Enhancing Impact: A Call to Action for Equitable Implementation Science

Prevention Science, Journal Year: 2023, Volume and Issue: 25(S1), P. 174 - 189

Published: Oct. 25, 2023

Abstract Despite investments in evidence-based interventions and Implementation Science, most are not widely or routinely adopted, delivered, sustained many real-world community healthcare settings. This gap is even greater settings populations experiencing numerous social structural barriers to health, with important implications for persistent patterns health inequities. In this Viewpoint, as part of a Special Issue on Advancing the Adaptability Chronic Disease Prevention Management through Science , we outline seven calls action field goal encouraging researchers, practitioners, funders be more intentional accountable applying have impact promoting equity. Calls include (1) enhance public community, multi-sectoral partnerships promote equity equitable implementation; (2) revisit build evidence base needed at multiple levels; (3) prioritize focus policy development, dissemination, (4) agile responsive application frameworks, processes, methods; (5) identify redefine meaningful metrics impact; (6) disseminate scientific research diverse range partners potential beneficiaries; (7) extend de-implementation, mis-implementation, sustainability which central enhancing Additionally, why prevention essential making progress towards summarize advancements that has made foundational, pose questions work area.

Language: Английский

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Implementing interventions to start HPV vaccination at age 9: Using the evidence we have

Human Vaccines & Immunotherapeutics, Journal Year: 2023, Volume and Issue: 19(1)

Published: Jan. 2, 2023

Human papillomavirus (HPV) vaccination is routinely recommended for adolescents aged 11 or 12 years but can begin at age 9. On-time HPV by the thirteenth birthday has proven to be effective in preventing cancer and pre-cancer. However, coverage rates continue lag behind other vaccinations adolescents. A promising approach improving start This been endorsed American Academy of Pediatrics Cancer Society. Benefits this include increased time complete series birthday, additional spacing vaccines, a more concentrated focus on prevention messaging. While promising, little known about how if existing evidence-based interventions approaches used promote starting Implementation science frameworks offer scientific direction adapt current develop new 9 accelerate dissemination prevent cancers.

Language: Английский

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Adaptive Designs in Implementation Science and Practice: Their Promise and the Need for Greater Understanding and Improved Communication

Annual Review of Public Health, Journal Year: 2023, Volume and Issue: 45(1), P. 69 - 88

Published: Nov. 6, 2023

The promise of adaptation and adaptive designs in implementation science has been hindered by the lack clarity precision defining what it means to adapt, especially regarding distinction between study strategies. To ensure a common language for practice, authors reviewed literature found that term was used describe interventions, strategies, trial designs. provide offer recommendations reporting strengthening design, we propose taxonomy describes fixed versus strategies improve impact, (a) futureimplementation studies should prespecify strategy core functions turn can be taught replicated health system/community partners, (b) funders support exploratory refine specify (c) investigators systematically address design requirements ethical considerations (e.g., randomization, blinding/masking) with partners.

Language: Английский

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Using After Action Review to Identify Rapid Response Implementation Strategies for Emerging Drugs Among Youth

Prevention Science, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 10, 2025

Language: Английский

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Barriers and Facilitators to the Rapid Adaptations of Healthcare Service Delivery during Public Health Emergencies: A Systematic Integrative Review of Literature

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

Published: March 12, 2025

Abstract Rapid adaptation of healthcare services during public health emergencies is key in ensuring continuous delivery essential services. However, challenges associated with rapid can lead to disruptions care delivery, impacting responses population needs. To prepare for a prompt future response, it important identify and understand the barriers facilitators influencing efforts. A systematic integrative review was conducted between March October 2022, five healthcare-related databases searched from 2012. Weekly auto-alerts continued until 2023. The Mixed-Methods Appraisal Tool used quality assessment data extraction using Consolidated Framework Implementation Research. Seventeen eligible studies utilised quantitative (10/17, 59%), mixed-methods (4/17, 23%) or qualitative designs (3/17, 18%). Most service happened within 3 months after World Health Organisation declared Coronavirus disease pandemic (13/17, 76%), telehealth being that occurred. Inner setting process factors served as both facilitators. Two additional not present consolidated framework, namely: (1) emergency command control at level (2) acceptability resilience, were identified adaptation. This underscores while rapidly adapted initial pandemic, inadequate readiness may have hindered their capacity respond inclusively, potentially on sustainability Addressing these issues will support greater preparation emergencies.

Language: Английский

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Scaling Up Evidence-Based Supported Employment in the United States

Psychiatric Services, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Implementing evidence-based practices has become a standard policy in U.S. behavioral health care. However, current penetration remains inadequate, and longitudinal studies of scaling up these are rare. This article examined the steady, 3-decade growth individual placement support (IPS), model employment services for people with psychiatric disabilities. The number IPS programs United States increased to >1,000. Nevertheless, coverage limited, challenges further substantial. Facilitators over past few decades include client demand, scientific evidence, initial financial from foundations, subsequent federal agency support, state leadership vocational rehabilitation, standardized training quality assurance methods, an international learning community, collection national data establish benchmarks. Challenges expansion complexity multiple partial funding sources; increasing use information technology training, implementation, assurance; extension new populations settings; outreach historically marginalized groups (e.g., young adults not engaged mental system); employer partnerships; adaptations related cultural, workforce, workplace changes. Developing reliable research methods assess compare scaling-up strategies is also critical.

Language: Английский

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Non-linear correlation analysis between internet searches and epidemic trends

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

Published: April 4, 2025

Introduction This study uses a non-linear model to explore the impact mechanism of change rates between internet search behavior and confirmed COVID-19 cases. The research background focuses on epidemic monitoring, leveraging data as real-time tool capture public interest predict development. goal is establish widely applicable mathematical framework through analysis long-term disease data. Methods Data were sourced from Baidu Index for COVID-19-related case National Health Commission China. A logistic-based differential equation was employed analyze mutual influence numbers rate in behavior. Structural operator relationships variables determined segmented fitting regression analysis. Results results indicated significant correlation constructed this successfully passed both structural tests, with dynamic showing high degree consistency. further quantified cases, revealing strong feedback loop two: changes significantly drove growth while increase cases also stimulated public's finding suggests that not only reflects development trend but can serve an effective indicator predicting evolution pandemic. Discussion enriches understanding transmission mechanisms by quantifying interaction spread. Compared simple prediction models, more stable common analysis, laying foundation future health events.

Language: Английский

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The viral oncogenesis of COVID-19 and its impact on cancer progression, long-term risks, treatment complexities, and research strategies

Exploration of Medicine, Journal Year: 2025, Volume and Issue: 6

Published: April 28, 2025

The interaction between cancer and coronavirus disease 2019 (COVID-19) poses significant challenges, particularly for immunocompromised individuals who are at heightened risk acute infections long-term complications. pandemic has exacerbated existing vulnerabilities in care by disrupting treatment protocols delaying diagnoses, leading to worsened health outcomes. This article emphasizes the importance of investigating potential impact severe respiratory syndrome 2 (SARS-CoV-2) on progression highlights need effective strategies protect this high-risk population. Long-term consequences, including emergence long COVID, further emphasize ongoing surveillance comprehensive healthcare planning patients during after pandemics. A multifaceted approach is essential, incorporating vaccination, timely therapeutic interventions, sustained support with lingering symptoms. also discusses urges continued research into oncogenic risks associated SARS-CoV-2, which crucial enhancing our understanding broader implications COVID-19 informing public aimed safeguarding future Moreover, data collection development refined clinical guidelines vital improving patient outcomes preparing systems crises. Additionally, mechanisms SARS-CoV-2 may increase susceptibility, chronic inflammation, cellular senescence, immune dysregulation. Understanding these elucidating virus’s potential, among survivors infections. Ensuring continuity resilience global crises requires mitigate disruptions, enhance access screenings treatments, address specific challenges faced experiencing COVID.

Language: Английский

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Adaptation of the brainwriting premortem technique to inform the co-creation of COVID-19 testing strategies in underserved communities in South San Diego

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

Published: Jan. 3, 2024

Abstract Introduction Meaningful engagement of partners in co-creating and refining health-related programs can increase the initial uptake, sustained implementation, broad reach, effectiveness these programs. This is especially important for underserved communities where resources are limited need to be prioritized. Brainwriting premortem a novel qualitative approach partner that combines strengths individual idea generation with concept exercise addresses failure points prior implementation new Methods An adapted form brainwriting was used inform iterative refinements COVID-19 testing program at Federally Qualified Health Center (FQHC) San Diego. Patients providers from FQHC participated interviews two time (early- mid-implementation program). Interview data were transcribed, translated, analyzed using rapid approach. Key themes sub-themes identified program. Results A total 11 patients (7 Spanish- 4 English-speaking) 8 interviews. related possible reasons failure: advertising/sharing information; access testing; handling test results; staff patient safety; beliefs views regarding SARS-CoV-2 virus; options offered. Proposed solutions offered key failures except virus. Additional education, physical operations, recruitment strategies. Real-time changes flow components made response 7 suggestions providers. Changes process returning results most common, included sending via email distinct workflows based on result. Conclusion The technique allowed us incorporate perspective delivery refinement an effective tool context promising input ensure successful implementation. Future studies, particularly those requiring public health emergencies, should consider use this technique.

Language: Английский

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Michigan High School Opioid Misuse Prevention Education (M-HOPE): Adapting a Health Curriculum to Address Substance Misuse Risk

Published: May 16, 2025

Language: Английский

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