Global implementation research and applications最新文献

{"title":"Implementation Fidelity of the Transitional Care Model: A Mixed Methods Study.","authors":"Karen B Hirschman, Mark Toles, Christina R Whitehouse, Molly McHugh, Claire Regan, Monica L Ahrens, Alexandra L Hanlon, Onome H Osokpo, Kathleen McCauley, Elizabeth C Shaid, Mark V Pauly, Mary D Naylor","doi":"10.1007/s43477-026-00234-5","DOIUrl":"10.1007/s43477-026-00234-5","url":null,"abstract":"<p><p>This study, conducted in parallel with the Multisite Replication of the Transitional Care Model, evaluated implementation of the Transitional Care Model protocol delivery (primary aim) and the randomized clinical trial protocol (secondary aim) across nine hospitals and community partners within four healthcare systems. Guided by the Practical, Robust, Implementation, and Sustainability Model and applying a concurrent mixed-methods design, outcomes were assessed using an embedded Reach, Adoption, Implementation, and Maintenance framework, excluding effectiveness. Fidelity to implementation was measured as a standardized count of protocol components delivered as intended (range 0-38). A mean fidelity score of 34 demonstrated that approximately 90% of the minimum dose was delivered, with fidelity improving over time from year 1 (mean 32) to year 3 (mean 35). Qualitative content analysis of 210 meetings identified 24 challenges and 15 strategies related to TCM delivery. Common challenges included engaging patients and caregivers, decreased access to post-acute services, complexity of team-based care, and limited nurse availability. Strategies to address these challenges included testing alternative approaches, building and engaging care networks, targeting patient and caregiver engagement, focusing on care coordination, and emphasizing plans of care. COVID-19 substantially disrupted trial implementation, including the withdrawal of one healthcare system, resulting in reduced enrollment (1004 of 1600 planned patient participants) and staffing delays. At trial completion, one system had integrated the Model into routine practice, while others were planning for sustainability. These findings highlight the importance of ongoing systematic assessment of both intervention delivery and trial implementation to contextualize and interpret outcomes.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610662","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":"Disseminating a Pediatric Oncology Critical Care Intervention in Latin America and Spain: An Integrated-Knowledge-Translation Approach.","authors":"Anita V Arias, Zuley Dominguez, Ángela Puerto-Torres, María Lamia, Paola Arias-Prado, Janet Middlekauff, Ritwik Budhiraja, Yichen Chen, Eliana López-Barón, Carlos Acuña, Renee Alce, Yvania Alfonso, Yefry Aragón-Joya, Jocelyn Becerril, Erika Blasco-Arriaga, Alejandra Calderon, Magdalena Cerda, Romina Corona, María Eugenia Costa, Claudia De León Gutiérrez, Arturo Estrada-López, Ligia Fu-Carrasco, David Garay-Barbosa, Javier Godoy-Cordobés, María González-Pedroza, Catherin Grisales, Rubén E Lasso-Palomino, Rosa León-Paredes, Norma A López-Facundo, Mauricio Mesa-Rincón, Scheybi Miralda, Rosario Montilva, Rodrigo Pérez-Morales, Estuardo Pineda-Urquilla, María Sánchez-Martin, Silvio F Torres, Margarita Torres-Baquero, Sara Malone, Asya Agulnik","doi":"10.1007/s43477-026-00218-5","DOIUrl":"10.1007/s43477-026-00218-5","url":null,"abstract":"<p><p>PROACTIVE (Pediatric Oncology Capacity Assessment Tool for Intensive Care) is a quality improvement (QI) intervention that assist pediatric onco-critical care teams identify institutional strengths and gaps, but language barriers have limited its global uptake. This study aimed to evaluate the translation, refinement, and dissemination of Spanish-PROACTIVE guided by an integrated knowledge translation (IKT) approach. We conducted a four-phase mixed-methods study including: (1) translating and piloting Spanish-PROACTIVE in 22 centers across 12 countries in Latin America and Spain, (2) identifying institutional and regional pediatric onco-critical care challenges and QI priorities, (3) assessing barriers to disseminating results, and (4) co-developing dissemination tools. The professionally translated and refined Spanish-PROACTIVE identified key institutional and common regional pediatric onco-critical care challenges including lack of multidisciplinary rounds (only 14% availability). Institutional barriers to disseminating results included limited time and resources, gaps in dissemination knowledge and skill, and lack of mentorship. These findings informed the co-development of tailored dissemination tools, including a leadership-focused slide deck and a clinical-staff-targeted infographic to support internal dissemination. Applying an IKT approach effectively addressed language and dissemination barriers, and improved accessibility and local relevance of PROACTIVE. Spanish-PROACTIVE supports consistent multilingual data collection, and its contextually tailored dissemination tools may enhance internal communication and uptake of findings across Spanish-speaking institutions. This approach offers a practical model for strengthening dissemination and accelerating uptake of intervention results in linguistically diverse, resource-constrained settings, supporting global efforts to improve outcomes for children with cancer.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824345","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":"A Hybrid Effectiveness-Implementation Trial of the 'Power To Prevent Diabetes Program' in Bamako, Mali.","authors":"Sally E Findley, Lancina Doumbia, Hamidou Oumar Ba, Bonkana Maiga, Rokiatou Koné Béréthé, Hadja Madiè Sangaré, Stéphane Bésançon, Drissa Coumaré, Lassina Coulibaly, Hamane Cisse, Salamata Y Sidibe, Karamoko Diallo, Racky M'Baye, Mana Simaga, Moussa Coumaré, Aly Goita, Bourama Diarra, Maimouna Kanté, Fanta Sanogo, Yeya Dit Sadio Sarro, Lehbib Boukenem, Sow Djeneba Sylla, Ibrahim Nientao, Hamadoun Sangho, S Patrick Kachur, Seydou Doumbia","doi":"10.1007/s43477-025-00199-x","DOIUrl":"10.1007/s43477-025-00199-x","url":null,"abstract":"<p><p>Community-based diabetes prevention and control programs are effective but limited in West Africa. We assess adoption and effectiveness of a contextually adapted Diabetes Prevention Program \"Power to Prevent\" (DPP-P2P) in Bamako, Mali. Guided by implementation science principles, we adapted the DPP-P2P to align with Malian culture, integrating dietary and exercise modifications. Local audiovisuals and photo guides were created for healthy food preparation and exercises. Six community health centers with high diabetes rates were randomly assigned to intervention or comparison, and 429 individuals (≥ 25 years old with diabetes, hypertension, or obesity) consented to participate (intervention = 282; control = 147). Diabetes peer educators facilitated 14 bi-weekly sessions over six months. We assessed Hemoglobin A1c (HbA1c) and blood pressure and surveyed 15 key healthy lifestyle behaviors pre-and post-intervention. Retention was 77.1%, and groups especially liked the role plays, African audio-visuals, peer educator success stories, and demonstrations. In the intervention group, individuals wanting to weigh less increased from 31.5 to 58.9% (<i>p</i> < 0.001), exercise days rose from 3.5 to 5.6 (<i>p</i> < 0.001), and the desire for a healthier diet rose by 0.64 points. Average HbA1c in the intervention group dropped from 6.5% to 5.4% (<i>p</i> = 0.001). The intervention increased the odds of lowering blood glucose below 6.5% by 2.31 times (<i>p</i> = 0.020) and blood pressure below the hypertension threshold by 2.67 times (<i>p</i> = 0.060). The Malian-adapted DPP-P2P was well accepted by the community, increasing the adoption of healthy behaviors and reducing blood glucose and hypertension. This program could benefit Mali and Sahelian countries in tackling diabetes and hypertension.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov #NCT05260879. Registered 6 December 2021-Retrospectively registered (registration link: https://clinicaltrials.gov/study/NCT05260879).</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127736","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 Implementation Blueprint for a Pilot Produce Prescription Program in a Northeastern U.S. State.","authors":"Linda E Guzman, Alison Tovar, Ariana M Albanese, Emily S Fu, Nadia Tsado, Brady Dunklee, Matthew Harvey, Kelli Scott, Hannah E Frank","doi":"10.1007/s43477-025-00200-7","DOIUrl":"10.1007/s43477-025-00200-7","url":null,"abstract":"<p><p>Food insecurity increases the risk of chronic disease, yet scalable approaches to address nutrition-related needs remain limited. Produce prescription programs, in which healthcare providers refer patients to receive subsidized fruits and vegetables, are expanding but lack clear implementation guidance to support long-term delivery. We partnered with an accountable care organization, a nonprofit produce supplier, and primary care clinics in a Northeastern United States state to develop a practical implementation blueprint. Guided by the Consolidated Framework for Implementation Research, we conducted qualitative interviews with patients and providers to identify barriers related to clinic workflows, patient participation, and resource availability. A community advisory board then reviewed and prioritized these barriers and selected strategies to address them, including workflow integration, provider training, and creation of patient education materials in English and Spanish. We describe the process of operationalizing these strategies into a context-specific blueprint to inform adaptation and scale-up. This work provides a structured example of how health systems can design and refine produce prescription programs to strengthen implementation efforts.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12931433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313202","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":"Innovative Treatment for Cervical Precancer: A Qualitative Evaluation using the Theoretical Framework of Acceptability.","authors":"Montserrat Soler, Gabriel Conzuelo Rodriguez, Javier M Ayala, Karla Alfaro, Rene Novoa, Rachel Masch, Miriam Cremer","doi":"10.1007/s43477-026-00219-4","DOIUrl":"https://doi.org/10.1007/s43477-026-00219-4","url":null,"abstract":"<p><p>Acceptability is one of the most commonly assessed implementation outcomes, but there is little consensus on how the concept is defined or measured. The Theoretical Framework of Acceptability was developed to address this gap in the context of healthcare. This framework comprises seven constructs and has been applied across various settings, although work in low and middle-income countries remains scarce. Here we utilize the Theoretical Framework of Acceptability to evaluate the acceptability of cervical precancer treatment methods in El Salvador. Cervical cancer remains a leading cause of cancer death for women in low and middle-income countries. The World Health Organization has endorsed a triple strategy of vaccination, screening, and treatment to eliminate the disease as a public health problem. While the acceptability of vaccination and screening has received some attention, evidence related to treatment is limited. From November 2021 to May 2022, we conducted semi-structured interviews with patients participating in a clinical trial comparing three cervical precancer treatment protocols. Thematic and content analysis were used to extract salient themes from interview transcripts and themes were then mapped onto the framework's constructs. All seven constructs were represented in the data, but two of these (affective attitude and intervention coherence) captured the most significant aspects of treatment acceptability in this population. In addition, some themes (i.e., pain, side-effects, stigma) were not adequately represented by existing constructs. We suggest an expansion of the Theoretical Framework of Acceptability to increase its generalizability.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"6 3","pages":"496-508"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802661","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":"Making Sense of Implementation Science Planning Tools: Addressing Implementation Challenges in Substance Use Disorder and Mental Health Treatment.","authors":"Mei Elansary, Divya A Shankar, Katherine Rizzolo, Cristina Gago, Rebecca K Rudel, Shana A B Burrowes, Erika G Cordova-Ramos, Nicholas A Bosch, Kayla C Jones, Kelli Finn, Mari-Lynn Drainoni, Kathryn L Fantasia, Kirsten Austad","doi":"10.1007/s43477-026-00236-3","DOIUrl":"https://doi.org/10.1007/s43477-026-00236-3","url":null,"abstract":"<p><p>Implementation planning tools provide structured approaches for integrating evidence-based interventions into real-world settings, helping navigate the complexities of adopting, adapting, and sustaining interventions. We examine four prominent implementation planning tools: (1) implementation mapping, a theory-driven, participatory approach to tailor implementation strategies to contexts through participant engagement and barrier assessment; (2) implementation blueprint, a plan documenting goals, strategies, and performance measures; (3) causal pathway diagrams, which illustrate the mechanisms through which implementation strategies operate; and (4) implementation research logic model, which links key implementation components-determinants, strategies, mechanisms, and outcomes across planning, execution, and evaluation stages. Each tool serves distinct purposes that align with different implementation phases and needs. Implementation mapping provides a methodical approach for implementation strategy design, generating approaches through theory-informed, iterative processes that heavily involve participants. Implementation blueprint translates plans into actions to drive day-to-day implementation-serving as a plan with timelines and accountability measures. Causal pathway diagrams illuminate the mechanistic understanding of how and why implementation strategies work, making them valuable for predicting implementation success; and the implementation research logic model excels at organizing concepts to promote theoretical coherence. These tools differ primarily in focus: implementation mapping in creating context-specific strategies, implementation blueprint in orchestrating action, implementation research logic model in organizing theoretical concepts, and causal pathway diagrams in proposing theories on how implementation strategies function. The trade-offs typically involve depth versus simplicity and theory-oriented versus practice-oriented approaches. By understanding these distinctions, implementation teams can select the most appropriate tool for their specific needs and contexts or combine implementation planning tools to promote successful and sustainable implementation of evidence-based interventions.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"6 3","pages":"436-452"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802636","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":"A Model and Descriptive Case Example for Partnered Implementation Playbook Development.","authors":"Sophia M Bartels, Zenith Rai, Beth Ann Petrakis, Maura Dougherty, Vincent Song, Keith McInnes, Angela M Kyrish, Deborah Lee, Antonio D Harris, Jessica Blue-Howells, Bo Kim, Justeen K Hyde","doi":"10.1007/s43477-026-00233-6","DOIUrl":"https://doi.org/10.1007/s43477-026-00233-6","url":null,"abstract":"<p><p>Implementation playbooks are guides for implementing evidence-based interventions and are tools for increasing their dissemination. However, there is little guidance on developing implementation playbooks in partnership with implementors, which is important for improving their relevance and usability. Our objective was to develop a model for partnered implementation playbook development and provide a descriptive case example for applying this model in practice. This work was conducted as part of an implementation study of a peer-based Post-Incarceration Engagement intervention. To address the dearth of guidance on implementation playbook development, our team documented the steps we took to create an implementation playbook for this intervention. We held iterative discussions to develop the model, which was further refined through feedback from our partners. The Implementation Playbook Development Model steps include: (1) Create playbook team and meet with partners to understand what they would like in a playbook; (2) Take stock of existing materials; (3) Develop and share preliminary playbook outline with partners for feedback; (4) Examine existing infrastructure for housing the playbook and determine appropriate format; (5) Assign playbook development tasks to playbook creation team; (6) Conduct internal review of the playbook; and (7) Share full playbook with partners for feedback and refinement. Creating our model through a partner-engaged process resulted in an online playbook for implementing the Post-Incarceration Engagement intervention that accounted for our partners' needs, capacity, and infrastructure. This 7-step model and descriptive case example will be useful for others who are ready to disseminate effective interventions across healthcare settings and communities.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43477-026-00233-6.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"6 3","pages":"426-435"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802708","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":"Dissemination and Implementation Theories, Models, or Frameworks Utilized in International Aging Research: A Citation Analysis.","authors":"Jessica Barth, Heather W Davila, Kelly A O'Malley, Marlena Shin, Anna Rae L Montano, Rebecca J Howe, A Alex Levine, Emily Evans, Camilla B Pimentel, Jennifer L Sullivan","doi":"10.1007/s43477-025-00204-3","DOIUrl":"10.1007/s43477-025-00204-3","url":null,"abstract":"<p><p>Dissemination and implementation (D&I) theories, models, and frameworks (TMFs) guide the translation of evidence into practice, yet their use in international aging research remains understudied. To examine which D&I TMFs are most frequently used in international aging research and how they are applied across different settings and implementation stages. We conducted a citation review of articles citing 83 D&I TMFs identified from a public repository. Articles focusing on adults aged ≥ 60 years published through January 2022 in non-US settings were included. We assessed TMF citation patterns, application across implementation processes, application across article sections, and meaningful use. Of 451 included articles from 41 countries, most originated from: Canada (21%), England/Great Britain (17%), Australia (15%), and the Netherlands (12%), representing 69% of articles. Publications increased ten-fold from 2012 to 2021, with 49 unique TMFs utilized. Five TMFs accounted for 51% of citations: Behavior Change Wheel (16%); Consolidated Framework for Implementation Research (11%); Promoting Action on Research Implementation in Health Services (9%); Reach, Effectiveness, Adoption, Implementation, Maintenance 1.0 (9%); and Explaining Behavior Change in Evidence-Based Practice (8%). Most articles (81%) used only one TMF and 39% demonstrated meaningful use. Most studies focused on pre-implementation (41%) or implementation (46%) stages, with fewer addressing intervention adaptation (4%) or sustainment (9%). While TMF use in international aging research is growing, meaningful application remains limited. The concentration in specific countries and dominance of few frameworks reveal areas for future work. Improving TMF selection, adaptation for international contexts, and application across all implementation stages has the potential to enhance global translation of aging research into practice.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s43477-025-00204-3.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"6 2","pages":"200-216"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139921","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":"Integrated Hypertension-HIV Care in Botswana: Mixed-Methods Evaluation of Determinants of Success in an Implementation Trial.","authors":"Amelia Van Pelt, Moagedi Mawi, Keonayang Kgotlaetsile, Mareko Ramotsababa, Nabila Youssouf, Ponego Ponatshego, Edwin Mogaetsho, Tendani Gaolathe, Thato Moshomo, Onkabetse Julia Mofefe-Baikai, Laura M Bogart, Evelyn Dintwe, Shabbar Jaffar, Kago Kebotsamang, Lisa R Hirschhorn, Mosepele Mosepele","doi":"10.1007/s43477-025-00178-2","DOIUrl":"10.1007/s43477-025-00178-2","url":null,"abstract":"<p><p>Due to the success of HIV treatment, people living with HIV (PWH) have aged to develop chronic conditions. InterCARE is evaluating the integration of hypertension treatment into HIV care in Botswana. This involves adapting the Electronic Health Records [EHR], health care workers training, and the use of treatment partners. A pilot hybrid type 2 effectiveness implementation trial in two public HIV clinics found high effectiveness, adoption, and fidelity overall but low adoption of EHR. This mixed-methods research aimed to explain mean variation in these outcomes to inform future scale-up. Guided by the Consolidated Framework for Implementation Research, we recruited community members, healthcare workers, patients, and treatment partners to complete surveys (<i>n</i> = 100), and semi-structured interviews in-person (<i>n</i> = 10), 12 months after InterCARE implementation. Descriptive statistics and Fischer's exact tests were calculated for surveys, and a deductive analysis was completed for interviews (Cohen's Kappa = 0.86). Qualitative analysis found high acceptability of InterCARE compared to standard of care for HIV and hypertension. Integration improved patient experiences by increasing efficiency of care (e.g., reduced visit frequency, less time spent accessing care, reduced out-of-pocket costs). Integration of care and use of treatment partners increased medication adherence. Barriers included insufficient resources, HIV-related stigma (both internalized and perceived), high healthcare workers workload, and need for HIV providers' training in hypertension. To improve implementation, suggestions included increasing client awareness and understanding of services through education, using various dissemination strategies (e.g., social media, community meetings, handouts), and enhancing provider buy-in. Overall, results showed positive perceptions of the strategies and overall integration. This research provides valuable insight into factors that affect outcomes from bundled implementation strategies supporting integration among chronic diseases and HIV in resource-limited settings.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"5 4","pages":"601-613"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328427","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":"A Measurement Roadmap to Guide Implementation Practitioners in Selecting Implementation Measures.","authors":"Ruben G Martinez, Cara M Antonaccio, Margaret E Crane, E Ruby Cramer, Emily S Fu, Trisha Arnold, Hannah E Frank, Aden Littlewood, Linda E Guzman, Cintly Celis-de Hoyos, Bryan J Weiner","doi":"10.1007/s43477-025-00189-z","DOIUrl":"10.1007/s43477-025-00189-z","url":null,"abstract":"<p><p>Strong measurement is critical for carrying out, monitoring, and evaluating implementation practice efforts. Accurate, reliable, and practical measures empower implementation teams to evaluate implementation outcomes and mechanisms of change. Poor measurement, however, is costly and impedes implementation practice. Despite substantial efforts to catalog and evaluate implementation measures, resources that guide the selection of measures are limited. As a result, practitioners still face challenges when identifying and selecting appropriate implementation measures. This paper addresses this gap by presenting a Measurement Roadmap, which offers a step-by-step guide and set of resources to help practitioners engage with the process of finding and evaluating measures for their implementation project. The Measurement Roadmap begins by detailing the importance of connecting measurement with implementation theories, models, and frameworks. Subsequently, recommendations for where and how to find measures are provided. The Measurement Roadmap provides practical explanations of psychometric properties and guides readers through a simple, three-step process for evaluating the face validity of a measure. Finally, the Measurement Roadmap provides guidance for navigating several possible paths that our team has traversed when identifying and selecting implementation measures: (1) finding an ideal measure, (2) finding a similar, but not perfectly aligned measure, (3) finding several measures that must be compared, and (4) finding no existing measures. We include a practitioner-focused handout of the Measurement Roadmap for quick reference.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12781905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954118","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}