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Mashup Score: 22
Background Undiagnosed and untreated hypertension is a main driver of cardiovascular disease and disproportionately affects persons living with HIV (PLHIV) in low- and middle-income countries. Across sub-Saharan Africa, guideline application to screen and manage hypertension among PLHIV is inconsistent due to poor service readiness, low health worker motivation, and limited integration of hypertension screening and management within HIV care services. In Mozambique, where the adult HIV prevalence is over 13%, an estimated 39% of adults have hypertension. As the only scaled chronic care service in the county, the HIV treatment platform presents an opportunity to standardize and scale hypertension care services. Low-cost, multi-component systems-level strategies such as the Systems Analysis and Improvement Approach (SAIA) have been found effective at integrating hypertension and HIV services to improve the effectiveness of hypertension care delivery for PLHIV, reduce drop-offs in care, a
Categories: General Medicine News, Hem/OncsTweet
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Mashup Score: 1
Background Scientific investigation of how to sustain the implementation of evidence-based interventions (EBI) is emerging. Sustaining the implementation of EBIs helps ensure their effects on improving health endure. External policy or practice agencies, such as government health departments, are often tasked with supporting individual organisations with sustaining their delivery of EBIs, for example, through financing, training or the provision of other supports. However, to our knowledge, the approaches taken by policy and practice agencies to support the sustainment of EBIs have not been consolidated, categorised and described as a typology. Main body To improve conceptual clarity and support both research and practice, we developed an initial working typology of the practical approaches to sustain implementation of EBIs (i.e. sustainment) in order to improve long term health from the perspective of these agencies. The working typology includes three broad approaches. The first, ter
Categories: General Medicine News, Hem/OncsTweet-
.@ImplementSci: Luke Wolfenden and colleagues publish an initial typology of approaches used by #policy and practice agencies to achieve sustained #implementation of interventions to improve health #ImpSci #ImpSciComm #ImpSciX @The_MRC @UniofNewcastle @NIH https://t.co/Lusp9fwwmm https://t.co/xSgGWiUclF
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Mashup Score: 1
Background Scientific investigation of how to sustain the implementation of evidence-based interventions (EBI) is emerging. Sustaining the implementation of EBIs helps ensure their effects on improving health endure. External policy or practice agencies, such as government health departments, are often tasked with supporting individual organisations with sustaining their delivery of EBIs, for example, through financing, training or the provision of other supports. However, to our knowledge, the approaches taken by policy and practice agencies to support the sustainment of EBIs have not been consolidated, categorised and described as a typology. Main body To improve conceptual clarity and support both research and practice, we developed an initial working typology of the practical approaches to sustain implementation of EBIs (i.e. sustainment) in order to improve long term health from the perspective of these agencies. The working typology includes three broad approaches. The first, ter
Categories: General Medicine News, Hem/OncsTweet-
.@ImplementSci: Luke Wolfenden and colleagues publish an initial typology of approaches used by #policy and practice agencies to achieve sustained #implementation of interventions to improve health #ImpSci #ImpSciComm #ImpSciX @The_MRC @UniofNewcastle @NIH https://t.co/Lusp9fwwmm https://t.co/xSgGWiUclF
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Mashup Score: 12Virtual facilitation best practices and research priorities: a scoping review - Implementation Science Communications - 2 month(s) ago
Background Facilitation is an implementation strategy that supports the uptake of evidence-based practices. Recently, use of virtual facilitation (VF), or the application of facilitation using primarily video-based conferencing technologies, has become more common, especially since the COVID-19 pandemic. Thorough assessment of the literature on VF, however, is lacking. This scoping review aimed to identify and describe conceptual definitions of VF, evaluate the consistency of terminology, and recommend “best” practices for its use as an implementation strategy. Methods We conducted a scoping review to identify literature on VF following the PRISMA-ScR guidance. A search of PubMed, Embase, Web of Science, and CINAHL databases was conducted in June 2022 for English language articles published from January 2012 through May 2022 and repeated in May 2023 for articles published from January 2012 through April 2023. Identified articles, including studies and conference abstracts describing VF
Categories: General Medicine News, Hem/OncsTweet-
.@ImplementSci: @NIH-funded review of Virtual Facilitation (VF) as a primary #implementation strategy identified significant variability in how VF is reported, preventing replicability and full understanding of this emerging methodology. #PRISMA #ImpSci https://t.co/zra7P6u2eg https://t.co/5WQ4CoIRBu
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Mashup Score: 2
Background STRIDE is a supervised walking program designed to address the negative consequences of immobility during hospitalization for older adults. In an 8-hospital stepped wedge randomized controlled trial, STRIDE was associated with reduced odds of hospital discharge to skilled nursing facility. STRIDE has the potential to become a system-wide approach to address hospital-associated disability in Veteran’s Affairs; however, critical questions remain about how best to scale and sustain the program. The overall study goal is to compare the impact of two strategies on STRIDE program penetration (primary), fidelity, and adoption implementation outcomes. Methods Replicating Effective Programs will be used as a framework underlying all implementation support activities. In a parallel, cluster randomized trial, we will use stratified blocked randomization to assign hospitals (n = 32) to either foundational support, comprised of standard, low-touch activities, or enhanced support, which i
Categories: General Medicine News, Hem/OncsTweet-
.@ImplementSci: Caitlin Kappler at @VADurham and colleagues publish a study #protocol for a type III effectiveness-implementation #hybrid trial of strategies to support #implementation of a hospital #walking program. @ImplementSciCoP #ImpSci #ImpSciComms https://t.co/SrxAq1H8vt https://t.co/w6kCILiVJm
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Mashup Score: 11
Background Children with sickle cell anemia (SCA) are at high risk for stroke. Protocols for stroke prevention including blood transfusions, screening for abnormal non-imaging transcranial Doppler (TCD) measurements, and hydroxyurea therapy are difficult to implement in low-resource environments like Nigeria. This study aimed to examine the contextual factors around TCD screening in a community hospital in Nigeria using qualitative interviews and focus groups. Methods We conducted a descriptive qualitative study in a community hospital in Kaduna, Nigeria, using focus groups and interviews. Interview guides and analysis were informed by the Consolidated Framework for Implementation Research (CFIR) framework and the Theory of Planned Behavior. Transcripts were coded and analyzed using an iterative deductive (CFIR)/Inductive (transcribed quotes) qualitative methodology. Results We conducted two focus groups and five interviews with health care workers (nurses and doctors) and hospital adm
Categories: General Medicine News, Hem/OncsTweet-
@NIHfunded study in #ImpSciComms presents a conceptual framework assessing the #barriers & facilitators to a task-shifted #stroke prevention program for #children with #SickleCell anemia in a community hospital. #TCD #Transcranial #Doppler #ImpSci #Nigeria https://t.co/I21B4xM4CL https://t.co/NAqrfdoeEZ
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Mashup Score: 17
Background For youth receiving care in community mental health centers, comorbidities are the rule rather than the exception. Using measurement-based care (MBC), or the routine evaluation of symptoms to inform care decisions, as the foundation of treatment for youth with comorbid problems significantly improves the impact of psychotherapy by focusing care and building engagement and alliance. MBC increases the rate of symptom improvement, detects clients who would otherwise deteriorate, and alerts clinicians to non-responders. Despite its demonstrated utility, MBC is rarely implemented with fidelity; less than 15% of providers report using MBC per recommendations. Previous efforts to support MBC implementation have yielded suboptimal outcomes, in part, due to organizations’ challenges with identifying and prioritizing barriers and selecting and developing strategies to overcome them. New methods are needed for identifying and prioritizing barriers, and matching strategies to barriers t
Categories: General Medicine News, Hem/OncsTweet-
.@ImplementSci: Ruben Martinez, Bryan Weiner, Cara Lewis and others publish study protocol on novel methods for implementing measurement-based care with #youth in low-resource environments (#NIMBLE). #ImpSci #Implementation @BJWeiner @CaraCLewis @NIH Read: https://t.co/sfuJwdAKLa https://t.co/sADcSdmhMt
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Mashup Score: 21Matching barriers and facilitators to implementation strategies: recommendations for community settings - Implementation Science Communications - 5 month(s) ago
Background Implementation science aims to improve the integration of evidence-based interventions in real-world settings. While its methods and models could potentially apply to any field with evidence-based interventions, most research thus far has originated in clinical settings. Community settings often have fewer resources, missions beyond health, and a lack of support and expertise to implement evidence-based interventions when compared to many clinical settings. Thus, selecting and tailoring implementation strategies in community settings is particularly challenging, as existing compilations are primarily operationalized through clinical setting terminology. In this debate, we (1) share the process of using an existing match tool to select implementation strategies to increase uptake of nutrition and physical activity policy, systems, and environment interventions in community settings and (2) discuss the challenges of this process to argue that selecting implementation strategie
Categories: General Medicine News, Hem/OncsTweet-
.@ImplementSci - #IScomms: Authors argue that due to differences between #settings and the need for #pragmatic, practitioner-friendly ##tools, a new implementation strategy compilation and matching tool for #community settings is needed. #ImpSci Read: https://t.co/zRhRjbGKlt https://t.co/YD77Yh06It
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Mashup Score: 2Four very basic ways to think about policy in implementation science - Implementation Science Communications - 7 month(s) ago
Background Policy is receiving increasing attention in the field of implementation science. However, there remains a lack of clear, concise guidance about how policy can be conceptualized in implementation science research. Building on Curran’s article “Implementation science made too simple”—which defines “the thing” as the intervention, practice, or innovation in need of implementation support—we offer a typology of four very basic ways to conceptualize policy in implementation science research. We provide examples of studies that have conceptualized policy in these different ways and connect aspects of the typology to established frameworks in the field. The typology simplifies and refines related typologies in the field. Four very basic ways to think about policy in implementation science research. 1) Policy as something to adopt: an evidence-supported policy proposal is conceptualized as “the thing” and the goal of research is to understand how policymaking processes can be modifi
Categories: Hem/Oncs, Latest HeadlinesTweet-
Four very basic ways to think about policy in implementation science https://t.co/bhvstVHhaS via @cmoucheraud et al https://t.co/dAXY8KSumW
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Mashup Score: 1
Background As the focus has grown in recent years on both engaged research and dissemination and implementation (D&I) research, so too has federal funding to support these areas. The purpose of this analysis is to provide an overall perspective about the range of practices and approaches being used to engage partners in D&I research, with special attention to disparities-relevant research, and to identify gaps and opportunities in research funded by the US National Institutes of Health (NIH) in this space. Methods This analysis examined a portfolio of active D&I research grants funded in fiscal years 2020 and 2021 across the NIH. Grant applications were deductively coded and summary statistics were calculated. Cross-tabulations were used to identify trends by engagement and disparities foci. Results There were 103 grants included in the portfolio, of which 87% contained some form of community or partner engagement, and 50% of engaged grants were relevant to health disparities. Engageme
Categories: Hem/Oncs, Latest HeadlinesTweet-
.@ImplementSci: Article outlines several gaps in the @NIH #implementation science portfolio and describes opportunities for increasing engagement to improve the #quality of D&I research and application to advancing #HealthEquity. #ImpSci @NIHfunding Read: https://t.co/CTc85zAcIZ https://t.co/81szSjwGb3
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.@ImplementSci: @NIH-funded investigators publish study protocol on a pragmatic trial to test the scalability of an approach to optimize #hypertension diagnosis and management in people living with #HIV. @Fogarty_NIH @USAID #ImpSci #ImpSciComms #CTRIS Read https://t.co/lN09xqLIRF https://t.co/ZPtUFCRTWW