Background
The
Power
Over
Pain
(POP)
Portal
is
a
digital
platform
that
provides
people
living
with
pain
(PLWP)
flexible
access
to
chronic
self-management
resources.
Aims
To
(1)
determine
the
feasibility
of
an
adequately-powered
multisite
trial
POP
in
tertiary
settings;
(2)
understand
acceptability
and
usability
Portal;
(3)
explore
clinical
effectiveness
among
PLWP
awaiting
first
visit
care
clinic.
Methods
Mixed-methods
pilot-feasibility
study
inform
future
definitive
trial.
Feasibility
was
assessed
using
recruitment
retention
rates.
Acceptability,
usability,
patient
outcomes
were
measured
validated
surveys
completed
at
baseline
3-month
follow-up,
semistructured
interviews
conducted
after
follow-up.
Results
Forty-one
participants
follow-up
nine
interviews.
We
reached
rate
83.75%
61.19%,
respectively.
There
reduction
interference
(
p
=
.024)
belief
medical
cure
.033)
for
3
months.
Surveys
indicate
satisfied
Portal,
it
had
good
usability.
Some
indicated
overwhelming,
certain
resources
difficult
access,
indicating
modifications
could
be
made
improve
ease
use.
Conclusions
deemed
acceptable
usability;
however,
modification
may
improvement.
A
can
proceed
enhancements
portal,
protocol,
close
monitoring.
Implementation Science,
Год журнала:
2023,
Номер
18(1)
Опубликована: Июль 25, 2023
Abstract
Background
Proctor
and
colleagues’
2011
paper
proposed
a
taxonomy
of
eight
implementation
outcomes
challenged
the
field
to
address
research
agenda
focused
on
conceptualization,
measurement,
theory
building.
Ten
years
later,
this
maps
field’s
progress
in
research.
This
scoping
review
describes
how
each
outcome
has
been
studied,
designs
methods
used,
contexts
settings
represented
current
literature.
We
also
describe
role
relation
strategies
other
outcomes.
Methods
Arksey
O’Malley’s
framework
for
conducting
reviews
guided
our
methods.
Using
forward
citation
tracing,
we
identified
all
literature
citing
paper.
conducted
search
Web
Science
(WOS)
database
added
alerts
sent
first
author
from
publisher
6-month
period
coinciding
with
WOS
search.
produced
1346
titles
abstracts.
Initial
abstract
screening
yielded
480
manuscripts,
full-text
400
manuscripts
that
met
inclusion
criteria
(empirical
assessment
at
least
one
outcome).
Results
Slightly
more
than
half
(52.1%)
included
examined
acceptability.
Fidelity
(39.3%),
feasibility
(38.6%),
adoption
(26.5%),
appropriateness
(21.8%)
were
commonly
examined.
Penetration
(16.0%),
sustainability
(15.8%),
cost
(7.8%)
less
frequently
Thirty-two
not
original
taxonomy.
Most
studies
took
place
healthcare
(45.8%)
or
behavioral
health
(22.5%)
organizations.
Two-thirds
used
observational
designs.
found
little
evidence
testing
relationships
between
outcomes,
leaving
us
ill-prepared
know
achieve
success.
Moreover,
few
tested
impact
important
types,
such
as
service
systems
improved
individual
population
health.
Conclusions
Our
presents
comprehensive
snapshot
questions
being
addressed
by
existing
reveals
need
rigorous,
analytic
tests
attaining
next
10
CA A Cancer Journal for Clinicians,
Год журнала:
2023,
Номер
73(5), С. 461 - 479
Опубликована: Июнь 17, 2023
Abstract
There
remains
a
need
to
synthesize
linkages
between
social
determinants
of
health
(SDOH)
and
cancer
screening
reduce
persistent
inequities
contributing
the
US
burden.
The
authors
conducted
systematic
review
US‐based
breast,
cervical,
colorectal,
lung
intervention
studies
summarize
how
SDOH
have
been
considered
in
interventions
relationships
screening.
Five
databases
were
searched
for
peer‐reviewed
research
articles
published
English
2010
2021.
Covidence
software
platform
was
used
screen
extract
data
using
standardized
template.
Data
items
included
study
characteristics,
components
measures,
outcomes.
findings
summarized
descriptive
statistics
narratives.
144
among
diverse
population
groups.
increased
rates
overall
by
median
8.4
percentage
points
(interquartile
interval,
1.8–18.8
points).
objective
most
increase
community
demand
(90.3%)
access
(84.0%)
related
care
quality
prevalent
(227
unique
components).
Other
SDOH,
including
educational,
social/community,
environmental,
economic
factors,
less
common
(90,
52,
21,
zero
components,
respectively).
Studies
that
analyses
policy,
care,
lower
costs
yielded
largest
proportions
favorable
associations
with
predominantly
measured
at
individual
level.
This
describes
design
evaluation
effect
sizes
interventions.
Findings
may
guide
future
implementation
aiming
inequities.
Prevention Science,
Год журнала:
2023,
Номер
25(S1), С. 174 - 189
Опубликована: Окт. 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.
Annual Review of Psychology,
Год журнала:
2023,
Номер
75(1), С. 55 - 85
Опубликована: Сен. 19, 2023
Men
who
have
sex
with
men
(MSM)
are
disproportionately
affected
by
HIV,
accounting
for
two-thirds
of
HIV
cases
in
the
United
States
despite
representing
∼5%
adult
population.
Delivery
and
use
existing
highly
effective
prevention
treatment
strategies
remain
suboptimal
among
MSM.
To
summarize
state
science,
we
systematically
review
implementation
determinants
HIV-related
health
interventions
using
science
frameworks.
Research
on
barriers
has
focused
predominantly
characteristics
individual
recipients
(e.g.,
ethnicity,
age,
drug
use)
less
so
deliverers
nurses,
physicians),
little
focus
system-level
factors.
Similarly,
most
target
to
influence
their
uptake
adherence,
rather
than
improving
supporting
systems.
research
is
burgeoning;
future
needed
broaden
examination
at
provider
system
levels,
as
well
expand
knowledge
how
match
barriers—particularly
address
stigma.
Collaboration
coordination
federal,
state,
local
public
agencies;
community-based
organizations;
care
providers;
scientists
important
successful
innovations.
Journal of Consulting and Clinical Psychology,
Год журнала:
2023,
Номер
91(4), С. 189 - 191
Опубликована: Фев. 13, 2023
This
article
discusses
psychosocial
interventions
in
the
contexts
they
are
meant
to
be
delivered.
Prevention
and
intervention
science
often
follow
linear
pathway
of
preclinical
or
pre-intervention
research-efficacy
trials,
effectiveness
implementation
studies-with
assessment
translation
into
public
population
health
impact
occurring
at
end.
translational
follows
stages
developed
for
ascertaining
safe,
efficacious,
effective
dosages
biological
compounds.
approach
has
created
limitations
need
rapidly
deploy
complex,
multi-component,
multilevel
approaches
change
behavior
improve
widespread
practice
diverse
clinical
settings.
While
it
is
important
use
efficacy
trials
when
safety
yet
established,
risks
identified
low,
as
case
interventions,
we
can
go
faster
achieve
equitable
impact.
The
authors
recommend
that
trialists
engaged
development
incorporate
two
considerations
next
generation
prevention
research.
First,
consider
moving
right
pragmatic
most
valid
test
an
est
context(s)
which
intended.
Second,
designing
studies,
investigating
questions
related
both
(i.e.,
does
outcomes)
what
supports
needed
routinely
context)
accelerate
As
a
matter
ethics
equity,
there
expedite
research-to-practice
pipeline
pace
than
made
available
through
current
approaches.
(PsycInfo
Database
Record
(c)
2023
APA,
all
rights
reserved).