Implementation of state health insurance benefit mandates for cancer-related fertility preservation: following policy through a complex system DOI Creative Commons
H. Irene Su, Bonnie N. Kaiser, Erika L. Crable

et al.

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

Published: Feb. 16, 2024

Abstract Background A myriad of federal, state, and organizational policies are designed to improve access evidence-based healthcare, but the impact these likely varies due contextual determinants of, reinterpretations poor compliance with policy requirements throughout implementation. Strategies enhancing implementation intent can population health. Critically assessing multi-level environments where health their related services implemented is essential designing effective policy-level strategies. California passed a 2019 insurance benefit mandate requiring coverage fertility preservation for individuals at risk infertility medical treatments, in order that otherwise cost prohibitive. Our objective was document understand environment, relationships, activities involved using state mandates facilitate patient services. Methods We conducted mixed-methods study used policy-optimized exploration, preparation, implementation, sustainment (EPIS) framework analyze California’s (SB 600) between regulator, insurer, clinic levels. Results Seventeen publicly available mandate-relevant documents were reviewed. Interviews four insurers; 25 financial, administrative, provider participants from 16 oncology clinics; three pharmaceutical representatives; two advocates. The regulator guidance represented “Big P” (system level) gave rise host “little p” (organizational) by insurers, clinics, patients. Many little p bridging factors support across levels service access. Characterizing mandate’s functions (i.e., goals) forms ways enacted) led identification (1) intended unintended service, outcomes, (2) processes level EPIS phase, (3) actor-delineated key heterogeneity among them, (4) inner outer context drove adaptations. Conclusions Following midstream downstream mandate, data generated will enable development strategies, evaluation important outcomes design future fit fidelity.

Language: Английский

Tailoring dissemination strategies to increase evidence-informed policymaking for opioid use disorder treatment: study protocol DOI Creative Commons
Erika L. Crable,

Colleen M. Grogan,

Jonathan Purtle

et al.

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

Citations

13
The application of implementation science methods in correctional health intervention research: a systematic review DOI Creative Commons
Tonya B. Van Deinse, Melissa J. Zielinski, Stephanie Brooks Holliday

et al.

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

Published: Nov. 24, 2023

Abstract Background Improving access to high-quality healthcare for individuals in correctional settings is critical advancing health equity the United States. Compared general population, criminal-legal involved experience higher rates of chronic conditions and poorer outcomes. Implementation science frameworks strategies offer useful tools integrate interventions into improve care. A review implementation date necessary advance future applications. This systematic summarizes research that has harnessed promote uptake effective adult settings. Methods seven databases (Academic Search Premier, Cumulative Index Nursing Allied Health Literature, PsycINFO, Social Work Abstracts, ProQuest Criminal Justice Database, Sociological MEDLINE/PubMed) was conducted. Eligible studies used an framework assess outcomes, determinants, and/or Qualitative synthesis extract summarize settings, study designs, sample characteristics, methods, application methods. were further analyzed using Pragmatic Reporting Tool. Results Twenty-four met inclusion criteria. Studies implemented address infectious diseases ( n =9), substance use =6), mental =5), co-occurring =2), or other =2). varied their operationalization description guiding frameworks/taxonomies. Sixteen reported determinants 12 measured with acceptability feasibility =3), reach =2) commonly assessed. Six tested strategies. Systematic results generate recommendations improving success contexts. Conclusions The focus on reflects need tailor efforts complex organizational inter-agency Future should investigate policy factors influence success, design, test tailored a wider array outcomes relevant juvenile populations, Trial registration protocol (CRD42020114111) registered Prospero.

Language: Английский

Citations

13
Narrative review: Revised Principles and Practice Recommendations for Adolescent Substance Use Treatment and Policy DOI
Justine W. Welsh, Alex R. Dopp,

Rebecca M. Durham

et al.

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2024, Volume and Issue: unknown

Published: March 1, 2024

Language: Английский

Citations

5
Randomized trial of the leadership and organizational change for implementation (LOCI) strategy in substance use treatment clinics DOI Creative Commons
Gregory A. Aarons,

Marisa Sklar,

Mark G. Ehrhart

et al.

Journal of Substance Use and Addiction Treatment, Journal Year: 2024, Volume and Issue: 165, P. 209437 - 209437

Published: June 10, 2024

Language: Английский

Citations

5
A research agenda to advance the study of implementation mechanisms DOI Creative Commons
Cara C. Lewis, Hannah E. Frank, Gracelyn Cruden

et al.

Implementation Science Communications, Journal Year: 2024, Volume and Issue: 5(1)

Published: Sept. 16, 2024

Implementation science scholars have made significant progress identifying factors that enable or obstruct the implementation of evidence-based interventions, and testing strategies may modify those factors. However, little research sheds light on how why work, in what contexts, for whom. Studying mechanisms-the processes responsible change-is crucial advancing field enhancing its value facilitating equitable policy practice change. The Agency Healthcare Research Quality funded a conference series to achieve two aims: (1) develop agenda mechanisms, (2) actively disseminate research, policy, audiences. This article presents resulting agenda, including priorities actions encourage execution. Building prior concept mapping semi-structured, 3-day, in-person working meeting, 23 US-based researchers used modified nominal group process generate addressing challenges studying mechanisms. During each three 120-min sessions, small groups responded prompt: "What need be taken move this forward?" brainstormed actions, which were then shared with full discussed support facilitators trained structured processes. Facilitators grouped critical novel ideas into themes. Attendees voted six themes they prioritized discuss fourth, session, during operationalized actions. Subsequently, all collated, combined, revised clarity by subset authorship team. From multistep process, 150 emerged across 10 priority areas, together constitute agenda. Actions included discrete activities, projects, products, ways shift is conducted strengthen study elevates guide selection, design, evaluation By delineating recommended address facilitates expanding science, beyond works whom, interventions.

Language: Английский

Citations

5
Implementation science in higher education: Identifying key determinants in the selection of evidence-based alcohol and substance prevention and treatment DOI
Ashley C. Helle, Karla Washington,

Joan Masters

et al.

Journal of Substance Use and Addiction Treatment, Journal Year: 2025, Volume and Issue: unknown, P. 209617 - 209617

Published: Jan. 1, 2025

Language: Английский

Citations

0
Proceedings from the Fourth Annual Conference of the Norwegian Network for Implementation Research DOI Creative Commons
Dagfinn Mørkrid Thøgersen, Lene‐Mari Potulski Rasmussen,

Ida Waal Rømuld

et al.

Global Implementation Research and Applications, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 17, 2025

Abstract The fourth annual conference of the Norwegian Network for Implementation Research (NIMP) was held on January 31st, 2024, in Oslo, Norway. This year’s focused role context implementation and called innovations, methods, practices that address integrate contextual considerations their research practice. A total 137 people attended, a majority attended first time. There diversity professional roles, an increase practice-oriented professions compared to past conferences. program comprised three invited keynote speakers, Professor Aaron Lyon, Henna Hasson, Gregory Aarons, twelve parallel session presentations, eight poster presentations. presentations understanding and/or explaining factors influencing outcomes ( n = 14), while fewer describing guiding process translating into practice 7) or evaluating initiatives 6). About half were from research, other integrations practice, indicating serves connect researchers practitioners. In line with call abstracts, implementation, approaches community collaboration, systems thinking topics several indicative developments towards context-minded systemic saw little methodological work related measures and, similar previous conferences, limited rigorous evaluations effectiveness impact. NIMP should consider efforts advocate such studies facilitate further advancement science

Language: Английский

Citations

0
Implementing multi-tiered systems of support in rural schools: a practice perspective for improving mental health care for underserved youths DOI Creative Commons
Christopher A. Kearney,

Michael Fensken,

Randolph Dupont

et al.

Frontiers in Education, Journal Year: 2025, Volume and Issue: 10

Published: April 10, 2025

Rates of mental disorder for youth have increased substantially over recent years and this trend, coupled with persistent barriers to community-based care, has led researchers others toward a “where they are” approach that emphasizes preventative health promotion practices within ecologically valid environments such as schools. A key mechanism involves multi-tiered systems support (MTSS) models allocate supports based on student need across multiple domains functioning. MTSS been implemented moderate success but students in rural districts may be underserved. This article introduces blueprint sample schools by initially presenting their challenges advantages well implementation science frameworks, particularly the School Implementation Strategies, Translating ERIC Resources (SISTER) project, geared educational settings. The incorporates SISTER pillars rated highest importance feasibility throughout linchpin strategies set basis model; readiness determine needs, structure, feasibility; Tier 1 implement address emerging cases; 2 provide early intervention services acute 3 intensive chronic severe enhance sustainability (including fidelity) expansion. thus represents blending ideas real-world constraints often evident practice perspective one promote discussion innovation underserved constituency.

Language: Английский

Citations

0
Who’s “in the room where it happens”? A taxonomy and five-step methodology for identifying and characterizing policy actors DOI Creative Commons
Gracelyn Cruden, Erika L. Crable,

Rebecca Lengnick‐Hall

et al.

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

Published: Sept. 18, 2023

Abstract Background Engaging policy actors in research design and execution is critical to increasing the practical relevance real-world impact of policy-focused dissemination implementation science. Identifying selecting which engage, particularly involved “Big P” public policies such as laws, distinct from traditional engaged methods. This current study aimed develop a transparent, structured method for iteratively identifying key decisions—such adopting evidence-based interventions at systems-scale—and guide sampling engagement approaches. A flexible actor taxonomy was developed supplement existing methods help identify developers, disseminators, implementers, enforcers, influencers. Methods five-step methodology potentially engage developed. Leveraging recent federal case study—The Family First Prevention Services Act (FFPSA)—publicly available documentation (e.g., websites, reports) were searched, retrieved, coded using content analysis characterize organizations individual “room” during decisions. Results The five steps are follows: (1) clarify phase(s) interest, (2) relevant proverbial or actual policymaking “rooms,” (3) room, (4) “room,” (5) quantify count across groups), summarize, compare “rooms” select approaches aligned with actors. use outcomes each step exemplified through FFPSA study. Conclusions pragmatic transparent identification presented here can researchers’ continuous successful engagement. Future work should explore utility proposed guiding selection tailoring strategies research-policy partnerships) improve both “little p” (administrative guidelines, procedures) global contexts.

Language: Английский

Citations

10
A structured approach to applying systems analysis methods for examining implementation mechanisms DOI Creative Commons
Bo Kim, Gracelyn Cruden, Erika L. Crable

et al.

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

Published: Oct. 19, 2023

It is challenging to identify and understand the specific mechanisms through which an implementation strategy affects outcomes, as happens in context of complex, multi-level systems. These systems within each level have their own dynamic environments that change frequently. For instance, sequencing may matter a mechanism only be activated indirectly by another mechanism. The dosage or strength vary over time across different health care system levels. To elucidate relevant successful amidst this complexity, analysis methods are needed model manage complexity.

Language: Английский

Citations

9