Jbi Evidence Implementation最新文献

{"title":"Prevention of incontinence-associated dermatitis among residents in long-term care facilities: a best practice implementation project.","authors":"Yu-Chia Chang, Wen-Yu Hu, Yun-Chen Chang","doi":"10.1097/XEB.0000000000000583","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000583","url":null,"abstract":"<p><strong>Introduction: </strong>Incontinence-associated dermatitis (IAD) is a significant health concern in long-term care facilities (LTCFs), with prevalence rates ranging from 3.4% to 50% globally. In Taiwan, factors such as prolonged diaper use, limited verbal communication among residents, and insufficient caregiver training exacerbate IAD risks. Additionally, language barriers and fragmented documentation contribute to inconsistent care delivery.</p><p><strong>Objectives: </strong>This project aimed to improve early identification and assessment of IAD risk factors; implement evidence-based skin protection strategies; and standardize incontinence management in a 108-bed LTCF in Taiwan.</p><p><strong>Methods: </strong>This project followed the JBI Evidence Implementation Framework, which is grounded in an audit and feedback approach. A baseline audit was conducted to evaluate current practices against evidence-based criteria for IAD prevention. Following the identification of barriers to compliance with recommendations, interventions were designed, including staff education on IAD assessment, standardized skin care and evaluation protocols, and enhanced documentation practices. Participants included 90 residents, 8 nurses, and 18 caregivers. Two follow-up audits evaluated improvements in compliance with best practices.</p><p><strong>Results: </strong>The baseline audit revealed significant gaps in IAD assessment consistency and caregiver knowledge. Post-intervention audits showed a marked improvement in adherence to risk assessments and skin care protocols. Training sessions enhanced staff competency, especially among foreign caregivers, through the use of multilingual educational materials. Notably, the intervention identified barriers related to language and training, while also creating opportunities for more consistent care delivery.</p><p><strong>Conclusions: </strong>Ther systematic implementation of evidence-based practices reduced IAD incidence and improved care quality. Sustainability requires ongoing audits, tailored training, and institutional policy integration. This project highlights the feasibility of standardized IAD management in resource-limited LTCFs, with particular attention to the role of caregiver training and communication across different caregiver groups.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A551.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting and supporting breastfeeding by midwives and nurses in a Romanian obstetrics ward: a best practice implementation project.","authors":"Ionela Emanuela Răducanu, Daniela Stan, Monica Teodor, Nicoleta Popa, Claudia Elena Dobre, Viorica Nedelcu, Doina Carmen Mazilu","doi":"10.1097/XEB.0000000000000617","DOIUrl":"10.1097/XEB.0000000000000617","url":null,"abstract":"<p><strong>Introduction: </strong>Breastfeeding promotion and support are essential for maternal and child health.</p><p><strong>Objective: </strong>This project aimed to improve breastfeeding promotion and support practices in an obstetrics ward of a specialized Romanian hospital.</p><p><strong>Methods: </strong>This project followed the JBI methodological model for best practice implementation. Data collection was carried out using an audit questionnaire with 11 evidence-based audit criteria. After the implementation of improvement strategies (education, updating protocols, promotional materials, development of a breastfeeding support group), a follow-up audit was conducted to measure any changes in compliance.</p><p><strong>Results: </strong>The follow-up audit showed significant progress compared to the initial assessment, with six audit criteria obtaining 100% compliance. For the remaining four criteria, compliance ranged from 58% to 97%, indicating notable but uneven progress. The last criterion (rooming-in) increased only modestly (17% to 36%), marking a positive but slower improvement compared to the other areas evaluated.</p><p><strong>Conclusions: </strong>By implementing strategies aimed at changing current breastfeeding practices, involving nurses and midwives, and through sustained institutional support, the project objectives have been achieved. However, periodic implementation of improvement strategies is necessary to maintain the positive results achieved and to improve aspects of inadequate compliance. Moreover, to assess the sustainability of the results and to extend best practices to all wards and professional categories, future audits of clinical practice will be necessary.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A619.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving sleep for hospital inpatients: a best practice implementation project.","authors":"Rosalind Elliott, Julia K Pilowsky, Felicity Dick-Smith, Sally Duncan, Kris Rogers, Caryl Barnes, Allison Tyndall, Vanya Ripley, Suzy Russell, Suzy Ladanyi, Sheila Jala, Pamela Wall, Naomi Hammond","doi":"10.1097/XEB.0000000000000599","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000599","url":null,"abstract":"<p><strong>Introduction: </strong>Patients often experience sleep disruption in hospital, which may prolong recovery and healing. Previous studies focusing on behavior change have ignored specific context implementation factors, resulting in limited improvements in patient sleep.</p><p><strong>Objectives: </strong>The aim of this study was to improve patient sleep through the implementation of a standardized patient self-report sleep assessment scale, together with a comprehensive evidence-based nocturnal sleep guideline for patients.</p><p><strong>Methods: </strong>This study was conducted in two acute care wards in a 500-bed public tertiary referral hospital in Sydney, Australia. The study used the seven-phase JBI Evidence Implementation Framework, which is grounded in an audit and feedback process. Data were gathered through assessment of patients' self-reported sleep and semi-structured interviews with nurses and doctors. The resulting data and the Behaviour Change Wheel (BCW) informed the context-specific implementation strategy. A follow-up audit was then used to measure the effectiveness of the implementation strategy.</p><p><strong>Results: </strong>Patients' self-reported quality of sleep remained unchanged; however, their perception of sound levels was lower post-implementation (median 49.0 [20.5] versus 23.0 [16.2-54.0]). Use of the sleep assessment scale was low. The main barrier was that nurses perceived documentation as a burden. Doctors reported that they were unaware of the sleep assessment scale and guideline post-implementation.</p><p><strong>Conclusions: </strong>Despite there being little uptake of the sleep assessment scale, there was evidence of some changes in practice relevant to sound reduction, which is key to improving sleep quality in hospitals. Documentation burden was a barrier for the uptake of the sleep assessment scale.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A581.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cancer pain management among surgical patients in an oncology hospital in Portugal: a best practice implementation project.","authors":"Cristina Costeira, Isabel Morais, Dulce Helena Carvalho, Ana Filipa Sousa, Ana Rosete Oliveira, Ivo Paiva, Rogério Rodrigues, Daniela Cardoso","doi":"10.1097/XEB.0000000000000621","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000621","url":null,"abstract":"<p><strong>Introduction: </strong>Cancer incidence is rising globally, with over half of new patients expected to experience pain. Although effective pain control is achievable in about 70% of cases, only one-third receive adequate treatment.</p><p><strong>Objectives: </strong>This project aimed to improve compliance with evidence-based practices for cancer pain management in a surgical oncology hospital in Portugal.</p><p><strong>Methods: </strong>This project followed the seven-phase JBI Evidence Implementation. A baseline audit assessed compliance with eight evidence-based criteria derived from a JBI Best Practice Summary entitled Cancer Pain: Assessment. Data from 50 patients and 21 nurses were analyzed using JBI PACES. Barriers were identified using the JBI GRiP tool, and tailored strategies were implemented, including staff education, written materials, redesign of documentation, and motivational actions. A follow-up audit measured changes.</p><p><strong>Results: </strong>The baseline results revealed major gaps in compliance, with some criteria at 0%. After implementation, substantial improvements were observed across all eight criteria, with average compliance increasing to 94.5%. Written information for patients, non-pharmacological strategies, and nurse education demonstrated the most notable improvement. Challenges related to workload, documentation routines, and cultural perceptions of patient participation persisted.</p><p><strong>Conclusions: </strong>This project demonstrated that structured evidence implementation, supported by clinical leadership, staff engagement, targeted education, and practical tools, can significantly improve adherence to best practices in cancer pain management. Sustaining these gains will require ongoing audit cycles, continued training, and institutional support.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A635.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and implementing an MSM-led, community-based HIV service model in South Sulawesi: an implementation research process evaluation.","authors":"Sudirman, Nittaya Phanuphak, Siti Nadia Tarmizi, Kiat Ruxrungtham","doi":"10.1097/XEB.0000000000000620","DOIUrl":"10.1097/XEB.0000000000000620","url":null,"abstract":"<p><strong>Introduction: </strong>HIV is concentrated among men who have sex with men (MSM) in Indonesia, yet integrated community-led HIV services remain limited outside major cities.</p><p><strong>Aim: </strong>As part of a three-phase implementation research project adapting Thailand's Key Population-Led Health Services approach, we present the Phase 2 pilot implementation of an MSM-led, community-based service (CBS) model in South Sulawesi, focusing on predefined process indicators and early adoption signals. Phase 3 implementation outcomes are not reported.</p><p><strong>Methods: </strong>We conducted a process evaluation in Makassar City and Bulukumba Regency. Strategies included 3-day competency-based training for community health workers, a 1-week supervised internship at public primary health centers ( puskesmas ), engagement with health authorities to obtain designation letters and commitments for rapid test supplies, and the establishment of two static CBS sites. We summarized quantitative indicators descriptively and analyzed open-ended feedback and implementation records using conventional content analysis.</p><p><strong>Results: </strong>Fourteen MSM community health workers completed training and met minimum competency thresholds (attendance, knowledge, skills). All completed internships at eight puskesmas . District/city health offices issued designation letters for internship/referral sites and committed HIV/syphilis rapid diagnostic tests. Two static CBS sites were launched. Satisfaction was high; 92.9% reported the training was too short and requested longer practicum time, indicating a feasibility-acceptability trade-off.</p><p><strong>Conclusions: </strong>The pilot achieved key start-up milestones and demonstrated early adoption of an MSM-led CBS model linked to puskesmas in a non-metropolitan province. The findings will guide refinement of training, supervision, and logistics, and inform Phase 3 measurement, including fidelity.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A628.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standardizing oral care practices to address non-ventilated hospital-acquired pneumonia: a best practice implementation project.","authors":"Philbert Dela Pena, Elisa Jang, Adam S Cooper","doi":"10.1097/XEB.0000000000000612","DOIUrl":"10.1097/XEB.0000000000000612","url":null,"abstract":"<p><strong>Introduction: </strong>Oral care is frequently missed during a patient's hospitalization, and this continued pattern can lead to adverse outcomes, such as increased non-ventilated hospital-acquired pneumonia (NV-HAP) incidence.</p><p><strong>Objective: </strong>This evidence implementation project aimed to address NV-HAP in a large academic medical center.</p><p><strong>Methods: </strong>The JBI Evidence Implementation Framework was used to guide this project. Following a baseline audit using five evidence-based criteria, barriers to best practice were identified, namely, lack of knowledge of oral care practices, availability of supplies, and missing electronic health record (EHR) fields. Strategies used to address the barriers included staff education, collaboration with material management to procure new supplies, and partnership with clinical informatics to create new EHR fields specific to oral care. Three follow-up audits were conducted to measure improvements in compliance.</p><p><strong>Results: </strong>The baseline audit indicated poor compliance with best practices. After implementing improvement strategies, follow-up data showed overall improvement in four of the five audit criteria. The number of aspiration pneumonia not present on admission (NPOA) decreased by 32 cases over the 4 months after implementation.</p><p><strong>Conclusions: </strong>A standardized oral care workflow can effectively maintain oral hygiene for patients in acute and transitional care units. Clinical audits, staff feedback, and ongoing education can improve compliance with oral care practices, such as twice-daily teeth brushing, denture sanitation, and par-level maintenance of oral care supplies. An area of opportunity was the consistent usage of patient safety signage for the prevention of aspiration events. Sustained focus on all criteria remains necessary to optimize adherence and reduce the risk of NV-HAP.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A609.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing the safe and effective use of short-term indwelling urinary catheters in post-operative patients: a best practice implementation project.","authors":"Lei Shi, Shan Li, Qiuge Qiao, Limin Nie, Lianyun Wang, Lei Xia, Lihua Zhang, Yanni Wu","doi":"10.1097/XEB.0000000000000609","DOIUrl":"10.1097/XEB.0000000000000609","url":null,"abstract":"<p><strong>Objective: </strong>This project aimed to promote evidence-based practices regarding the safe and effective use of short-term indwelling urinary catheters in post-operative patients in surgical departments of tertiary hospitals in China.</p><p><strong>Methods: </strong>Guided by the JBI Evidence Implementation Framework, a baseline audit was conducted to identify gaps between best evidence and current practice in different departments. Barriers to evidence implementation were identified, and tailored strategies were implemented. Two follow-up audits were performed to evaluate the effectiveness of these interventions.</p><p><strong>Results: </strong>The baseline audit revealed compliance rates of 0% for criterion 2, 80.6% for criterion 3, 98% for criterion 4, 68.7% for criterion 6, 64% for criterion 8, and 52% for criterion 9, with the remaining three criteria achieving 100% compliance. After implementing strategies, such as providing sterile wipes, introducing catheter fixation devices made with strong adhesive and breathable tape, developing educational videos, conducting targeted staff training, and strengthening communication among health care professionals, compliance rates improved. Following two rounds of follow-up audits, criterion 2 remained at 0%, criterion 6 increased to 96%, and all other criteria reached 100% compliance.</p><p><strong>Conclusion: </strong>This evidence implementation project effectively improved compliance with best practice recommendations for the safe and effective use of short-term indwelling urinary catheters in post-operative patients within surgical departments.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A611.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selecting the appropriate venous device in a tertiary hospital in São Paulo, Brazil: a best practice implementation project.","authors":"Emerson Gonçalves Oliveira, Fernanda Ferreira Nascimento, Jerusa de Oliveira Armani, Romeu Duarte Correia, Lígia Maria Abraão, Larissa de Oliveira Silva Bertacchini, Vilanice Alves de Araújo Püschel","doi":"10.1097/XEB.0000000000000615","DOIUrl":"10.1097/XEB.0000000000000615","url":null,"abstract":"<p><strong>Introduction: </strong>The proper selection of venous devices is essential in infusion therapy, and the use of a flowchart to select the appropriate catheter type supports better therapy outcomes and prevents adverse events in patients.</p><p><strong>Objective: </strong>The aim of this project was to improve selection of the appropriate venous device by nurses through the implementation of best practices in a tertiary hospital in São Paulo, Brazil.</p><p><strong>Method: </strong>This best practice implementation project followed the seven-phase JBI evidence implementation methodology, which is centered on audit, feedback, and the management of barriers and facilitators. The project was carried out in two hospital units, one for frail and elderly inpatients and the other for semi-intensive care patients.</p><p><strong>Results: </strong>Eight audit criteria were used. An improvement was observed in the nursing team's knowledge of the availability and use of the flowchart for selecting the appropriate venous catheter, which increased from 88.9% to 100%. There was also a 54.2% reduction in cases involving multiple peripheral puncture attempts. Among the 40 medical records reviewed, 70% of the patients who required intravenous therapy for more than 5 days in the follow-up audit received the appropriate vascular device.</p><p><strong>Conclusion: </strong>There was an improvement in the team's knowledge, use of the flowchart, and appropriate selection of venous devices, especially for prolonged therapies. The audits reinforced evidence-based practice, promoted more accurate records, and helped maintain quality of care.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A613.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-operative acute pain assessment and management in breast cancer patients: a best practice implementation project.","authors":"Xuemei Zhong, Huang Tang, Caixia Wu, Li Zhang, Wenting Chen, Qinghua Li, Qiaoyan Ou, Hui Xu","doi":"10.1097/XEB.0000000000000606","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000606","url":null,"abstract":"<p><strong>Introduction: </strong>Surgery is a common treatment method for breast cancer. After surgery, patients may experience acute pain, which can exacerbate their suffering and negatively affect their post-operative recovery.</p><p><strong>Objectives: </strong>This project aimed to enhance the assessment and management of acute pain after breast cancer surgery in a large tertiary hospital in China.</p><p><strong>Methods: </strong>This project followed the seven steps of the JBI Evidence Implementation Framework. Through a baseline audit, the practice gap was identified. The JBI Getting Research into Practice (JBI GRiP) tool was also used to analyze barriers, strategies, and resources. Based on this analysis, the best evidence was translated into a specific implementation plan, which included training nurses in pain assessment and management, providing patient health education, formulating relevant systems and process, incorporating traditional Chinese medicine interventions, and updating the electronic pain assessment form. The project's effectiveness was evaluated by comparing data from the baseline and follow-up audit.</p><p><strong>Results: </strong>In the baseline audit, except for Criterion 1 which achieved 100%, the other criteria ranged from 0% to 22.5%. The barrier analysis identified insufficient knowledge, lack of pain management process and tools, and the absence of effective non-pharmaceutical measures. After implementing the improvement strategies, a follow-up audit showed that, except for Criterion 13, each criterion exceeded 80%, with four achieving 100%.</p><p><strong>Conclusions: </strong>This study indicated that by implementing strategies with systematic nurse training, optimization of processes and tools, and traditional Chinese medicine intervention can enhance the quality of post-operative acute pain assessment and management and nurse's compliance with best practices.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translating evidence into practice: stakeholder prioritization of implementation strategies for delivering STRONGER with AGE in community leisure settings.","authors":"Ashley Gluchowski, Marlena Klaic","doi":"10.1097/XEB.0000000000000607","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000607","url":null,"abstract":"<p><strong>Background: </strong>Despite robust evidence and international consensus for muscle-strengthening exercise, less than one in four adults meet recommended guidelines. Sustainable implementation of strength training interventions into community practice are hindered by a range of barriers, highlighting the need for a rigorous participatory approach to plan for successful and sustainable delivery.</p><p><strong>Purpose: </strong>This study aimed to (1) apply implementation mapping to identify individual and contextual barriers and facilitators influencing adoption and delivery of STRONGER with AGE, an evidence-based strength training program for healthy aging, in community leisure settings, and (2) select stakeholder-prioritized strategies to enhance future adoption and implementation.</p><p><strong>Methods: </strong>We conducted a mixed methods study, engaging stakeholders from three boroughs in Greater Manchester, UK. Participants included adopters (n = 8; e.g., managers) and implementers (n = 11; exercise instructors). A structured workshop integrated the Consolidated Framework for Implementation Research, the Theoretical Domains Framework, and validated implementation outcome measures. Implementation mapping Tasks 1-3 were applied to translate barriers and facilitators into performance and change objectives and to identify possible implementation strategies.</p><p><strong>Results: </strong>Task 1 identified a range of barriers and facilitators: adopters were concerned with staffing, finances, and organizational priorities, while implementers reported gaps in knowledge and skills. Task 2 clarified adoption and implementation outcomes, while Task 3 mapped change objectives to 19 implementation strategies and six behavior change techniques.</p><p><strong>Conclusion: </strong>Implementation mapping enabled a structured, theory-driven approach to developing context-specific strategies for the future delivery of STRONGER with AGE in community leisure settings. Differentiating adopters and implementers highlighted role-specific influences and priorities. This study provides a replicable framework to strengthen local implementation readiness, inform future feasibility and scalability testing, and improve community-based practice and public health services.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A604.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}