Leveraging Community Engagement and Human-Centered Design to Develop Multilevel Implementation Strategies to Enhance Adoption of a Health Equity Intervention
Research Square (Research Square),
Год журнала:
2025,
Номер
unknown
Опубликована: Март 28, 2025
Abstract
Background
Health
equity
intervention
implementation
(which
promotes
positive
health
outcomes
for
populations
experiencing
disproportionately
worse
health)
is
often
impeded
by
health-equity-specific
barriers
like
provider
bias;
few
studies
demonstrate
how
to
overcome
these
through
strategies.
An
urgent
problem
in
the
U.S.
mental
of
transgender
youth.
To
address
this,
we
developed
Gender-Affirming
Psychotherapy
(GAP),
a
comprising
best-practice
care
This
paper
details
identification
determinants
and
development
targeted
strategies
promote
adoption
GAP.
Methods
study
represents
part
larger
Here
describe
first
2
stages
3-stage
community-engaged
human-centered
design
process
–
Discover,
Design/Build,
Test
identify
develop
with
youth,
their
parents,
providers.
involved
collecting
data
via
focus
groups,
meetings,
usability
testing,
champion
meetings.
Data
were
analyzed
using
rapid
conventional
content
analysis.
Qualitative
coding
was
guided
Equity
Implementation
Framework,
strategy
facilitated
ERIC
Strategy
Compilation.
Results
We
identified
15
GAP
adoption,
all
specific
population
(e.g.,
inclusive
record
system,
anti-transgender
attitudes).
Seventeen
recommended
12
developed,
collectively
addressing
determinants.
Most
packaged
into
an
online
self-paced
training
(implementation
intervention)
6
tools.
Additional
inner
setting
designed
support
uptake
mandate
training)
change
system).
Conclusions
Community-engaged
methods
can
highlight
five
generalizable
takeaways
scientists:
(1)
implementer
bias
may
be
key
barrier,
(2)
experience
important
facilitator,
(3)
stakeholder
stories
effective
tool,
(4)
setting-level
necessary,
(5)
teaching
implementers
build
resource-constraints.
Trial
registration:
NCT05626231
Язык: Английский
Fidelity to the acupuncture intervention protocol in the ACUpuncture In The EmergencY Department for Pain Management (ACUITY) trial: expanding the gold standard of STRICTA and CONSORT guidelines.
Integrative Medicine Research,
Год журнала:
2024,
Номер
13(2), С. 101048 - 101048
Опубликована: Май 10, 2024
Acupuncture
shows
promise
as
an
effective
nonpharmacologic
option
for
reduction
of
acute
pain
in
the
emergency
department
(ED).
Following
CONSORT
and
STRICTA
guidelines,
randomized
controlled
trials
(RCTs)
generally
report
intervention
details
acupoint
options,
but
fidelity
to
acupuncture
interventions,
critical
reliability
research,
is
rarely
reported.
Язык: Английский
Fidelity to and Adaptation of Evidence-based Interventions in the Social Work Literature: A Scoping Review
The British Journal of Social Work,
Год журнала:
2023,
Номер
54(3), С. 1356 - 1376
Опубликована: Июль 12, 2023
Abstract
Using
evidence-based
interventions
(EBIs)
is
one
way
to
achieve
good-quality
social
services.
Adaptations
of
and
efforts
maintain
fidelity
EBIs
are
common.
However,
research
addressing
these
issues
published
across
multiple
journals.
This
scoping
review
aims
explore
how
adaptations
described
in
the
work
literature.
We
searched
for
peer-reviewed,
English
language
articles
journals
five
databases.
Data
were
extracted
analysed
address
aim
study.
Qualitative
content
analysis
was
used
analyse
items
containing
more
extensive
information.
The
searches
yielded
2,949
articles.
results
236
presented.
Almost
fifty
different
terms
found
describing
adaptations,
variety
significantly
smaller.
Various
measures
and/or
assess
identified.
Framework
Reporting
Modifications-Expanded
categorise
information
about
adaptations.
Most
concerned
modifications
planned
rather
than
unplanned.
Thirty-eight
frameworks
implementation
identified,
fourteen
dealt
with
Fidelity
increasingly
focus
studies.
contributes
increased
knowledge
have
been
Язык: Английский
Lessons Learned from a Community-led, Pilot Teletherapy Group for Older Women Living with Depression and HIV
AIDS and Behavior,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 2, 2024
Язык: Английский
Exploring mental health professionals’ experience, training, and clinical preparedness to provide care for LGBTQIA+ individuals
Sri Janani Vasanth Marar,
Ilakkiya Lakshmanan,
C.N Ramgopal
и другие.
Опубликована: Дек. 31, 2024
Introduction.
LGBTQIA+
individuals
face
disproportionately
high
levels
of
mental
health
challenges,
exacerbated
by
discrimination,
stigma,
and
inadequate
care
from
untrained
professionals.
Despite
evolving
societal
attitudes,
barriers
to
accessing
persist,
mainly
due
professionals’
lack
formal
training
in
affirmative
care.
This
study
examines
the
training,
experience,
self-perceived
clinical
preparedness
professionals
providing
individuals.
Methods.
A
cross-sectional
survey
was
conducted
with
68
professionals,
including
psychologists,
psychiatrists,
psychology
trainees.
The
assessed
their
care,
years
provide
Results.
revealed
that
many
participants
(n
=
54,
79.4%)
lacked
53,
77.9%)
reported
feeling
inadequately
prepared
for
significant
positive
correlation
found
between
experience
(r
0.240,
p
<
0.05),
but
no
identified
preparedness.
unexpected
result
may
be
limited
scope
or
insufficient
depth
existing
programs
continued
supervision
following
introductory
training.
Conclusion.
highlights
urgent
need
structured
education.
Integrating
such
into
national
curricula
licensing
is
essential.
Future
research
should
explore
broader
populations
specific
elements
contribute
most
Язык: Английский