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"Implementation research"

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https://www.readbyqxmd.com/read/28733855/transportability-of-an-evidence-based-early-childhood-intervention-in-a-low-income-african-country-results-of-a-cluster-randomized-controlled-study
#1
Keng-Yen Huang, Janet Nakigudde, Dana Rhule, Joy Louise Gumikiriza-Onoria, Gloria Abura, Bukky Kolawole, Sheila Ndyanabangi, Sharon Kim, Edward Seidman, Gbenga Ogedegbe, Laurie Miller Brotman
Children in Sub-Saharan Africa (SSA) are burdened by significant unmet mental health needs. Despite the successes of numerous school-based interventions for promoting child mental health, most evidence-based interventions (EBIs) are not available in SSA. This study investigated the implementation quality and effectiveness of one component of an EBI from a developed country (USA) in a SSA country (Uganda). The EBI component, Professional Development, was provided by trained Ugandan mental health professionals to Ugandan primary school teachers...
July 21, 2017: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/28728586/a-never-before-opportunity-to-strengthen-investment-and-action-on-adolescent-contraception-and-what-we-must-do-to-make-full-use-of-it
#2
Venkatraman Chandra-Mouli, Pooja S Parameshwar, Matti Parry, Catherine Lane, Gwyn Hainsworth, Sylvia Wong, Lindsay Menard-Freeman, Beth Scott, Emily Sullivan, Miles Kemplay, Lale Say
BACKGROUND: Increasingly, the health and rights of adolescents are being recognized and prioritized on the global agenda. This presents us with a "never-before" opportunity to address adolescent contraception. This is timely, as there are enormous numbers of adolescents who are currently unable to obtain and use contraceptives. From research evidence and programmatic experience, it is clear that we need to do things differently to meet their needs/fulfil their rights. MAIN BODY: In this commentary, we call for action in several key areas to address adolescents' persistent inability to obtain and use contraceptives...
July 20, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28726480/from-efficacy-to-effectiveness-to-broad-implementation-evolution-of-the-body-project
#3
Carolyn B Becker, Eric Stice
OBJECTIVE: At the turn of the millennium, eating disorders (EDs) prevention was largely nonexistent. No program had reduced future onset of EDs in even a single trial, and most had not reduced ED symptoms. Sixteen years later, the ED prevention field has translated basic risk factor research into interventions, with demonstrated efficacy and effectiveness in reducing ED risk factors and symptoms, as well as future ED onset in some trials. This article reviews the aforementioned progress focusing on a model intervention (i...
August 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28714723/the-implementation-and-testing-of-a-referral-management-system-to-address-barriers-to-treatment-seeking-among-primary-care-veterans-with-ptsd
#4
Kyle Possemato, Emily M Johnson, Laura O Wray, Brad Webster, Tracy Stecker
Primary care (PC) patients have low rates of engagement in evidence-based psychotherapy for PTSD due to a variety of patient- and system-level barriers. We conducted a hybrid effectiveness-implementation study of a referral management system, called coordinated and alternative pathway to engagement (CAPE), to address barriers to receiving evidence-based treatment for PTSD. CAPE included the delivery of 1 session of cognitive-behavioral therapy (CBT) within PC to identify and change treatment-seeking beliefs, phone contacts to assist veterans in attending appointments, and PC staff trainings on how to implement clinical practice guidelines for PTSD in PC...
July 17, 2017: Psychological Services
https://www.readbyqxmd.com/read/28709402/dissemination-and-implementation-research-in-dementia-care-a-systematic-scoping-review-and-evidence-map
#5
Ilianna Lourida, Rebecca A Abbott, Morwenna Rogers, Iain A Lang, Ken Stein, Bridie Kent, Jo Thompson Coon
BACKGROUND: The need to better understand implementing evidence-informed dementia care has been recognised in multiple priority-setting partnerships. The aim of this scoping review was to give an overview of the state of the evidence on implementation and dissemination of dementia care, and create a systematic evidence map. METHODS: We sought studies that addressed dissemination and implementation strategies or described barriers and facilitators to implementation across dementia stages and care settings...
July 14, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28701427/controlling-phlebotomy-volume-diminishes-picu-transfusion-implementation-processes-and-impact
#6
Katherine Steffen, Allan Doctor, Julie Hoerr, Jeff Gill, Chris Markham, Sarah M Brown, Daniel Cohen, Rose Hansen, Emily Kryzer, Jessica Richards, Sara Small, Stacey Valentine, Jennifer L York, Enola K Proctor, Philip C Spinella
BACKGROUND AND OBJECTIVES: Phlebotomy excess contributes to anemia in PICU patients and increases the likelihood of red blood cell transfusion, which is associated with risk of adverse outcomes. Excessive phlebotomy reduction (EPR) strategies may reduce the need for transfusion, but have not been evaluated in a PICU population. We hypothesized that EPR strategies, facilitated by implementation science methods, would decrease excess blood drawn and reduce transfusion frequency. METHODS: Quantitative and qualitative methods were used...
July 13, 2017: Pediatrics
https://www.readbyqxmd.com/read/28699825/engaging-end-users-in-intervention-research-study-design
#7
Molly A Martin, Valerie G Press, Kim Erwin, Helen Margellos-Anast, Stacy Ignoffo, Kate Sheridan McMahon, Giselle Mosnaim, Jessica Ramsay, S Margaret Paik
OBJECTIVE: Coordinated Healthcare Interventions for Childhood Asthma Gaps in Outcomes (CHICAGO) Plan is a 3-arm multicenter pragmatic trial to evaluate asthma interventions in high-risk Chicago children presenting to emergency departments (ED) with asthma. A formative evaluation with end-users to provide input into the trial design and outcome instruments was conducted prior to trial initiation. METHODS: A multi-level data gathering framework from the field of design and standard qualitative methods was employed...
July 12, 2017: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/28699541/randomised-controlled-trials-and-changing-public-health-practice
#8
EDITORIAL
Anne Cockcroft
One reason for doing randomised controlled trials (RCTs) is that experiments can be convincing. Early epidemiological experimenters, such as Jenner and the smallpox vaccine and Snow and his famous Broad Street pump handle, already knew the answer they were demonstrating; they used the experiments as knowledge translation devices to convince others.More sophisticated modern experiments include cluster randomised controlled trials (CRCTs) for experiments in the public health setting. The knowledge translation value remains: RCTs and CRCTs can potentially stimulate changes of practice among stakeholders...
May 30, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28699017/acceptability-of-hiv-self-testing-in-sub-saharan-africa-scoping-study
#9
REVIEW
Charlene Harichund, M Moshabela
Several HIV testing models have been implemented in sub-Saharan Africa (SSA) to improve access to HIV testing, but uptake remains poor. HIV Self-Testing (HIVST) is now available, and may serve to overcome barriers of current testing models which include stigma, discrimination and non-confidential testing environments. A scoping study was conducted to provide an overview of the current literature in SSA, as well as identify future research needs to scale-up HIVST and increase HIV testing uptake. The outcome of the review indicated only 11 reported studies to date, showing variable acceptability (22...
July 11, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28696347/building-health-system-capacity-through-implementation-research-experience-of-inspire-a-multi-country-pmtct-implementation-research-project-erratum
#10
(no author information available yet)
No abstract text is available yet for this article.
August 15, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28691435/clinical-and-public-health-implications-of-acute-and-early-hiv-detection-and-treatment-a-scoping-review
#11
Sarah E Rutstein, Jintanat Ananworanich, Sarah Fidler, Cheryl Johnson, Eduard J Sanders, Omar Sued, Asier Saez-Cirion, Christopher D Pilcher, Christophe Fraser, Myron S Cohen, Marco Vitoria, Meg Doherty, Joseph D Tucker
INTRODUCTION: The unchanged global HIV incidence may be related to ignoring acute HIV infection (AHI). This scoping review examines diagnostic, clinical, and public health implications of identifying and treating persons with AHI. METHODS: We searched PubMed, in addition to hand-review of key journals identifying research pertaining to AHI detection and treatment. We focused on the relative contribution of AHI to transmission and the diagnostic, clinical, and public health implications...
June 28, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28685048/prioritizing-research-for-integrated-implementation-of-early-childhood-development-and-maternal-newborn-child-and-adolescent-health-and-nutrition-platforms
#12
Renee Sharma, Michelle F Gaffey, Harold Alderman, Diego G Bassani, Kimber Bogard, Gary L Darmstadt, Jai K Das, Joseph E de Graft-Johnson, Jena D Hamadani, Susan Horton, Luis Huicho, Julia Hussein, Stephen Lye, Rafael Pérez-Escamilla, Kerrie Proulx, Kofi Marfo, Vanessa Mathews-Hanna, Mireille S Mclean, Atif Rahman, Karlee L Silver, Daisy R Singla, Patrick Webb, Zulfiqar A Bhutta
BACKGROUND: Existing health and nutrition services present potential platforms for scaling up delivery of early childhood development (ECD) interventions within sensitive windows across the life course, especially in the first 1000 days from conception to age 2 years. However, there is insufficient knowledge on how to optimize implementation for such strategies in an integrated manner. In light of this knowledge gap, we aimed to systematically identify a set of integrated implementation research priorities for health, nutrition and early child development within the 2015 to 2030 timeframe of the Sustainable Development Goals (SDGs)...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28679348/implementing-enhanced-recovery-pathways-a-literature-review-with-realist-synthesis
#13
Astrid Coxon, Karina Nielsen, Jane Cross, Chris Fox
OBJECTIVES: Enhanced Recovery Pathways (ERPs) are an increasingly popular, evidenced-based approach to surgery, designed to improve patient outcomes and reduce costs. Despite evidence demonstrating the benefits of these pathways, implementation and adherence have been inconsistent. METHODS: Using realist synthesis, this review explored the current literature surrounding the implementation of ERPs in the UK. Knowledge consolidation between authors and consulting with field experts helped to guide the search strategy...
July 12, 2017: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/28670442/managing-patients-with-acute-and-chronic-non-specific-neck-pain-are-danish-chiropractors-compliant-with-guidelines
#14
Simon Sidenius Brockhusen, André Bussières, Simon David French, Henrik Wulff Christensen, Tue Secher Jensen
BACKGROUND: Non-specific neck pain represents a quarter of all chiropractic patient visits in Denmark. Evidence informed practice can help ensure providers use best available treatment, speed up patient recovery rate and reduce healthcare utilization. It is generally believed that Danish chiropractors treat according to best practice, but we do not know if this is true for management of neck-pain. The objective of this study was to investigate how Danish chiropractors treat patients with acute and chronic non-specific neck pain and determine if management is compliant with recent Canadian guideline recommendations...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28666816/application-of-the-consolidated-framework-for-implementation-research-to-community-pharmacy-a-framework-for-implementation-research-on-pharmacy-services
#15
Sarah J Shoemaker, Geoffrey M Curran, Holly Swan, Benjamin S Teeter, Jeremy Thomas
BACKGROUND: Community pharmacies are an increasingly important health care setting with opportunities for improving quality and safety, yet little is understood about determinants of implementation in this setting. OBJECTIVE: This paper presents an implementation framework for pharmacy based on the Consolidated Framework for Implementation Research (CFIR). METHODS: This study employed a critical review of 45 articles on professional services provided in community pharmacies, including medication therapy management (MTM), immunizations, and rapid HIV testing...
June 2, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28666192/preventing-obesity-across-the-preconception-pregnancy-and-postpartum-cycle-implementing-research-into-practice
#16
Cheryce L Harrison, Helen Skouteris, Jacqueline Boyle, Helena J Teede
No abstract text is available yet for this article.
June 15, 2017: Midwifery
https://www.readbyqxmd.com/read/28652870/global-implementation-of-advanced-urological-care-policy-implementation-research
#17
Lynn Stothers, Andrew Macnab
INTRODUCTION: In high-resource countries, modern treatments for urological diseases have led to significant reductions in mortality and morbidity; however, the benefits of modern treatment have yet to reach the majority of people worldwide. As attention is focused on improving urological care in the global community, policy and implementation research (PIR) offers a platform for effective organization and engagement. METHODS: We have compiled a photo essay to illustrate the fundamental components of PIR...
June 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28647722/developing-implementation-strategies-for-firearm-safety-promotion-in-paediatric-primary-care-for-suicide-prevention-in-two-large-us-health-systems-a-study-protocol-for-a-mixed-methods-implementation-study
#18
Courtney Benjamin Wolk, Shari Jager-Hyman, Steven C Marcus, Brian K Ahmedani, John E Zeber, Joel A Fein, Gregory K Brown, Adina Lieberman, Rinad S Beidas
INTRODUCTION: The promotion of safe firearm practices, or firearms means restriction, is a promising but infrequently used suicide prevention strategy in the USA. Safety Check is an evidence-based practice for improving parental firearm safety behaviour in paediatric primary care. However, providers rarely discuss firearm safety during visits, suggesting the need to better understand barriers and facilitators to promoting this approach. This study, Adolescent Suicide Prevention In Routine clinical Encounters, aims to engender a better understanding of how to implement the three firearm components of Safety Check as a suicide prevention strategy in paediatric primary care...
June 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28646883/ioeasma-an-integrated-clinical-and-educational-pathway-for-managing-asthma-in-children-and-adolescents
#19
Sebastiano Guarnaccia, Gaia Pecorelli, Marina Bianchi, Massimo Cartabia, Gianluigi Casadei, Ada Pluda, Cristina Quecchia, Valeria Gretter, Maurizio Bonati
BACKGROUND: Due to the lack of real life clinical and educational studies, "Io e l'Asma" Centre performed this implementation research (IR). Evaluate long-term effectiveness on bronchial asthma control of an integrated clinical and educational pathway for asthmatic children and adolescents. METHODS: An observational retrospective pre-post intervention IR study was conducted among 262 children with asthma, ages 6-15 yrs. The intervention protocol included three clinical visits 8 weeks apart; an educational course at visit 1, post intervention consisted in two follow-up visits 6 months apart...
June 24, 2017: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/28639989/use-of-expenditure-analysis-to-enhance-returns-on-investments-in-hiv-services
#20
Brian Honermann, Richael O'Hagan
PURPOSE OF REVIEW: Globally, the response to the HIV epidemic is at a crisis point. International investments in the HIV response have been essentially flat for 8 years and domestic budgets in low and middle-income countries - still recovering from the global recession - have not been able to fill the resource gap to drive a full-fledged HIV response. Still, efficiencies and prioritization of evidence-based interventions enable a significant scale-up of treatment, but millions more people remain without treatment...
July 20, 2017: Current Opinion in HIV and AIDS
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