The Lancet Psychiatry Commission: transforming mental health implementation research

The Lancet Psychiatry, Journal Year: 2024, Volume and Issue: 11(5), P. 368 - 396

Published: March 26, 2024

Language: Английский

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Advancing healthcare equity through dissemination and implementation science

Health Services Research, Journal Year: 2023, Volume and Issue: 58(S3), P. 327 - 344

Published: May 23, 2023

To provide guiding principles and recommendations for how approaches from the field of dissemination implementation (D&I) science can advance healthcare equity.

Language: Английский

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Leveraging artificial intelligence to advance implementation science: potential opportunities and cautions

Implementation Science, Journal Year: 2024, Volume and Issue: 19(1)

Published: Feb. 21, 2024

The field of implementation science was developed to address the significant time delay between establishing an evidence-based practice and its widespread use. Although has contributed much toward bridging this gap, evidence-to-practice chasm remains a challenge. There are some key aspects in which advances needed, including speed assessing causality mechanisms. increasing availability artificial intelligence applications offers opportunities help specific issues faced by expand methods.

Language: Английский

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Implementation Science to Achieve Equity in Heart Failure Care: A Scientific Statement From the American Heart Association

Circulation, Journal Year: 2024, Volume and Issue: 149(19)

Published: April 3, 2024

Guideline-directed medical therapies and guideline-directed nonpharmacological improve quality of life survival in patients with heart failure (HF), but eligible patients, particularly women individuals from underrepresented racial ethnic groups, are often not treated these therapies. Implementation science uses evidence-based theories frameworks to identify strategies that facilitate uptake evidence health. In this scientific statement, we provide an overview implementation trials HF, assess their use conceptual health equity principles, pragmatic guidance for HF. Overall, behavioral nudges, multidisciplinary care, digital increased HF effectively did include goals. Few studies focused on achieving by engaging stakeholders, quantifying barriers facilitators therapies, developing informed theory or frameworks, evaluating measures equity, titrating equity. Among studies, feasibility was established using various educational promote organizational change equitable care. A couple ongoing randomized controlled There is great need additional designed delivery therapy.

Language: Английский

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Adapting a sexual and reproductive health program for Latina teens and their female caregivers: a qualitative study

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: Feb. 19, 2025

Adaptation is widely recognized as important when interventions are to be delivered in new settings or with populations. However, there gaps the literature on how adaptations carried out and documented. IMARA a 12-h evidence-based sexual health intervention for Black teens their mothers, designed delivery over two days. We present our systematic process of adapting Latinas produce Floreciendo ("Blooming") program Latina (14-18 years old) female caregivers (e.g., sisters). Using community-based participatory research (CBPR) approach, we qualitative study that included 7 focus groups: 4 staff from community partner organizations (n = 29), 2 years) 11), 1 5). also conducted seven key informant interviews experts health. used Escoffery's recommended steps guide adaptation process. Data were thematically coded documented using FRAME reporting modifications interventions. Informed by data, grouped content into four sessions Floreciendo, each unique curricular hours (eight total): (1) Foundations Sexual Risk Prevention; (2) Condoms Contraception; (3) Family Strengthening; (4) Gender Relationships. made session. For example, participants emphasized unplanned pregnancy an issue facing teens. In response, added activity providing hands-on experience contraceptive methods. Participants highlighted gender norms family expectations Latine culture shape teens' reproductive practices. therefore developed activities opportunities discussion addressing these cultural influences. removed considered lower priority portrayal women media). This addresses detail The curriculum generated through will form basis components test future work multiphase optimization strategy (MOST) framework.

Language: Английский

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Building the Road to End the HIV Epidemic Through Coordinating and Capacity-Building Hubs to Enhance the Science of HIV Implementation REsearch (CHESHIRE): Reflections and Directions

JAIDS Journal of Acquired Immune Deficiency Syndromes, Journal Year: 2025, Volume and Issue: 98(5S), P. e17 - e27

Published: March 31, 2025

Background: Because implementation remains the biggest challenge to Ending HIV Epidemic in United States (EHE), since 2019, National Institutes of Health (NIH) has funded 248 supplements identify best practices for delivering evidence-based interventions. NIH also a coordination center [Implementation Science (IS) Coordination Initiative “ISCI”] and 9 consultation hubs (“Hubs”) provide technical assistance cross-project information sharing, measure harmonization, data synthesis. This article describes this unique capacity-building model, lessons learned from first 5 years, opportunities created by infrastructure. Methods: Beginning FY20, Hubs were assigned 7–9 supplement projects EHE priority jurisdictions. Primary Hub services included direct coaching, multiproject meetings, communities practice, webinars. ISCI met monthly reflect on project support, discuss ways enhance IS broadly, assess projects' use services. Findings: engagement strategies grouping intervention type, setting reporting expectations early, tailoring based team expertise. Support provided have developed generalizable knowledge local (e.g., publications tools). The network ISCI, Hubs, led infrastructure conducting multisite research. Implications D&I Science: model is novel, systemwide approach rapidly improving capacity field. Implementation will continue be refined through an ongoing evaluation as funding transitions regular, nonsupplement mechanisms.

Language: Английский

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Pre-implementation determinants for digital mental health integration in Chicago pediatric primary care

Journal of Pediatric Psychology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 5, 2024

Abstract Objective Pediatric primary care (PPC) is a common treatment site for pediatric mental health, but it currently unable to meet the needs of all teen patients, particularly those with minoritized identities and/or marginalized experiences. Digital health (DMH) low-intensity treatments (LITs) can increase screening and capacity in PPC, how this done successfully without burdening providers, or families unclear. This paper presents pre-implementation study aimed at understanding implementation context (PPCs Chicago, IL) specific DMH LIT. Method Using mixed-methods design, quantitative data from an online survey providers assessed current practices qualitative interviews Pediatricians Psychologists examined determinants Quantitative were analyzed using descriptive statistics, rapid assessment. Results Survey reports (n = 105) 6) indicated low use DMH. Providers PPC clinics voiced multiple reasons usage perceived feasibility, including: Consolidated Framework Implementation Research (CFIR) Inner Setting Domain (PPC clinic workflow, responsibility ethical considerations, patient privacy confidentiality), CFIR Outer (hospital healthcare system factors), Innovation (DMH design), cross-cutting theme safety. Conclusions Provider-reported feasibility integrating call action partner interdisciplinary colleagues identify such settings ethically seamlessly deliver digital evidence-based accessible prior implementation.

Language: Английский

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To Adopt or Adapt: A Scoping Review of Dialectical Behaviour Therapy With Patients With Minoritised Identity Constructs

Counselling and Psychotherapy Research, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 20, 2025

ABSTRACT Objective Dialectical behaviour therapy (DBT) is an evidence‐based psychological intervention (EBP) for reducing suicide behaviour. While DBT, like many EBPs, was developed and first evaluated in largely white samples Western contexts, it now broadly applied. This review assessed how DBT has been adopted or adapted when used with patient populations minoritised identity constructs. Methods We conducted a PRISMA‐guided scoping of articles using population. implementation science framework, Framework Reporting Adaptations Modifications‐Enhanced, to characterise adaptations the content context application. Through PubMed, Embase PsycINFO, we identified 273 where title abstract mentioned described adult Principle Findings found 83.5% (228/273) reviewed reported content. Specifically, 66.3% (181/273), 44.6% (122/273) 39.6% (108/273) reducing, expanding changing content, respectively. that 42.1% (115/273) context. Moreover, 57.5% 65.3% did not specify reason adaptation. Conclusions indicates majority studies patients constructs made but few provided justification these adaptations. encourage clinicians clinical administrators, researchers policymakers document justifications thereof, evaluate outcomes.

Language: Английский

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Implementation Science Competencies for Policy Transformation Framework (ISCPT)

Healthcare, Journal Year: 2025, Volume and Issue: 13(7), P. 723 - 723

Published: March 25, 2025

Implementation science (IS) models play a crucial role in translating evidence-based practice (EBP) into sustainable policy reforms. However, the competencies required for nurses to lead these transformations remain poorly defined. Objective: This study develops framework implementation (IL) nurses, identifying core needed drive transformation within healthcare systems. Method: A secondary data analysis (SDA) was conducted using qualitative from focus group interviews originally collected, recorded, and transcribed as part of EQUIP (Evidence-based Quality Improvement Project). The dataset includes insights 12 IL who participated PEACE-based training, addressing real-world clinical challenges. Their perspectives were thematically analyzed generate competency leadership. Findings: developed Science Competencies Policy Transformation (ISCPT) framework, which highlights three pillars: (1) evidence appraisal guideline development, (2) collaborative leadership advocacy, (3) continuous improvement through data-driven decision-making. Conclusions: Grounded nurses' perspectives, ISCPT provides nurse-centric roadmap transformation, integrating interdisciplinary collaboration, adaptive leadership, decision-making nursing education practice. While findings reflect single context, offers actionable guidance preparing policy-driven improvements.

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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