A Heart-Healthy and Stroke-Free World

Journal of the American College of Cardiology, Journal Year: 2023, Volume and Issue: 82(25), P. 2343 - 2349

Published: Dec. 1, 2023

Language: Английский

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Enhancing Health Services Accessibility in Congested Urban Areas with an Equity Focus: A Case Study in Cali Leveraging People-Centered Approaches and Open Data to Support Public Policy and Engagement

Published: Jan. 1, 2025

Language: Английский

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Disseminating for Equity and Justice: Findings From the LIGHT Global Crowdsourcing Open Contest to Reimagine Public Health

Journal of Public Health Management and Practice, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 25, 2025

To describe how crowdsourcing contests soliciting art, letters, stories, and poetry were focused on promoting well-being health information dissemination from the public to public. LIGHT (Leaders Igniting Generational Healing Transformation) launched three online open calls that designed using World Health Organization Tropical Diseases Research (WHO/TDR) practical guide in research, which includes following steps: convening a steering committee, call, receiving judging entries, recognizing finalists, sharing solutions. The held via Submittable platform. A total of 508 submissions by evaluated with majority authors artists identified as female (25.4%) followed male (15.4%) ages ranging 11 82 years old. This study utilized call engage generating strategies effectively promote disseminate Effectiveness creativity crowdsourced proposing new for disseminating through poetry. received eligible entries (Open 1 = 155; Open 2 191; 3 162). Informed combined modified design justice principles creativity, connections, community, six unique emerged dissemination: (a) positive intersectionality, (b) destigmatization, (c) strength-based, (d) collective approach, (e) cultural identity, (f) unity healing. Collectively, there was consensus innovate enhance appeal research findings communication. Rebuilding building public-driven will involve reimagining innovating current approaches. shows feasibility engaging diverse broad audience generate ideas perspectives

Language: Английский

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Staff-reported barriers and facilitators to the implementation of healthcare interventions within regional and rural areas: a rapid review

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 4, 2025

Abstract Background Individuals in rural areas consistently demonstrate higher mortality and morbidity rates, poorer access to healthcare, compared their metropolitan counterparts. Optimizing the implementation of evidence-based interventions can reduce these inequities. Existing literature outlines numerous barriers facilitators healthcare interventions, but are generally not specific areas. This rapid review aims synthesize regional services as reported by staff, including clinicians, managers, administrators. Methods A systematic search for peer-reviewed publications was conducted using CINAHL, PsycINFO, Medline, Embase databases (1/1/2000–29/08/2023). Eligible were primary research articles published English, assessing staff-reported implementing within high-income countries. Qualitative, quantitative, mixed-methods designs included. settings encompassed acute, sub-acute, care, community health, aged care. Barrier facilitator data coded grouped into sub-themes broader themes, with results presented narratively. Results Thirty-nine met inclusion criteria. Most studies Australia or USA (both n = 18, 46%), care ( 13, 33%) hospital 12, 31%) 22, 56%) 9, 23%) locations. Implementation four overarching themes: intervention-level (intervention feasibility fit; complexity; privacy confidentiality); staff-level (staff attitudes beliefs; knowledge, skills, confidence; staff roles professional identity), patient-level (patient characteristics; attitudes), system-level (leadership support; environmental resources context; geographic vastness; networks communication). Conclusions These findings provide essential guidance policymakers, leaders, researchers planning designing future efforts settings. By considering factors across intervention, patient, system levels, stakeholders address challenges leverage local strengths enhance success health disparities. Trial registration PROSPERO number: CRD42023470736. Registered 19/10/2023.

Language: Английский

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IM4Equity: an implementation science meta-framework for community-engaged partnerships to advance health equity

BMC Health Services Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 26, 2025

Implementation determinant frameworks identify factors that may impede or facilitate implementation of evidence-based innovations (EBI) in new contexts, including diverse community settings. For health equity initiatives, variations which are used make synthesis and identification shared determinants difficult, constructs. Further, such rarely informed by partner input. We describe the development an equity-centered meta-framework centers community-engagement called IM4Equity (Crosswalk 4 IMplementation Frameworks to advance Equity) as part Disparities Elimination through Coordinated Interventions Prevent Control Heart Lung Disease Risk (DECIPHeR) Alliance, comprised seven research-community partnerships across U.S. conducted a crosswalk (domains constructs within domains) from Exploration, Preparation, Implementation, Sustainment framework; Practical, Robust Sustainability Model; updated Consolidated Framework for Research; Health Equity Framework. reviewed original source publications resources each framework, prototype figure. obtained feedback on figure with user-centered design approach DECIPHeR research teams partners, plus framework developers. thematic analysis summarize inform iterative supporting materials guide engagement informing applying (e.g., blank template, guidance completing template). identifies unique domains: intra- extra-organizational characteristics individuals involved implementation, innovation characteristics, bridging factors, process, phases. identified examples domain example improve maintain systems oppression structural racism). Feedback sessions two areas improving usability IM4Equity, we addressed final materials: 1) appropriateness language) 2) integrating perspectives. highlights key overlapping existing frameworks, can promote learning initiatives. is one first meta-frameworks co-creation application help more equitable measures strategies equity.

Language: Английский

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The Lifestyle Medicine Eco-System: Deriving an Infrastructure to Defragment Healthcare

Lifestyle Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 731 - 759

Published: Jan. 1, 2025

Language: Английский

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Advancing implementation science in community settings: the implementation strategies applied in communities (ISAC) compilation

International Journal of Behavioral Nutrition and Physical Activity, Journal Year: 2024, Volume and Issue: 21(1)

Published: Nov. 26, 2024

Abstract Background Implementation strategies have predominantly been operationalized and studied in clinical settings. are also needed to improve evidence-based intervention (EBI) integration community settings, but there is a lack of systematic characterization their use, which limits generalizability findings. The goals this study were determine implementation most used deliver primary prevention EBIs develop compilation pragmatic strategy selection process with accompanying guidance tools, understand practitioners’ preferences for dissemination. Methods Purposive snowball sampling was recruit setting researchers practitioners delivering (nutrition, physical activity, tobacco prevention) settings: education, social services, city planning transportation, workplaces, recreation/sport, faith-based, other public health organizations. Semi-structured interviews conducted using guide based on the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework. Participants asked describe barriers experienced overcome them within each RE-AIM dimension. Practitioners about preferred dissemination strategies, prompted by Diffusion Innovations theory concepts sources (who provides information) channels (how information provided). A rapid deductive approach analyze findings coding matrix aligned interview guide. Results Researchers ( n = 10) 8) across all targeted settings outcomes completed interviews. Interviewees shared unique N 40) related multiple dimensions, commonly 29) adoption 27). Most frequently mentioned conduct evaluation 31), provide training 26), change adaptable program components leverage funding 21). Webinars 6) listservs/newsletters 5) channels; national organizations 13) sources. Conclusions reflect (e.g., training, technical assistance) add novel not reflected current taxonomies. Dissemination suggest need involve broad-reaching resultant (Implementation Strategies Applied Communities) resources assist applying improving EBI delivery

Language: Английский

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Advancing the Science and Practice of Training and Technical Assistance to Improve the Equitable Implementation of Evidence-Based Practices

Evaluation & the Health Professions, Journal Year: 2024, Volume and Issue: 47(4), P. 446 - 466

Published: Nov. 27, 2024

Health inequities in the US are greater than those other industrialized countries and have shown little improvement over past 20 years. Training technical assistance centers (TTACs) could be a potential mechanism to address inequities, but date, lacked an explicit equity-focus. In this paper we describe how apply equitable implementation strategies when using evidence-based training process (Getting To Outcomes ® ) offer Equity Interactive Systems Framework support dissemination of readily applicable strategies. Proposed improvements strategies’ equity focus provide scalable way for TTACs promote that equity-focused. Findings also inform continuous quality frameworks used by close research practice gap make progress towards reducing health inequities.

Language: Английский

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Improving Accessibility to Radiotherapy Services in Cali, Colombia: Cross-Sectional Equity Analyses Using Open Data and Big Data Travel Times from 2020.

SSRN Electronic Journal, Journal Year: 2024, Volume and Issue: unknown

Published: Jan. 1, 2024

In this study, we employed a methodology to evaluate and forecast the cumulative opportunities for residents access radiotherapy services in Cali, Colombia, while accounting traffic congestion from an equity perspective. Furthermore, identified 1-2 optimal locations where new would maximise accessibility. We utilised open data publicly available big data. Methodology: Using people-centred approach, tested web-based digital platform developed through design thinking. The integrates data, including location of services, disaggregated sociodemographic microdata population places residence, travel times Google Distance Matrix API. used genetic algorithms search heuristics identify services. predicted accessibility (ACO) ranging peak free-flow conditions at hourly assessments 6–12 July 2020 23–29 November 2020. interactive is openly available.Primary Secondary Outcomes: present descriptive statistics distribution heatmaps based on 20-minute Accessible Catchment Area isochrones car journeys. These connect population-weighed centroid analysis zone place residence corresponding service with shortest time under varying conditions, peak-traffic levels. Additionally, conducted time-series bivariate assess geographical economic stratum. 1–2 ACO during congestion.Results: Traffic significantly diminished particularly affecting vulnerable populations. For instance, urban by dropped 91% 31% week Specific ethnic groups, individuals lower educational attainment, outskirts Cali experienced disproportionate effects, decreasing 11% compared 81% low-income households. predict that strategically adding sufficient eastern notably enhance reduce inequities. recommended remained consistent both our measurements.These findings underscore significance prioritising comprehensive care healthcare They also offer practical approach optimising mitigate disparities. Expanding encompass other transportation modes, cities, or updating measurements, feasible affordable. This relevant planning authorities development actors.

Language: Английский

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Improving accessibility to radiotherapy services in Cali, Colombia: cross-sectional equity analyses using open data and big data travel times from 2020

International Journal for Equity in Health, Journal Year: 2024, Volume and Issue: 23(1)

Published: Aug. 15, 2024

Abstract In this study, we evaluated and forecasted the cumulative opportunities for residents to access radiotherapy services in Cali, Colombia, while accounting traffic congestion, using a new people-centred methodology with an equity focus. Furthermore, identified 1–2 optimal locations where would maximise accessibility. We utilised open data publicly available big data. Cali is one of South America's cities most impacted by congestion. Methodology: Using approach, tested web-based digital platform developed through iterative participatory design. The integrates data, including location services, disaggregated sociodemographic microdata population places residence, travel times from Google Distance Matrix API. used genetic algorithms identify services. predicted accessibility (ACO) ranging peak congestion free-flow conditions hourly assessments 6–12 July 2020 23–29 November 2020. interactive openly available. Primary secondary outcomes: present descriptive statistics distribution heatmaps based on 20-min isochrones car journeys. There no set national or international standard these time thresholds. Most key informants found threshold reasonable. These connect population-weighted centroid analysis zone at place residence corresponding service shortest under varying peak-traffic levels. Additionally, conducted time-series bivariate assess geographical economic stratum. maximize ACO during Results: Traffic significantly diminished particularly affecting vulnerable populations. For instance, urban dropped 91% Cali’s within journey 31% week Percentages represent their service. Specific ethnic groups, individuals lower educational attainment, outskirts experienced disproportionate effects, decreasing 11% compared 81% low-income households. predict that strategically adding sufficient eastern notably enhance reduce inequities. recommended remained consistent both our measurements. findings underscore significance prioritising comprehensive care healthcare They also offer practical approach optimising mitigate disparities. Expanding encompass other transportation modes, cities, updating measurements, feasible affordable. are relevant planning authorities development actors.

Language: Английский

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