Advancing healthcare equity through dissemination and implementation science

Health Services Research, Год журнала: 2023, Номер 58(S3), С. 327 - 344

Опубликована: Май 23, 2023

To provide guiding principles and recommendations for how approaches from the field of dissemination implementation (D&I) science can advance healthcare equity.

Язык: Английский

---

Challenges and Opportunities for Paving the Road to Global Health Equity Through Implementation Science

Annual Review of Public Health, Год журнала: 2024, Номер 45(1), С. 27 - 45

Опубликована: Янв. 2, 2024

Implementation science focuses on enhancing the widespread uptake of evidence-based interventions into routine practice to improve population health. However, optimizing implementation promote health equity in domestic and global resource-limited settings requires considering historical sociopolitical processes (e.g., colonization, structural racism) centering local sociocultural indigenous cultures values. This review weaves together principles decolonization antiracism inform critical reflexive perspectives partnerships that incorporate a focus science, with goal making progress toward equity. From an perspective, wesynthesize examples public interventions, strategies, outcomes applied are promising for equity, alongside examination partnerships, context, frameworks operationalized these studies. We conclude key future directions optimize application justice orientation

Язык: Английский

---

A scoping review of equity-focused implementation theories, models and frameworks in healthcare and their application in addressing ethnicity-related health inequities

Implementation Science, Год журнала: 2023, Номер 18(1)

Опубликована: Окт. 16, 2023

Inequities in implementation contribute to the unequal benefit of health interventions between groups people with differing levels advantage society. Implementation science theories, models and frameworks (TMFs) provide a theoretical basis for understanding multi-level factors that influence outcomes are used guide processes. This study aimed identify analyse TMFs have an equity focus or been implement populations who experience ethnicity 'race'-related inequities.A scoping review was conducted relevant literature published from January 2011 April 2022 by searching electronic databases (MEDLINE CINAHL), Dissemination model database, hand-searching key journals reference lists citations studies met inclusion criteria. Titles, abstracts full-text articles were screened independently at least two researchers. Data extracted meeting criteria, including characteristics, TMF description operationalisation. categorised as determinant frameworks, classic process evaluation according their overarching aim described respect how system-level influencing incorporated.Database searches yielded 610 results, 70 which eligible review, 18 A further eight publications identified additional sources. In total, 26 papers describing 15 operationalisation included. Categorisation resulted four one theory, six three frameworks. One framework included elements determinant, therefore classified 'hybrid' framework. varied systems focus. Twelve had established applied context. All partially considered systems-level factors, five fully considering macro-, meso- micro-level influences on implementation.This identifies summarises available support equity-focused implementation. may be resource selection illustrate utilised activities.

Язык: Английский

---

Community and partner engagement in dissemination and implementation research at the National Institutes of Health: an analysis of recently funded studies and opportunities to advance the field

Implementation Science Communications, Год журнала: 2023, Номер 4(1)

Опубликована: Июль 12, 2023

As the focus has grown in recent years on both engaged research and dissemination implementation (D&I) research, so too federal funding to support these areas. The purpose of this analysis is provide an overall perspective about range practices approaches being used engage partners D&I with special attention disparities-relevant identify gaps opportunities funded by US National Institutes Health (NIH) space.

Язык: Английский

---

The Application and Evolution of the Practical, Robust Implementation and Sustainability Model (PRISM): History and Innovations

Global Implementation Research and Applications, Год журнала: 2024, Номер 4(4), С. 404 - 420

Опубликована: Авг. 31, 2024

Implementation science theories, models, and frameworks (TMF) should help users understand complex issues in translating research into practice, guide selection of appropriate implementation strategies, evaluate outcomes. They also be sensitive to evidence from projects that apply the framework, evolve based on those experiences, accessible a range users. This paper describes these as they relate Practical, Robust Sustainability Model (PRISM). PRISM was created assess key multilevel contextual factors related reach, effectiveness, adoption, implementation, maintenance (RE-AIM) outcomes health interventions. We describe aspects how it has been applied, evolved, adapted across settings, time, content areas. Since its development 2008 used over 200 publications, with increased use recent years. It for wide variety purposes more applications have focused increasing accessibility non-researcher groups rapid iterative application learning heath systems. applied address equity including representation, representativeness, co-creation activities both US non-US settings. common types adaptations made by teams when applying fit resources priorities diverse low-resource conclude summarizing lessons learned providing recommendations future practice using PRISM.

Язык: Английский

---

Speeding implementation in cancer: The National Cancer Institute’s Implementation Science Centers in Cancer Control

JNCI Journal of the National Cancer Institute, Год журнала: 2022, Номер 115(2), С. 131 - 138

Опубликована: Окт. 31, 2022

Abstract The National Cancer Institute’s Implementation Science Centers in Control (ISC3) Network represents a large-scale initiative to create an infrastructure support and enable the efficient, effective, equitable translation of approaches evidence-based treatments reduce cancer risk improve outcomes. This MoonshotSM–funded ISC3 consists 7 P50 that advance rapid development, testing, refinement innovative implement range control interventions. were designed have research-practice partnerships at their core opportunity for series pilot studies could explore new sometimes risky ideas embed 2-way engagement collaboration essential stimulating lasting change. also seeks enhance capacity researchers, practitioners, communities apply implementation science approaches, methods, measures. Organizing Framework guides work highlights collective set 3 areas within among Centers, including 1) assess incorporate dynamic, multilevel context; 2) develop conduct responsive methods studies; 3) build knowledge development exchange. Core operating principles undergird include open collaboration, consideration dynamic context, multiple partners pragmatic health equity facilitate leadership building across control.

Язык: Английский

---

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

Human Vaccines & Immunotherapeutics, Год журнала: 2023, Номер 19(1)

Опубликована: Янв. 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.

Язык: Английский

---

The iPRISM webtool: an interactive tool to pragmatically guide the iterative use of the Practical, Robust Implementation and Sustainability Model in public health and clinical settings

Implementation Science Communications, Год журнала: 2023, Номер 4(1)

Опубликована: Сен. 19, 2023

To increase uptake of implementation science (IS) methods by researchers and implementers, many have called for ways to make it more accessible intuitive. The purpose this paper is describe the iPRISM webtool (Iterative, Practical, Robust Implementation Sustainability Model) how interactive tool operationalizes PRISM assess guide a program's (a) alignment with context, (b) progress on pragmatic outcomes, (c) potential adaptations, (d) future sustainability across stages lifecycle.We used an iterative human-centered design process develop webtool.We conducted user-testing 28 individual team-based users who were English Spanish speaking from diverse settings in various implementing different types programs. Users provided input all aspects including its purpose, content, assessment items, visual feedback displays, navigation, application. Participants generally expressed interest using high likelihood recommending others. guides Spanish-speaking through iteratively applying lifecycle program facilitate systematic context. summarizes responses graphical tabular displays then feasible impactful adaptations corresponding action plans. Equity considerations are integrated throughout.The can intuitively individuals teams IS adapt programs align context lifecycle. Future research application will continue evaluate resource.

Язык: Английский

---

Exploring the Role of Communication Asset Mapping (CAM) as a Strategy to Promote Hereditary Cancer Risk Assessment Information Within African American Communities

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(1), С. 75 - 75

Опубликована: Янв. 8, 2025

Objective: African Americans (AAs) carry the largest burden for almost every type of cancer in US and are also more likely to die from cancer. Approximately 10% cancers can be explained by a hereditary factor detected earlier. Many AAs, however, have inequitable access risk assessment (HCRA) tools information, further exacerbating disparities rates. Innovative communication strategies promote community-based HCRA information promise as means encouraging optimal primary screening among AAs. The current pilot study followed participatory process where researchers engaged with Community Advisory Board (CAB) explore how Communication Asset Mapping (CAM) could assist lay health advisors dissemination evidence-based HC/RA within AA faith communities. Methods: research team CAB conducted exploratory community-engaged group discussions residents (n = 21) guided Infrastructure Theory, used mapping inform development CAM strategy. Results: Through textual analysis, following conclusions were reached: (1) locations (e.g., community centers) specified neighborhood networks should representatives who trusted ambassadors dissemination; (2) member voices fully represent network community-engagement process; (3) well-known frequented geographic provide true representation participants' neighborhoods create robust concerning HCRA. Conclusions: appreciated engagement they felt that its impact was limited due lack their identify important resources dissemination. CAM, therefore, is an public strategy identification useful these networks. helpful pinpointing people critical communicators emerging akin

Язык: Английский

---

Novel Survivorship Paradigms in Head/Neck Cancer

Seminars in Radiation Oncology, Год журнала: 2025, Номер 35(2), С. 285 - 300

Опубликована: Март 14, 2025

Язык: Английский

---