Implementation science communications最新文献

{"title":"Sustainability of evidence based interventions implemented in CDC's colorectal cancer control program.","authors":"Krishna P Sharma, Amy DeGroff, Michele Beckman, Sun Juzhong, Coleman King Sallyann, Joseph Djenaba","doi":"10.1186/s43058-025-00734-9","DOIUrl":"10.1186/s43058-025-00734-9","url":null,"abstract":"<p><strong>Background: </strong>The CDC's Colorectal Cancer Control Program (CRCCP) partners with health system clinics to implement evidence-based interventions (EBIs) to increase colorectal cancer (CRC) screening prevalence. The sustainability of those EBIs is critical for the long-term success and impact of the CRCCP. This paper examines various aspects of the sustainability of these EBIs, including the factors associated with sustainability.</p><p><strong>Method: </strong>We used Clinic Data collected by CDC for program evaluation. The study employed two definitions of sustainability and conducted a comprehensive analysis including all available information on sustainability in the Clinic Data. Our descriptive analysis included comparing frequencies and means of the outcome variable as defined in the study. Logistic regression methods were used to explore the association of multiple explanatory factors with EBI sustainability.</p><p><strong>Results: </strong>The results highlighted significant variations in the sustainability of different EBIs. Provider reminders were reported as sustainable by 82.0% of the clinics, while reducing structural barriers were reported as sustainable by 55.6% of the clinics. The percentage of clinics able to sustain each of the four EBIs trended upwards over time, ranging from 13 to 34 percentage points increase. Clinics that had implemented EBIs before CRCCP involvement, those that integrated multiple interventions, and those with dedicated screening champions were more likely to sustain EBIs in the long term.</p><p><strong>Conclusions: </strong>We found substantial improvement in the sustainability of EBIs over the 5-year program period, although results varied by EBIs and room for improvement remains. The findings offer valuable insights for future implementation and sustainability of EBIs.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"73"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12239474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602441","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":"Implementation of diabetes prevention programs into clinical practice and community settings: a systematic search and review.","authors":"Tineke E Dineen, Corliss Bean, Azar Bohlouli, Sarah L Percival, Mathew Vis-Dunbar, Mary E Jung","doi":"10.1186/s43058-025-00757-2","DOIUrl":"10.1186/s43058-025-00757-2","url":null,"abstract":"<p><strong>Background: </strong>Greater understanding of how evidence-based programs have been implemented in clinical practice and community settings is needed. Implementation science can help understand how to best implement programs, however, the fast-developing field is hindered by inconsistent terminology and reporting. To increase transparency and improve implementation science, standardized tools have been created. The aim of this systematic search and review was to identify implementation strategies, outcomes and determinants using standardized tools when diabetes prevention programs were implemented within a clinical practice and community setting.</p><p><strong>Methods: </strong>A comprehensive peer-reviewed search strategy was used to identify relevant articles. Relevant studies were retrieved from four electronic databases and specific inclusion and exclusion criteria were applied. Implementation strategies, outcomes, determinants, and theoretical frameworks were extracted from all included articles using two standardized tools (the refined compilation of implementation strategies and the minimum dataset of implementation determinants and outcomes). Data from the extraction tool were summarized using a narrative approach. Frequency of reported implementation strategies, outcomes, determinants, and theoretical frameworks are presented.</p><p><strong>Results: </strong>Retrospective researcher extraction resulted in the representation of 69 of the 73 implementation strategies. An average of 13.8 strategies (± 9.1) were reported, programs ranged from zero to 41 strategies. The most common reported strategies included: conduct educational meetings, build a coalition, and promote adaptability. Individual implementation determinants and outcomes were not extracted due to the difficulty applying standardized definitions to the dataset and the limited implementation data. Most studies (75%) lacked a theoretical framework.</p><p><strong>Discussion: </strong>Significant gaps exist in reporting implementation strategies, providing sufficient detail on how implementation projects are implemented, and researching implementation variables within diabetes prevention programs. Large implementation projects contained more implementation strategies and variables than small projects. The use of standardized tools for the extraction of implementation strategies, outcomes, and determinants was difficult due to insufficient detail provided in existing literature on how programs have been implemented and ambiguity in standardized tool definitions. To build the field of implementation science, researchers must report sufficient detail on how programs have been implemented and research implementation variables.</p><p><strong>Trial registration: </strong>This systematic search and review was registered on Open Science Frameworks and can be accessed with this link: https://osf.io/cbzja .</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"74"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602440","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":"Psychometric evaluation of the NoMAD instrument in cancer care settings: assessing factorial validity, measurement invariance, and differential item functioning.","authors":"Maja Kuharic, James Lorenz Merle, David Cella, Sandra A Mitchell, Lisa DiMartino, Jennifer L Ridgeway, Don S Dizon, Roshan Paudel, Jessica D Austin, Sandra L Wong, Ann Marie Flores, Andrea L Cheville, Justin D Smith","doi":"10.1186/s43058-025-00756-3","DOIUrl":"10.1186/s43058-025-00756-3","url":null,"abstract":"<p><strong>Background: </strong>The Normalization MeAsure Development (NoMAD) questionnaire is used to assess implementation processes based on Normalization Process Theory (NPT). However, its psychometric properties have not been extensively evaluated. This study aimed to examine the factorial validity, internal consistency, and measurement invariance at both scale and item levels of the NoMAD across three hybrid effectiveness-implementation studies determining the impact of routine symptom surveillance and guideline-based symptom management interventions in ambulatory oncology care settings.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 328 healthcare personnel (74.% clinicians) participating in the Improving the Management of SymPtoms during And following Cancer Treatment (IMPACT) Research Consortium between 2019 and 2024. Confirmatory factor analysis (CFA) tested the hypothesized four-factor structure (coherence, cognitive participation, collective action, reflexive monitoring). Internal consistency was assessed with McDonald's omega and Cronbach's alpha coefficients (> 0.70 acceptable). Measurement invariance was tested across research centers, professional roles, and years in current roles using multi-group CFA. Model fit was defined by standard fit indices (Comparative Fit Index (CFI) and Tucker-Lewis Index (TLI) values ≥ 0.95, Root Mean Square Error of Approximation (RMSEA) values ≤ 0.06, and Standardized Root Mean Square Residual (SRMR) values ≤ 0.08. Differential item functioning (DIF) was evaluated using ordinal logistic regression and item response theory methods (ΔR2 ≥ 0.02 indicative of meaningful DIF).</p><p><strong>Results: </strong>The four-factor model demonstrated good fit to the data (CFI = 0.97, TLI = 0.96, RMSEA = 0.06, SRMR = 0.05). All factor loadings were statistically significant (p < 0.001), ranging from 0.606 to 0.871. Internal consistency was satisfactory for all four constructs (Omega range: 0.789-0.864, Cronbach's alpha range: 0.782-0.863). The NoMAD exhibited configural, metric, and scalar invariance across research centers, roles, and years in the current role. One item (\"The staff agree that the intervention is worthwhile\") showed uniform DIF across healthcare systems (ΔR2 = 0.047), but no DIF was found by role or years in the current role.</p><p><strong>Conclusions: </strong>This study supports the factorial validity, internal consistency, and measurement invariance of the NoMAD across three oncology implementation efforts. The presence of DIF in one item provides an opportunity for refinement in this healthcare context. Researchers and practitioners can use the NoMAD to assess and compare implementation processes, informing the development and evaluation of implementation strategies.</p><p><strong>Trial registration: </strong>(ClinicalTrials.gov ID NCT03850912, NCT03892967, NCT03988543).</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"72"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310916","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 implementation of reusable drapes and gowns in operating theatres: A mixed-methods analysis of data from 5230 peri-operative professionals in 134 countries.","authors":"Virginia Ledda, Aneel Bhangu, James Glasbey, Elizabeth Li, Antje Lindenmeyer, Sivesh Kamarajah, Dion Morton, Maria Picciochi, Dmitri Nepogodiev, Laura Kudrna","doi":"10.1186/s43058-025-00732-x","DOIUrl":"10.1186/s43058-025-00732-x","url":null,"abstract":"<p><strong>Background: </strong>Reuse of sterile textiles could potentially reduce the carbon footprint of operating theatres. The aim of this mixed-methods study is to gain a deeper understanding of the implementation of reusable drapes and gowns across different contexts through applying the Consolidated Framework for Implementation Research (CFIR).</p><p><strong>Methods: </strong>A mixed-methods analysis was performed of cross-sectional data from a survey distributed by snowball sampling across a global research network. A five-point Likert scale assessed perspectives on safety and feasibility of implementation of reusable textiles. An open-ended question asked about the implementation of reusables. Inductive and deductive coding was used, informed by the CFIR.</p><p><strong>Results: </strong>A total of 5734 responses were collected, of which 5230 were eligible for inclusion. Most respondents believed that the intervention was unlikely or very unlikely to affect safety (3266/5230, 62.4%) or have detrimental consequences on environment or patient care (2990/5230, 57.2%), and that its introduction was likely or very likely to be successful (2888/5230, 55.2%). From a total of 1514 free-text entries, nine unique implementation factors were identified. Financial constraints were important across all settings. Whilst sterilisation-related issues were commonly reported in low and middle-income countries, institutional challenges were prominent in high-income countries. Mapping these factors to CFIR, the 'setting' of the intervention was the most relevant for effective implementation, along with the 'individuals' within the setting, rather than the intervention itself or the implementation process. A strategy identification tool and programme theory were developed, providing a starting point for institutions considering implementation of reusables and basis for future research.</p><p><strong>Conclusion: </strong>Implementation of this carbon-reducing intervention varied across resource settings. Recognising the unique implementation context, and developing tailored strategies, could aid implementation of this innovation through both research and wider scale rollout.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"70"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210411","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":"Getting to Implementation for HIV Pre-Exposure Prophylaxis (GTI-PrEP): A data-driven approach to PrEP prescribing.","authors":"Shari S Rogal, Brittney Neely, Monica Merante, Karen Slazinski, Lorenzo McFarland, Christina Brodkorb, Jada Cooper, Carolyn Lamorte, Sandra Gibson, Emily Comstock, Jamie Morano, Marissa Maier, Lauren A Beste, Karine Rozenberg, Maggie Chartier, Matthew J Chinman, David Ross, Vera Yakovchenko","doi":"10.1186/s43058-025-00749-2","DOIUrl":"10.1186/s43058-025-00749-2","url":null,"abstract":"<p><strong>Background: </strong>Pre-Exposure Prophylaxis (PrEP) dramatically reduces the likelihood of acquiring human immunodeficiency virus (HIV), yet it remains under-prescribed, particularly for people in communities with high HIV incidence. While implementation science and health services researchers aim to address disparities in care, few interventions have proven effective in doing so. We aimed to identify implementation strategies associated with higher PrEP prescribing rates and pilot test a tailored intervention as a proof-of-concept in a single Veterans Health Administration (VA) facility.</p><p><strong>Methods: </strong>VA clinicians were surveyed using an instrument derived from the Evidence-based Recommendations for Implementing Change taxonomy to assess the use of various strategies for PrEP in fiscal years 2019-2021. Correlational analyses identified the strategies associated with the frequency of PrEP prescribing and semi-structured interviews with personnel from 11 VA medical facilities with high PrEP prescribing refined and manualized these strategies into the Getting to Implementation (GTI)-PrEP playbook. The playbook was subsequently pilot tested in a VA facility with high new HIV diagnosis rates and low PrEP prescribing rates.</p><p><strong>Results: </strong>The clinician survey collected 157 responses from 95 unique VA facilities on implementation strategy use. Analysis identified eight strategies significantly associated with PrEP prescribing, including: networking, clinician education, clinical support tools, dashboard utilization, telehealth, pharmacist involvement, direct patient engagement, and enhanced sexual health history taking. In the pilot study, the site completed the GTI-PrEP Playbook with high fidelity and newly implemented seven of the eight strategies, achieving a 363% increase in PrEP prescribing rates among Black Veterans over the one-year period.</p><p><strong>Conclusions: </strong>This multi-year national evaluation identified a core subset of effective implementation strategies for increasing PrEP prescribing. The process of empirically specifying these strategies and pilot testing them through the GTI-PrEP playbook demonstrates a promising, data-driven approach to improve PrEP prescribing rates and reduce racial disparities in HIV prevention.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"71"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210410","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":"Qualitative application of the RE-AIM/PRISM framework to an educational intervention for improving the care of persons with behavioral and psychological symptoms of dementia.","authors":"Tamara J LeCaire, Molly Schroeder, Uriel Paniagua, Jonathan Stone, Tammi Albrecht, Stephanie L Houston, Sarina B Schrager, Cynthia M Carlsson, Art Walaszek","doi":"10.1186/s43058-025-00754-5","DOIUrl":"10.1186/s43058-025-00754-5","url":null,"abstract":"<p><strong>Background: </strong>An academic detailing model has improved self-efficacy of memory clinic clinicians to identify and manage complex behavioral and psychological symptoms in persons with dementia (BPSD). The purpose of this report is to describe a systematic approach to adapting a clinician education program previously delivered in two primary care integrated memory clinics for improving the management of BPSD to also be deliverable outside a memory clinic setting, in generalist primary care clinics. The RE-AIM/PRISM implementation framework guided the approach.</p><p><strong>Methods: </strong>Application of the RE-AIM/PRISM framework to the academic detailing program for BPSD was mapped. Framework-guided qualitative interviews were completed with experienced (Champion) and inexperienced (Novice) program stakeholders including questions on perceived gaps in clinical care (BPSD management) and barriers and facilitators to the educational model. Inductive and deductive qualitative thematic analytic approaches were used, the latter organized by RE-AIM domains and multi-level context. Convergence or divergence in organized themes by stakeholder experience shaped examination of fit and interactions among domains, components and strategies of the model for pre-implementation adaptations planning for non-memory clinic primary care clinicians.</p><p><strong>Results: </strong>A pragmatic application of the RE-AIM/PRISM framework was completed for collecting qualitative feedback from stakeholders, identifying multi-level contextual barriers and facilitators, and planning adaptations to our clinician education program. A description of the clinician stakeholders, the approach and one example of a clinician and intervention-level theme identified across RE-AIM domains for the program, self-efficacy in the management of BPSD, and resulting planned adaptations were shared.</p><p><strong>Conclusions: </strong>We provide a novel qualitative application of the RE-AIM/PRISM framework to inform adaptations for an intervention for primary care that incorporates feedback from both current experienced and future inexperienced program stakeholders. This approach can be used to identify multi-level contextual barriers and facilitators to reach, adoption, implementation, and effectiveness of this clinician education programs approach, academic detailing, for future primary care teams.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"69"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188640","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":"Acceptability, appropriateness, and feasibility of an online facilitation training program designed to support the implementation of person-centered care in Swedish healthcare-a qualitative study.","authors":"Ewa Carlsson Lalloo, Anna Bergström, Leif Eriksson, Lars Wallin, Emmelie Barenfeld","doi":"10.1186/s43058-025-00752-7","DOIUrl":"10.1186/s43058-025-00752-7","url":null,"abstract":"<p><strong>Background: </strong>Despite legislative support, PCC is not systematically practiced. An online facilitation training program targeting healthcare staff was developed in Sweden. This study aims to explore the acceptability, appropriateness, and feasibility of this facilitation training program, designed to support PCC implementation.</p><p><strong>Methods: </strong>This interview study evaluates the FaciLitating Implementation of Person-centered care (FLIP) training program according to the implementation outcomes acceptability, appropriateness, and feasibility, using deductive qualitative content analysis. FLIP integrates the Building Implementation Capacity for Facilitation (BIC-F), which focuses on behavioral change, and PCC principles. FLIP included workshops and supervision sessions held online, led by external facilitators. Between these meetings, the FLIP participants worked with implementation plans in co-creation with their colleagues. Five healthcare units, with different healthcare contexts, in Sweden, participated over 12 weeks with two healthcare staff assigned the role as internal facilitators per unit, selected and supported by their managers. All internal facilitators, managers, and external facilitators were invited to participate in evaluating FLIP. A total of 17 participants, eight internal facilitators, five managers, and four external facilitators were interviewed in semi-structured individual and group interviews.</p><p><strong>Results: </strong>FLIP was generally accepted among all participants, due to its emphasis on PCC, comprehensive content, and clear structure, as well as its blend of training, collaboration, and mutual support. Nevertheless, the acceptability was negatively affected by low attendance, low engagement due to the online format, and initial struggles with the systematic implementation model. The systematic implementation model used in FLIP was perceived as appropriate for implementing PCC in clinical practice; however, the training on PCC was viewed as insufficient, leading to challenges operationalizing PCC elements. The participants' perceptions of FLIP's feasibility varied; while delivery was manageable, busy schedules and technical disruptions negatively affected attendance and engagement.</p><p><strong>Conclusions: </strong>Becoming a facilitator capable of supporting the implementation of PCC is demanding and requires an understanding of both implementation and PCC. The BIC-F model was found to be accepted and appropriate, but operationalizing PCC requires more focus. Managerial support is needed to increase feasibility. Further research is required to evaluate whether facilitation skills can be trained online for large-scale PCC implementation.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"68"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188623","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":"Music as an implementation strategy for evidence-based health interventions in Africa: a systematic review using the RE-AIM framework.","authors":"Chidi Okafor, Shravya Allena, Olufunto A Olusanya, Ucheoma Nwaozuru, Ifedola Olojo, Amenze Eguavoen, Njideka Okubadejo, Rajesh Vedanthan, Collins Airhihenbuwa, Olajide Williams, Olugbenga G Ogedegbe, David Oladele, Temitope Ojo, Oliver Ezechi, Joseph D Tucker, Juliet Iwelunmor","doi":"10.1186/s43058-025-00741-w","DOIUrl":"10.1186/s43058-025-00741-w","url":null,"abstract":"<p><strong>Background: </strong>While a growing body of scientific literature suggests that evidence-based interventions may improve health outcomes in diverse settings, little is known about the best strategies for large-scale implementation. In Africa, music-an important positive social determinant of health-leverages existing cultural values, which may effectively enhance the reach, uptake, and long-term sustainability of evidence-based interventions in the region. To understand how music interventions work, why they are effective, and with whom they resonate, this systematic review aims to evaluate the quality and empirical application of music as an implementation strategy for adopting evidence-based interventions in Africa using the RE-AIM framework as a guide.</p><p><strong>Methods: </strong>A comprehensive librarian-assisted search followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Five major electronic databases, EBSCOhost, PubMed, Web of Science, Embase, and MEDLINE, were searched for empirical studies focused on using music as an implementation strategy to improve health outcomes in Africa. Two independent investigators extracted components of retrieved papers using the RE-AIM framework as a guide.</p><p><strong>Results: </strong>From 981 citations, eight studies met the inclusion criteria, each reporting a unique music intervention. The interventions were conducted in West Africa (n = 3), South African regions (n = 4), and East Africa (n = 1) and included seven observational studies and one randomized controlled trial (RCT). Using the RE-AIM scoring criteria, we summarize the RE-AIM dimensions reported from selected studies - Adoption (72.5%) being the highest, followed by Reach (62.5%), Implementation (41.7%), and Efficacy/Effectiveness (20.0%). All eight studies (100%) described the intervention location, the expertise of delivery agents, the target population, and the participant characteristics. Moreover, our analysis highlighted the effectiveness of music interventions in enhancing health outcomes, particularly in improving knowledge and awareness (62.5%), facilitating behavioral change (50%), and promoting mental health (25%).</p><p><strong>Conclusion: </strong>Music interventions adapted to the sociocultural context in Africa have the potential to help prevent diseases, improve well-being, and enhance health outcomes. Our review emphasizes the importance of customizing music-based interventions to fit the cultural context, which can enhance the programs' effectiveness, acceptance, and sustainability. Clinical trials are necessary to confirm the efficacy of music interventions in specific medical conditions and from a public health promotion perspective.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"67"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188624","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":"Lost in translation: advancing intervention adaptation for populations with non-dominant language preference in high diversity settings.","authors":"Kirsten Austad, Erika G Cordova-Ramos, Alicia Fernandez, Mari-Lynn Drainoni","doi":"10.1186/s43058-025-00753-6","DOIUrl":"10.1186/s43058-025-00753-6","url":null,"abstract":"<p><p>As the population of individuals with non-dominant language preference (NDLP) continues to grow, the field of implementation science has yet to fully address the unique barriers that this population faces in accessing evidence-based interventions (EBIs). Traditional models of cultural adaptation have been designed primarily for single linguistic or ethnic groups, focusing on aligning interventions with specific cultural values, beliefs, and practices. While effective within narrowly defined populations, this approach is not scalable to high-diversity settings where multiple NDLP groups are served simultaneously. In this Commentary, we argue for a reconceptualization of how implementation science approaches language barriers, advocating for all implementation efforts to consider language as a core determinant of success. We highlight how two relatively recent tools developed within implementation science-the Core Function and Form Framework and causal pathway diagrams-can advance EBI adaptation for populations with NDLP. We propose a highly scalable approach that systematically assesses the linguistic, cultural, and social needs of each individual and uses these data to guide individualized tailoring of an intervention, building on the emerging model of \"personalized adaptation.\" We highlight the need to innovate methods to ensure an individualized approach to EBI adaptation is feasible, scalable, and led by communities, with input from end-users. By harnessing the wisdom of the fields of implementation science and cultural adaptation, interventions can be adapted to the linguistic, cultural, and social needs of populations with NDLP to bring us closer to health equity in a diverse world.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"66"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176010","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":"\"Going above and beyond\" for implementation in the education sector: extension and validation of the School Implementation Citizenship Behavior Scale (SICBS).","authors":"Catherine M Corbin, Mark G Ehrhart, Eric C Brown, Jill Locke, Clayton R Cook, Gregory A Aarons, Aaron R Lyon","doi":"10.1186/s43058-025-00748-3","DOIUrl":"10.1186/s43058-025-00748-3","url":null,"abstract":"<p><strong>Background: </strong>Employee behaviors that strategically support implementation (i.e., implementation citizenship behavior [ICB]) theoretically promote the adoption and high-fidelity use of evidence-based practices (EBPs). ICB (e.g., helping colleagues overcome implementation barriers) may vary across contexts, including schools where children are most likely to access and receive mental and behavioral health services. Pragmatic measures are needed to advance nascent research on school-based ICB and inform how these behaviors can be used to support successful implementation. The current study expanded the Implementation Citizenship Behavior Scale (ICBS) to create and validate the School Implementation Citizenship Behavior Scale (SICBS) in a sample of elementary school teachers implementing evidence-based prevention programs to support children's mental and behavioral health.</p><p><strong>Methods: </strong>Based on subject matter expert feedback, items were refined from the original ICBS and items for two new subscales (taking initiative, advocacy) were created for the SICBS. A sample of 441 public school teachers from 52 elementary schools in the Midwest and Western United States of America completed a survey that included the SICBS and additional measures to assess convergent and divergent validity. SICBS was refined and validated via examination of item characteristics curves to reduce items and develop a pragmatic instrument, confirmatory factor analyses to evaluate the hypothesized measurement structure, and assessment of convergent and divergent validity.</p><p><strong>Results: </strong>The original two ICBS subscales (helping others, keeping informed) were retained, and two new three-item subscales resulted from item reduction analyses (taking initiative, advocacy). The hypothesized second-order factor model was generally well fit to the data (CFI = .99, TLI = .99, RMSEA = .09), all first- (λs = .85-.96) and second-order factor loadings (λs = .93-.95) were high. All SICBS subscales demonstrated acceptable reliability (αs = .88-.92). Convergent validity was evidenced by moderate correlations with organizational citizenship behavior items (rs = .42-.49). Divergent validity was demonstrated by weak correlations with teachers' beliefs about teaching (rs = .31-.38) and null correlations with most school demographics.</p><p><strong>Conclusion: </strong>Results support the structural, convergent, and divergent validity of the 12-item, 4-factor SICBS. The SICBS provides a deeper understanding of individual implementer actions that may serve as implementation mechanisms or outcomes.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152574","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}