Implementation science communications最新文献

{"title":"Enhancing implementation of information and communication technologies for post-discharge care among hospitalized older adult patients: development of a multifaceted implementation intervention package using the behavior change wheel and implementation research logic model.","authors":"Dorothy Yingxuan Wang, Eliza Lai-Yi Wong, Annie Wai-Ling Cheung, Zoe Pui-Yee Tam, Kam-Shing Tang, Eng-Kiong Yeoh","doi":"10.1186/s43058-025-00739-4","DOIUrl":"https://doi.org/10.1186/s43058-025-00739-4","url":null,"abstract":"<p><strong>Background: </strong>The integration of information and communication technologies in clinical practice can supplement traditional care pathways on discharge education and has exhibited evident benefits in improving patient health outcomes. However, healthcare providers have reported difficulties in adopting such technologies. The existing evidence on implementation interventions supporting the implementation of information and communication technologies is insufficient, characterized by infrequent utilization or reporting of implementation theories in implementation intervention designs. This study aims to outline the creation of a theory-informed implementation intervention package to enhance the clinical implementation of information and communication technologies for post-discharge self-care among hospitalized older adults.</p><p><strong>Methods: </strong>This study systematically applies the Behavior Change Wheel (BCW) approach, involving behavior diagnosis, identification of intervention options, and intervention content selection, informed by conceptual frameworks, empirical data, and relevant literature. Additionally, the Implementation Research Logic Model is utilized to synthesize, organize, and visually present the collected data.</p><p><strong>Results: </strong>This structured process identified and selected five intervention functions, 11 behavior change techniques, and four policy categories. A multifaceted implementation intervention package was developed, containing four components: (i) flexible and sustainable training, (ii) mass media and opinion leader campaign, (iii) technology and workflow redesign, and (iv) regular corporate-level audit and feedback.</p><p><strong>Conclusions: </strong>The study addresses the incomplete evidence base for implementation interventions supporting clinical information and communication technology implementation, presenting a practical, evaluable, and scalable theory-informed implementation intervention package. By providing an example of the application of the BCW approach and logic model, this study contributes to the knowledge on implementation intervention design, offering valuable insights for researchers and practitioners aiming to improve healthcare providers' behavior change and post-discharge care management with technology-based interventions.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030326","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":"Evaluating spoke facilitation costs of implementing TelePain in the Veterans Health Administration.","authors":"Alexandra L Rose, Shaina Coogan, Jess Indresano, Steven B Zeliadt, Jessica A Chen","doi":"10.1186/s43058-025-00729-6","DOIUrl":"https://doi.org/10.1186/s43058-025-00729-6","url":null,"abstract":"<p><strong>Background: </strong>The high prevalence and significant morbidity and mortality associated with chronic pain among veterans has made expansion of pain services within the Veterans Health Administration (VHA) a key priority. TelePain, in which services are provided via telehealth from central \"hub\" sites to patients at decentralized \"spoke\" sites, is one such model with positive implementation findings to date. However, the staff effort and cost of implementation have yet to be examined when considering TelePain or similar virtual hub-and spoke models of specialty pain care, information that is critical for expansion of services.</p><p><strong>Methods: </strong>Using an established time-based activity tracker designed for implementation facilitation, study staff tracked minutes spent on implementation activities at 11 spoke sites. Annual salaries were extracted to calculate an average cost per minute for each personnel type. Costs per personnel minute were combined with activity data to calculate costs of implementation activities at spoke sites. Implementation reach outcomes for the first 36 months of implementation were extracted from the electronic health record. Service utilization data was combined with cost data to calculate cost per patient reached and per clinical encounter achieved at each site.</p><p><strong>Results: </strong>Total facilitation costs (range: $1,746-$7,978) and unique patients reached (range: 2-46) varied considerably across spoke sites and greater staff implementation efforts (measured in time or cost) were not associated with greater numbers of patients reached. Therefore, costs per patient reached also varied widely (range: $120-2,569) across spoke sites. Key challenges included high rurality and small clinic size; insufficient engagement of frontline providers; lack of referral options for high acuity patients; and lack of existing programming within which to situate pain services.</p><p><strong>Conclusions: </strong>At spoke sites where patients were consistently referred and reached, costs were relatively modest, particularly compared to the high cost of untreated chronic pain, suggesting the potential impact of this model at scale. However, in spoke sites where referrals and encounters were low during initial implementation, cost per patient was high. Findings highlight the need for better methods for tailoring of facilitation interventions to spoke site's individual needs to maximize impact.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046990","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":"Development and validation of a pragmatic measure of context at the organizational level: The Inventory of Factors Affecting Successful Implementation and Sustainment (IFASIS).","authors":"Hélène Chokron Garneau, Hannah Cheng, Jane Kim, Maryam Abdel Magid, Lia Chin-Purcell, Mark McGovern","doi":"10.1186/s43058-025-00726-9","DOIUrl":"https://doi.org/10.1186/s43058-025-00726-9","url":null,"abstract":"<p><strong>Background: </strong>Successful implementation and sustainment of interventions is heavily influenced by context. Yet the complexity and dynamic nature of context make it challenging to connect and translate findings across implementation efforts. Existing methods to assess context are typically qualitative, limiting potential replicability and utility. Existing quantitative measures and the siloed nature of implementation efforts limit possibilities for data poolinXg and harmonization. The Inventory of Factors Affecting Successful Implementation and Sustainment (IFASIS) was developed to be a pragmatic, quantitative, organizational-level assessment of contextual factors. The intention is to characterize context with a measure that may enhance replication and reproducibility of findings beyond single implementation case studies. Here, we present the development and validation of the IFASIS.</p><p><strong>Methods: </strong>A literature review was conducted to identify major concepts of established theories and frameworks to be retained. IFASIS data were examined in relation to implementation outcomes gathered from two studies. Psychometric validation efforts included content and face validity, reliability, internal consistency, and predictive and concurrent validity. Predictive validity was evaluated using generalized estimating equations (GEE) for longitudinal data on three implementation outcomes: reach, effectiveness, and implementation quality. Pragmatic properties were also evaluated.</p><p><strong>Results: </strong>The IFASIS is a 27-item, team-based, instrument that quantitatively operationalizes context. Two rating scales capture current state and importance of each item to an organization. It demonstrated strong reliability, internal consistency, and predictive and concurrent validity. There were significant associations between higher IFASIS scores and improved implementation outcomes. A one-unit increase in total IFASIS score corresponded to a 160% increase in the number of patients receiving a medication (reach). IFASIS domains of factors outside the organization, factors within the organization, and factors about the intervention, and subscales of organizational readiness, community support, and recipient needs and values, were predictive of successful implementation outcomes. IFASIS scores were also significantly associated with measures of implementation quality.</p><p><strong>Conclusions: </strong>The IFASIS is a psychometrically and pragmatically valid instrument to assess contextual factors in implementation endeavors. Its ability to predict key implementation outcomes and facilitate data pooling across projects suggests it can play an important role in advancing the field.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"6 1","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063394","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":"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}