Global implementation research and applications最新文献

{"title":"Facilitators and Barriers to the Implementation of BETTER WISE, a Chronic Disease and Prevention Intervention in Canada: A Qualitative Study.","authors":"Nicolette Sopcak,&nbsp;Carolina Fernandes,&nbsp;Daniel Ofosu,&nbsp;Melanie Wong,&nbsp;Ielaf Khalil,&nbsp;Tracy Wong,&nbsp;Donna Patricia Manca","doi":"10.1007/s43477-023-00074-7","DOIUrl":"10.1007/s43477-023-00074-7","url":null,"abstract":"<p><p>The aim of the BETTER WISE intervention is to address cancer and chronic disease prevention and screening (CCDPS) and lifestyle risks in patients aged 40-65. The purpose of this qualitative study is to better understand facilitators and barriers to the implementation of the intervention. Patients were invited for a 1-h visit with a prevention practitioner (PP), a member of a primary care team, with specific skills in prevention, screening, and cancer survivorship. We collected and analyzed data from 48 key informant interviews and 17 focus groups conducted with 132 primary care providers and from 585 patient feedback forms. We analyzed all qualitative data using a constant comparative method informed by grounded theory and then employed the Consolidated Framework for Implementation Research (CFIR) in a second round of coding. The following key elements were identified: (1) Intervention characteristics-relative advantage and adaptability; (2) Outer setting-PPs compensating for increased patient needs and decreased resources; (3) Characteristics of individuals-PPs (patients and physicians described PPs as compassionate, knowledgeable, and helpful); (4) Inner setting-network and communication (collaboration and support in teams or lack thereof); and (5) Process-executing the implementation (pandemic-related issues hindered execution, but PPs adapted to challenges). This study identified key elements that facilitated or hindered the implementation of BETTER WISE. Despite the interruption caused by the COVID-19 pandemic, the BETTER WISE intervention continued, driven by the PPs and their strong relationships with their patients, other primary care providers, and the BETTER WISE team.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"3 2","pages":"162-172"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9619025","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":"Stakeholder Perspectives regarding the Acceptability and Sustainability of a Multi-component Diabetes Care Strategy in South Asia: a longitudinal qualitative analysis.","authors":"Leslie C M Johnson, Kalyani Nikhare, Suganthi Jaganathan, Mohammed K Ali, K M Venkat Narayan, Dorairaj Prabhakaran, Nikhil Tandon, Kavita Singh","doi":"10.1007/s43477-022-00060-5","DOIUrl":"10.1007/s43477-022-00060-5","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"2 4","pages":"350-360"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10516368/pdf/nihms-1874855.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174857","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":"Cultural Adaptation and Validation of the General Self-Efficacy Scale in Ugandan Community Health Workers.","authors":"Rachel Hennein, Leah M Nanziri, Johnson Musinguzi, Joseph M Ggita, Patricia Turimumahoro, Emmanuel Ochom, Amanda J Gupta, Anushka Halder, Achilles Katamba, Marney A White, Robert H Pietrzak, Mari Armstrong-Hough, J Lucian Davis","doi":"10.1007/s43477-022-00064-1","DOIUrl":"10.1007/s43477-022-00064-1","url":null,"abstract":"<p><p>Self-efficacy is central to community health workers' capacity and motivation to deliver evidence-based care; thus, validated measures of self-efficacy are needed to assess the effectiveness of community health worker programs. In this study, we culturally adapted and evaluated the General Self-Efficacy Scale among community health workers in Uganda using multiple methods. We adapted the ten-item General Self-Efficacy Scale through cross-cultural discussions within our multidisciplinary research team, translation from English into Luganda and back-translation into English, and six cognitive interviews with community health workers. We administered the adapted scale in a staged, two-part cross-sectional study, including a total of 147 community health workers. Exploratory factor analysis yielded three factors, which we labeled problem-solving, persistence, and resourcefulness. This three-factor solution had good model fit (standardized root mean square residual = 0.07) and explained 53.4% of the variance. We found evidence of convergent validity, as scores for the total scale were positively correlated with years of experience (<i>r</i> = 0.48; <i>p</i> < .001) and perceived social support (<i>r</i> = 0.39, <i>p</i> < .001). Scores were also higher among those with higher educational attainment in one-way analysis of variance and Bonferroni-corrected post hoc tests [<i>F</i> (2,72) = 9.16, <i>p</i> < .001]. We also found evidence of discriminant validity, as scores for the total scale were not correlated with age (<i>r</i> = - 0.07, <i>p</i> = .55), in agreement with literature showing that general self-efficacy is an age-independent construct. The internal consistency of the adapted scale was within the acceptable range for a pilot study (Cronbach's <i>α</i> = 0.61). This evaluation of a Uganda-adapted General Self-Efficacy Scale demonstrated promising psychometric properties; however, larger studies with repeated measures are warranted to further assess the adapted scale's factor structure, validity, reliability, and stability over time.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"2 4","pages":"371-383"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10512428/pdf/nihms-1909082.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159197","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":"The Human Papillomavirus Vaccine Project in Rwanda: Lessons for Vaccine Implementation Effectiveness","authors":"O. Ezezika, Mansi Purwaha, Hetvi Patel, M. Mengistu","doi":"10.1007/s43477-022-00068-x","DOIUrl":"https://doi.org/10.1007/s43477-022-00068-x","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"2 1","pages":"394-403"},"PeriodicalIF":0.0,"publicationDate":"2022-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48355911","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":"Correction: Enhancing Tuberculosis Care in Southwestern Uganda: Facilitators and Barriers to Utilizing Mobile Health Technologies","authors":"Wilson Tumuhimbise, D. Atwine, Fred Kaggwa, Angella Musiimenta","doi":"10.1007/s43477-022-00061-4","DOIUrl":"https://doi.org/10.1007/s43477-022-00061-4","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"2 1","pages":"415-416"},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43315567","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":"Tracking Care-Seeking Pathways: A Qualitative Study of Maternal Complications in Uttar Pradesh, India","authors":"K. Aruldas, A. Kant","doi":"10.1007/s43477-022-00054-3","DOIUrl":"https://doi.org/10.1007/s43477-022-00054-3","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"2 1","pages":"234-242"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52826036","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":"Enhancing Tuberculosis Care in Southwestern Uganda: Facilitators and Barriers to Utilizing Mobile Health Technologies","authors":"Wilson Tumuhimbise, D. Atwine, Fred Kaggwa, Angella Musiimenta","doi":"10.1007/s43477-022-00056-1","DOIUrl":"https://doi.org/10.1007/s43477-022-00056-1","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"2 1","pages":"404-414"},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48047582","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":"Evaluation of organizational capacity in the implementation of a church-based cancer education program.","authors":"Cheryl L Knott,&nbsp;Edward J Miech,&nbsp;Jimmie Slade,&nbsp;Nathaniel Woodard,&nbsp;Barbara-Jean Robinson-Shaneman,&nbsp;Maisha Huq","doi":"10.1007/s43477-021-00033-0","DOIUrl":"https://doi.org/10.1007/s43477-021-00033-0","url":null,"abstract":"<p><p>Implementation evaluations have increasingly taken into account how features of local context help determine implementation outcomes. The purpose of this study was to determine which contextual features of organizational capacity led directly to the RE-AIM Framework implementation outcomes of intervention reach and number of days taken to implement, in an implementation trial of a series of cancer education workshops conducted across 13 African American churches in Maryland. We used a configurational approach with Coincidence Analysis to identify specific features of organizational capacity that uniquely distinguished churches with implementation success from those that were less successful. Aspects of organizational capacity (e.g., congregation size, staffing/volunteers, health ministry experience) were drawn from an existing measure of church organizational capacity for health promotion. Solution pathways leading to higher intervention reach included: having a health ministry in place for 1-4 years; or having fewer than 100 members; or mid-size churches that had conducted health promotion activities in 1-4 different topics in the past 2 years. Solution pathways to implementing the intervention in fewer number of days included: having conducted 1-2 health promotion activities in the past 2 years; or having 1-5 part-time staff and a pastor without additional outside employment; or churches with a doctorally prepared pastor and a weekly attendance of 101-249 members. Study findings can inform future theory, research, and practice in implementation of evidence-based health promotion interventions delivered in faith-based and other limited-resource community settings. Findings support the important role of organizational capacity in implementation outcomes in these settings.</p>","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"2 1","pages":"22-33"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8983006/pdf/nihms-1792060.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9359033","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":"Mixed Methods Process Evaluation of a Sanitation Behavior Change Intervention in Rural Odisha, India","authors":"G. Sclar, P. Routray, F. Majorin, Shivika Udaipuria, G. Portela, William J. Koehne, C. Nagel, S. Sola, B. Caruso","doi":"10.1007/s43477-022-00035-6","DOIUrl":"https://doi.org/10.1007/s43477-022-00035-6","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"2 1","pages":"67-84"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52826018","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":"Correction to: Evaluation of Organizational Capacity in the Implementation of a Church‑Based Cancer Education Program","authors":"C. Knott, Edward J. Miech, Jimmie L. Slade, N. Woodard, Barbara-Jean Robinson-Shaneman, M. Huq","doi":"10.1007/s43477-022-00034-7","DOIUrl":"https://doi.org/10.1007/s43477-022-00034-7","url":null,"abstract":"","PeriodicalId":73165,"journal":{"name":"Global implementation research and applications","volume":"2 1","pages":"105"},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44339214","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}