1,577 results match your criteria Implementation Science [Journal]


Clinical performance comparators in audit and feedback: a review of theory and evidence.

Implement Sci 2019 Apr 24;14(1):39. Epub 2019 Apr 24.

NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.

Background: Audit and feedback (A&F) is a common quality improvement strategy with highly variable effects on patient care. It is unclear how A&F effectiveness can be maximised. Since the core mechanism of action of A&F depends on drawing attention to a discrepancy between actual and desired performance, we aimed to understand current and best practices in the choice of performance comparator. Read More

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http://dx.doi.org/10.1186/s13012-019-0887-1DOI Listing

Exploring the effect of implementation and context on a stepped-wedge randomised controlled trial of a vital sign triage device in routine maternity care in low-resource settings.

Implement Sci 2019 Apr 18;14(1):38. Epub 2019 Apr 18.

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, SE1 7EH, UK.

Background: Interventions aimed at reducing maternal mortality are increasingly complex. Understanding how complex interventions are delivered, to whom, and how they work is key in ensuring their rapid scale-up. We delivered a vital signs triage intervention into routine maternity care in eight low- and middle-income countries with the aim of reducing a composite outcome of morbidity and mortality. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-019-0885-3DOI Listing
April 2019
2 Reads

Costs of implementing and sustaining enhanced collaborative care programs involving community partners.

Implement Sci 2019 Apr 18;14(1):37. Epub 2019 Apr 18.

Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Box 356560, Seattle, WA, 98195-6560, USA.

Background: Collaborative care is an evidence-based program for treating depression in primary care. We sought to expand this model by recruiting clinics interested in incorporating community partners (i.e. Read More

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http://dx.doi.org/10.1186/s13012-019-0882-6DOI Listing

Longitudinal assessment of the association between implementation strategy use and the uptake of hepatitis C treatment: Year 2.

Implement Sci 2019 Apr 8;14(1):36. Epub 2019 Apr 8.

Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive, Pittsburgh, PA, USA.

Background: To increase the uptake of evidence-based treatments for hepatitis C (HCV), the Department of Veterans Affairs (VA) established the Hepatitis Innovation Team (HIT) Collaborative. Teams of providers were tasked with choosing implementation strategies to improve HCV care. The aim of the current evaluation was to assess how site-level implementation strategies were associated with HCV treatment initiation and how the use of implementation strategies and their association with HCV treatment changed over time. Read More

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http://dx.doi.org/10.1186/s13012-019-0881-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454775PMC

Do the key functions of an intervention designed from the same specifications vary according to context? Investigating the transferability of a public health intervention in France.

Implement Sci 2019 Apr 2;14(1):35. Epub 2019 Apr 2.

UMR1027, Université de Toulouse, UPS, Inserm, Toulouse, France.

Background: The processes at play in the implementation of one program in different contexts are complex and not yet well understood. In order to facilitate both the analysis and transfer of interventions, a "key functions/implementation/context" (FIC) model was developed to structure the description of public health interventions by distinguishing their potentially transferable dimensions (their "key functions") from those associated with their translation within a specific context (their "form"). It was used to describe and compare preschool preventative nutrition interventions routinely implemented across three territories, in accordance with same national specifications. Read More

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http://dx.doi.org/10.1186/s13012-019-0880-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446375PMC
April 2019
1 Read

How the study of networks informs knowledge translation and implementation: a scoping review.

Implement Sci 2019 03 27;14(1):34. Epub 2019 Mar 27.

School of Health Studies, Western University, Arthur and Sonia Labatt Health Sciences Building, Room 222, London, ON, V6A 5B9, Canada.

Background: To date, implementation science has focused largely on identifying the individual and organizational barriers, processes, and outcomes of knowledge translation (KT) (including implementation efforts). Social network analysis (SNA) has the potential to augment our understanding of KT success by applying a network lens that examines the influence of relationships and social structures on research use and intervention acceptability by health professionals. The purpose of this review was to comprehensively map the ways in which SNA methodologies have been applied to the study of KT with respect to health professional networks. Read More

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http://dx.doi.org/10.1186/s13012-019-0879-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6437864PMC
March 2019
1 Read

Specifying and comparing implementation strategies across seven large implementation interventions: a practical application of theory.

Implement Sci 2019 03 21;14(1):32. Epub 2019 Mar 21.

Department of Family Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, Portland, OR, 97239, USA.

Background: The use of implementation strategies is an active and purposive approach to translate research findings into routine clinical care. The Expert Recommendations for Implementing Change (ERIC) identified and defined discrete implementation strategies, and Proctor and colleagues have made recommendations for specifying operationalization of each strategy. We use empirical data to test how the ERIC taxonomy applies to a large dissemination and implementation initiative aimed at taking cardiac prevention to scale in primary care practice. Read More

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http://dx.doi.org/10.1186/s13012-019-0876-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429753PMC

Using implementation facilitation to implement primary care mental health integration via clinical video telehealth in rural clinics: protocol for a hybrid type 2 cluster randomized stepped-wedge design.

Implement Sci 2019 03 21;14(1):33. Epub 2019 Mar 21.

Department of Psychiatry, University of Arkansas for Medical Sciences, 4301 West Markham, Little Rock, AR, USA.

Background: Integrating mental health providers into primary care clinics improves access to and outcomes of mental health care. In the Veterans Health Administration (VA) Primary Care Mental Health Integration (PCMHI) program, mental health providers are co-located in primary care clinics, but the implementation of this model is challenging outside large VA medical centers, especially for rural clinics without full mental health staffing. Long wait times for mental health care, little collaboration between mental health and primary care providers, and sub-optimal outcomes for rural veterans could result. Read More

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http://dx.doi.org/10.1186/s13012-019-0875-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429823PMC
March 2019
2 Reads

Bridging the knowledge-practice gap in tuberculosis contact management in a high-burden setting: a mixed-methods protocol for a multicenter health system strengthening study.

Implement Sci 2019 03 19;14(1):31. Epub 2019 Mar 19.

Global and Tropical Health, Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.

Background: People in close contact with tuberculosis should have screening and appropriate management, as an opportunity for active case detection and prevention. However, implementation of tuberculosis contact screening and management is limited in high-burden settings. Behaviour change is needed across three levels of the healthcare system-policymakers, healthcare providers, and patients. Read More

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http://dx.doi.org/10.1186/s13012-019-0870-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425655PMC
March 2019
5 Reads
4.122 Impact Factor

The health equity implementation framework: proposal and preliminary study of hepatitis C virus treatment.

Implement Sci 2019 03 12;14(1):26. Epub 2019 Mar 12.

Center for Mental Healthcare & Outcomes Research, Central Arkansas Veterans Healthcare System, U.S. Department of Veterans Affairs, 2200 Fort Roots Drive, 152 NLR, North Little Rock, AR, 72114, USA.

Background: Researchers could benefit from methodological advancements to advance uptake of new treatments while also reducing healthcare disparities. A comprehensive determinants framework for healthcare disparity implementation challenges is essential to accurately understand an implementation problem and select implementation strategies.

Methods: We integrated and modified two conceptual frameworks-one from implementation science and one from healthcare disparities research to develop the Health Equity Implementation Framework. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-019-0861-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417278PMC
March 2019
8 Reads

A stepped-wedge cluster randomized trial designed to improve completion of HPV vaccine series and reduce missed opportunities to vaccinate in rural primary care practices.

Implement Sci 2019 03 14;14(1):30. Epub 2019 Mar 14.

Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA.

Objectives: To test the effectiveness of a comprehensive team-based intervention to improve human papillomavirus (HPV) vaccination completion rates and reduce missed opportunities to vaccinate in rural Oregon.

Design: Stepped-wedge cluster randomized trial.

Participants: Forty family physicians and pediatricians who are members of the Oregon Rural Practice-based Research Network. Read More

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http://dx.doi.org/10.1186/s13012-019-0871-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417191PMC
March 2019
3 Reads

Individual and organizational factors that affect implementation of evidence-based practices for children with autism in public schools: a cross-sectional observational study.

Implement Sci 2019 03 13;14(1):29. Epub 2019 Mar 13.

Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd floor, Philadelphia, PA, 19104, USA.

Background: Children with autism receive most of their intervention services in public schools, but implementation of evidence-based practices (EBPs) for autism varies. Studies suggest that individual (attitudes) and organizational characteristics (implementation leadership and climate) may influence providers' use of EBPs, but research is relatively limited in this area. This study examined individual and organizational factors associated with implementation of three EBPs-discrete trial training, pivotal response training, and visual schedules-for children with autism in special education classrooms in public elementary schools. Read More

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http://dx.doi.org/10.1186/s13012-019-0877-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417160PMC
March 2019
2 Reads

Testing the leadership and organizational change for implementation (LOCI) intervention in Norwegian mental health clinics: a stepped-wedge cluster randomized design study protocol.

Implement Sci 2019 03 13;14(1):28. Epub 2019 Mar 13.

Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive (0812), La Jolla, San Diego, CA, 92093-0812, USA.

Background: Alignment across levels of leadership within an organization is needed for successful implementation of evidence-based practice. The leadership and organizational change for implementation (LOCI) intervention is a multi-faceted multilevel implementation strategy focusing on enhancing first-level general and implementation leadership while also engaging with organization upper management to develop an organizational climate for implementation. The aim of the project is to evaluate the effectiveness of LOCI in supporting the implementation of evidence-based treatment for PTSD in child- and adult-specialized mental health clinics in health trusts in Norway. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-019-0873-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417075PMC
March 2019
9 Reads

Measurement Training and Feedback System for Implementation of family-based services for adolescent substance use: protocol for a cluster randomized trial of two implementation strategies.

Implement Sci 2019 03 11;14(1):25. Epub 2019 Mar 11.

Department of Psychology, Sam Houston State University, Huntsville, TX, USA.

Background: This article describes a study protocol for testing the Measurement Training and Feedback System for Implementation (MTFS-I) and comparing two implementation strategies for MTFS-I delivery. MTFS-I is a web-based treatment quality improvement system designed to increase the delivery of evidence-based interventions for behavioral health problems in routine care settings. This version of MTFS-I focuses on family-based services (FBS) for adolescent substance use. Read More

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http://dx.doi.org/10.1186/s13012-019-0874-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416843PMC

Stroke Ready: a multi-level program that combines implementation science and community-based participatory research approaches to increase acute stroke treatment: protocol for a stepped wedge trial.

Implement Sci 2019 03 7;14(1):24. Epub 2019 Mar 7.

Stroke Program, University of Michigan Medical School, 1500 E Medical Center Dr, Ann Arbor, MI, 48109, USA.

Background: Post-stroke disability is common, costly, and projected to increase. Acute stroke treatments can substantially reduce post-stroke disability, but few patients take advantage of these cost-effective treatments. Practical, cost-efficient, and sustainable interventions to address underutilized acute stroke treatments are currently lacking. Read More

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http://dx.doi.org/10.1186/s13012-019-0869-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407173PMC
March 2019
1 Read

Understanding contexts: how explanatory theories can help.

Authors:
Frank Davidoff

Implement Sci 2019 03 6;14(1):23. Epub 2019 Mar 6.

, Lexington, USA.

Objective: To rethink the nature and roles of context in ways that help improvers implement effective, sustained improvement interventions in healthcare quality and safety.

Design: Critical analysis of existing concepts of context; synthesis of those concepts into a framework for the construction of explanatory theories of human environments, including healthcare systems.

Data Sources: Published literature in improvement science, as well as in social, organization, and management sciences. Read More

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http://dx.doi.org/10.1186/s13012-019-0872-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404339PMC

Impact of team configuration and team stability on primary care quality.

Implement Sci 2019 03 6;14(1):22. Epub 2019 Mar 6.

Section of Health Services Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.

Background: The science of effective teams is well documented; far less is known, however, about how specific team configurations may impact primary care team effectiveness. Further, teams experiencing frequent personnel changes (perhaps as a consequence of poor implementation) may have difficulty delivering effective, continuous, well-coordinated care. This study aims to examine the extent to which primary care clinics in the Veterans Health Administration have implemented team configurations consistent with recommendations based on the Patient-Centered Medical Home model and the extent to which adherence to said recommendations, team stability, and role stability impact healthcare quality. Read More

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http://dx.doi.org/10.1186/s13012-019-0864-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404317PMC
March 2019
2 Reads

Factors influencing national implementation of innovations within community pharmacy: a systematic review applying the Consolidated Framework for Implementation Research.

Implement Sci 2019 03 4;14(1):21. Epub 2019 Mar 4.

Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, 40 Taylor Street, Robertson Trust Wing, Glasgow, G4 0RE, UK.

Background: To meet emergent healthcare needs, innovations need to be implemented into routine clinical practice. Community pharmacy is increasingly considered a setting through which innovations can be implemented to achieve positive service and clinical outcomes. Small-scale pilot programmes often need scaled up nation-wide to affect population level change. Read More

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http://dx.doi.org/10.1186/s13012-019-0867-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398232PMC

Effect of enhancing audit and feedback on uptake of childhood pneumonia treatment policy in hospitals that are part of a clinical network: a cluster randomized trial.

Implement Sci 2019 03 4;14(1):20. Epub 2019 Mar 4.

Health Services Unit, Kenya Medical Research Institute/Wellcome Trust Research Programme, Nairobi, Kenya.

Background: The World Health Organization (WHO) revised its clinical guidelines for management of childhood pneumonia in 2013. Significant delays have occurred during previous introductions of new guidelines into routine clinical practice in low- and middle-income countries (LMIC). We therefore examined whether providing enhanced audit and feedback as opposed to routine standard feedback might accelerate adoption of the new pneumonia guidelines by clinical teams within hospitals in a low-income setting. Read More

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http://dx.doi.org/10.1186/s13012-019-0868-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398235PMC
March 2019
2 Reads
4.122 Impact Factor

Preferences for peer-reviewed versus other publication sources: a survey of general dentists in the National Dental PBRN.

Implement Sci 2019 03 1;14(1):19. Epub 2019 Mar 1.

School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, USA.

Background: Medical professionals have access to a broad range of resources to address clinical information needs. While much attention is given to new sources of data such as those available on the internet, it is less clear how clinicians choose between peer-reviewed research literature and other publication-based sources. This analysis distinguishes between possible drivers of publication type preference (namely, practice setting, advanced training, professional development experiences). Read More

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http://dx.doi.org/10.1186/s13012-019-0854-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6397483PMC

Building capacity for Public Health 3.0: introducing implementation science into an MPH curriculum.

Implement Sci 2019 02 28;14(1):18. Epub 2019 Feb 28.

Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA.

Background: Many public health programs fail because of an inability to implement tested interventions in diverse, complex settings. The field of implementation science is engaged in developing strategies for successful implementation, but current training is primarily researcher-focused. To tackle the challenges of the twenty-first century, public health leaders are promoting a new model titled Public Health 3. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-019-0866-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396520PMC
February 2019
5 Reads

A randomised controlled trial of performance review and facilitated feedback to increase implementation of healthy eating and physical activity-promoting policies and practices in centre-based childcare.

Implement Sci 2019 02 18;14(1):17. Epub 2019 Feb 18.

School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.

Background: While it is recommended that childcare services implement policies and practices to support obesity prevention, there remains limited evidence to inform policy and practice. The aim of this study is to examine the effectiveness of performance review and facilitated feedback in increasing the implementation of healthy eating and physical activity-promoting policies and practices in childcare services.

Methods: The study was conducted with childcare services in the Hunter New England region of New South Wales, Australia. Read More

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http://dx.doi.org/10.1186/s13012-019-0865-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380016PMC
February 2019
2 Reads

Implementation capital: merging frameworks of implementation outcomes and social capital to support the use of evidence-based practices.

Implement Sci 2019 02 14;14(1):16. Epub 2019 Feb 14.

Department of Psychology, Michigan State University, 316 W. Physics Rd., East Lansing, 48824, MI, USA.

Background: Although there is growing recognition that the implementation of evidence-based practices is a social process, the conceptualization of social capital in implementation frameworks often conflates bonding and bridging social capital. This conflation makes it difficult to concretely operationalize social capital and limits the concept's utility for explaining implementation outcomes.

Discussion: We propose a new framework of implementation capital that merges an existing conceptual framework of implementation outcomes with an existing operational framework of social capital. Read More

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http://dx.doi.org/10.1186/s13012-019-0860-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376677PMC
February 2019

The role of scientific evidence in decisions to adopt complex innovations in cancer care settings: a multiple case study in Nova Scotia, Canada.

Implement Sci 2019 02 12;14(1):14. Epub 2019 Feb 12.

Department of Surgery, Dalhousie University, Room 8-032, Centennial Building, 1276 South Park Street, Halifax, Nova Scotia, B3H 2Y9, Canada.

Background: Health care delivery and outcomes can be improved by using innovations (i.e., new ideas, technologies, and practices) supported by scientific evidence. Read More

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http://dx.doi.org/10.1186/s13012-019-0859-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371509PMC
February 2019

Organizational culture and climate profiles: relationships with fidelity to three evidence-based practices for autism in elementary schools.

Implement Sci 2019 02 12;14(1):15. Epub 2019 Feb 12.

Department of Speech and Hearing Sciences, University of Washington, 1417 NE 42nd St, Seattle, WA, 98105, USA.

Background: Implementation researchers have typically studied organizational culture and climate by testing whether individual dimensions are linked to the implementation of evidence-based practices (EBPs) rather than examining how the overarching social context influences implementation. This approach may limit implementation theory and strategy development to the extent that individual dimensions of culture and climate interact, mutually reinforce or counteract one another, or exhibit non-linear relationships. This study tests whether empirically identifiable culture and climate profiles emerge in a sample of organizations and examines how these profiles relate to EBP fidelity and work attitudes that support EBP sustainment, focusing on three EBPs for youth with autism delivered in schools as an example. Read More

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http://dx.doi.org/10.1186/s13012-019-0863-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373074PMC
February 2019
1 Read

Correction to: Hospital organizational context and delivery of evidence-based stroke care: a cross-sectional study.

Implement Sci 2019 02 8;14(1):13. Epub 2019 Feb 8.

Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3, Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.

Following publication of the original article [1], the authors reported an error in one of the authors' names. In this Correction the incorrect and correct author name are shown. The original article has been corrected. Read More

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http://dx.doi.org/10.1186/s13012-019-0862-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367782PMC
February 2019
2 Reads

Implementation and acceptability of a heart attack quality improvement intervention in India: a mixed methods analysis of the ACS QUIK trial.

Implement Sci 2019 02 6;14(1):12. Epub 2019 Feb 6.

Department of Medicine, Northwestern University Feinberg School of Medicine, 680 N. Lake Shore Drive, Suite 1400, Chicago, IL, 60611, USA.

Background: The ACS QUIK trial showed that a multicomponent quality improvement toolkit intervention resulted in improvements in processes of care for patients with acute myocardial infarction in Kerala but did not improve clinical outcomes in the context of background improvements in care. We describe the development of the ACS QUIK intervention and evaluate its implementation, acceptability, and sustainability.

Methods: We performed a mixed methods process evaluation alongside a cluster randomized, stepped-wedge trial in Kerala, India. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-019-0857-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364470PMC
February 2019
9 Reads

Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the Veterans Health Administration.

Implement Sci 2019 02 1;14(1):11. Epub 2019 Feb 1.

Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Stanford University, 795 Willow Rd, Menlo Park, CA, 94025, USA.

Background: It is challenging to conduct and quickly disseminate findings from in-depth qualitative analyses, which can impede timely implementation of interventions because of its time-consuming methods. To better understand tradeoffs between the need for actionable results and scientific rigor, we present our method for conducting a framework-guided rapid analysis (RA) and a comparison of these findings to an in-depth analysis of interview transcripts.

Methods: Set within the context of an evaluation of a successful academic detailing (AD) program for opioid prescribing in the Veterans Health Administration, we developed interview guides informed by the Consolidated Framework for Implementation Research (CFIR) and interviewed 10 academic detailers (clinical pharmacists) and 20 primary care providers to elicit detail about successful features of the program. Read More

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http://dx.doi.org/10.1186/s13012-019-0853-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359833PMC
February 2019
1 Read

Understanding professional advice networks in long-term care: an outside-inside view of best practice pathways for diffusion.

Implement Sci 2019 01 30;14(1):10. Epub 2019 Jan 30.

Dalla Lana School of Public Health, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Background: Interpersonal relationships among professionals drive both the adoption and rejection of consequential innovations. Through relationships, decision-makers learn which colleagues are choosing to adopt innovations, and why. The purpose of our study was to understand how and why long-term care (LTC) leaders in a pan-Canadian interpersonal network provide and seek advice about care improvement innovations, for the eventual dissemination and implementation of these innovations. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-019-0858-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354382PMC
January 2019
6 Reads

Study protocol: a pragmatic, stepped-wedge trial of tailored support for implementing social determinants of health documentation/action in community health centers, with realist evaluation.

Implement Sci 2019 01 28;14(1). Epub 2019 Jan 28.

OCHIN, Inc, 1881 SW Naito Pkwy, Portland, OR, 97201, USA.

Background: National leaders recommend documenting social determinants of health and actions taken to address social determinants of health in electronic health records, and a growing body of evidence suggests the health benefits of doing so. However, little evidence exists to guide implementation of social determinants of health documentation/action.

Methods: This paper describes a 5-year, mixed-methods, stepped-wedge trial with realist evaluation, designed to test the impact of providing 30 community health centers with step-by-step guidance on implementing electronic health record-based social determinants of health documentation. Read More

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http://dx.doi.org/10.1186/s13012-019-0855-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348649PMC
January 2019

A randomized trial of decision support for tobacco dependence treatment in an inpatient electronic medical record: clinical results.

Implement Sci 2019 01 22;14(1). Epub 2019 Jan 22.

Department of Psychiatry, Yale School of Medicine, New Haven, USA.

Background: Smokers usually abstain from tobacco while hospitalized but relapse after discharge. Inpatient interventions may encourage sustained quitting. We previously demonstrated that a decision support tool embedded in an electronic health record (EHR) improved physicians' treatment of hospitalized smokers. Read More

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http://dx.doi.org/10.1186/s13012-019-0856-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343239PMC
January 2019
2 Reads

Barriers and facilitators of pediatric shared decision-making: a systematic review.

Implement Sci 2019 01 18;14(1). Epub 2019 Jan 18.

Faculty of Health Sciences, University of Ottawa, 540 King Edward Avenue, Ottawa, ON, K1N 6N5, Canada.

Background: Shared decision-making (SDM) is rarely implemented in pediatric practice. Pediatric health decision-making differs from that of adult practice. Yet, little is known about the factors that influence the implementation of pediatric shared decision-making (SDM). Read More

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http://dx.doi.org/10.1186/s13012-018-0851-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339273PMC
January 2019
2 Reads

Protocol for evaluating the nationwide implementation of the VA Stratification Tool for Opioid Risk Management (STORM).

Implement Sci 2019 01 18;14(1). Epub 2019 Jan 18.

Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh, Pittsburgh, PA, USA.

Background: Mitigating the risks of adverse outcomes from opioids is critical. Thus, the Veterans Affairs (VA) Healthcare System developed the Stratification Tool for Opioid Risk Management (STORM), a dashboard to assist clinicians with opioid risk evaluation and mitigation. Updated daily, STORM calculates a "risk score" of adverse outcomes (e. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-019-0852-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339438PMC
January 2019
13 Reads
4.122 Impact Factor

Hospital organizational context and delivery of evidence-based stroke care: a cross-sectional study.

Implement Sci 2019 01 18;14(1). Epub 2019 Jan 18.

Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3, Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.

Background: Organizational context is one factor influencing the translation of evidence into practice, but data pertaining to patients with acute stroke are limited. We aimed to determine the associations of organizational context in relation to four important evidence-based stroke care processes.

Methods: This was a mixed methods cross-sectional study. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0849-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339367PMC
January 2019
9 Reads

Evaluation of a targeted, theory-informed implementation intervention designed to increase uptake of emergency management recommendations regarding adult patients with mild traumatic brain injury: results of the NET cluster randomised trial.

Implement Sci 2019 01 17;14(1). Epub 2019 Jan 17.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Background: Evidence-based guidelines for management of mild traumatic brain injury (mTBI) in the emergency department (ED) are now widely available; however, clinical practice remains inconsistent with these guidelines. A targeted, theory-informed implementation intervention (Neurotrauma Evidence Translation (NET) intervention) was designed to increase the uptake of three clinical practice recommendations regarding the management of patients who present to Australian EDs with mild head injuries. The intervention involved local stakeholder meetings, identification and training of nursing and medical local opinion leaders, train-the-trainer workshops and standardised education materials and interactive workshops delivered by the opinion leaders to others within their EDs during a 3 month period. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0841-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337860PMC
January 2019
15 Reads

Intermediary/purveyor organizations for evidence-based interventions in the US child mental health: characteristics and implementation strategies.

Implement Sci 2019 01 14;14(1). Epub 2019 Jan 14.

Washington University Brown School of Social Work, One Brookings Drive, St. Louis, MO, 63130, USA.

Background: Many psychosocial interventions are disseminated and supported by organizations, termed "Intermediary/Purveyor Organizations" (IPOs). Because IPOs remain largely unstudied, we lack understanding of their scale and the strategies they utilize. The role and function of organizations that link resource systems with user systems, such as IPOs, have been identified as an important but understudied issue in implementation science. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0845-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332855PMC
January 2019
14 Reads

Mixed-method approaches to strengthen economic evaluations in implementation research.

Implement Sci 2019 01 11;14(1). Epub 2019 Jan 11.

Department of Health Management and Policy, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109, USA.

Background: Guidance from economic evaluations on which implementation strategies represent the best return on investment will be critical to advancing the Triple Aim of health care: improving patient care and population health while minimizing per-capita cost. The results of traditional (quantitative) economic evaluations are limited by a remaining "qualitative residual" of contextual information and stakeholders perspectives, which cannot be captured by monetary values alone and is particularly prevalent in implementation science research. The emergence of qualitative methods for economic evaluation offers a promising solution. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0850-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329154PMC
January 2019
11 Reads

Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework.

Implement Sci 2019 01 5;14(1). Epub 2019 Jan 5.

Child and Adolescent Services Research Center, 3665 Kearny Villa Rd., Suite 200N, San Diego, CA, 92123, USA.

Background: Effective implementation of evidence-based practices (EBPs) remains a significant challenge. Numerous existing models and frameworks identify key factors and processes to facilitate implementation. However, there is a need to better understand how individual models and frameworks are applied in research projects, how they can support the implementation process, and how they might advance implementation science. Read More

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http://dx.doi.org/10.1186/s13012-018-0842-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321673PMC
January 2019

Improving inappropriate medication and information transfer at hospital discharge: study protocol for a cluster RCT.

Implement Sci 2018 12 27;13(1):155. Epub 2018 Dec 27.

Institute of Primary Care (IHAMZ), University and University Hospital of Zurich, Pestalozzistrasse 24, CH-8091, Zurich, Switzerland.

Background: Inappropriate medication and polypharmacy increase morbidity, hospitalisation rate, costs and mortality in multimorbid patients. At hospital discharge of elderly patients, polypharmacy is often even more pronounced than at admission. However, the optimal discharge strategy in view of sustained medication appropriateness remains unclear. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0839-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309068PMC
December 2018
10 Reads

Implementation science in resource-poor countries and communities.

Implement Sci 2018 12 27;13(1):154. Epub 2018 Dec 27.

Africa Health Research Institute (AHRI), KwaZulu-Natal, South Africa.

Background: Implementation science in resource-poor countries and communities is arguably more important than implementation science in resource-rich settings, because resource poverty requires novel solutions to ensure that research results are translated into routine practice and benefit the largest possible number of people.

Methods: We reviewed the role of resources in the extant implementation science frameworks and literature. We analyzed opportunities for implementation science in resource-poor countries and communities, as well as threats to the realization of these opportunities. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0847-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307212PMC
December 2018
3 Reads

A WHO-HPH operational program versus usual routines for implementing clinical health promotion: an RCT in health promoting hospitals (HPH).

Implement Sci 2018 12 22;13(1):153. Epub 2018 Dec 22.

Clinical Health Promotion Centre, WHO-CC, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospitals, Nordre Fasanvej 57, Build. 14, Entr. 5, 2nd fl, 2000, Frederiksberg, Denmark.

Background: Implementation of clinical health promotion (CHP) aiming at better health gain is slow despite its effect. CHP focuses on potentially modifiable lifestyle risks such as smoking, alcohol, diet, and physical inactivity. An operational program was created to improve implementation. Read More

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http://dx.doi.org/10.1186/s13012-018-0848-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304000PMC
December 2018
2 Reads

Applying modern measurement approaches to constructs relevant to evidence-based practice among Canadian physical and occupational therapists.

Implement Sci 2018 12 18;13(1):152. Epub 2018 Dec 18.

McGill University, Montreal, QC, Canada.

Background: Evidence-based practice (EBP) is a complex process. To quantify it, one has to also consider individual and contextual factors using multiple measures. Modern measurement approaches are available to optimize the measurement of complex constructs. Read More

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http://dx.doi.org/10.1186/s13012-018-0844-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299597PMC
December 2018
2 Reads

Human papillomavirus vaccine delivery in Mozambique: identification of implementation performance drivers using the Consolidated Framework for Implementation Research (CFIR).

Implement Sci 2018 12 13;13(1):151. Epub 2018 Dec 13.

Department of Global Health, University of Washington, Harris Hydraulics Laboratory, 1510 San Juan Road, Seattle, WA, 98195, USA.

Background: Since 2012 Gavi, the Vaccine Alliance has provided financial support for HPV vaccine introduction in low- and middle-income countries (LMICs); however, funding has been contingent on establishing a demonstration project prior to national scale-up, in order to gauge effectiveness of delivery models. Although by 2016, most beneficiary countries had completed demonstration projects, few have scaled up delivery nationwide. An important barrier was the dearth of published, country-specific implementation recommendations. Read More

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http://dx.doi.org/10.1186/s13012-018-0846-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293623PMC
December 2018
2 Reads

Middle managers' role in implementing evidence-based practices in healthcare: a systematic review.

Implement Sci 2018 12 12;13(1):149. Epub 2018 Dec 12.

Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, 150 South Huntington Avenue (152M), Jamaica Plain Campus, Building 9, Boston, MA, 02130, USA.

Background: Middle managers are in a unique position to promote the implementation of evidence-based practices (EBPs) in healthcare organizations, yet knowledge of middle managers' role in implementation and determinants (e.g., individual-, organizational-, and system-level factors) which influence their role remains fractured, spanning decades and disciplines. Read More

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http://dx.doi.org/10.1186/s13012-018-0843-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292008PMC
December 2018
3 Reads

German language questionnaires for assessing implementation constructs and outcomes of psychosocial and health-related interventions: a systematic review.

Implement Sci 2018 12 12;13(1):150. Epub 2018 Dec 12.

Department for Evidence-based Medicine and Clinical Epidemiology, Danube-University Krems, Dr.-Karl-Dorrek Strasse 30, 3500, Krems a.d. Donau, Austria.

Background: Over the past years, implementation science has gained more and more importance in German-speaking countries. Reliable and valid questionnaires are needed for evaluating the implementation of evidence-based practices. On an international level, several initiatives focused on the identification of questionnaires used in English-speaking countries but limited their search processes to mental health and public health settings. Read More

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http://dx.doi.org/10.1186/s13012-018-0837-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292038PMC
December 2018
1 Read

Correction to: Improving care at scale: process evaluation of a multi-component quality improvement intervention to reduce mortality after emergency abdominal surgery (EPOCH trial).

Implement Sci 2018 12 10;13(1):148. Epub 2018 Dec 10.

THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Cambridge, UK.

Following the publication of this article [1], the authors reported a number of errors which are given below. Read More

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http://dx.doi.org/10.1186/s13012-018-0840-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287357PMC
December 2018
1 Read

Economic evaluation of the NET intervention versus guideline dissemination for management of mild head injury in hospital emergency departments.

Implement Sci 2018 12 5;13(1):147. Epub 2018 Dec 5.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Background: Evidence-based guidelines for the management of mild traumatic brain injury (mTBI) in the emergency department (ED) are now widely available, and yet, clinical practice remains inconsistent with the guidelines. The Neurotrauma Evidence Translation (NET) intervention was developed to increase the uptake of guideline recommendations and improve the management of minor head injury in Australian emergency departments (EDs). However, the adoption of this type of intervention typically entails an upfront investment that may or may not be fully offset by improvements in clinical practice, health outcomes and/or reductions in health service utilisation. Read More

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http://dx.doi.org/10.1186/s13012-018-0834-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280545PMC
December 2018
2 Reads

The Swedish version of the Normalization Process Theory Measure S-NoMAD: translation, adaptation, and pilot testing.

Implement Sci 2018 12 4;13(1):146. Epub 2018 Dec 4.

School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.

Background: The original British instrument the Normalization Process Theory Measure (NoMAD) is based on the four core constructs of the Normalization Process Theory: Coherence, Cognitive Participation, Collective Action, and Reflexive Monitoring. They represent ways of thinking about implementation and are focused on how interventions can become part of everyday practice.

Aim: To translate and adapt the original NoMAD into the Swedish version S-NoMAD and to evaluate its psychometric properties based on a pilot test in a health care context including in-hospital, primary, and community care contexts. Read More

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http://dx.doi.org/10.1186/s13012-018-0835-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278165PMC
December 2018
2 Reads

Testing implementation facilitation of a primary care-based collaborative care clinical program using a hybrid type III interrupted time series design: a study protocol.

Implement Sci 2018 11 29;13(1):145. Epub 2018 Nov 29.

Pain Research, Informatics, Multimorbidities and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, USA.

Background: Dissemination of evidence-based practices that can reduce morbidity and mortality is important to combat the growing opioid overdose crisis in the USA. Research and expert consensus support reducing high-dose opioid therapy, avoiding risky opioid-benzodiazepine combination therapy, and promoting multi-modal, collaborative models of pain care. Collaborative care interventions that support primary care providers have been effective in medication tapering. Read More

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http://dx.doi.org/10.1186/s13012-018-0838-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262952PMC
November 2018
4 Reads

De-implementation of low value castration for men with prostate cancer: protocol for a theory-based, mixed methods approach to minimizing low value androgen deprivation therapy (DeADT).

Implement Sci 2018 11 29;13(1):144. Epub 2018 Nov 29.

VA HSR&D Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Road, Ann Arbor, MI, 48105, USA.

Background: Men with prostate cancer are often castrated with long-acting injectable drugs termed androgen deprivation therapy (ADT). Although many benefit, ADT is also used in patients with little or nothing to gain. The best ways to stop this practice are unknown, and range from blunt pharmacy restrictions to informed decision-making. Read More

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http://dx.doi.org/10.1186/s13012-018-0833-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262964PMC
November 2018
4 Reads