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"Implementation research"

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https://www.readbyqxmd.com/read/29208026/operationalizing-mhealth-to-improve-patient-care-a-qualitative-implementation-science-evaluation-of-the-weltel-texting-intervention-in-canada-and-kenya
#1
Kevin Louis Bardosh, Melanie Murray, Antony M Khaemba, Kirsten Smillie, Richard Lester
BACKGROUND: Mobile health (mHealth) applications have proliferated across the globe with much enthusiasm, although few have reached scale and shown public health impact. In this study, we explored how different contextual factors influenced the implementation, effectiveness and potential for scale-up of WelTel, an easy-to-use and evidence-based mHealth intervention. WelTel uses two-way SMS communication to improve patient adherence to medication and engagement in care, and has been developed and tested in Canada and Kenya...
December 6, 2017: Globalization and Health
https://www.readbyqxmd.com/read/29202867/testing-the-4rs-and-2ss-multiple-family-group-intervention-study-protocol-for-a-randomized-controlled-trial
#2
Mary Acri, Emily Hamovitch, Maria Mini, Elene Garay, Claire Connolly, Mary McKay
BACKGROUND: Oppositional defiant disorder (ODD) is a major mental health concern and highly prevalent among children living in poverty-impacted communities. Despite that treatments for ODD are among the most effective, few children living in poverty receive these services due to substantial barriers to access, as well as difficulties in the uptake and sustained adoption of evidence-based practices (EBPs) in community settings. The purpose of this study is to examine implementation processes that impact uptake of an evidence-based practice for childhood ODD, and the impact of a Clinic Implementation Team (CIT)-driven structured adaptation to enhance its fit within the public mental health clinic setting...
December 4, 2017: Trials
https://www.readbyqxmd.com/read/29202782/studying-de-implementation-in-health-an-analysis-of-funded-research-grants
#3
Wynne E Norton, Amy E Kennedy, David A Chambers
BACKGROUND: Studying de-implementation-defined herein as reducing or stopping the use of a health service or practice provided to patients by healthcare practitioners and systems-has gained traction in recent years. De-implementing ineffective, unproven, harmful, overused, inappropriate, and/or low-value health services and practices is important for mitigating patient harm, improving processes of care, and reducing healthcare costs. A better understanding of the state-of-the-science is needed to guide future objectives and funding initiatives...
December 4, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29197382/beyond-quality-improvement-exploring-why-primary-care-teams-engage-in-a-voluntary-audit-and-feedback-program
#4
Daniel J Wagner, Janet Durbin, Jan Barnsley, Noah M Ivers
BACKGROUND: Despite its popularity, the effectiveness of audit and feedback in support quality improvement efforts is mixed. While audit and feedback-related research efforts have investigated issues relating to feedback design and delivery, little attention has been directed towards factors which motivate interest and engagement with feedback interventions. This study explored the motivating factors that drove primary care teams to participate in a voluntary audit and feedback initiative...
December 2, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29195666/mind-the-gap-why-is-implementing-research-into-practice-so-challenging
#5
EDITORIAL
Andrea Marshall
No abstract text is available yet for this article.
November 2017: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29187157/consort-to-community-translation-of-an-rct-to-a-large-scale-community-intervention-and-learnings-from-evaluation-of-the-upscaled-program
#6
Carly Jane Moores, Jacqueline Miller, Rebecca Anne Perry, Lily Lai Hang Chan, Lynne Allison Daniels, Helen Anna Vidgen, Anthea Margaret Magarey
BACKGROUND: Translation encompasses the continuum from clinical efficacy to widespread adoption within the healthcare service and ultimately routine clinical practice. The Parenting, Eating and Activity for Child Health (PEACH™) program has previously demonstrated clinical effectiveness in the management of child obesity, and has been recently implemented as a large-scale community intervention in Queensland, Australia. This paper aims to describe the translation of the evaluation framework from a randomised controlled trial (RCT) to large-scale community intervention (PEACH™ QLD)...
November 29, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29173218/improving-the-implementation-of-nutrition-guidelines-in-childcare-centres-improves-child-dietary-intake-findings-of-a-randomised-trial-of-an-implementation-intervention
#7
Kirsty Seward, Luke Wolfenden, Meghan Finch, John Wiggers, Rebecca Wyse, Jannah Jones, Sze Lin Yoong
OBJECTIVE: Evidence suggests that improvements to the childcare nutrition environment can have a positive impact on child dietary intake. The primary aim of the present study was to assess, relative to usual care, the effectiveness of a multi-strategy implementation intervention in improving childcare compliance with nutrition guidelines. As a secondary aim, the impact on child dietary intake was assessed. DESIGN: Parallel-group, randomised controlled trial design...
November 27, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/29165781/controlling-disasters-local-emergency-management-perceptions-about-federal-emergency-management-and-homeland-security-actions-after-september-11-2001
#8
Sean Hildebrand
This article examines local emergency manager's beliefs regarding control over tasks during various stages of the hazard cycle since federal policies went into effect following the September 11 attacks. The study considers whether a disparity exists between the actions of local officials during each phase of the "hazard cycle" and the policy expectations of the federal government, which call for greater federal control over activities in emergency management and homeland security. To do so, hypothesis testing investigates the jurisdiction's use of comprehensive emergency management (CEM) practices, the perceived "clarity" of the federal policy demands, and if the local actors feel coerced to comply with federal policy demands so that grant funding is not compromised...
September 2017: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/29158860/using-equitable-impact-sensitive-tool-equist-and-knowledge-translation-to-promote-evidence-to-policy-link-in-maternal-and-child-health-report-of-first-equist-training-workshop-in-nigeria
#9
Chigozie Jesse Uneke, Issiaka Sombie, Henry Chukwuemeka Uro-Chukwu, Ermel Johnson, Friday Okonofua
The Equitable Impact Sensitive Tool (EQUIST) designed by UNICEF and knowledge translation (KT) are important strategies that can help policymakers to improve equity and evidence-informed policy making in maternal, newborn and child health (MNCH). The purpose of this study was to improve the knowledge and capacity of an MNCH implementation research team (IRT) and policy makers to use EQUIST and KT. A modified "before and after" intervention study design was used in which outcomes were measured on the target participants both before the intervention (workshop) is implemented and after...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/29149462/a-multi-institutional-study-of-the-perceived-barriers-and-facilitators-to-implementing-evidence-based-practice
#10
Daphne C Duncombe
AIMS AND OBJECTIVES: The study aims were to examine perceived barriers and facilitators to implementing evidence-based practice among nurses working in psychiatric, geriatric, hospital and community settings in The Bahamas. BACKGROUND: It is evident from previous studies that a number of factors exist which either obstruct or promote the utilization of research evidence in nursing practice. Identifying these factors is vital to the successful uptake of evidence-based practice in nursing...
November 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29145871/challenges-to-implementing-gavi-s-health-system-strengthening-support-in-chad-and-cameroon-results-from-a-mixed-methods-evaluation
#11
Emily Dansereau, Yodé Miangotar, Ellen Squires, Honoré Mimche, Charbel El Bcheraoui
BACKGROUND: Since 2005, Gavi has provided health system strengthening (HSS) grants to address bottlenecks affecting immunization services. This study is the first to evaluate the Gavi HSS implementation process in either Cameroon or Chad, two countries with significant health system challenges and poor achievement on the child and maternal health Millennium Development Goals. METHODS: We triangulated quantitative and qualitative data including financial records, document review, field visit questionnaires, and key informant interviews (KII) with representatives from the Ministries of Health, Gavi, and other partners...
November 16, 2017: Globalization and Health
https://www.readbyqxmd.com/read/29143681/economic-evaluation-of-hcv-testing-approaches-in-low-and-middle-income-countries
#12
REVIEW
Jake R Morgan, Maria Servidone, Philippa Easterbrook, Benjamin P Linas
BACKGROUND: Hepatitis C virus (HCV) infection represents a major public health burden with diverse epidemics worldwide, but at present, only a minority of infected persons have been tested and are aware of their diagnosis. The advent of highly effective direct acting antiviral (DAA) therapy, which is becoming available at increasingly lower costs in low and middle income countries (LMICs), represents a major opportunity to expand access to testing and treatment. However, there is uncertainty as to the optimal testing approaches and who to prioritize for testing...
November 1, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29143675/economic-evaluations-of-hbv-testing-and-treatment-strategies-and-applicability-to-low-and-middle-income-countries
#13
REVIEW
Shevanthi Nayagam, Elisa Sicuri, Maud Lemoine, Philippa Easterbrook, Lesong Conteh, Timothy B Hallett, Mark Thursz
BACKGROUND: Many people living with chronic HBV infection remain undiagnosed until later stages of disease. Increasing testing and treatment rates form part of the strategy to respond to the WHO goal of eliminating viral hepatitis as a public health threat by 2030. However, achieving these ambitious targets is dependent on finding effective and cost-effective methods of scale up strategies. The aim of this study was to undertake a narrative review of the literature on economic evaluations of testing and treatment for HBV infection, to help inform the development of the 2017 WHO Hepatitis Testing Guidelines...
November 1, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29141642/doing-implementation-research-on-health-governance-a-frontline-researcher-s-reflexive-account-of-field-level-challenges-and-their-management
#14
Gupteswar Patel, Surekha Garimella, Kerry Scott, Shinjini Mondal, Asha George, Kabir Sheikh
BACKGROUND: Implementation Research (IR) in and around health systems comes with unique challenges for researchers including implementation, multi-layer governance, and ethical issues. Partnerships between researchers, implementers, policy makers and community members are central to IR and come with additional challenges. In this paper, we elaborate on the challenges faced by frontline field researchers, drawing from experience with an IR study on Village Health Sanitation and Nutrition Committees (VHSNCs)...
November 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29137660/optimising-the-value-of-the-evidence-generated-in-implementation-science-the-use-of-ontologies-to-address-the-challenges
#15
EDITORIAL
Susan Michie, Marie Johnston
Implementing research findings into healthcare practice and policy is a complex process occurring in diverse contexts; it invariably depends on changing human behaviour in many parts of an intricate implementation system. Questions asked with the aim of improving implementation are multifarious variants of 'What works, compared with what, how well, with what exposure, with what behaviours (for how long), for whom, in what setting and why?'. Relevant evidence is being published at a high rate, but its quantity, complexity and lack of shared terminologies present challenges...
November 14, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29116022/enhancing-mental-and-physical-health-of-women-through-engagement-and-retention-empower-a-protocol-for-a-program-of-research
#16
Alison B Hamilton, Melissa M Farmer, Tannaz Moin, Erin P Finley, Ariel J Lang, Sabine M Oishi, Alexis K Huynh, Jessica Zuchowski, Sally G Haskell, Bevanne Bean-Mayberry
BACKGROUND: The Enhancing Mental and Physical health of Women through Engagement and Retention or EMPOWER program represents a partnership with the US Department of Veterans Health Administration (VA) Health Service Research and Development investigators and the VA Office of Women's Health, National Center for Disease Prevention and Health Promotion, Primary Care-Mental Health Integration Program Office, Women's Mental Health Services, and the Office of Patient Centered Care and Cultural Transformation...
November 7, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29102425/leadership-rounds-to-reduce-health-care-associated-infections
#17
Mary Jo Knobloch, Betty Chewning, Jackson Musuuza, Susan Rees, Christopher Green, Erin Patterson, Nasia Safdar
BACKGROUND: Evidence-based guidelines exist to reduce health care-associated infections (HAIs). Leadership rounds are one tool leaders can use to ensure compliance with guidelines, but have not been studied specifically for the reduction of HAIs. This study examines HAI leadership rounds at one facility. METHODS: We explored unit-based HAI leadership rounds led by 2 hospital leaders at a large academic hospital. Leadership rounds were observed on 19 units, recorded, and coded to identify themes...
November 2, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/29100551/beyond-implementation-strategies-classifying-the-full-range-of-strategies-used-in-implementation-science-and-practice
#18
Jennifer Leeman, Sarah A Birken, Byron J Powell, Catherine Rohweder, Christopher M Shea
BACKGROUND: Strategies are central to the National Institutes of Health's definition of implementation research as "the study of strategies to integrate evidence-based interventions into specific settings." Multiple scholars have proposed lists of the strategies used in implementation research and practice, which they increasingly are classifying under the single term "implementation strategies." We contend that classifying all strategies under a single term leads to confusion, impedes synthesis across studies, and limits advancement of the full range of strategies of importance to implementation...
November 3, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29098119/process-review-for-development-of-quantitative-risk-analyses-for-transboundary-animal-disease-to-pathogen-free-territories
#19
REVIEW
Jonathan Miller, Ken Burton, Joe Fund, Adrian Self
Outbreaks of transboundary animal diseases (TADs) have the potential to cause significant detriment to animal, human, and environmental health; severe economic implications; and national security. Challenges concerning data sharing, model development, decision support, and disease emergence science have recently been promoted. These challenges and recommendations have been recognized and advocated in the disciplines intersecting with outbreak prediction and forecast modeling regarding infectious diseases. To advance the effective application of computation and risk communication, analytical products ought to follow a collaboratively agreed common plan for implementation...
2017: BioResearch Open Access
https://www.readbyqxmd.com/read/29092039/10-best-resources-for-community-engagement-in-implementation-research
#20
Douglas Glandon, Ligia Paina, Olakunle Alonge, David H Peters, Sara Bennett
Implementation research (IR) focuses on understanding how and why interventions produce their effects in a given context. This often requires engaging a broad array of stakeholders at multiple levels of the health system. Whereas a variety of tools and approaches exist to facilitate stakeholder engagement at the national or institutional level, there is a substantial gap in the IR literature about how best to do this at the local or community level. Similarly, although there is extensive guidance on community engagement within the context of clinical trials-for HIV/AIDS in particular-the same cannot be said for IR...
December 1, 2017: Health Policy and Planning
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