderson, Pamela C Hull
BACKGROUND: Although the incidence of cervical cancer has been decreasing in the United States over the last decade, Hispanic and African American women have substantially higher rates than Caucasian women. The human papillomavirus (HPV) is a necessary, although insufficient, cause of cervical cancer. In the United States in 2013, only 37.6% of girls 13 to 17 years of age received the recommended 3 doses of a vaccine that is almost 100% efficacious for preventing infection with viruses that are responsible for 70% of cervical cancers...
November 28, 2016: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27872016/tuberculosis-eradication-versus-control
#18
Marco Schito, Debra Hanna, Alimuddin Zumla
According to the World Health Organization (WHO), 10.4 million people died of tuberculosis (TB) in 2015, and the disease is now the number one cause of death from a preventable infectious disease worldwide. A bold vision is needed from global leaders to end the TB epidemic and plans to this end have been proposed. However enthusiasm must be matched by tangible and achievable goals based on the science and available funding. In order to reach the target and goals set by the WHO End TB Strategy, the challenges for TB eradication need to be addressed...
November 18, 2016: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/27868437/can-we-address-depression-in-vision-rehabilitation-settings-professionals-perspectives-on-the-barriers-to-integrating-problem-solving-treatment
#19
Edith Holloway, Bonnie Sturrock, Ecosse Lamoureux, Jill Keeffe, Mark Hegel, Robin Casten, David Mellor, Gwyneth Rees
PURPOSE: Low vision rehabilitation (LVR) is a pertinent context for integrating early, evidence-based psychological interventions given the high prevalence of untreated depression in adults with vision impairment. This study aims to identify the perceived barriers and facilitators to staff-delivered telephone-based problem-solving treatment for primary care (PST-PC) offered as an integrated component of LVR. METHODS: Qualitative semi-structured interviews, developed using the theoretical domains framework (TDF) and Consolidated Framework for Implementation Research (CFIR), were conducted with 21 LVR professionals and a clinical psychologist involved in the delivery of PST-PC...
November 20, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27853321/contextual-factors-influencing-the-implementation-of-the-obstetrics-hemorrhage-initiative-in-florida
#20
C A Vamos, E L Thompson, A Cantor, L Detman, E Bronson, A Phelps, J M Louis, A R Gregg, J S Curran, W Sappenfield
OBJECTIVE: The purpose of this study was to explore the multilevel contextual factors that influenced the implementation of the Obstetric Hemorrhage Initiative (OHI) among hospitals in Florida. STUDY DESIGN: A qualitative evaluation was conducted via in-depth interviews with multidisciplinary hospital staff (n=50) across 12 hospitals. Interviews were guided by the Consolidated Framework for Implementation Research and analyzed in Atlas.ti using rigorous qualitative analysis procedures...
November 17, 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
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