Translational Behavioral Medicine最新文献

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Designing for data sharing: Considerations for advancing health equity in data management and dissemination. 设计数据共享:在数据管理和传播中促进健康公平的考虑因素。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-11-16 DOI: 10.1093/tbm/ibae049
Borsika A Rabin, Justin D Smith, Emily V Dressler, Deborah J Cohen, Rebekka M Lee, Melody S Goodman, Heather D'Angelo, Wynne E Norton, April Y Oh
{"title":"Designing for data sharing: Considerations for advancing health equity in data management and dissemination.","authors":"Borsika A Rabin, Justin D Smith, Emily V Dressler, Deborah J Cohen, Rebekka M Lee, Melody S Goodman, Heather D'Angelo, Wynne E Norton, April Y Oh","doi":"10.1093/tbm/ibae049","DOIUrl":"10.1093/tbm/ibae049","url":null,"abstract":"<p><p>Data sharing, the act of making scientific research data available to others, can accelerate innovation and discoveries, and ultimately enhance public health. The National Cancer Institute Implementation Science Centers in Cancer Control convened a diverse group of research scientists, practitioners, and community partners in three interactive workshops (May-June 2022) to identify and discuss factors that must be considered when designing research for equitable data sharing with a specific emphasis on implementation science and social, behavioral, and population health research. This group identified and operationalized a set of seven key considerations for equitable data sharing-conceptualized as an inclusive process that fairly includes the perspectives and priorities of all partners involved in and impacted by data sharing, with consideration of ethics, history, and benefits-that were integrated into a framework. Key data-sharing components particularly important for health equity included: elevating data sharing into a core research activity, incorporating diverse perspectives, and meaningfully engaging partners in data-sharing decisions throughout the project lifecycle. As the process of data sharing grows in research, it is critical to continue considering the potential positive and adverse impact of data sharing on diverse beneficiaries of health data and research.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"637-642"},"PeriodicalIF":3.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Practitioner perspectives on equitable implementation of evidence-based interventions for cancer prevention and control. 从业人员对公平实施癌症预防和控制循证干预措施的看法。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-11-16 DOI: 10.1093/tbm/ibae048
Ariella R Korn, April Y Oh, Nanmathi Manian, Sophia Tsakraklides, Lori Carter-Edwards
{"title":"Practitioner perspectives on equitable implementation of evidence-based interventions for cancer prevention and control.","authors":"Ariella R Korn, April Y Oh, Nanmathi Manian, Sophia Tsakraklides, Lori Carter-Edwards","doi":"10.1093/tbm/ibae048","DOIUrl":"10.1093/tbm/ibae048","url":null,"abstract":"<p><p>Longstanding inequities in cancer prevention and control require novel approaches to improve evidence-based intervention implementation. Exploring and elevating the perspectives of cancer prevention and control practitioners working to advance health equity and equitably implement evidence-based interventions is an important yet underutilized step among researchers working in this space. The purpose of this study was to explore practitioners' perspectives of how health equity is defined and integrated into their work, challenges of advancing health equity for implementation in local settings, and associated strategies. We conducted virtual key informant interviews and focus groups with 16 US practitioners (e.g. clinicians, health administrators, public health professionals) in 2021-2022. Interviews and focus groups were audio recorded and transcribed. Data were coded using inductive content analysis and summarized into themes. Four major themes emerged: (i) how health equity is conceptualized as a process and outcome; (ii) need to shift equity mindsets; (iii) importance of community partnerships; (iv) organizational policies and strategies for fostering equity in implementation. Respondents noted the need for research and medical communities to learn about the importance and benefits of allowing communities to shape implementation to advance equity in the delivery of evidence-based interventions and outcomes. Additionally, respondents emphasized that institutional leaders should initiate changes regarding equitable implementation at the organizational- and system-levels. Respondents endorsed the need to address equity issues related to the implementation of cancer prevention and control programs, practices, and policies. Many findings can be applied beyond cancer prevention and control to support equitable implementation and outcomes more generally.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"643-652"},"PeriodicalIF":3.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The development and evaluation of the Designing for Dissemination and Implementation Learning Hub. 传播和实施设计学习中心的开发和评估。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-11-16 DOI: 10.1093/tbm/ibae036
Michaela S McCarthy, Marina McCreight, Deisy Hernandez Lujan, Heidi Sjoberg, Catherine Battaglia
{"title":"The development and evaluation of the Designing for Dissemination and Implementation Learning Hub.","authors":"Michaela S McCarthy, Marina McCreight, Deisy Hernandez Lujan, Heidi Sjoberg, Catherine Battaglia","doi":"10.1093/tbm/ibae036","DOIUrl":"10.1093/tbm/ibae036","url":null,"abstract":"<p><p>There is a growing emphasis on reducing the gap between research and routine practice. Dissemination and Implementation (D&I) science offers theories, models, and frameworks to enhance the implementation, impact, and sustainment of new programs and interventions. Few training opportunities are available that help leaders, researchers, clinicians, and staff (implementers) translate original research into practice settings in a more timely and effective manner without requiring significant time away from their primary clinical duties. To address these needs, we designed a virtual Designing for Dissemination and Implementation (D4D&I) Learning Hub that offered foundational D&I knowledge and opportunities for skill building. We developed the D4D&I Learning Hub curricula to train novice participants in the multicomponent D4D&I implementation strategy bundle when implementing new programs or innovations. The components of the D4D&I strategy bundle include (i) Pre-implementation assessment for proactive planning and multilevel contextual assessment, (ii) Multilevel partner engagement to learn what is important to end-users and obtain buy-in, (iii) Implementation and adaptations guided by a pre-implementation assessment while retaining program fidelity, and (iv) Program evaluation. We utilized a virtual e-learning platform, expert trainers, mentorship, and a Virtual Learning Collaborative to deliver the six-module curricula to support participants' growth and success. We used quantitative and qualitative methods informed by the Kirkpatrick Evaluation Model to evaluate the D4D&I Learning Hub. Thirty-one participants completed the D4D&I Learning Hub across four cohorts. Participants found the D4D&I curricula relevant and favorable, indicating they acquired the intended knowledge and skills. In presentations of their key takeaways, participants cited a greater understanding of how to apply various D&I theories, models, and frameworks to their research, engage multilevel partners during all phases of implementation and evaluation, and assess fidelity and adaptations. Participants planned to incorporate the acquired D&I knowledge and skills in future publications, grant applications, and when implementing new programs and projects in clinical settings. The D4D&I Learning Hub provides foundational education for novice participants of D&I science. It promotes designing, disseminating, implementing, and evaluating effective programs in clinical settings. This article discusses the development and implementation of the D4D&I Learning Hub. In addition, we evaluated the first four cohorts using the Kirkpatrick Evaluation Model.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"653-660"},"PeriodicalIF":3.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of an internet-based insomnia intervention on suicidal ideation and associated correlates in veterans at elevated suicide risk. 基于互联网的失眠干预对自杀风险较高的退伍军人的自杀意念及相关联因素的影响。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-11-16 DOI: 10.1093/tbm/ibae032
Sarra Nazem, Shengnan Sun, Sean M Barnes, Lindsey L Monteith, Trisha A Hostetter, Jeri E Forster, Lisa A Brenner, Hanga Galfalvy, Fatemeh Haghighi
{"title":"Impact of an internet-based insomnia intervention on suicidal ideation and associated correlates in veterans at elevated suicide risk.","authors":"Sarra Nazem, Shengnan Sun, Sean M Barnes, Lindsey L Monteith, Trisha A Hostetter, Jeri E Forster, Lisa A Brenner, Hanga Galfalvy, Fatemeh Haghighi","doi":"10.1093/tbm/ibae032","DOIUrl":"10.1093/tbm/ibae032","url":null,"abstract":"<p><p>Improving public health approaches to suicide prevention requires scalable evidence-based interventions that can be easily disseminated. Given empirical data supporting the association between insomnia and suicide risk, internet-delivered insomnia interventions are promising candidates to meet this need. The purpose of this study was to examine whether an unguided internet-delivered cognitive-behavioral therapy for insomnia (iCBT-I) improved insomnia severity, suicidal ideation (SI), and suicide risk correlates (depression, post-traumatic stress disorder, anxiety, hostility, belongingness, hopelessness, agitation, irritability, concentration) in a sample of veterans. Secondary data analysis of Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn veterans (n = 50) with clinically significant insomnia and elevated SI drawn from a larger randomized controlled trial (RCT) of an iCBT-I, Sleep Healthy Using the Internet (SHUTi). Two-sample t-tests or Wilcoxon rank sum tests were used to evaluate between-group differences (SHUTi vs. Insomnia Education Website control) in symptom improvement from baseline to post-intervention. SHUTi participants experienced a significant improvement in insomnia severity (P < .001; d = -1.08) and a non-significant with small (subthreshold medium) effect size reduction of SI (P = .17, d = 0.40), compared to control participants. Significant improvement in hopelessness was observed (medium effect size), with non-significant small to medium effect size reductions in most remaining suicide risk correlates. Self-administered iCBT-I was associated with improvements in insomnia severity in veterans at elevated risk for suicide. These preliminary findings suggest that SI and suicide risk correlates may improve following an iCBT-I intervention, demonstrating the need for future well-powered iCBT-I RCTs targeted for populations at elevated suicide risk.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"673-683"},"PeriodicalIF":3.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scalable and successful patient portal lifestyle coaching training for primary care clinical staff. 为初级保健临床人员提供可扩展的、成功的患者门户生活方式指导培训。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-11-16 DOI: 10.1093/tbm/ibae047
Maribel Cedillo, Jesell Zepeda, Bernadette Kiraly, Michael Flynn, Paulina Larios Elizalde, Emily Zheutlin, Elizabeth A Rudd, Polina V Kukhareva, Jorie M Butler, Rachel Hess, Kensaku Kawamoto, Paul Estabrooks, Molly B Conroy
{"title":"Scalable and successful patient portal lifestyle coaching training for primary care clinical staff.","authors":"Maribel Cedillo, Jesell Zepeda, Bernadette Kiraly, Michael Flynn, Paulina Larios Elizalde, Emily Zheutlin, Elizabeth A Rudd, Polina V Kukhareva, Jorie M Butler, Rachel Hess, Kensaku Kawamoto, Paul Estabrooks, Molly B Conroy","doi":"10.1093/tbm/ibae047","DOIUrl":"10.1093/tbm/ibae047","url":null,"abstract":"<p><p>Maintaining a healthy weight postintentional weight loss is crucial for preventing chronic health conditions, yet many regain weight postintervention. Electronic health record (EHR) portals offer a promising avenue for weight management interventions, leveraging patient-primary care relationships. Our previous research demonstrated that coaching alongside self-monitoring improves weight maintenance compared to monitoring alone. Integrating weight management into routine clinical practice by training existing staff could enhance scalability and sustainability. However, challenges such as inconsistent staff qualifications and high coach turnover rates could affect intervention effectiveness. Standardizing services, training, and coaching continuity seem crucial for success. To report on developing, testing, and evaluating an EHR-based coaching training program for clinical staff, guided by an implementation tool for the MAINTAIN PRIME study. Conducted across 14 University of Utah primary care sites, we developed, tested, and evaluated a coaching training for clinical staff. Guided by a planning model and the Predisposing, Enabling, and Reinforcing (PER) tool, stakeholders actively participated in planning, ensuring alignment with clinic priorities. All clinical staff were invited to participate voluntarily. Evaluation measures included staff interest, training effectiveness, confidence, and readiness. Data collection utilized REDCap, with survey results analyzed using descriptive statistics. Despite increased clinical workload and reassignments posed by coronavirus disease 2019, we were able to train 39 clinical staff, with 34 successfully coaching patients. Feedback indicated high readiness and positive perceptions of coaching feasibility. Coaches reported satisfaction with training, support, and enjoyed establishing connections with patients. The PER strategies allowed us to implement a well-received training program found effective by primary care coaches.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"661-672"},"PeriodicalIF":3.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of an implementation premortem: A novel qualitative approach leveraging prospective hindsight to enhance barbershop health interventions for Black men. 实施前调查的应用:一种新颖的定性方法,利用前瞻性后见之明,加强针对黑人男性的理发店健康干预措施。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-10-30 DOI: 10.1093/tbm/ibae060
Guillermo M Wippold, Dylan Wong, Kaylyn A Garcia, Zion Crichlow, Sarah Grace Frary, Thrisha Mote, Derek M Griffith
{"title":"Application of an implementation premortem: A novel qualitative approach leveraging prospective hindsight to enhance barbershop health interventions for Black men.","authors":"Guillermo M Wippold, Dylan Wong, Kaylyn A Garcia, Zion Crichlow, Sarah Grace Frary, Thrisha Mote, Derek M Griffith","doi":"10.1093/tbm/ibae060","DOIUrl":"https://doi.org/10.1093/tbm/ibae060","url":null,"abstract":"<p><p>Barbershop-based efforts to promote health among Black men have been uniquely successful. Despite the success of these efforts, the emphasis on outcomes as opposed to how these outcomes can be achieved has created a gap in the literature. The present study addresses this gap by describing implementation-related program priorities that Black men identify for barbershop-based interventions. Twenty-three Black men participated in implementation premortem activities. Participants were: (i) given details about a barbershop-based health promotion effort, (ii) told that the effort had failed, and (iii) were asked to identify potential sources of program failure and strategies to overcome those challenges. The frequency of program priorities was calculated based on the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework, and focus group data were analyzed using an inductive thematic qualitative data analytic approach. Data analyses occurred in three phases: (i) excerpts were grouped by Phase, Domain, and Construct of the EPIS Framework; (ii) themes within each excerpt were then identified using an inductive approach; and (iii) themes were organized into conceptually similar and parsimonious categories. Participants suggested that the biggest source of program failure was that more attention needed to be paid to Program Fit during the Implementation Phase. Participants reported concerns with the accessibility and convenience of the effort. Additional participant concerns included economic issues, community ownership, climate, staffing processes, cultural sensitivity, engagement, and trust. The implementation of health promotion programs for Black men should pay particular attention to how the intervention fits the needs, lives, and contexts of potential participants.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-created improvement goals and strategies for implementing SBIRT and MAUD in primary care settings in a facilitator-supported, tailored implementation study. 在一项由促进者支持的定制实施研究中,共同制定了在初级保健机构中实施 SBIRT 和 MAUD 的改进目标和策略。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-10-22 DOI: 10.1093/tbm/ibae059
Erin S Kenzie, Tiff Weekley, Chrystal Barnes, Mellodie Seater, Victoria Sánchez, Brigit A Hatch, Jennifer Coury, Melinda M Davis
{"title":"Co-created improvement goals and strategies for implementing SBIRT and MAUD in primary care settings in a facilitator-supported, tailored implementation study.","authors":"Erin S Kenzie, Tiff Weekley, Chrystal Barnes, Mellodie Seater, Victoria Sánchez, Brigit A Hatch, Jennifer Coury, Melinda M Davis","doi":"10.1093/tbm/ibae059","DOIUrl":"https://doi.org/10.1093/tbm/ibae059","url":null,"abstract":"<p><p>Evidence-based approaches to screening and treatment for unhealthy alcohol use have the potential to reduce morbidity and mortality but are currently underutilized in primary care settings. To support implementation of screening, brief intervention, and referral to treatment (SBIRT) and medication-assisted treatment for alcohol use disorder (MAUD) by identifying goals co-developed by clinics and practice facilitators in a flexible implementation study. In a pragmatic implementation study, we used practice facilitation to support the implementation of SBIRT and MAUD in 48 clinical practices across Oregon, Washington, and Idaho. Our study used a tailored approach, in which facilitators and clinics co-identified implementation goals based on clinic needs. We used clinic contact logs, individual interviews, group periodic reflections with practice facilitators, and exit interviews with clinic staff to inform qualitative analysis. With support from practice facilitators, clinics identified goals spanning SBIRT, MAUD, reporting, targeted patient outreach, and quality improvement capacity. Goals addressed both the technical (e.g. data tracking) and social (e.g. staff training) aspects of SBIRT and MAUD. A decision tree summarizes emergent findings into a tool to support future implementation of SBIRT in primary care settings. A facilitator-supported, tailored approach to SBIRT implementation enabled clinics to identify a variety of goals to improve SBIRT and MAUD implementation. These identified priorities, along with a decision tree describing the hierarchical structure of these goals, could support future implementation efforts.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adaptation of a sleep hygiene intervention for individuals with poor sleep and their companions: Results of a randomized controlled pilot trial. 针对睡眠不佳者及其伴侣的睡眠卫生干预措施的调整:随机对照试点试验的结果。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-10-17 DOI: 10.1093/tbm/ibae055
Irina Mindlis, Brett M Millar, Ana Chkhaidze, Brandon Fernández Sedano, Jovanka Noel, Tracey A Revenson
{"title":"Adaptation of a sleep hygiene intervention for individuals with poor sleep and their companions: Results of a randomized controlled pilot trial.","authors":"Irina Mindlis, Brett M Millar, Ana Chkhaidze, Brandon Fernández Sedano, Jovanka Noel, Tracey A Revenson","doi":"10.1093/tbm/ibae055","DOIUrl":"https://doi.org/10.1093/tbm/ibae055","url":null,"abstract":"<p><p>Sleep is a major health issue for young adults. While sleep hygiene interventions have small-to-moderate effects, better outcomes might be achieved by delivering interventions individually to those reporting sleep difficulties, or in the presence of a supportive other or companion. To examine the feasibility, acceptability, and initial effects of an adapted sleep hygiene intervention for young adults with poor sleep, we conducted an ORBIT Phase IIb pilot randomized controlled trial (n = 51). Young adults with poor sleep were randomized to receive a sleep hygiene intervention individually or with a companion. Sleep patterns were measured at baseline and 4 weeks. Participants completed daily dairies and wore wearable devices for the month following the intervention. Attrition at follow-up was minimal (3.9%), and missing rates were low for diary data (8%), and in line with prior studies for wearable devices (14%). Participants expressed high levels of satisfaction with the study, with no differences between study arms. Significant effects were found postintervention for all participants, indicating improved sleep quality (t = 6.14, P < .001), greater sleep duration (t = 3.8, P < .001), and reduced daytime sleepiness (t = 2.13, P = .039). There were no significant differences in sleep efficiency pre and postintervention, or between study arms for any sleep outcome based on self-reported and objective data. Results from this pilot provide evidence for the feasibility and acceptability of a sleep hygiene intervention for young adults and lay the groundwork for a larger, fully powered study.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pre-implementation planning to enhance integration of HIV and behavioral health care services at two Ryan White-funded HIV care centers. 实施前规划,以加强两个瑞安-怀特资助的艾滋病毒护理中心的艾滋病毒和行为健康护理服务的整合。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-10-06 DOI: 10.1093/tbm/ibae046
Sophia A Hussen, Rosalind N Byrd, Kamini Doraivelu, Shamia J Moore, Daniel M Camp, Drew Wood-Palmer, Ameeta S Kalokhe, Eugene W Farber, Mohammed K Ali
{"title":"Pre-implementation planning to enhance integration of HIV and behavioral health care services at two Ryan White-funded HIV care centers.","authors":"Sophia A Hussen, Rosalind N Byrd, Kamini Doraivelu, Shamia J Moore, Daniel M Camp, Drew Wood-Palmer, Ameeta S Kalokhe, Eugene W Farber, Mohammed K Ali","doi":"10.1093/tbm/ibae046","DOIUrl":"10.1093/tbm/ibae046","url":null,"abstract":"<p><p>Behavioral health conditions are disproportionately experienced by people living with Human immunodeficiency virus (HIV), including young Black gay, bisexual, and other men who have sex with men (GBMSM). Left unaddressed, these symptoms can adversely impact HIV care outcomes. Improving the integration of behavioral health and HIV care services has been proposed as a strategy to address this challenge. To conduct a pre-implementation study exploring barriers and facilitators to improving HIV and behavioral health care integration at two HIV clinics in Atlanta, Georgia. We conducted a mixed-methods study guided by the Consolidated Framework for Implementation Research (CFIR). Sixty (60) HIV care providers, behavioral health care providers, and social service providers participated in cross-sectional surveys, and a subset of survey participants (15) also participated in a qualitative in-depth interview to explore CFIR constructs in greater depth. We focused on Intervention Characteristics, Outer Setting, and Inner Setting as the most relevant CFIR domains. Within each of these domains, we identified both facilitators and barriers to improving HIV and behavioral care integration in the two clinics. Participants agreed that enhancing integration would provide a relative advantage over current practice, would address young Black GBMSM and other patient needs, and would be compatible with the organizational mission. However, they also expressed concerns about complexity, resource availability, and priority relative to other clinic initiatives. Participants were enthusiastic about improving care integration but also invoked practical challenges to translating this idea into practice. Future research should test specific implementation strategies and their potential effectiveness for improving the integration of behavioral health and HIV care, as a strategy for improving well-being among young Black GBMSM and other people living with HIV.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"598-610"},"PeriodicalIF":3.6,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing intervention dissemination at scale: A qualitative study of multi-sector partner organization experiences. 优化干预措施的大规模传播:对多部门伙伴组织经验的定性研究。
IF 3.6 3区 医学
Translational Behavioral Medicine Pub Date : 2024-10-06 DOI: 10.1093/tbm/ibae042
Samuel Cassar, Jo Salmon, Anna Timperio, Byron J Powell, Jacqueline Della Gatta, Jiani Ma, Harriet Koorts
{"title":"Optimizing intervention dissemination at scale: A qualitative study of multi-sector partner organization experiences.","authors":"Samuel Cassar, Jo Salmon, Anna Timperio, Byron J Powell, Jacqueline Della Gatta, Jiani Ma, Harriet Koorts","doi":"10.1093/tbm/ibae042","DOIUrl":"10.1093/tbm/ibae042","url":null,"abstract":"<p><p>For population-wide impact of interventions, evidence-based programs must be successfully disseminated and adopted at scale. Research-practice partnerships can legitimize programs and support organizational adoption, however, ways of leveraging the contributions of partners during dissemination processes are less clear. TransformUs is a school-based physical activity and sedentary behaviour program, and since 2018, has been disseminated at scale to all primary schools in Victoria, Australia, in partnership with 16 state and national organizations. The study objective was to investigate the experiences of partner organizations disseminating TransformUs within their networks, and factors associated with awareness and adoption of the program in schools, from the perspective of partner organizations. Semi-structured interviews with representatives from 15 (out of 16) partner organizations in 2019 involved in disseminating TransformUs state-wide. An interview guide was informed by the RE-AIM framework. Interviews were audio-recorded, transcribed, and coded anonymously. Data were analysed thematically. Four themes (and 13 sub-themes) were identified: (i) organizational barriers and facilitators to dissemination; (ii) implementation support for partners; (iii) overall research experience; and (iv) dissemination strategy. Partners used multiple dissemination channels to increase adoption, and strong alignment between TransformUs and the partner organization's goals appeared to enable dissemination. Partners outlined several local, regional, and state organizations to partner with, and offered suggestions regarding preferred content and timing of dissemination activities for their networks. Researchers planning research-practice partnerships should proactively consider organizational barriers partners may face during dissemination. Regular communication and feedback on dissemination outcomes may contribute to positive research-practice experiences and allow for tailored dissemination strategies.</p>","PeriodicalId":48679,"journal":{"name":"Translational Behavioral Medicine","volume":" ","pages":"621-633"},"PeriodicalIF":3.6,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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