Implementation science communications最新文献

{"title":"Correction: A mapping review and critique of the literature on translation, dissemination, and implementation capacity building initiatives for different audiences.","authors":"Ana A Baumann, Danielle R Adams, Laura-Mae Baldwin, Rachel G Tabak, Sara Malone, Maura M Kepper, Anita D Misra-Hebert, Kathleen R Stevens, Maria E Fernandez, Sunil Kripalani","doi":"10.1186/s43058-025-00740-x","DOIUrl":"https://doi.org/10.1186/s43058-025-00740-x","url":null,"abstract":"","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"49"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047877","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":"Expanding the pragmatic lens in implementation science: why stakeholder perspectives matter.","authors":"Richard Boulton, Antonina Semkina, Fiona Jones, Nick Sevdalis","doi":"10.1186/s43058-025-00730-z","DOIUrl":"https://doi.org/10.1186/s43058-025-00730-z","url":null,"abstract":"<p><strong>Background: </strong>Pragmatism is important in implementation science to ensure that implementation methods reflect the practical concerns of the stakeholders and services involved in change. To evaluate the usability of these methods, pragmatic measures have been developed using psychometrics. However, existing approaches have predominantly inherited a definition of pragmatism from the evidence-based healthcare movement. These metrics may not reflect concerns with pragmatism that public stakeholders (defined as those with expertise by experience of healthcare systems) may have with implementation science.</p><p><strong>Aims: </strong>Consequently, our aim was to carry out participatory research to explore stakeholder views of pragmatic measures in implementation science theory.</p><p><strong>Methods: </strong>We convened a working group of eight stakeholders. To facilitate discussion, we created educational materials, including a video and flyer. The working group conducted three meetings, engaging in abductive analysis to investigate the presented issues.</p><p><strong>Results: </strong>Stakeholders expressed concerns about the restricted definition of pragmatism, the potential for biases in measurement, and the necessity for a holistic, pluralistic approach that incorporates diverse perspectives when developing and evaluating implementation theory and metrics. These findings underscore the risk of distorting the development of implementation science methods without the input and scrutiny of stakeholders. Neglecting the wider application of pragmatic philosophy in implementation science could limit stakeholder involvement in the design of implementation methods and service transformation.</p><p><strong>Conclusions: </strong>This study, guided by experts with lived experience in healthcare services, opens doors for considering pragmatic philosophy in the evolution of pragmatic implementation measures and metrics, offering numerous promising directions for further exploration.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12016074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999620","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 peer paradox: Perspectives from HIV service providers to inform the implementation of an enhanced social network strategy for black sexual and gender minorities-a qualitative study.","authors":"Meagan C Zarwell, Ian Dale, Eunice Okumu, Jesse Strunk Elkins, Maria Esposito, Carol Golin, Jordyn McCrimmon, Matthew Zinck, Patrick Robinson, Ann M Dennis","doi":"10.1186/s43058-025-00736-7","DOIUrl":"https://doi.org/10.1186/s43058-025-00736-7","url":null,"abstract":"<p><strong>Background: </strong>The CDC's Social Network Strategy (SNS) is an evidence-supported approach to increase reach for HIV testing among members of marginalized populations. Leveraging social networks could improve access to HIV services, like pre-exposure prophylaxis and antiretroviral therapy, particularly for members of Black sexual and gender minority (BSGM) groups. We explored key barriers and facilitators prior to implementing an enhanced SNS (eSNS) to increase access to a broader range of HIV prevention and treatment services among BSGM in an Ending the HIV Epidemic jurisdiction in the US South.</p><p><strong>Methods: </strong>Guided by the Consolidated Framework for Implementation Research (CFIR), we conducted four focus groups with 19 HIV services staff members and 12 in-depth interviews with local health department officials, clinicians, and community-based organization leaders pre-implementation. Transcripts were coded by applying constructs from the CFIR and we identified themes about potential barriers and facilitators to implementing eSNS from potential implementers.</p><p><strong>Results: </strong>We identified three themes, each of which reflect a delicate and paradoxical balance between trust and mistrust that operates within social networks. Each theme represents a \"Peer Paradox\", wherein eSNS core components may have unpredictable effects on trust and mistrust within peer networks. The Incentives Paradox captures how financial incentives work synergistically with interpersonal ties to strengthen engagement with HIV services but also introduces a transactional element into peer-to-peer interactions. The Readiness Paradox is the perception that BSGM individuals best positioned to recruit peers who could most benefit from HIV services may require the greatest amount of additional support in delivering eSNS. The Credibility Paradox reflects a concern that although trust among peers may be harnessed to disseminate health information and increase acceptance of HIV services, peers may not be considered credible sources of HIV information.</p><p><strong>Conclusions: </strong>Disruptions to the interplay of trust and mistrust within peer networks may influence the effectiveness of the eSNS intervention. These findings suggest that public health practitioners implementing SNS or similar social networking interventions should identify and address specific obstacles to fostering trust before and during implementation. We recommend considering strategies that address peer credibility, readiness, and the impact of financial incentives in social network interventions.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"46"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12016230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044274","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":"Reexamining the Evidence-Based Practice Attitude Scale-36 (EBPAS-36) in a U.S. sample of trauma-focused treatment providers.","authors":"Joshua P Mersky, ChienTi Plummer Lee, Edwin Bacalso, Xiyao Liu","doi":"10.1186/s43058-025-00702-3","DOIUrl":"https://doi.org/10.1186/s43058-025-00702-3","url":null,"abstract":"<p><strong>Background: </strong>Mental health providers' attitudes toward evidence-based practice are likely to influence what interventions they learn, implement, and sustain over time. A 36-item version of the Evidence-Based Practice Attitude Scale (EBPAS) was recently developed to assess provider attitudes in 12 domains. Research suggests the EBPAS-36 is a promising tool, though inconsistencies across studies signal the need to reexamine its validity and reliability along with the correlates of provider attitudes.</p><p><strong>Methods: </strong>This study assessed the factorial structure of the EBPAS-36, the intercorrelations and reliabilities of its subscales, and correlates of practice attitudes in a U.S. sample of 445 practitioners who received training in trauma-focused cognitive behavioral therapy.</p><p><strong>Results: </strong>A confirmatory factor analysis (CFA) verified that the EBPAS-36 fits a 12-factor model representing each of its subscales. Reinforcing prior results, the subscales of the EBPAS-36 were weakly to moderately correlated, indicating that the 12 domains are related yet distinct. A hypothesized second-order CFA model with three overarching latent factors was not validated, but an alternative second-order model with two factors fit the data adequately. Most subscales demonstrated good-to-excellent internal consistency, though values for certain subscales ranged from marginally acceptable to poor. Provider attitudes varied by gender, professional experience, and discipline. Practitioners who more frequently assessed client trauma symptoms reported more positive EBP attitudes, and those who expressed greater concerns that trauma assessments may cause harm reported more negative attitudes.</p><p><strong>Conclusions: </strong>Taken together with previous findings, the results show the EBPAS-36 performs well overall, though some subscales may benefit from refinement. Further validation tests of the EBPAS-36 in diverse samples are warranted.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"47"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12016081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058018","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":"Understanding implementation determinants of universal school meals through an equity-driven mixed methods approach.","authors":"Gabriella M McLoughlin, Molly Kerstetter, Yerusalem Yohannes, Omar Martinez, Resa M Jones, Ross C Brownson, Jennifer O Fisher","doi":"10.1186/s43058-025-00713-0","DOIUrl":"https://doi.org/10.1186/s43058-025-00713-0","url":null,"abstract":"<p><strong>Background: </strong>Policies, such as Universal School Meals (USM), are essential for preventing inequities in chronic disease risk among socially and economically marginalized populations. Implementing USM reduces food insecurity and obesity risk, among other academic/health outcomes; unfortunately, across the nation student participation (i.e., reach) is lower than expected, limiting its public health impact. Grounded in implementation science and health equity frameworks, this study aimed to: 1) investigate the determinants of implementing USM in a large, urban school district and 2) assess key challenges and supports across schools with varying levels of participation in USM.</p><p><strong>Methods: </strong>A needs and assets assessment was undertaken in the 2023-2024 academic year with the School District of Philadelphia to address implementation-related challenges for USM as part of a broader Implementation Mapping process. Overall, 8 schools (6 middle; 2 high) participated in a convergent mixed methods study comprising qualitative interviews, surveys, and mealtime observations. Data collection was grounded in the Consolidated Framework for Implementation Research (CFIR) and Health Equity Measurement Framework. Interviews were deductively coded through the CFIR; barriers were coded negatively (either -1 or -2), supports coded positively (+ 1 or + 2), and neutral determinants coded as 0. Schools were grouped into low, moderate, and high meal participation for disaggregated analysis and comparison of determinants across reach.</p><p><strong>Results: </strong>193 participants included teachers (29%), parents (26%), students (middle 14%; high school 10%), administrators (13.5%), and food service personnel (11%). Participants identified as Black/African American (43%), White (26%), Hispanic/Latino (20%), Asian (5%), Middle Eastern (1.8%), and other (3.8%). The strongest facilitators of USM implementation were Mid-level Leaders (i.e., climate leaders; M = 1.29[-1,2]) and High-level Leaders (i.e., administrators; M = 0.96[-1,2]); strongest negative USM determinants were Market Pressure (i.e., competitive foods; M = -1.35[-2,0]), and Relative Priority (M = -1.17[-2,-1]). Emerging differences between low and moderate/high participation groups were found in Culture, Assessing Needs of Recipients, Access to Knowledge/Information, Human Equality-Centeredness, and Implementation Leads. Overall, higher participation schools reported less stigma, more equitable implementation procedures, and more involvement from food service managers than lower participation schools.</p><p><strong>Conclusions: </strong>Equity-focused strategies targeting key issues within and outside the school setting are needed to reduce stigma and increase capacity for implementation.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"44"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036263","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":"Hmong Promoting Vaccines eHealth website: a community-based participatory research pilot to evaluate dissemination and implementation strategies for primary care and educational contexts.","authors":"Serena Xiong, Kathleen A Culhane-Pera, Jay Desai, Tounhia Khang, Maria Beatriz Torres, Bai Vue, April K Wilhelm","doi":"10.1186/s43058-025-00733-w","DOIUrl":"https://doi.org/10.1186/s43058-025-00733-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Human papillomavirus (HPV) vaccination rates among Hmong American adolescents are significantly lower than national averages, despite higher cervical cancer rates in this population. eHealth can improve vaccine uptake, especially in the COVID-19 era. Our community-based participatory research team developed and evaluated a culturally-tailored website ( https://hmonghpv.com ) featuring educational modules on HPV and HPV vaccines in Hmong and English for Hmong adolescents and their parents. This pilot study aimed to determine the most effective dissemination and implementation (D&I) strategies within schools and primary care clinics using community-engaged methods, including community-based participatory research (CBPR), an understudied area in D&I research. CBPR has been underutilized in D&I research, yet its participatory approach ensures that marginalized voices are included, offering valuable insights for implementing and sustaining culturally adapted interventions to enhance uptake and long-term impact.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Our CBPR team included Hmong researchers, university researchers, a public health advocate, and a family medicine physician-researcher. We conducted pre- and post-implementation interviews with six user organizations and seven disseminator community-based organizations to guide the development and assessment of D&I strategies for the website. Using template analysis, we analyzed the pre-implementation data. We then partnered with the user organizations to co-design individualized D&I plans that they implemented during an eight-week pilot period. We used Google Analytics and a Qualtrics survey to assess website use post-implementation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;During implementation, user organizations promoted the website to 300 new users, who spent an average of nearly 12 min on the site. The most robust dissemination (n = 117) occurred in a Hmong charter school that integrated the website into their health education curriculum. Post-implementation interviews revealed that D&I plans that fit into clinic workflows and school curricula had the most robust implementation, and that clinic staff found discussing HPV vaccines most useful during adolescent preventive health visits. Challenges included time constraints, lower receptivity to vaccine conversations at non-preventive visits, and adolescents' preference for alternatives to paper handouts. Disseminator organizations showed strong interest in scaling the website for greater reach in Hmong and non-Hmong populations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This pilot study demonstrated the feasibility of disseminating and implementing a culturally-tailored educational website for HPV education in educational and primary health care settings. Health education curricula in culturally-specific schools proved to be the most effective dissemination modality. A dissemination toolkit with support materials is available to facilitate usi","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060328","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":"Core functions and forms in home-delivered meal programs: a stakeholder-driven approach to identifying essential practices.","authors":"Lisa A Juckett, Kimberly P Bernard, Melissa A Clark, Emily A Gadbois, Bernadette Wright, Kali S Thomas","doi":"10.1186/s43058-025-00728-7","DOIUrl":"https://doi.org/10.1186/s43058-025-00728-7","url":null,"abstract":"<p><strong>Background: </strong>The rapid growth of the aging population underscores the need for programs tailored to older adults' complex health needs. Home-delivered meal programs are critical, providing nutrition and socialization support to older adults with greatest economic and social need. However, variations in local implementation complicate our understanding of how specific program practices influence older adult outcomes. This present study applies the core functions and forms framework to identify and prioritize essential home-delivered meal practices-or forms-that can be replicated by other meal programs.</p><p><strong>Methods: </strong>This study was conducted within a pragmatic randomized effectiveness trial comparing two home-delivered meal models and their impacts on health outcomes among older adults. The study involved nine meal programs across the United States and used a three-phase approach characterized by the following: (1) core functions of home-delivered meal programs were identified based on Title III of the Older Americans Act; (2) the full spectrum of program \"forms\" was gathered through site visits, surveys, and listening sessions; and (3) a modified e-Delphi process was conducted with stakeholders to determine consensus on the most essential forms of home-delivered meal programming.</p><p><strong>Results: </strong>Three core functions were identified from Title III of the Older Americans Act: provide meals to reduce hunger and malnutrition, provide opportunities for socialization, and provide opportunities to promote health and well-being. Out of 103 identified program forms, 25 were deemed essential for achieving the core functions of home-delivered meal programs. Essential practices included dietary customization, emergency meal provision, and meaningful client-driver interactions, as examples.</p><p><strong>Discussion: </strong>This study demonstrates that while program variability allows flexibility to meet local client needs, establishing core functions and essential forms provides a foundation for evaluating home-delivered meal program effectiveness. The findings inform home-delivered meal program improvements at the national level, emphasizing a balance between standardized practices and local adaptations. This work serves as a model for characterizing complex interventions in community-based settings, advancing the science of implementation and the impact of home-delivered meals on older adult populations.</p><p><strong>Trial registration: </strong>NCT registration: NCT05357261 ; April 27, 2022.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061318","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":"Assessing the inner setting among Massachusetts community health centers: opportunities for multilevel investigation and expansion of influences on health equity.","authors":"Rebekka M Lee, James G Daly, Daniel A Gundersen, Ruth I Lederman, Susan Dargon-Hart, Jonathan P Winickoff, Karen M Emmons","doi":"10.1186/s43058-025-00724-x","DOIUrl":"https://doi.org/10.1186/s43058-025-00724-x","url":null,"abstract":"<p><strong>Background: </strong>Implementation science increasingly aims to improve health outcomes in delivery of evidence-based interventions. It is important to understand the inner setting of organizations where interventions are put into place, as setting characteristics can have significant impact on implementation outcomes. Community health centers are increasingly engaged in efforts to improve use of evidence-based cancer control interventions. Taking a comprehensive, partnered approach to measuring the inner setting among a network of community health centers engaged in implementation research ensures assessment of the variability among sites.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey among staff (n = 63) purposively sampled from 12 community health centers in Massachusetts engaged in research at the Implementation Science Center for Cancer Control Equity. The survey assessed inner setting constructs from the Consolidated Framework for Implementation Research, including learning climate, leadership engagement, available resources, and implementation demands/stress using validated measures (Likert scale range: 1 \"strongly disagree\" to 5 \"strongly agree\"). Additional equity-focused inner setting items included structural characteristics of the work infrastructure and language access services. Descriptive statistics examined differences by staff role and health center.</p><p><strong>Results: </strong>Staff rated learning climate (mean = 3.98) and leadership engagement (mean = 3.67) positively, while available resources (mean = 2.78) had the lowest rating, particularly staffing resources. Clinical staff rated the inner context lowest compared to other roles. All centers reported supportive human resource benefits for caregiving and 92% provided tuition assistance, while fewer offered formal mentorship (50%) or affinity groups (33%). Community health centers reported written materials are routinely provided to patients in languages other than English and interpreter services were most common in Spanish, Vietnamese, and Portuguese.</p><p><strong>Conclusions: </strong>This study provides an assessment of the inner setting within Massachusetts community health centers at the start of a new research collaboration. Periodic follow-up surveys will monitor changes over time. Data can be used in future analyses to explore how inner setting characteristics influence implementation outcomes and impact equitable translation of evidence-based interventions into practice.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"40"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025249","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 use of patient and public involvement and engagement in the design and conduct of implementation research: a scoping review.","authors":"Amy Mathieson, Lisa Brunton, Paul M Wilson","doi":"10.1186/s43058-025-00725-w","DOIUrl":"https://doi.org/10.1186/s43058-025-00725-w","url":null,"abstract":"<p><strong>Background: </strong>Most implementation research focuses on understanding and changing health professionals' work practices. While Patient and Public Involvement and Engagement (PPIE) in applied health research is recognised as best practice, and is often a requirement for funders globally, little is known about the role of patients and the public in implementation research.</p><p><strong>Methods: </strong>Guided by Arksey and O'Malley's framework, we conducted a scoping review to categorise PPIE in the design and conduct of implementation research, including how patients and the public have been involved, the reported impact of patient and public involvement, and the reported benefits and challenges to involving patients and the public in implementation research. We searched four databases: MEDLINE, Embase, CINAHL, and SCOPUS. To be included, studies had to report some form of PPIE in the design and conduct of implementation research. Information about each study was extracted using a structured data extraction form. Data was collated and summarised.</p><p><strong>Results: </strong>Of the 535 unique records identified, 12 were included. Analysis of the eligible studies found eight different types of PPIE activities. Researchers mostly consulted with patients and members of the public via feedback sessions, committee representation and roundtable discussions. Barriers and enablers were usually researcher related and their attempts to build, maintain, and negotiate relationships with public contributors over time. Resources and financial remuneration were also key. Most studies (n = 7) reported that engaging community members in the design and implementation of community-based programs and trials enhanced cultural appropriateness, and the likelihood of sustainability. However, there was little formal evaluation of the use of PPIE.</p><p><strong>Conclusion: </strong>This study can be used to design and guide future PPIE in implementation research. Given the inconsistent, and often absent, reporting of PPIE activities and barriers and enablers across the included studies, future studies should describe and evaluate the execution of PPIE in implementation research to advance practices in this field.</p><p><strong>Registration: </strong>The review was registered on Research Registry (reviewregistry1552).</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"42"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030328","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":"Time required to implement a computerized patient decision aid for lupus in outpatient visits.","authors":"Nathan W Carroll, Aizhan Karabukayeva, Larry R Hearld, Diane Kamen, Alfred H J Kim, Sonali Narain, Narender Annapureddy, Zineb Aouhab, Maureen McMahon, Vikas Majithia, Cathy Lee Ching, Winn Chatham, Jasvinder A Singh","doi":"10.1186/s43058-025-00727-8","DOIUrl":"https://doi.org/10.1186/s43058-025-00727-8","url":null,"abstract":"<p><strong>Background: </strong>Patient decision aids have the potential to lower decision conflict for patients and to improve patient-physician communication. However, uptake of decision aids has been poor, in part because the time required to incorporate these into clinical practice is not well understood.</p><p><strong>Objective: </strong>To estimate the time required for a rheumatology clinic to implement a validated decision aid for patients with lupus.</p><p><strong>Methods: </strong>Using a cohort of eight implementation sites, study investigators identified the activities required to administer a decision aid. Site coordinators embedded within the clinics timed the duration of each activity. To estimate the effect of viewing the decision aid on the length of the physician-patient interaction, patient visits were timed and the length of visits for patients who viewed the decision aid were compared with visit lengths for three groups of control patients.</p><p><strong>Results: </strong>Estimates of the effect of the decision aid on patient visit lengths ranged from a reduction of 3 min per visit to an increase of 3.88 min per visit, with five out of six estimates suggesting the decision aid is associated with shorter patient visits. Introducing the decision aid to patients took a mean of 4.12 min (median of 2 min). Identifying patients eligible for the decision aid was a weekly or bi-weekly process for most clinics and took an average of 41.43 min.</p><p><strong>Conclusion: </strong>The time required for a rheumatology clinic to implement the decision aid for patients with lupus is low. Our results raise questions about why decision aid take up is low among clinical practices, given the benefits the lupus decision aid offers to patients (reduced decisional conflict and better-informed choice of immunosuppressive medications used for the treatment of lupus kidney disease). More research is needed to identify barriers to decision aid adoption.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"41"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11987190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047646","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}