A more practical guide to incorporating health equity domains in implementation determinant frameworks

Implementation Science Communications, Journal Year: 2021, Volume and Issue: 2(1)

Published: June 5, 2021

Due to striking disparities in the implementation of healthcare innovations, it is imperative that researchers and practitioners can meaningfully use determinant frameworks understand why exist access, receipt, use, quality, or outcomes healthcare. Our prior work documented piloted first published adaptation an existing framework with health equity domains create Health Equity Implementation Framework. We recommended integrating these three frameworks: (1) culturally relevant factors recipients, (2) clinical encounter patient-provider interaction, (3) societal context (including but not limited social determinants health). This was developed for practice settings. Some teams have begun using Framework their evaluations asked more guidance.

Language: Английский

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Reimagining Public Health in the Aftermath of a Pandemic

American Journal of Public Health, Journal Year: 2020, Volume and Issue: 110(11), P. 1605 - 1610

Published: Aug. 20, 2020

The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented challenge for society, affecting those already subject to unacceptable health inequalities and resulting in vast economic impacts. reminds everyone of the value necessity public health. In context era that will be shaped by COVID-19, we outline coming series challenges transitions needed actions over next 5 years reinvent our systems. Multiple limitations current US global systems have been uncovered pandemic, including insufficient preparedness surveillance capabilities complicated long-standing worsening rapid spread misinformation needs countered. We foresee 3 phases years: (1) reactive crisis management, (2) efforts maintain initial gains, (3) sustain enhance progress. A reinvented system depend highly on leadership political will, rethinking how categorize address population-level risk, employing 21st-century data sciences, applying new communication skills.

Language: Английский

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Strategies for effective dissemination of research to United States policymakers: a systematic review

Implementation Science, Journal Year: 2020, Volume and Issue: 15(1)

Published: Oct. 15, 2020

Abstract Background Research has the potential to influence US social policy; however, existing research in this area lacks a coherent message. The Model for Dissemination of provides framework through which synthesize lessons learned from date on process translating policymakers. Methods peer-reviewed and grey literature was systematically reviewed understand common strategies disseminating policy policymakers United States. We searched Academic Search Premier, PolicyFile, SocINDEX, Social Work Abstracts, Web Science January 1980 December 2019. Articles were independently thematically analyzed by two investigators organized using Research. Results search resulted 5225 titles abstracts inclusion consideration. 303 full-text articles with 27 meeting criteria. Common sources dissemination included government, academic researchers, peer literature, independent organizations. most frequently disseminated topics health-related, legislators executive branch administrators target audience. Print materials personal communication channels There variation level government (e.g., more formal legislative at federal compared other levesl). Findings work suggest that is effective when it starts early, galvanizes support, uses champions brokers, considers contextual factors, timely, relevant, accessible, knows players process. Conclusions Effective exists; yet, rigorous quantitative evaluation rare. A number cross-cutting appear enhance translation evidence into policy. Registration Not registered.

Language: Английский

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The role of the outer setting in implementation: associations between state demographic, fiscal, and policy factors and use of evidence-based treatments in mental healthcare

Implementation Science, Journal Year: 2019, Volume and Issue: 14(1)

Published: Nov. 13, 2019

Abstract Background Despite consistent recognition of their influence, empirical study how outer setting factors (e.g., policies, financing, stakeholder relationships) influence public systems’ investment in and adoption evidence-based treatment (EBT) is limited. This examined associations among unmodifiable demographic, economic, political, structural factors) modifiable allocation resources, social processes, regulations) behavioral health EBT by US states. Methods Multilevel models relationships between state characteristics, an array funding policy variables, EBTs for adults children across years 2002–2012, using data from the National Association State Mental Health Program Directors Research Institute other sources. Results Several factors, including per capita income, controlling political party, Medicaid expansion, predicted level fiscal investments EBT. By contrast, such as interagency collaboration research centers, were more predictive policies supportive Interestingly, adult was associated with supports EBT, while child policies. debt direct operation services (versus contracting services) both adoption. Conclusions State-level implementation support interpretable policy, oversight factors. Such information expands our knowledge base role may provide insight into best to focus efforts promote disorders.

Language: Английский

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Dissemination Strategies to Accelerate the Policy Impact of Children’s Mental Health Services Research

Psychiatric Services, Journal Year: 2020, Volume and Issue: 71(11), P. 1170 - 1178

Published: June 10, 2020

The United States is in the midst of a children’s mental health crisis, with rates depression, anxiety, and suicide increasing precipitously. Evidence produced by services research can help address this crisis informing public policy decisions about service delivery, system design, investments social determinants health. Unfortunately, impact limited because evidence often fails to reach makers, be responsive their needs, resonate worldview, or reflect contexts which they make decisions. Dissemination strategies—defined as development targeted distribution messages materials pertaining specific issue intervention—can these challenges. Yet, integrated guidance exists inform design such strategies. This article addresses need synthesizing results empirical studies provide how enhance dissemination makers. provides four recommendations content maker–focused materials, discusses strategic framing message tailoring increase chances that persuasive highlights strategies ensure reaches

Language: Английский

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Tailoring dissemination strategies to increase evidence-informed policymaking for opioid use disorder treatment: study protocol

Implementation Science Communications, Journal Year: 2023, Volume and Issue: 4(1)

Published: Feb. 16, 2023

Policy is a powerful tool for systematically altering healthcare access and quality, but the research to policy gap impedes translating evidence-based practices into public limits widespread improvements in service population health outcomes. The US opioid epidemic disproportionately impacts Medicaid members who rely on publicly funded benefits treatment including medications use disorder (MOUD). A myriad of misaligned policies evidence-use behaviors by policymakers across federal agencies, state managed care organizations limit coverage MOUD members. Dissemination strategies that improve policymakers' current evidence are critical improving reducing disparities. However, no describes key determinants or preferences, few studies have examined data-driven approaches developing dissemination enhance evidence-informed policymaking. This study aims identify intermediaries influence behaviors, then develop test tailored promote benefit arrays.

Language: Английский

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Trends and Characteristics of Proposed and Enacted State Legislation on Childhood Vaccination Exemption, 2011–2017

American Journal of Public Health, Journal Year: 2018, Volume and Issue: 109(1), P. 102 - 107

Published: Nov. 29, 2018

Objectives. To examine trends and characteristics of proposed enacted state legislation that would directly affect states’ immunization exemption laws. Methods. We performed content analysis bills in legislatures from 2011 to 2017. classified as provaccination or antivaccination. Results. State legislators 175 bills, with the volume increasing over time: 92 (53%) expanded access exemptions, 83 (47%) limited ability exempt. Of 13 signed into law, 12 (92%) Bills exemptions were more likely come Republican Northeastern Southern states. Conclusions. Although most have be law. Legal barriers exempt one’s children vaccination persist despite vaccine hesitancy, which is encouraging for public health. Public Health Implications. Most laws introduced pose threats public’s There a need constituents engage their elected advocate policies.

Language: Английский

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Toward the data-driven dissemination of findings from psychological science.

American Psychologist, Journal Year: 2020, Volume and Issue: 75(8), P. 1052 - 1066

Published: Nov. 1, 2020

The public health impact of psychological science is maximized when it disseminated clearly and compellingly to audiences who can act on it. Dissemination research generate knowledge help achieve this, but dissemination understudied in the field implementation science. As a consequence, designs strategies are typically driven by anecdote, not evidence, often ineffective. We address this issue synthesizing key theory findings from consumer psychology detailing novel approach for "data-driven dissemination." has 3 parts: (a) formative audience research, which characterizes an audience's awareness about, adoption of, attitudes toward intervention, as well preferences receiving information about it; (b) segmentation identifies meaningful subgroups within inform tailoring strategies; (c) effectiveness determines that most effective. This then illustrated using American Psychological Association's (APA, 2017) Clinical Practice Guideline Treatment Posttraumatic Stress Disorder (PTSD) Adults case study. Data presented 2018-2019 survey licensed APA-member psychologists treat adults with PTSD (n = 407, response rate 29.8%). present toward, guideline find significant differences across these domains between do regularly use clinical practice guidelines. conclude discussing future directions advance practice. (PsycInfo Database Record 2020 APA, all rights reserved).

Language: Английский

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Partisan differences in the effects of economic evidence and local data on legislator engagement with dissemination materials about behavioral health: a dissemination trial

Implementation Science, Journal Year: 2022, Volume and Issue: 17(1)

Published: June 21, 2022

State legislators make policy decisions that influence children's exposure to adverse childhood experiences (ACEs), such as child maltreatment, and their effects on behavioral health. Effective dissemination of scientific research can increase the likelihood legislators' are aligned with evidence prevent ACEs consequences, effective requires engage materials. Informed by elaboration model persuasive communication Brownson's Model Dissemination Research, we tested hypothesis inclusion economic local data would legislator engagement materials about evidence-supported policies related health.A three-arm randomized trial was conducted. A university researcher e-mailed which contained health problems state (two e-mails sent 2 weeks apart, 12,662 delivered 6509 legislators). The e-mail subject lines, text, brief content were manipulated across study arms. intervention condition received state-tailored rates costs for public systems, enhanced control not evidence, national evidence. Outcomes views, link clicks, requests consultation, mentions maltreatment terms in social media posts.For first e-mail, view rate 42.6% higher than (22.8% vs. 14.8%) 20.8% 18.5%) (both p < .0001). Similar results observed second e-mail. These differences remained significant after adjustment demographic conditions individual-level models, but multilevel models. There a interaction between experimental political party (p .0001) increased among Democrats Republicans. had no effect clicks or consultation mixed posts.Inclusion Democrat, Republican, legislators. strategies tailored affiliation may be needed.

Language: Английский

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Determinants of using children’s mental health research in policymaking: variation by type of research use and phase of policy process

Implementation Science, Journal Year: 2021, Volume and Issue: 16(1)

Published: Jan. 19, 2021

Abstract Background Research use in policymaking is multi-faceted and has been the focus of extensive study. However, virtually no quantitative studies have examined whether determinants research vary according to type or phase policy process. Understanding such variation important for selecting targets implementation strategies that aim increase frequency policymaking. Methods A web-based survey US state agency officials involved with children’s mental health was conducted between December 2019 February 2020 ( n = 224, response rate 33.7%, 49 states responding (98%), median respondents per 4). The dependent variables were composite scores using general, specific types (i.e., conceptual, instrumental, tactical, imposed), during different phases process agenda setting, development, implementation). independent four use: leadership use, barriers skills, dissemination (e.g., lack actionable messages/recommendations summaries, interaction/collaboration researchers). Separate multiple linear regression models estimated associations determinant scores. Results Determinants varied significantly by For example, only associated imposed β 0.31, p < 0.001). Skills tactical 0.17, 0.03) agenda-setting 0.16, 0.04). Dissemination most universal as they inversely conceptual −0.21, 0.01) instrumental −0.22, all three Conclusions Decisions about target policy-focused strategies—and are selected affect these targets—should reflect influence.

Language: Английский

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