Global implementation research and applications最新文献

{"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":"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}

{"title":"An Implementation Toolkit to Enhance Evidence-Based Practice Among Marginalized Families: A Study Protocol","authors":"James D. Lee, M. Pullmann, Wendy L. Stone, Jill Locke","doi":"10.1007/s43477-024-00127-5","DOIUrl":"https://doi.org/10.1007/s43477-024-00127-5","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"48 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141339651","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":"Usability Testing of a Web Tool for Dissemination and Implementation Science Models","authors":"Rebekah Natalie Gomes, Bryan S. Ford, Rachel Tabak, Ross C. Brownson, Sara Malone, Maggie Padek, Russell E Glasgow, Borsika A. Rabin","doi":"10.1007/s43477-024-00125-7","DOIUrl":"https://doi.org/10.1007/s43477-024-00125-7","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"43 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141338672","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":"Barriers and Facilitators to Co-Creating Interventions with Refugee and Migrant Youth: A Process Evaluation with Implementors","authors":"Nicole Maiorano, Katie McQuillan, Lorraine Swords, Frédérique Vallières, Elizabeth Nixon","doi":"10.1007/s43477-024-00123-9","DOIUrl":"https://doi.org/10.1007/s43477-024-00123-9","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":" 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141373693","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}