The Double-Edged Sword of Translational Research: Stakeholder Perspectives of the Enablers and Challenges Implementing Anorexia Nervosa Treatment in Rural Health Settings
Ashlea Hambleton, Verusha Kandar, Jane Miskovic-Wheatley, Sabina Vatter, Daniel Le Grange, Stephen Touyz, Sarah Maguire
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引用次数: 0
Abstract
Objective
To explore the translational research processes that emerged at the early phase of the implementation of telehealth-delivered family-based therapy (FBT) for young people with anorexia nervosa (AN) attending Australian rural health services.
Setting
Commencing mid-2019, five rural health districts across New South Wales (NSW) participated in the study.
Participants
Nine stakeholders, including study coordinators, clinicians and eating disorder coordinators, participated in a semi-structured interview during the early implementation of telehealth-delivered FBT.
Design
Inductive thematic analysis methodology was used to identify key research factors that enabled and challenged the implementation.
Results
The translational research improved patient access to evidence-based care, afforded health services access to clinical expertise, workforce training and supervision and assisted with meeting government directives of improving care pathways. However, the study and intervention implementation were challenged by research-related factors, including ethical and clinical dilemmas, the burden of stakeholders holding multiple roles and general challenges associated with integrating research into non-academic health services.
Conclusion
To optimise implementation and to bridge the access gaps particularly felt by rural families and health settings, translational studies ought to consider the enablers and challenges identified by the stakeholders.
期刊介绍:
The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.