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"Implementation research"

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https://www.readbyqxmd.com/read/28639989/use-of-expenditure-analysis-to-enhance-returns-on-investments-in-hiv-services
#1
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
https://www.readbyqxmd.com/read/28637486/a-guide-to-using-the-theoretical-domains-framework-of-behaviour-change-to-investigate-implementation-problems
#2
Lou Atkins, Jill Francis, Rafat Islam, Denise O'Connor, Andrea Patey, Noah Ivers, Robbie Foy, Eilidh M Duncan, Heather Colquhoun, Jeremy M Grimshaw, Rebecca Lawton, Susan Michie
BACKGROUND: Implementing new practices requires changes in the behaviour of relevant actors, and this is facilitated by understanding of the determinants of current and desired behaviours. The Theoretical Domains Framework (TDF) was developed by a collaboration of behavioural scientists and implementation researchers who identified theories relevant to implementation and grouped constructs from these theories into domains. The collaboration aimed to provide a comprehensive, theory-informed approach to identify determinants of behaviour...
June 21, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28637479/pediatric-emental-healthcare-technologies-a-systematic-review-of-implementation-foci-in-research-studies-and-government-and-organizational-documents
#3
REVIEW
Nicole D Gehring, Patrick McGrath, Lori Wozney, Amir Soleimani, Kathryn Bennett, Lisa Hartling, Anna Huguet, Michele P Dyson, Amanda S Newton
BACKGROUND: Researchers, healthcare planners, and policymakers convey a sense of urgency in using eMental healthcare technologies to improve pediatric mental healthcare availability and access. Yet, different stakeholders may focus on different aspects of implementation. We conducted a systematic review to identify implementation foci in research studies and government/organizational documents for eMental healthcare technologies for pediatric mental healthcare. METHODS: A search of eleven electronic databases and grey literature was conducted...
June 21, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28629468/improving-detection-and-initial-management-of-gestational-diabetes-through-the-primary-level-of-care-in-morocco-protocol-for-a-cluster-randomized-controlled-trial
#4
Bettina Utz, Bouchra Assarag, Amina Essolbi, Amina Barkat, Nawal El Ansari, Bouchra Fakhir, Alexandre Delamou, Vincent De Brouwere
BACKGROUND: Morocco is facing a growing prevalence of diabetes and according to latest figures of the World Health Organization, already 12.4% of the population are affected. A similar prevalence has been reported for gestational diabetes (GDM) and although it is not yet high on the national agenda, immediate and long-term complications threaten the health of mothers and future generations. A situational analysis on GDM conducted in 2015 revealed difficulties in access to screening and delays in receiving appropriate care...
June 19, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28622488/dizziness-unsteadiness-visual-disturbances-and-sensorimotor-control-in-traumatic-neck-pain
#5
Julia Treleaven
Synopsis There is considerable evidence to support the importance of cervical afferent dysfunction in the development of dizziness, unsteadiness, visual disturbances and altered balance, eye, and head movement control following neck trauma, especially in those with persistent symptoms. However, there are other possible causes for these symptoms and secondary adaptive changes should also be considered in the process of differential diagnosis. Understanding the nature of these symptoms and the differential diagnosis of their potential origin is important for rehabilitation...
June 16, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28614484/embedding-research-to-improve-program-implementation-in-latin-america-and-the-caribbean
#6
Nhan Tran, Etienne V Langlois, Ludovic Reveiz, Ilona Varallyay, Vanessa Elias, Arielle Mancuso, Francisco Becerra-Posada, Abdul Ghaffar
In the last 10 years, implementation research has come to play a critical role in improving the implementation of already-proven health interventions by promoting the systematic uptake of research findings and other evidence-based strategies into routine practice. The Alliance for Health Policy and Systems Research and the Pan American Health Organization implemented a program of embedded implementation research to support health programs in Latin America and the Caribbean (LAC) in 2014-2015. A total of 234 applications were received from 28 countries in the Americas...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28600197/dissemination-and-implementation-sciences-in-pharmacy-a-call-to-action-for-professional-organizations
#7
Terry L Seaton
There is a substantial gap between the generation of new knowledge and its widespread incorporation into routine clinical practice, including the medication use process. Principles of dissemination and implementation sciences, if fully embraced by clinicians and researchers, have the potential of improving healthcare effectiveness, efficiency, quality, and safety. This commentary is a call to action for member-driven professional organizations in pharmacy to serve their members and the profession by proactively and strategically leading efforts to develop pharmacist's abilities to incorporate principles of dissemination and implementation sciences into their practice...
June 2, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28599637/recruitment-of-racial-ethnic-minority-older-adults-through-community-sites-for-focus-group-discussions
#8
Mary E Northridge, Michele Shedlin, Eric W Schrimshaw, Ivette Estrada, Leydis De La Cruz, Rogelina Peralta, Stacia Birdsall, Sara S Metcalf, Bibhas Chakraborty, Carol Kunzel
BACKGROUND: Despite a body of evidence on racial/ethnic minority enrollment and retention in research, literature specifically focused on recruiting racially/ethnically diverse older adults for social science studies is limited. There is a need for more rigorous research on methodological issues and the efficacy of recruitment methods. Cultural obstacles to recruitment of racial/ethnic minority older adults include language barriers, lack of cultural sensitivity of target communities on the part of researchers, and culturally inappropriate assessment tools...
June 9, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28597864/motivating-and-demotivating-factors-for-community-health-workers-a-qualitative-study-in-urban-slums-of-delhi-india
#9
Mathew Sunil George, Shradha Pant, Niveditha Devasenapathy, Suparna Ghosh-Jerath, Sanjay P Zodpey
Background Community health workers play an important role in delivering health-care services, especially to underserved populations in low- and middle-income countries. They have been shown to be successful in providing a range of preventive, promotive and curative services. This qualitative study investigated the factors motivating or demotivating community health workers in urban settings in Delhi, India. Methods In this sub-study of the ANCHUL (Ante Natal and Child Healthcare in Urban Slums) implementation research project, four focus-group discussions and nine in-depth interviews were conducted with community health workers and medical officers...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28595895/understanding-the-dissemination-of-appointment-based-synchronization-models-using-the-cfir-framework
#10
Julie Patterson, David Holdford
BACKGROUND: The appointment based model (ABM) is a innovative model of pharmacy practice that combines medication synchronization with scheduled monthly appointments to improve patient medication adherence and convenience. It is being implemented in many pharmacies across the United States. OBJECTIVE: The purpose of this article is to use the Consolidated Framework for Implementation Research (CFIR) to discuss the barriers and facilitators of ABM implementation in community pharmacies while identifying priorities for additional implementation research...
June 1, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28591333/-regionalization-of-perinatal-health-care-in-the-province-of-santa-fe-argentina
#11
Alberto Tomás Simioni, Oraldo Llanos, Mariana Romero, Silvina Ramos, Vanessa Brizuela, Edgardo Abalos
Objective: Improve the performance of the regionalization policy in the province of Santa Fe, Argentina, as a strategy to improve perinatal health care by analyzing implementation processes and building consensus among decision makers and stakeholders around an action plan. Methods: Implementation research was conducted using mixed methodology. A needs assessment established tracer indicators to measure adherence to the components of the policy. Actors were studied to identify the barriers and facilitators of implementation...
May 25, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28573356/active-involved-community-partnerships-co-creating-implementation-infrastructure-for-getting-to-and-sustaining-social-impact
#12
Renée I Boothroyd, Aprille Y Flint, A Mark Lapiz, Sheryl Lyons, Karen Lofts Jarboe, William A Aldridge
Active involved community partnerships (AICPs) are essential to co-create implementation infrastructure and translate evidence into real-world practice. Across varied forms, AICPs cultivate community and tribal members as agents of change, blending research and organizational knowledge with relationships, context, culture, and local wisdom. Unlike selective engagement, AICPs enable active involvement of partners in the ongoing process of implementation and sustainability. This includes defining the problem, developing solutions, detecting practice changes, aligning organizational supports, and nurturing shared responsibility, accountability, and ownership for implementation...
June 1, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28569208/development-of-a-health-education-intervention-strategy-using-an-implementation-research-method-to-control-taeniasis-and-cysticercosis-in-burkina-faso
#13
Helena Ngowi, Ivan Ozbolt, Athanase Millogo, Veronique Dermauw, Télesphore Somé, Paul Spicer, Lori L Jervis, Rasmané Ganaba, Sarah Gabriel, Pierre Dorny, Hélène Carabin
BACKGROUND: Taeniasis and cysticercosis are two diseases caused by Taenia solium, a parasite transmitted between humans and pigs, leading to considerable economic loss and disabilities. Transmission of the parasite is linked to environmental and behavioural factors such as inadequate sanitation and hygiene, poor pig management, and consumption of infected pork. This study used implementation research method to design a health education intervention strategy for reducing T. solium infections in Burkina Faso, a country endemic for the parasite...
June 1, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/28549480/improving-the-appropriateness-of-antipsychotic-prescribing-in-nursing-homes-a-mixed-methods-process-evaluation-of-an-academic-detailing-intervention
#14
L Desveaux, M Saragosa, J Rogers, L Bevan, H Loshak, A Moser, S Feldman, L Regier, L Jeffs, N M Ivers
BACKGROUND: In 2014, nursing home administration and government officials were facing increasing public and media scrutiny around the variation of antipsychotic medication (APM) prescribing across Ontario nursing homes. In response, policy makers partnered to test an academic detailing (AD) intervention to address appropriate prescribing of APM in nursing homes in a cluster-randomized trial. This mixed-methods study aimed to explore how and why the AD intervention may have resulted in changes in the nursing home context...
May 26, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28547738/implementing-health-promotion-activities-using-community-engaged-approaches-in-asian-american-faith-based-organizations-in-new-york-city-and-new-jersey
#15
S C Kwon, S Patel, C Choy, J Zanowiak, C Rideout, S Yi, L Wyatt, M D Taher, M J Garcia-Dia, S S Kim, T K Denholm, R Kavathe, N S Islam
Faith-based organizations (FBOs) (e.g., churches, mosques, and gurdwaras) can play a vital role in health promotion. The Racial and Ethnic Approaches to Community Health for Asian Americans (REACH FAR) Project is implementing a multi-level and evidence-based health promotion and hypertension (HTN) control program in faith-based organizations serving Asian American (AA) communities (Bangladeshi, Filipino, Korean, Asian Indian) across multiple denominations (Christian, Muslim, and Sikh) in New York/New Jersey (NY/NJ)...
May 25, 2017: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/28545526/effective-implementation-of-the-uncrpd-by-thailand-state-party-challenges-and-potential-remedies
#16
Donruedee Srisuppaphon, Arnon Sriboonroj, Wachara Riewpaiboon, Viroj Tangcharoensathien
BACKGROUND: The Thai government ratified the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) in 2008, and the first progress report by the State Party was issued in 2012. This study assesses and identifies gaps in the Government's implementation of the Convention. METHODS: Using the Deming Plan-Do-Check-Act Cycle as an analytical framework for continuous quality improvement, we reviewed five documents which are: the 2012 State Party report; the list of issues by the Committee on the Rights of Persons with Disabilities; the 2015 replies to the list of issues by the Thai government; an alternative report produced by Civil Society Organizations (CSOs); and an alternative report produced by the National Human Rights Commission of Thailand...
May 25, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28530047/what-is-it-going-to-take-to-move-youth-related-hiv-programme-policies-into-practice-in-africa
#17
Daniella Mark, Lina Taing, Lucie Cluver, Chris Collins, Kate Iorpenda, Catarina Andrade, Luann Hatane
INTRODUCTION: HIV has been reported to be the leading cause of mortality amongst adolescents in Africa. This has brought attention to the changes in service provision and health management that many adolescents living with HIV experience when transferring from specialized paediatric- or adolescent-focused services to adult care. When transition is enacted poorly, adherence may be affected and the continuum of care disrupted. As the population of HIV-infected adolescents grows, effective and supported transition increases in significance as an operational imperative...
May 16, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28503194/what-are-effective-strategies-for-implementing-trauma-informed-care-in-youth-inpatient-psychiatric-and-residential-treatment-settings-a-realist-systematic-review
#18
REVIEW
Stephanie A Bryson, Emma Gauvin, Ally Jamieson, Melanie Rathgeber, Lorelei Faulkner-Gibson, Sarah Bell, Jana Davidson, Jennifer Russel, Sharlynne Burke
BACKGROUND: Many young people who receive psychiatric care in inpatient or residential settings in North America have experienced various forms of emotional trauma. Moreover, these settings can exacerbate trauma sequelae. Common practices, such as seclusion and restraint, put young people at risk of retraumatization, development of comorbid psychopathology, injury, and even death. In response, psychiatric and residential facilities have embraced trauma-informed care (TIC), an organizational change strategy which aligns service delivery with treatment principles and discrete interventions designed to reduce rates of retraumatization through responsive and non-coercive staff-client interactions...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28499408/organizational-theory-for-dissemination-and-implementation-research
#19
Sarah A Birken, Alicia C Bunger, Byron J Powell, Kea Turner, Alecia S Clary, Stacey L Klaman, Yan Yu, Daniel J Whitaker, Shannon R Self, Whitney L Rostad, Jenelle R Shanley Chatham, M Alexis Kirk, Christopher M Shea, Emily Haines, Bryan J Weiner
BACKGROUND: Even under optimal internal organizational conditions, implementation can be undermined by changes in organizations' external environments, such as fluctuations in funding, adjustments in contracting practices, new technology, new legislation, changes in clinical practice guidelines and recommendations, or other environmental shifts. Internal organizational conditions are increasingly reflected in implementation frameworks, but nuanced explanations of how organizations' external environments influence implementation success are lacking in implementation research...
May 12, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28499025/pro-risk-scores-for-chronic-kidney-disease-progression-are-robust-powerful-and-ready-for-implementation
#20
Navdeep Tangri, Thomas Ferguson, Paul Komenda
Accurate risk prediction for chronic kidney disease (CKD) progression can inform the patient-provider dialogue, and provide actionable thresholds for key clinical decisions. In 2011, we developed the kidney failure risk equations (KFREs) to predict the risk of kidney failure requiring dialysis or transplant in patients with CKD. Subsequently, the KFREs have been extensively validated, and have now been proven accurate in multiple continents, ethnicities and disease-specific subpopulations. They can discriminate progressors from non-progressors, and are well calibrated and easy to use...
May 1, 2017: Nephrology, Dialysis, Transplantation
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