Tools to Improve Discharge Equity: Protocol for the Pilot TIDE Trial DOI Creative Commons
Kirsten Austad,

Cecilia Thai,

Alegna Zavatti

et al.

Contemporary Clinical Trials Communications, Journal Year: 2024, Volume and Issue: 43, P. 101419 - 101419

Published: Dec. 21, 2024

Written discharge instructions after hospitalization promote patient understanding and positive clinical outcomes. Despite the rising prevalence of patients with non-English language preference (NELP) in U.S., most hospitals do not routinely provide their preferred language, thereby placing them at higher risk for medical errors hospital readmission. Innovative solutions to close this implementation gap NELP are needed. The Tools Improve Discharge Equity (TIDE) intervention leverages communication practices proven effective addressing barriers create concordant tools from paperwork. We present protocol a type I hybrid implementation-effectiveness pilot randomized trial. TIDE includes translated medication calendar, pictographs, an audio recording patient's language. will recruit estimated 50 participants hospital's top four groups-Spanish, Haitian Creole, Cape Verdean Vietnamese-as well as nurse in-person interpreter caring them. Outcomes include recall primary diagnosis overall using newly developed 24-point score, experience, measures (acceptability, feasibility, appropriateness), effectiveness (including reutilization). A mixed methods evaluation identify determinants uptake guide selection multi-level strategies test future III is first designed NELP. Result inform efforts improve safety equity process. clinicaltrials.gov NCT05988229 (August 14, 2023) https://classic.clinicaltrials.gov/ct2/show/NCT05988229.

Language: Английский

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
The sustainability of health interventions implemented in Africa: an updated systematic review on evidence and future research perspectives DOI Creative Commons
Ucheoma Nwaozuru, Patrick J. Murphy, A. Richard

et al.

Implementation Science Communications, Journal Year: 2025, Volume and Issue: 6(1)

Published: April 8, 2025

Language: Английский

Citations

0
Mechanisms of change of a multifaceted implementation strategy on fidelity to a guideline for the prevention of mental health problems at the workplace: A mechanism analysis within a cluster-randomized trial DOI

Andreas Rödlund,

Anna Toropova,

Rebecca Lengnick‐Hall

et al.

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: April 9, 2025

Abstract Background: Occupational guidelines exist to support workplaces with the prevention of mental health problems (MHP) among their staff. However, knowledge effective implementation strategies is limited. This study experimentally tested whether a multifaceted strategy – comprising an educational meeting, five workshops, teams, small cyclical tests change, and facilitation improves fidelity guideline for preventing MHP in school setting through pathway change Capability Opportunity Motivation-Behavior (COM-B)-model. To gain more granular understanding mechanisms Theoretical Domains Framework (TDF) was used specify mediators related capability, opportunity, motivation. versus discrete (1) fidelity, (2) enhances motivation over time, (3) if strategy’s effect on mediated by Methods: 55 schools were randomly assigned or strategy. Fidelity measured questionnaires at baseline 12 months, while assessed three times within this period (directly after meeting nine months). The Determinants Implementation Behavior Questionnaire assess TDF hypothesized corresponding COM-B components. Separate pathways analyzed each mediator. Linear Mixed Modeling employed test mediation analyses conducted using PROCESS Macro. Results: led improved months (B= 2.81, p<.001). Multifaceted reported higher scores all compared receiving partially (p=<.05) except beliefs about consequences. Capability-related mediators, including skills (Proportion-mediated= 41%, p=<.01) behavioral regulation 35%, p=<.001), accounted largest proportion effect, followed motivation-related mediator goals (Proportion-mediated = 34%, p=<.01). Conclusions: enhancing confirming proposed function COM-B. addresses calls experimental evidence how achieve outcomes. Trial registration: ClinicalTrials.org dr.nr 2020-01214

Language: Английский

Citations

0
Sustaining the collaborative chronic care model in outpatient mental health: a matrixed multiple case study DOI Creative Commons
Bo Kim, Jennifer L. Sullivan, Madisen Brown

et al.

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

Published: Feb. 19, 2024

Abstract Background Sustaining evidence-based practices (EBPs) is crucial to ensuring care quality and addressing health disparities. Approaches identifying factors related sustainability are critically needed. One such approach Matrixed Multiple Case Study (MMCS), which identifies their combinations that influence implementation. We applied MMCS identify the of Collaborative Chronic Care Model (CCM) at nine Department Veterans Affairs (VA) outpatient mental clinics, 3–4 years after implementation support had concluded. Methods conducted a directed content analysis 30 provider interviews, using 6 CCM elements 4 Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) domains as codes. Based code summaries, we designated each site high/medium/low sustainability. used i-PARIHS summaries relevant for site, extent presence, type they (enabling/neutral/hindering/unclear). organized these data into sortable matrix assessed sustainability-related cross-site trends. Results status was distributed among sites, with three sites being high, medium, low. Twenty-five were identified from 3 exhibited strong trends by (relevant domain square brackets): “Collaborativeness/Teamwork [Recipients],” “Staff/Leadership turnover “Having consistent/strong internal facilitator [Facilitation]” during active At most high-sustainability only, (i) knowledgeable/helpful external variably present enabled when present, while (ii) “Clarity about what comprises [Innovation],” “Interdisciplinary coordination “Adequate clinic space team members [Context]” somewhat or less mixed influences Conclusions revealed VA clinics may be strongly collaboration, knowledge retention staff/leadership transitions, availability skilled facilitators. These findings have informed subsequent trial prospectively examines whether enhancing above-mentioned within facilitation improves systematic multi-site examination can investigate applicable other EBPs across multiple contexts.

Language: Английский

Citations

1
Is larger always lekker? A comparative analysis of South Africa's water user associations (WUAs) and catchment partnerships (CPs) and their impact on water, energy, and food (WEF) security DOI Creative Commons
Saul Ngarava

Environmental Development, Journal Year: 2024, Volume and Issue: 51, P. 101022 - 101022

Published: June 16, 2024

Complexities in water, energy, and food (WEF) governance provide varied systems pathways that shape welfare outcomes. The biggest question relates to the scale complexities resource management governance, which reaches a certain equilibrium achieve maximum benefits. This is proposition assessed this study sought compare WEF outcomes of jurisdictions under Water User Associations (WUAs) Catchment Partnerships (CPs). used multi-stage purposively sampled cross-sectional survey 1184 households from Greater Taung Magareng Local Municipalities (Vaalharts Association) Matatiele Municipality (uMzvimvubu Partnership) South Africa. Household Insecurity Experiences, Multi-Dimensional Energy Poverty Index Food In-Access Scale, Min-Max normalization Propensity Score Matching were analyze data. There was association between jurisdiction level security. Households WUA experienced 13.8%, 6.8% 9.3% higher levels insecurity, respectively. concludes CP had security, with or lack thereof resulting Therefore, larger not always lekker. recommends either (i) scaling down and/or (ii) diversifying by increasing breadth scope stakeholders within WUA. should be integrated an evaluation ascertain any impact on

Language: Английский

Citations

0
Integrating causal pathway diagrams into practice facilitation to address colorectal cancer screening disparities in primary care DOI Creative Commons
Brooke Ike,

Ashley Johnson,

Rosemary D. Meza

et al.

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 30, 2024

Colorectal cancer (CRC) is the second leading cause of death and most common diagnosis among Hispanic population in United States. However, CRC screening prevalence remains lower adults than non-Hispanic white adults. To reduce disparities, efforts to implement evidence-based interventions primary care organizations (PCOs) must consider their potential effect on existing disparities. More research needed understand how leverage implementation science methodologies improve health The Coaching Improve Cancer Screening Equity (CoachIQ) pilot study explores whether integrating two tools, Causal Pathway Diagrams practice facilitation, a feasible effective way address disparities patients.

Language: Английский

Citations

0
Evaluating the tailored implementation of a multisite care navigation service for mental health in rural and remote Australia (The Bridging Study): protocol for a community-engaged hybrid effectiveness-implementation study DOI Creative Commons
Zephanie Tyack, Steven M. McPhail, Gregory A. Aarons

et al.

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

Published: Sept. 4, 2024

Language: Английский

Citations

0
Leveraging group model building to operationalize implementation strategies across implementation phases: an exemplar related to child maltreatment intervention selection DOI Creative Commons
Gracelyn Cruden, Byron J. Powell, Leah Frerichs

et al.

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

Published: Dec. 2, 2024

Implementation strategies can help support the adoption and implementation of health interventions that are appropriate for a local context acceptable to decision makers community members. should be designed handle complexity multi-level, dynamic contexts in which implemented. Systems science theories methods explicitly attend valuable specifying strategies. Group Model Building (GMB) combines research partner engagement with systems researchers' partners' learning about complex problems identify solutions through consensus. This paper specifies how GMB operationalize — supporting evidence real-world practice describes aid selecting tailoring both A case study child maltreatment prevention planning is provided illustrate was used specify "actions" strategy activities three (conduct consensus discussions; build coalition; model simulate change) during earliest phases, goal intervention selection decisions. Examples generalizable products produced concurrently GMB, addition contextually-driven support. Participants (n = 8) were engaged over four sessions using tailored activities. generated qualitative system dynamics described their theory change prevent communities. reflected understanding interconnected determinants maltreatment. participants resulted could (e.g., future research. fostered trust idea sharing between participants. facilitate outcomes (or not) impacted by interventions, resources approaches required quality strategies), tradeoffs interventions. also provides structured, effective process generate shared vision amongst Lessons learned include developing participants, need researchers tailor actions participant project needs.

Language: Английский

Citations

0
Tools to Improve Discharge Equity: Protocol for the Pilot TIDE Trial DOI Creative Commons
Kirsten Austad,

Cecilia Thai,

Alegna Zavatti

et al.

Contemporary Clinical Trials Communications, Journal Year: 2024, Volume and Issue: 43, P. 101419 - 101419

Published: Dec. 21, 2024

Written discharge instructions after hospitalization promote patient understanding and positive clinical outcomes. Despite the rising prevalence of patients with non-English language preference (NELP) in U.S., most hospitals do not routinely provide their preferred language, thereby placing them at higher risk for medical errors hospital readmission. Innovative solutions to close this implementation gap NELP are needed. The Tools Improve Discharge Equity (TIDE) intervention leverages communication practices proven effective addressing barriers create concordant tools from paperwork. We present protocol a type I hybrid implementation-effectiveness pilot randomized trial. TIDE includes translated medication calendar, pictographs, an audio recording patient's language. will recruit estimated 50 participants hospital's top four groups-Spanish, Haitian Creole, Cape Verdean Vietnamese-as well as nurse in-person interpreter caring them. Outcomes include recall primary diagnosis overall using newly developed 24-point score, experience, measures (acceptability, feasibility, appropriateness), effectiveness (including reutilization). A mixed methods evaluation identify determinants uptake guide selection multi-level strategies test future III is first designed NELP. Result inform efforts improve safety equity process. clinicaltrials.gov NCT05988229 (August 14, 2023) https://classic.clinicaltrials.gov/ct2/show/NCT05988229.

Language: Английский

Citations

0