Global implementation research and applications最新文献

{"title":"iTRAIN During iCARE Nigeria: Virtual Implementation Research Training Course Nested Within an Ongoing Trial.","authors":"Kehinde M Kuti, Aima A Ahonkhai, Bibilola Oladeji, Sarah Zechariah, Chibueze Adirieje, Temitope Omotosho, Olayinka Omigbodun, Nadia A Sam-Agudu, Lisa M Kuhns, Robert Garofalo, Babafemi Taiwo, Lisa R Hirschhorn","doi":"10.1007/s43477-025-00152-y","DOIUrl":"10.1007/s43477-025-00152-y","url":null,"abstract":"<p><strong>Background: </strong>HIV clinicians and program implementers in Nigeria have limited implementation research training opportunities. We developed a virtual implementation research training program (iTRAIN) for clinicians and HIV program staff implementing the Intensive Combination Approach to Roll Back the Epidemic in Nigerian Adolescents (<i>iCARE Nigeria</i>) study.</p><p><strong>Methods: </strong>iTRAIN was developed and facilitated by iCARE Nigeria investigators from Nigeria and the United States with extensive implementation research experience. The nine-session online course covered core principles of implementation research. incorporating developing a relevant concept note embedded into iCARE. Between September 2021-2022, content was delivered through asynchronous pre-recorded lectures and readings, followed by facilitator-led synchronous sessions. All six study site teams were assigned a course facilitator for mentoring to develop implementation research proposals nested in the iCARE study. We conducted pre- and post-training surveys to evaluate iTRAIN using the Kirkpatrick Framework and conducted analysis using explanatory mixed methods.</p><p><strong>Findings: </strong>We enrolled 42 participants (55% male, 48% clinicians), with 50% of enrollees reporting no IR experience. Completion rate was 95%; 79% of participants rated the course overall as \"excellent\", and 79% reported that their goal of gaining implementation research knowledge were met \"a lot\". IR knowledge increased \"a lot\" in 71%, and 97% would \"probably or definitely\" use their iTRAIN knowledge in future research. All six sites developed implementation research concept notes addressing topics relevant to iCARE Nigeria, with four implemented.</p><p><strong>Conclusion: </strong>iTRAIN represents a successful embedded implementation research virtual training and mentoring program which resulted in increased participant knowledge and capacity. Our training model can serve as a blueprint for study-embedded implementation research capacity-building in Nigeria and similar settings.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43477-025-00152-y.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"5 2","pages":"213-222"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Cognitive Stimulation Therapy (CST) for Dementia in a Low-Resource Setting: A Case Study in Tanzania Exploring Barriers, Facilitators, and Recommendations for Practice.","authors":"Emily Fisher, Sarah Mkenda, Jessica Walker, Ssenku Safic, Charlotte R Stoner, Catherine Dotchin, Stella-Maria Paddick, Godrule Lyimo, Jane Rogathi, Maria Jelen, Matthew Breckons, Jane Fossey, Richard Walker, Aimee Spector","doi":"10.1007/s43477-024-00142-6","DOIUrl":"10.1007/s43477-024-00142-6","url":null,"abstract":"<p><p>Cognitive Stimulation Therapy (CST) is a group psychosocial intervention for people with mild-to-moderate dementia. Despite evidence supporting its effectiveness, cost-effectiveness, and cultural adaptation internationally, CST has yet to be implemented in routine practice outside of the UK. This study consisted of multiple phases. In the first phase, we engaged stakeholders to explore the barriers and facilitators to CST implementation in Tanzania. In the second phase, we developed implementation strategies. In the third phase, we tested these strategies in a study of CST in a tertiary hospital in northern Tanzania. The Consolidated Framework for Implementation Research (CFIR) guided the study. We conducted stakeholder engagement with decision-makers, healthcare professionals, people with dementia and their family caregivers (<i>n</i> = 49) to identify barriers and facilitators to implementation. We developed an implementation plan that included 20 implementation strategies related to 12 CFIR constructs. Subsequently, we tested these strategies by running eight CST groups with 49 participants. In follow-up interviews with people with dementia, carers and healthcare professionals, we identified 18 key CFIR constructs as barriers or facilitators to successfully implementing CST. CST was compatible with the standards of care in a tertiary referral hospital in northern Tanzania. To implement CST in low-resource settings, we recommend running dementia awareness initiatives, screening for dementia in outpatients and community settings, developing a train-the-trainer model, employing a task-shifting approach, and creating a dementia-friendly space for dementia services. Our findings can inform future efforts to implement CST and other psychosocial interventions for dementia in low-resource settings.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43477-024-00142-6.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"5 1","pages":"106-123"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Delivery of Fluoride Varnish Application in Pediatric Well-Child Visits: A Post-Implementation Analysis.","authors":"Mahdiyeh Soltaninejad, Shillpa Naavaal, Caitlin M Reardon, Christina R Scherrer","doi":"10.1007/s43477-025-00160-y","DOIUrl":"https://doi.org/10.1007/s43477-025-00160-y","url":null,"abstract":"<p><p>Early childhood caries affects many children, posing risks to dental and overall health. Fluoride varnish application during pediatric well-child visits has demonstrated efficacy in mitigating decay, yet rates remain notably low among medical providers. This study delves into the details of fluoride varnish adoption and delivery in pediatric practices and identifies associated barriers and facilitators by employing the updated Consolidated Framework for Implementation Research. Semi-structured interviews were the primary research method, involving participants from diverse roles within medical practices in Georgia that had previously implemented fluoride varnish application. Interviews covered aspects such as the participant's role, background in fluoride varnish application, understanding of evidence supporting fluoride varnish, factors influencing the process, and the impact on their practice. The partnerships and connections that introduced providers to fluoride varnish application and their knowledge of the evidence base led to its adoption in medical practices. Integration of fluoride varnish application into electronic health records, the motivation providers felt from understanding the patient needs related to oral health, and strategies for engaging patients served as important facilitators. Important barriers encompassed the low relative priority of fluoride varnish application compared to other demands during well-child visits, parent beliefs, and patient resistance. This study details important barriers and facilitators to initial adoption and consistent delivery of fluoride varnish application in primary care well-child visits. In practices not currently offering fluoride varnish, findings may guide and facilitate adoption, while in practices offering fluoride varnish, findings may help optimize delivery and further integration of the innovation into workflows.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43477-025-00160-y.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"5 3","pages":"418-426"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Providers' Perspectives Regarding Barriers and Facilitators to Former Pap/VIA-Based Screen-and-Treat Program in Iquitos, Peru.","authors":"Lauren Nussbaum, Joanna Brown, Graciela Meza Sánchez, Sandra Soto, Magdalena Jurczuk, Javier Vásquez Vásquez, Henrry Daza Grandez, Lita E Carrillo Jara, Renso López Liñán, Patti E Gravitt, Valerie A Paz-Soldán","doi":"10.1007/s43477-025-00164-8","DOIUrl":"https://doi.org/10.1007/s43477-025-00164-8","url":null,"abstract":"<p><p>Longstanding structural barriers to Pap smear-based cervical cancer screening and treatment have existed in Peru for decades. The objective of this study was to understand healthcare providers' perspectives regarding the facilitators of and barriers to the now former Pap/Visual Inspection with Acetic Acid-based cervical cancer prevention program in Iquitos, Peru, to inform the transition to the human papillomavirus (HPV) molecular testing-based screen-and-treat intervention to increase screening and completion of care. We used constructs from the Consolidated Framework for Implementation Research's Inner Setting domain to understand the strengths and failures of the former system and leverage this knowledge to enhance the new HPV-based intervention's implementation. We conducted 19 semi-structured interviews with health professionals (12 nurse-midwives, 4 doctors, and 3 laboratory technicians) who administered the former Pap smear-based cervical cancer early detection and treatment program. Providers identified information gaps between the primary level of care, where cervical cancer screening occurs, and the hospital level of care, where diagnosis and treatment occurs. These gaps, caused in part by fragmented and overlapping data systems that do not connect with one another, as well as by healthcare professionals tending to concentrate solely on their own specific role, rather than recognizing the importance of all components working cohesively to facilitate completion of the continuum of care, resulted in the loss of patients between levels of care. Participants also noted a lack of trained personnel and basic materials. Some providers found their way around these gaps by facilitating informal information exchanges among providers to ensure women were not lost to follow-up. Proyecto Precáncer leveraged these findings by collaborating with stakeholders to map the former system, reach stakeholder consensus on system inefficiencies, and design an intervention that improved system efficiencies through a patient-centered approach.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43477-025-00164-8.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"5 3","pages":"407-417"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Analysis of National Institutes of Health-Funded Dissemination and Implementation Research in Low- and Middle-Income Countries.","authors":"Amina Chtourou, Elise M Garton, Gila Neta","doi":"10.1007/s43477-024-00138-2","DOIUrl":"10.1007/s43477-024-00138-2","url":null,"abstract":"<p><p>Implementation science can inform healthcare delivery to improve outcomes in resource-constrained settings through tailored strategies. The National Institutes of Health funds implementation science largely through its Dissemination and Implementation Research in Health program. We analyzed the program's grants with collaborators in low- and middle-income countries to understand trends and gaps in National Institutes of Health-funded global implementation science research. Query-View-Report was used to identify grants awarded between fiscal years 2013-2022 with at least one collaborating institution in a low- and middle-income country. Two coders reviewed the abstract and specific aims to determine the intervention being studied, setting, implementer, implementation outcomes, strategies, frameworks, and study design. From fiscal years 2013-2022, 81 grants had collaborating institutions across 25 low- and middle-income countries in five World Bank-defined regions, funded by 11 National Institutes of Health institutes and centers. Most grants focused on cancer (<i>n</i> = 12), other non-communicable diseases (<i>n</i> = 16), and tuberculosis (<i>n</i> = 12). Common implementation outcomes included costs (<i>n</i> = 43), fidelity (<i>n</i> = 38), maintenance (<i>n</i> = 36), and adoption (<i>n</i> = 35). Commonly studied implementation strategies included assess for readiness and identify barriers and facilitators (<i>n</i> = 18), revise professional roles (<i>n</i> = 17), and change service sites (<i>n</i> = 15). Frequently reported frameworks were RE-AIM (<i>n</i> = 30), CFIR (<i>n</i> = 22), and EPIS (<i>n</i> = 8). Most grants tested implementation strategies using experimental study designs (<i>n</i> = 52) in healthcare settings (<i>n</i> = 56). The National Institutes of Health funds a range of implementation science grants with collaborators in low- and middle-income countries. This analysis helps identify commonly utilized implementation outcomes, strategies, and frameworks and enables exploration of gaps and opportunities for further global research.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"5 1","pages":"82-92"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blueprint for Enhancing Implementation Quality of <i>Criança Feliz</i> Program in Brazil: A Combined Program Impact Pathways-ERIC Approach.","authors":"Gabriela Buccini, Keishmer Cardoso, Lidia Godoi, Rebecca Dunne, Rafael Pérez-Escamilla","doi":"10.1007/s43477-024-00141-7","DOIUrl":"10.1007/s43477-024-00141-7","url":null,"abstract":"<p><p>Brazil's <i>Criança Feliz Program</i> is one of the largest early childhood development home-visiting programs globally. After seven years of scaling up, implementation barriers across diverse municipality settings prevented the program from achieving the intended impact on parenting skills and child development. We conducted a program impact pathway analysis to generate a blueprint to enhance implementation quality by (1) identifying the critical quality control points that need to be monitored throughout the scaling up and (2) specifying implementation strategies for enhancing implementation quality. The program impact pathway analysis consisted of inductive and deductive coding of pre-existing retrospective (e.g. reports, and codebooks from in-depth interviews) and workshop with national team to identify the critical quality control points and corresponding implementation barriers and facilitators. The Expert Recommendations for Implementation Change taxonomy was used to specify implementation strategies facilitating the scaling up or opportunities to address barriers across critical quality control points. We identified seven critical quality control points: hiring municipal workforce; staff training; home visits; complementary multisectoral actions; municipal supervision; technical assistance and monitoring; and funding. Implementation strategies facilitating the scale-up were \"providing assistance\" and \"supporting teams;\" opportunities for enhancing implementation quality were \"financial strategies\" and \"evaluative and iterative strategies.\" Our analysis identified seven critical quality control points necessary to achieve the intended implementation and program outcomes. The combined use of the program impact pathway and the Expert Recommendations for Implementation Change taxonomy generated a meaningful blueprint of implementation strategies to enhance implementation quality, which may support the sustainability of a large-scale program.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43477-024-00141-7.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"5 1","pages":"66-81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualisation of the SHIFT–SHARE: A New Strategic Healthcare Implementation Framework for Task Shifting, Sharing and Resource Enhancement","authors":"Shukanto Das, Liz Grant, David Weller","doi":"10.1007/s43477-024-00132-8","DOIUrl":"https://doi.org/10.1007/s43477-024-00132-8","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"26 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141800796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying and Prioritizing Factors to Improve Implementation of an Evidence-Based Program for Child Maltreatment Prevention in Rural Missouri Communities","authors":"K. Stamatakis, Ashish Shrestha, Jacklyn Biggs, Pegah Naemi Jimenez, Connie Pendley, A. Francioni, Elizabeth A Baker","doi":"10.1007/s43477-024-00129-3","DOIUrl":"https://doi.org/10.1007/s43477-024-00129-3","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"130 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141811420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation Determinants of Problem-Solving Therapy Delivered by Near-Peer Lay Counselors for Youth Living with HIV in Botswana: Lay Counsellor Perspectives","authors":"Charisse V. Ahmed, Amelia E. Van Pelt, Alison M. Buttenheim, Ohemaa B Poku, Bridgette M Rice, Elizabeth D. Lowenthal, M. Brooks","doi":"10.1007/s43477-024-00126-6","DOIUrl":"https://doi.org/10.1007/s43477-024-00126-6","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"31 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141646195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Behaviour Change of Healthcare Professionals while Implementing a Complex Nursing Intervention: A Survey Study","authors":"Y. Jordens, R. Ettema, G. J. C. Van Limpt, N. Bleijenberg, M. Schuurmans, L. Schoonhoven","doi":"10.1007/s43477-024-00128-4","DOIUrl":"https://doi.org/10.1007/s43477-024-00128-4","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"47 S222","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141683167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}