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"Implementation science"

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https://www.readbyqxmd.com/read/29337427/outcomes-from-the-first-helene-fuld-health-trust-national-institute-for-evidence-based-practice-in-nursing-and-healthcare-invitational-expert-forum
#1
Bernadette Mazurek Melnyk, Lynn Gallagher-Ford, Cindy Zellefrow, Sharon Tucker, Laurel Van Dromme, Bindu Koshy Thomas
BACKGROUND: Even though multiple positive outcomes are the result of evidence-based care, including improvements in healthcare quality, safety, and costs, it is not consistently delivered by clinicians in healthcare systems throughout the world. AIMS: In an attempt to accelerate the implementation of evidence-based practice (EBP) across the United States, an invitational Interprofessional National EBP Forum to determine major priorities for the advancement of EBP was held during the launch of the newly established Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare at The Ohio State University College of Nursing...
January 16, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29328872/the-sustainability-of-evidence-based-interventions-and-practices-in-public-health-and-health-care
#2
Rachel C Shelton, Brittany Rhoades Cooper, Shannon Wiltsey Stirman
There is strong interest in implementation science to address the gap between research and practice in public health. Research on the sustainability of evidence-based interventions has been growing rapidly. Sustainability has been defined as the continued use of program components at sufficient intensity for the sustained achievement of desirable program goals and population outcomes. This understudied area has been identified as one of the most significant translational research problems. Adding to this challenge is uncertainty regarding the extent to which intervention adaptation and evolution are necessary to address the needs of populations that differ from those in which interventions were originally tested or implemented...
January 12, 2018: Annual Review of Public Health
https://www.readbyqxmd.com/read/29322939/public-health-psychopharmacology-a-new-research-discipline-comes-of-age
#3
C Barbui, G Ostuzzi, B Godman
Research evidence guiding the identification of pragmatic and effective actions aimed at improving the selection, availability, affordability and rational prescribing of medicines for mental disorders is sparse and inconsistent. In order to boost the development of new research, in this commentary we suggest to organise and classify all the activities in this area under a common theoretical framework and nomenclature, adopting the term 'public health psychopharmacology'. Public health psychopharmacology is proposed as a research discipline, based on contributions from the fields of regulatory science, health services research and implementation science...
February 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29320494/sexually-transmitted-infections-in-the-era-of-antiretroviral-based-hiv-prevention-priorities-for-discovery-research-implementation-science-and-community-involvement
#4
Jeanne M Marrazzo, Julia C Dombrowski, Kenneth H Mayer
Jeanne M. Marrazzo and colleagues join PLOS Medicine's Collection on the prevention, diagnosis, and treatment of STIs with a Perspective on HIV research imperatives in our time of effective viral suppression and pre-exposure prophylaxis.
January 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29310708/the-pharms-patient-held-active-record-of-medication-status-feasibility-study-a-research-proposal
#5
Elaine Walsh, Laura J Sahm, Patricia M Kearney, Henry Smithson, David M Kerins, Chrys Ngwa, Ciara Fitzgerald, Stephen Mc Carthy, Eimear Connolly, Kieran Dalton, Derina Byrne, Megan Carey, Colin Bradley
Medication errors are a major source of preventable morbidity, mortality and cost and many occur at the times of hospital admission and discharge. Novel interventions (such as new methods of recording medication information and conducting medication reconciliation) are required to facilitate accurate transfer of medication information. With existing evidence supporting the use of information technology and the patient representing the one constant in the care process, an electronic patient held medication record may provide a solution...
January 8, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29310683/exploring-multi-level-system-factors-facilitating-educator-training-and-implementation-of-evidence-based-practices-ebp-a-study-protocol
#6
Aubyn C Stahmer, Jessica Suhrheinrich, Patricia L Schetter, Elizabeth McGee Hassrick
BACKGROUND: This study examines how system-wide (i.e., region, district, and school) mechanisms such as leadership support, training requirements, structure, collaboration, and education affect the use of evidence-based practices (EBPs) in schools and how this affects the outcomes for students with autism spectrum disorder (ASD). Despite growing evidence for the positive effects of EBPs for ASD, these practices are not consistently or effectively used in schools. Although special education programs are mandated to use EBPs, there are very few evidence-based methods for selecting, implementing, and sustaining EBPs...
January 8, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29300382/proposed-outcomes-measures-for-state-public-health-genomic-programs
#7
Debra Lochner Doyle, Mindy Clyne, Juan L Rodriguez, Deborah L Cragun, Laura Senier, Georgia Hurst, Kee Chan, David A Chambers
PurposeTo assess the implementation of evidence-based genomic medicine and its population-level impact on health outcomes and to promote public health genetics interventions, in 2015 the Roundtable on Genomics and Precision Health of the National Academies of Sciences, Engineering, and Medicine formed an action collaborative, the Genomics and Public Health Action Collaborative (GPHAC). This group engaged key stakeholders from public/population health agencies, along with experts in the fields of health disparities, health literacy, implementation science, medical genetics, and patient advocacy...
January 4, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29297333/health-system-strengthening-a-qualitative-evaluation-of-implementation-experience-and-lessons-learned-across-five-african-countries
#8
Felix Cyamatare Rwabukwisi, Ayaga A Bawah, Sarah Gimbel, James F Phillips, Wilbroad Mutale, Peter Drobac
BACKGROUND: Achieving the United Nations Sustainable Development Goals in sub-Saharan Africa will require substantial improvements in the coverage and performance of primary health care delivery systems. Projects supported by the Doris Duke Charitable Foundation's (DDCF) African Health Initiative (AHI) created public-private-academic and community partnerships in five African countries to implement and evaluate district-level health system strengthening interventions. In this study, we captured common implementation experiences and lessons learned to understand core elements of successful health systems interventions...
December 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29258551/community-based-participatory-research-and-integrated-knowledge-translation-advancing-the-co-creation-of-knowledge
#9
Janet Jull, Audrey Giles, Ian D Graham
BACKGROUND: Better use of research evidence (one form of "knowledge") in health systems requires partnerships between researchers and those who contend with the real-world needs and constraints of health systems. Community-based participatory research (CBPR) and integrated knowledge translation (IKT) are research approaches that emphasize the importance of creating partnerships between researchers and the people for whom the research is ultimately meant to be of use ("knowledge users")...
December 19, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29258549/effectiveness-of-home-based-nutritional-counselling-and-support-on-exclusive-breastfeeding-in-urban-poor-settings-in-nairobi-a-cluster-randomized-controlled-trial
#10
Elizabeth W Kimani-Murage, Paula L Griffiths, Frederick Murunga Wekesah, Milka Wanjohi, Nelson Muhia, Peter Muriuki, Thaddaeus Egondi, Catherine Kyobutungi, Alex C Ezeh, Stephen T McGarvey, Rachel N Musoke, Shane A Norris, Nyovani J Madise
BACKGROUND: Exclusive breastfeeding (EBF) improves infant health and survival. We tested the effectiveness of a home-based intervention using Community Health Workers (CHWs) on EBF for six months in urban poor settings in Kenya. METHODS: We conducted a cluster-randomized controlled trial in Korogocho and Viwandani slums in Nairobi. We recruited pregnant women and followed them until the infant's first birthday. Fourteen community clusters were randomized to intervention or control arm...
December 19, 2017: Globalization and Health
https://www.readbyqxmd.com/read/29251344/understanding-systems-change-in-early-implementation-of-housing-first-in-canadian-communities-an-examination-of-facilitators-barriers-training-technical-assistance-and-points-of-leverage
#11
S Kathleen Worton, Julian Hasford, Eric Macnaughton, Geoffrey Nelson, Timothy MacLeod, Sam Tsemberis, Vicky Stergiopoulos, Paula Goering, Tim Aubry, Jino Distastio, Tim Richter
We present interim findings of a cross-site case study of an initiative to expand Housing First (HF) in Canada through training and technical assistance (TTA). HF is an evidence-based practice designed to end chronic homelessness for consumers of mental health services. We draw upon concepts from implementation science and systems change theory to examine how early implementation occurs within a system. Case studies examining HF early implementation were conducted in six Canadian communities receiving HF TTA...
December 18, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/29249842/mapping-the-growing-discipline-of-dissemination-and-implementation-science-in-health
#12
Wynne E Norton, Alina Lungeanu, David A Chambers, Noshir Contractor
Background: The field of dissemination and implementation (D&I) research in health has grown considerably in the past decade. Despite the potential for advancing the science, limited research has focused on mapping the field. Methods: We administered an online survey to individuals in the D&I field to assess participants' demographics and expertise, as well as engagement with journals and conferences, publications, and grants. A combined roster-nomination method was used to collect data on participants' advice networks and collaboration networks; participants' motivations for choosing collaborators was also assessed...
September 2017: Scientometrics
https://www.readbyqxmd.com/read/29237583/high-yield-hiv-testing-facilitated-linkage-to-care-and-prevention-for-female-youth-in-kenya-girls-study-implementation-science-protocol-for-a-priority-population
#13
Irene Inwani, Nok Chhun, Kawango Agot, Charles M Cleland, Jasmine Buttolph, Harsha Thirumurthy, Ann E Kurth
BACKGROUND: Sub-Saharan Africa is the region with the highest HIV burden. Adolescent girls and young women (AGYW) in the age range of 15 to 24 years are twice as likely as their male peers to be infected, making females in sub-Saharan Africa the most at-risk group for HIV infection. It is therefore critical to prioritize access to HIV testing, prevention, and treatment for this vulnerable population. OBJECTIVE: Using an implementation science framework, the purpose of this research protocol was to describe the approaches we propose to optimize engagement of AGYW in both the HIV prevention and care continuum and to determine the recruitment and testing strategies that identify the highest proportion of previously undiagnosed HIV infections...
December 13, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29237487/adolescent-coordinated-transition-act-to-improve-health-outcomes-among-young-people-living-with-hiv-in-nigeria-study-protocol-for-a-randomized-controlled-trial
#14
Nadia A Sam-Agudu, Jennifer R Pharr, Tamara Bruno, Chad L Cross, Llewellyn J Cornelius, Prosper Okonkwo, Bolanle Oyeledun, Hadiza Khamofu, Ayodotun Olutola, Salome Erekaha, William Nii Ayitey Menson, Echezona E Ezeanolue
BACKGROUND: Adolescents living with HIV (ALHIV) have worse health outcomes than other populations of people living with HIV. Contributing factors include lack of standard and comprehensive procedures for ALHIV transitioning from pediatric to adult care. This has contributed to poor retention at, and following transition, which is problematic especially in high ALHIV-burden, resource-limited settings like Nigeria. METHODS: Using a two-arm cluster randomized control design, the Adolescent Coordinated Transition (ACT) trial will measure the comparative effectiveness of a graduated transition and organized support group intervention against the usual practice of abrupt transfer of Nigerian ALHIV from pediatric to adult care...
December 14, 2017: Trials
https://www.readbyqxmd.com/read/29231897/assessment-of-a-salt-reduction-intervention-on-adult-population-salt-intake-in-fiji
#15
Arti Pillay, Kathy Trieu, Joseph Alvin Santos, Arleen Sukhu, Jimaima Schultz, Jillian Wate, Colin Bell, Marj Moodie, Wendy Snowdon, Gary Ma, Kris Rogers, Jacqui Webster
Reducing population salt intake is a global public health priority due to the potential to save lives and reduce the burden on the healthcare system through decreased blood pressure. This implementation science research project set out to measure salt consumption patterns and to assess the impact of a complex, multi-faceted intervention to reduce population salt intake in Fiji between 2012 and 2016. The intervention combined initiatives to engage food businesses to reduce salt in foods and meals with targeted consumer behavior change programs...
December 12, 2017: Nutrients
https://www.readbyqxmd.com/read/29225930/using-the-consolidated-framework-for-implementation-research-to-implement-and-evaluate-national-surgical-planning
#16
REVIEW
Saurabh Saluja, Allison Silverstein, Swagoto Mukhopadhyay, Yihan Lin, Nakul Raykar, Salmaan Keshavjee, Lubna Samad, John G Meara
The Lancet Commission on Global Surgery defined six surgical indicators and a framework for a national surgical plan that aimed to incorporate surgical care as a part of global public health. Multiple countries have since begun national surgical planning; each faces unique challenges in doing so. Implementation science can be used to more systematically explain this heterogeneous process, guide implementation efforts and ultimately evaluate progress. We describe our intervention using the Consolidated Framework for Implementation Research...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/29225448/commentary-de-implementation-science-a-virtuous-cycle-of-ceasing-and-desisting-low-value-care-before-implementing-new-high-value-care
#17
EDITORIAL
Karina W Davidson, Siqin Ye, George A Mensah
Implementation science has traditionally focused on increasing the delivery of evidence-based care. The science of systematically stopping low-value and wasteful care is substantially under-recognized, and if successful, may decrease the workload of clinicians. De-implementation science identifies problem areas of low-value and wasteful practice, carries out rigorous scientific examination of the factors that initiate and maintain such behaviors, and then employs evidence-based interventions to cease these practices...
2017: Ethnicity & Disease
https://www.readbyqxmd.com/read/29225436/perspective-late-stage-t4-translation-research-and-implementation-science-the-national-heart-lung-and-blood-institute-strategic-vision
#18
EDITORIAL
George A Mensah, Cheryl Anne Boyce, LeShawndra N Price, Helena O Mishoe, Michael M Engelgau
In August 2016, the National Heart, Lung, and Blood Institute (NHLBI) released its Strategic Vision for charting a course for research over the next decade. This vision was the culmination of an unprecedented process that engaged diverse stakeholders from across the United States and around the globe. The process resulted in four mission-oriented goals and eight strategic objectives that provide an overall framework for advancing research in heart, lung, and blood diseases and sleep disorders. In this perspective, we address opportunities that NHLBI has identified to advance late-stage (T4) translation research, implementation science, health inequities research, global health research, and related research workforce development...
2017: Ethnicity & Disease
https://www.readbyqxmd.com/read/29217727/advancing-the-science-of-health-research-capacity-strengthening-in-low-income-and-middle-income-countries-a-scoping-review-of-the-published-literature-2000-2016
#19
Laura Dean, Stefanie Gregorius, Imelda Bates, Justin Pulford
OBJECTIVES: Substantial development assistance and research funding are invested in health research capacity strengthening (HRCS) interventions in low-income and middle-income countries, yet the effectiveness, impact and value for money of these investments are not well understood. A major constraint to evidence-informed HRCS intervention has been the disparate nature of the research effort to date. This review aims to map and critically analyse the existing HRCS effort to better understand the level, type, cohesion and conceptual sophistication of the current evidence base...
December 6, 2017: BMJ Open
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
#20
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
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