The updated Consolidated Framework for Implementation Research based on user feedback

Implementation Science, Год журнала: 2022, Номер 17(1)

Опубликована: Окт. 29, 2022

Abstract Background Many implementation efforts fail, even with highly developed plans for execution, because contextual factors can be powerful forces working against in the real world. The Consolidated Framework Implementation Research (CFIR) is one of most commonly used determinant frameworks to assess these factors; however, it has been over 10 years since publication and there a need updates. purpose this project was elicit feedback from experienced CFIR users inform updates framework. Methods User obtained two sources: (1) literature review systematic search; (2) survey authors who published study. Data were combined across both sources reviewed identify themes; consensus approach finalize all VA Ann Arbor Healthcare System IRB declared study exempt requirements 38 CFR 16 based on category 2. Results search yielded 376 articles that contained title and/or abstract 334 unique contact information; 59 included CFIR. Forty percent ( n = 134/334) completed survey. received positive ratings framework sensibility items (e.g., applicability, usability), but respondents also provided recommendations changes. Overall, include revisions existing domains constructs as well addition, removal, or relocation constructs. These changes address important critiques CFIR, including better centering innovation recipients adding determinants equity implementation. Conclusion reflect growing community users. Although are many updates, mapped back original ensure longitudinal consistency. We encourage continue critiquing facilitating evolution science advances.

Язык: Английский

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What Structural Racism Is (or Is Not) and How to Measure It: Clarity for Public Health and Medical Researchers

American Journal of Epidemiology, Год журнала: 2022, Номер 191(9), С. 1521 - 1526

Опубликована: Июль 5, 2022

Abstract Interest in studying structural racism’s impacts on health has grown exponentially recent years. Across these studies, there is much heterogeneity the definition and measurement of racism, leading to mixed interpretations impact health. A precise racism can offer conceptual clarity inform what mechanisms investigate imperative for conducting high-quality research it dismantling it. In this commentary, we trace evolution definitions suggest ways which should move forward given definitions.

Язык: Английский

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Recommendations for the responsible use and communication of race and ethnicity in neuroimaging research

Nature Neuroscience, Год журнала: 2024, Номер 27(4), С. 615 - 628

Опубликована: Март 22, 2024

Язык: Английский

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Health status of transgender people globally: A systematic review of research on disease burden and correlates

PLoS ONE, Год журнала: 2024, Номер 19(3), С. e0299373 - e0299373

Опубликована: Март 11, 2024

Background and objectives Transgender gender diverse (trans) health research has grown rapidly, highlighting the need to characterize scientific evidence base. We conducted a systematic review of peer-reviewed on disease burden correlates in trans adolescents adults over 20-month period identify knowledge gaps assess methodological characteristics including measurement identity, community engagement, study quality. Data sources, eligibility criteria, synthesis methods searched seven databases using terms related (a) transgender populations (b) or disease. Eligible studies were English, French, Spanish reported original quantitative data mental substance use conditions, infectious diseases, non-communicable conditions at least 25 individuals aged 15+. Quality assessment was performed duplicate 10% sample articles findings summarized narrative synthesis. Results The 328 included 45 countries, with most from North America (54%) limited South Asia (3%), Sub-Saharan Africa Middle East (2%). Most used cross-sectional designs (73%) convenience sampling (65%). Only 30% any form engagement. Mental disorders studied area (77% studies) (16%). Available indicated that experience high considerable heterogeneity within across settings. Of 39 assessed for quality, 80% rated as fair, 18% poor, 3% good Conclusions implications Geographic, gender-specific, topical remain health, but we found more African transmasculine people, than previous syntheses. Areas growth include non-binary chronic age-related determinants. Registration PROSPERO CRD42021234043 .

Язык: Английский

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Increasing Racial and Ethnic Disparities in Ambient Air Pollution-Attributable Morbidity and Mortality in the United States

Environmental Health Perspectives, Год журнала: 2024, Номер 132(3)

Опубликована: Март 1, 2024

Ambient nitrogen dioxide (NO2) and fine particulate matter with aerodynamic diameter ≤2.5μm (PM2.5) threaten public health in the US, systemic racism has led to modern-day disparities distribution associated impacts of these pollutants.

Язык: Английский

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Instruments for racial health equity: a scoping review of structural racism measurement, 2019-2021

Epidemiologic Reviews, Год журнала: 2024, Номер 46(1), С. 1 - 26

Опубликована: Янв. 1, 2024

Progress toward racial health equity cannot be made if we measure its fundamental driver: structural racism. As in other epidemiologic studies, the first step is to exposure. But how racism an ongoing debate. To characterize approaches epidemiologists and researchers use quantitatively racism, highlight methodological innovations, identify gaps literature, conducted a scoping review of peer-reviewed gray literature published during 2019-2021 accompany 2018 work Groos et al., which they surveyed scope measurement up 2017. We identified several themes from recent literature: current predominant focus on measuring anti-Black racism; using residential segregation as well segregation-driven measures proxies spatial exposures; increasing calls by multidimensional, multilevel determinant related innovations; development policy databases; utility simulated counterfactual understanding drives inequities; lack antiracism limited later life effects. Our findings sketch out steps improve science measurements, key advancing policies.

Язык: Английский

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Antiracism and Community-Based Participatory Research: Synergies, Challenges, and Opportunities

American Journal of Public Health, Год журнала: 2022, Номер 113(1), С. 70 - 78

Опубликована: Дек. 14, 2022

Structural racism causes stark health inequities and operates at every level of society, including the academic governmental entities that support research practice. We argue institutions must invest in actively disrupts racial hierarchies, with leadership from racially marginalized communities scholars. highlight synergies between antiracist principles community-based participatory (CBPR), examine potential for CBPR to promote praxis, illustrate structural barriers offer examples actions taken disrupt racism. make recommendations next generation CBPR, modify funding center priorities communities, sustained commitments accountability those by funders institutions, distribute funds equitably across community amplify praxis through translation policy, adopt institutional practices reflection adaptation align emergent practices. A critical application offers pathways transforming reproduce reinforce inequities. (Am J Public Health. 2023;113(1):70-78. https://doi.org/10.2105/AJPH.2022.307114).

Язык: Английский

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On epidemiology as racial-capitalist (re)colonization and epistemic violence

Critical Public Health, Год журнала: 2022, Номер 33(1), С. 5 - 12

Опубликована: Авг. 3, 2022

This commentary reflects upon power-knowledge dynamics and matters of epistemic, procedural, distributive justice that undergird epidemiological knowledge production related to racial health inequities in the U.S. Grounded Foucault’s concepts—“objects”, “ritual”, “the privileged”—and guided by Black feminist philosopher Kristie Dotson’s conceptualization epistemic violence, it critiques dominant positivist, reductionist, extractivist paradigm epidemiology, interrogating settler-colonial racial-capitalist nature production/curation enterprise. The challenges epidemiology’s affinity for epistemological, methodological norms effectively silence/erase community knowledge(s) nuance favor reductionist empirical representations/re-presentations produced researchers who, often, have never stepped foot inside communities they aver model. It also expressly names structurally racist reality a “colorblind” system controlled White scholars working from/for an invisibilized scientific gaze. In this spirit, engages public critical race praxis principle “disciplinary self-critique”, illuminating inherent contradictions equity discourse fails interrogate racialized power underlying its doing so, seeks (re)frame invite regarding violence (re)colonization as manifest/legible within epidemiology research, suggesting structural racism embedded – perpetuated through our collective work must be addressed advance antiracist decolonial futures. regard, I suggest value engaging poetry praxis—as mode production/expression “center margins” offer counternarratives violence.

Язык: Английский

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Intersectionality, health equity, and EDI: What’s the difference for health researchers?

International Journal for Equity in Health, Год журнала: 2022, Номер 21(1)

Опубликована: Дек. 19, 2022

Abstract Many countries adopted comprehensive national initiatives to promote equity in higher education with the goal of transforming culture research. Major health research funders are supporting this work through calls for projects that focus on equity, resulting a proliferation theoretical frameworks including “intersectionality,” “health equity,” and variations diversity inclusion, or EDI. This commentary is geared at individual principal investigators teams who developing proposals want consider issues their research, perhaps first time. We present histories definitions three commonly used frameworks: intersectionality, In context intersectionality methodology (a combination epistemology techniques) can identify relationships among identities systems oppression; however, it should also be internally by reflect production knowledge. Health societal operationalizes social determinants document address disparities population level. EDI measure track progress within organizations best suited inform infrastructure human resourcing “behind scenes” project. encourage researchers these strive tangibly move towards both topics we study ways do

Язык: Английский

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Grounding implementation science in health equity for cancer prevention and control

Implementation Science Communications, Год журнала: 2022, Номер 3(1)

Опубликована: Июнь 3, 2022

The past decade of research has seen theoretical and methodological advances in both implementation science health equity research, opening a window opportunity for facilitating accelerating cross-disciplinary exchanges across these fields that have largely operated siloes. In 2019 2020, the National Cancer Institute's Consortium Implementation Science convened an action group focused on 'health context' to identify opportunities advance science. this paper, we present narrative review synthesis relevant literature at intersection science, highlight identified (i.e., public goods) by advancing cancer prevention control, integrate two providing key recommendations future directions.In literature, recent promoting (e.g., theories/models/frameworks, adaptations, strategies, study designs, determinants, outcomes). We acknowledge contributions from broader field discuss integration synergy with which include (1) articulating explicit focus conducting reviewing science; (2) theories, models, frameworks guiding (3) identifying methods understanding documenting influences context incorporate equity. To equity, reflect essential groundwork needed promote bi-directional learning between recommend building capacity among researchers institutions equity-focused community-engaged incorporating considerations all areas design, outcomes); continuing transdisciplinary believe can help control beyond.

Язык: Английский

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