Implementation science communications最新文献

{"title":"Implementation determinants, strategies and outcomes for scale-up of hospital-at-home: a systematic review.","authors":"Stephanie Q Ko, Rachel H Choe, Yan Ling Lai, Nick Sevdalis","doi":"10.1186/s43058-026-01033-7","DOIUrl":"10.1186/s43058-026-01033-7","url":null,"abstract":"<p><strong>Background: </strong>Hospital-at-Home (HaH) has been shown to be clinically and cost effective, but many programs struggle to scale. We conducted a systematic review of HaH studies reporting implementation contexts, strategies and outcomes with the primary aim to synthesise the implementation evidence on HaH. Our secondary aim was to develop a framework of HaH implementation outcome indicators for future studies to apply.</p><p><strong>Methods: </strong>We searched the literature PubMed, Embase and Scopus, for publications from 2012 to 2022. We included studies related to HaH that included at least one implementation context and at least one implementation outcome variable, excluding clinical outcomes measures. At least two reviewers independently selected studies, abstracted data and assessed quality. We coded the implementation determinants to the Consolidated Framework for Implementation Research (CFIR); implementation strategies to the Expert Recommendations for Implementing Change (ERIC); and implementation outcomes to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) frameworks.</p><p><strong>Results: </strong>We included 27 studies in the final review, which reported 24 CFIR contextual factors, 25 ERIC strategies, and all domains of the RE-AIM evaluation framework. The most commonly reported implementation determinant, identified in six studies, was information technology infrastructure, which included streamlining documentation processes and improving access to patient records. Five studies described the following implementation factors: (i) work infrastructure, focusing on organising manpower effectively; (ii) capability of innovation deliverers, referring to staff posessing the necessary skills to perform their roles; and (iii) local conditions, such as the geographical challenges associated with HaH. The most frequently referenced implementation strategies were conducting ongoing training (nine studies), creating new clinical teams (eight studies), and promoting adaptability (seven studies). All assessed implementation outcomes were aligned to the RE-AIM framework, with volume of admissions, patient-reported experiences or outcome measures, and home visit frequency being most commonly reported (four studies each). The majority of implementation measures lacked a common denominator, and use of validated tools across studies was lacking.</p><p><strong>Conclusions: </strong>We identified a list of implementation determinants, strategies and outcomes that can be used to inform scale-up of HaH, and have developed a framework for consistent reporting of HaH implementation studies grounded onto RE-AIM.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148387915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A call for supplemental implementation strategy reporting guidelines to advance minority health: applying expanded specification and reporting recommendations to the Literacy Promotion for Latinos study.","authors":"Jennifer R Hemler, Manuel E Jimenez, Benjamin F Crabtree, Alan L Mendelsohn, Katie A Devine, Shilpa Pai, Usha Ramachandran, Shawna V Hudson, Thomas I Mackie","doi":"10.1186/s43058-026-00966-3","DOIUrl":"10.1186/s43058-026-00966-3","url":null,"abstract":"<p><strong>Background: </strong>Reporting guidelines for implementation strategies are important for transparency, measurement, and replicability. Yet, recent calls within implementation science highlight that foundational research commitments to advance minority health remain underspecified in current implementation strategy reporting guidelines.</p><p><strong>Methods: </strong>In response, our research team sought to expand Proctor and colleagues' guidelines for reporting and specifying implementation strategies to advance minority health. We first identified and synthesized key elements for specification from relevant literature. We then applied potential supplemental reporting criteria to our Literacy Promotion for Latinos (LPL) study as a case example to iterate and refine the suggested supplemental criteria. LPL implemented text messages and streamlined access to community resources as implementation strategies to enhance uptake of Reach Out and Read, an evidence-based pediatric clinic-based literacy promotion intervention specifically among Latino families.</p><p><strong>Results: </strong>Our suggested supplemental reporting criteria integrate elements of community-engagement and health disparities research foundational for advancing minority health. We offer a new category, (1) Prioritize It, to describe processes of defining and prioritizing the (a) health outcome gap of interest and (b) performance gap of the evidence-based intervention. We add criteria to Proctor and colleagues' (2) Specify It category, which outlines the description of the implementation strategies, to describe processes of implementation strategy (a) selection, (b) development, and (c) tailoring. Lastly, we suggest a new category, (3) Evaluate It, to include community-engaged evaluation processes. In our case example, we explain the team's processes and engagement of relevant community members and partners in (a) prioritizing disparities in linguistic and socio-emotional development for Latino children related to school readiness and performance gaps in Reach Out and Read for families in local clinic communities; (b) specifying the selection, development, and tailoring of implementation strategies to focus on social and structural drivers of this health disparity; and (c) facilitating community partnerships to evaluate the strategies.</p><p><strong>Conclusions: </strong>Expansion of implementation strategy criteria for reporting can help ensure commitments to advancing minority health are fulfilled. Future efforts should convene researchers and community partners to create expert consensus on the specifications required for implementation strategies for addressing drivers of disparities and advancing minority health.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, Literacy Promotion for Latinos Study, NCT04609553, first posted October 30, 2020: https://clinicaltrials.gov/ct2/show/NCT04609553.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383335","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":"Growing implementation scientists: NHLBI's K12 programs in heart, lung, blood, and sleep research.","authors":"Shahnaz B Khan, Cara C Lewis, Padma T Mudakala, Keith A Mintzer, Jennifer S Curry, George A Mensah","doi":"10.1186/s43058-026-01027-5","DOIUrl":"10.1186/s43058-026-01027-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Implementation science seeks to accelerate the adoption, integration, and scale-up of evidence-based interventions (EBIs) to improve health and reduce disparities. As the field expanded, demand for trained implementation scientists rapidly outpaced workforce capacity. To address this need, the National Heart, Lung, and Blood Institute (NHLBI) launched the institutional Research Career Development Programs in T4 Implementation Research (K12) Next Generation of Implementation Science (iNexIS) in 2016. The program aimed to expand the national pool of rigorous implementation researchers prepared to conduct late-stage translation (T4) studies focused on heart, lung, blood, and sleep (HLBS) conditions. This report presents early outcomes from the inaugural K12 implementation science cohort to assess preliminary workforce growth and productivity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective cohort analysis was conducted using NIH RePORTER, Query/View/ Report (QVR), and Research Performance Progress Reports (RPPRs) for all awards funded through RFA-HL-17-016. Data extracted (through September 2025) included institutional characteristics, scholar demographics, training duration, grant applications and awards, and peer-reviewed publication output. Productivity measures encompassed: (1) Career Development Awards (CDAs), (2) Research Project Grants (RPGs) and equivalents, and (3) Loan Repayment Program (LRP) applications/awards. Descriptive statistics were used to characterize scholar output, time to first CDA or RPG, and cumulative citation metrics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Ten institutions were funded, supporting 75 scholars across diverse disciplines, primarily pulmonary/critical care medicine (16%), internal medicine (15%), and pediatrics (13%). Most scholars were women (58%); 42% held PhDs and 32% held MDs. Of 215 grant submissions, 95 awards were made to 54 scholars (44% success rate overall; 36% excluding LRPs). Scholars achieved 32 RPGs (24% success rate across RPG submissions) and 27 CDAs. Median time to CDA was 31 months, and to RPG was 43 months-shorter than typical NIH-wide timelines. Scholars collectively generated an estimated 393 publications with a median Relative Citation Ratio of 1.64, reflecting strong research influence. Post-training positions span academic health centers, VA medical centers, community health organizations, research institutes, and industry settings across 17 states.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Early findings suggest that NHLBI's iNexIS K12 program effectively expanded the implementation science workforce, accelerated progression to independent funding, and fostered high research productivity. While long-term impact will require follow-up at beyond 10-years post-program, current metrics indicate strong return on investment. Continued support for structured implementation science training programs remains critical to meet growing workforce demands and advance late-stage tr","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371282","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":"Implementing a multimodal lifestyle intervention for depression and overweight in primary and secondary care: protocol for an implementation study exploring what works, how, and under what conditions.","authors":"Sven J G Geelen, Nienke Paauwe, Sophie M van Zonneveld, Huibert Burger, Nicolette Moes, Maartje Hofman, Daniëlle C Cath, Nynke D Scherpbier, Anouk E M Willems","doi":"10.1186/s43058-026-01031-9","DOIUrl":"10.1186/s43058-026-01031-9","url":null,"abstract":"<p><strong>Background: </strong>Depression is a common mental health disorder which frequently co-occurs with increased body mass index or increased waist circumference (hereafter 'overweight'), causing heightened cardiovascular risk. Unhealthy lifestyle behaviours underlie both conditions. The Multimodal Lifestyle Intervention (MLI) LEEF integrates physical activity, nutrition, and behavioural strategies, tailored to motivational challenges common in depression, offering a dual focus on mental and physical health. However, unpublished process data revealed very limited referral to MLI‑LEEF from both primary and secondary care, and consequently low initiation rates, signalling clear implementation challenges. This study addresses this gap by translating prioritised implementation determinants into conceptually and empirically grounded implementation strategies and examining what works, how, and under which conditions.</p><p><strong>Methods: </strong>This quasi‑experimental, explanatory sequential mixed‑methods study will implement MLI‑LEEF across ten general practices and three secondary mental health care outpatient clinics in the Northern Netherlands. Implementation strategies will be developed and tailored using Causal Pathway Diagramming and applied over a six‑month period. Quantitative data will be collected before, during, and after implementation to assess proximal implementation outcomes (the immediate, observable effects of an implementation strategy), distal implementation outcomes (adoption and sustainability), service‑level penetration, and patient outcomes. Following the implementation period, semi‑structured interviews will be conducted with referrers from each participating organisation. Site‑specific topic guides, informed by each organisation's implementation plan, causal pathway diagrams, and quantitative implementation outcomes, will probe how strategies generate change (mechanisms), how they influence targeted determinants, and which contextual conditions (preconditions, moderators) shape implementation strategy functioning.</p><p><strong>Discussion: </strong>This study will respond to fieldwide calls in implementation science for rigorous, transparent, and context-sensitive approaches to developing and evaluating implementation strategies. By examining how strategies shape referral and initiation in routine general practice and specialist mental health services, and by clarifying the mechanisms and contextual conditions under which they are effective, the study will generate actionable insight into why implementation succeeds or falters in real-world care. These insights will provide essential groundwork for strengthening the reach and adoption of MLI-LEEF and will offer transferable guidance for embedding multimodal lifestyle interventions into everyday care, while advancing generalizable knowledge of how implementation strategies produce change.</p><p><strong>Trial registration: </strong>10.17605/OSF.IO/XJHCB.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13587504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364207","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 determinants and outcomes in the Philadelphia TelePrEP Program: a mixed methods study of client and staff perspectives.","authors":"Stephen Bonett, Anna Sweeney, Naomi Correa, Qian Li, Brian Hernandez, Dovie L Watson, Javontae Williams, Kathleen A Brady, Denise Gaither-Hardy, Aviva Joffe, Hussein Safa","doi":"10.1186/s43058-026-01009-7","DOIUrl":"10.1186/s43058-026-01009-7","url":null,"abstract":"<p><strong>Background: </strong>HIV pre-exposure prophylaxis (PrEP) is an effective HIV prevention tool, yet uptake and retention among populations vulnerable to HIV acquisition remain below target levels. Telehealth has emerged as a promising strategy to overcome barriers to accessing PrEP. However, significant gaps remain in our understanding of the implementation of telehealth programs for PrEP. This study examines implementation barriers and facilitators in the Philadelphia TelePrEP Program (PTP), assesses program acceptability, usability and satisfaction, and investigates associations between client characteristics and implementation outcomes.</p><p><strong>Methods: </strong>We conducted a mixed-methods evaluation from October 2023 to February 2025 of the PTP using web-based surveys with 113 participants and in-depth interviews with 5 staff members. We assessed implementation outcomes (i.e., program acceptability, usability, and satisfaction) and explored implementation determinants through qualitative analysis guided by the Consolidated Framework for Implementation Research. We used linear regression to examine associations between sociodemographic and clinical characteristics of participants and implementation outcomes.</p><p><strong>Results: </strong>Survey participants were predominantly cisgender men with diverse racial/ethnic backgrounds. Participants reported high levels of acceptability, usability, and satisfaction with the PTP, though those with less than full-time employment reported significantly lower acceptability and usability compared to those with full-time employment. Mixed-methods analysis identified patient navigators as a central facilitator of program success, with both staff and clients emphasizing their role in creating a supportive, stigma-free care environment. Key implementation barriers included billing complexity, platform integration challenges, and privacy concerns. Although designed as a fully remote program, substantial demand for in-person services (particularly for injectable PrEP) emerged as a central implementation theme, underscoring the need for flexible hybrid service models. Staff also identified gaps in reaching priority populations, including Black and Latine communities, despite the program's broad digital outreach efforts.</p><p><strong>Conclusions: </strong>TelePrEP programs can achieve high user satisfaction when supported by dedicated navigation services and flexible care options. However, realizing the full potential of this model may require additional strategies to enhance program reach, streamline multi-organizational coordination, and support hybrid service models that accommodate diverse patient preferences and socioeconomic circumstances.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364097","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":"Implementing pharmacogenetic-guided prescribing in general practice: a qualitative process evaluation.","authors":"Lisa Brunton, William Newman, John McDermott, Paul Wilson","doi":"10.1186/s43058-026-01005-x","DOIUrl":"10.1186/s43058-026-01005-x","url":null,"abstract":"<p><strong>Background: </strong>Some people experience side-effects from medicines which can lead to negative patient outcomes and increased NHS costs. Pharmacogenetic-guided prescribing supports the safety and effectiveness of medicines. The Pharmacogenetics Roll Out - Gauging Response to Service (PROGRESS) study is assessing the viability and utility of pharmacogenetic-guided prescribing in general practice. We conducted a parallel process evaluation to explore the barriers and enablers to implementing pharmacogenetic-guided prescribing in general practice, from a clinician perspective.</p><p><strong>Methods: </strong>Twenty-nine online semi-structured interviews were conducted with 30 general practice staff across 20 sites in England implementing the PROGRESS study. We used a modified framework approach to analyse the data, informed by the Consolidated Framework for Implementation Research and Normalisation Process Theory.</p><p><strong>Findings: </strong>Clinicians saw value in offering pharmacogenetic-guided prescribing in general practice, but limited testing to where they perceived it provided greatest benefit. There was limited evidence of practices planning for implementation beyond setting up the PROGRESS study. Sites tailored delivery of pharmacogenetics to their local practice context, which acted as an enabler to implementation. Delivering pharmacogenetic-guided prescribing within the confines of a research study and clinicians' workload acted as barriers to implementation.</p><p><strong>Conclusion: </strong>General practice staff understood the value and purpose of pharmacogenetic-guided prescribing, but there was little evidence of wider practice involvement beyond raising awareness among staff. PROGRESS involvement was viewed as more as proof of concept for research purposes, rather than normalising pharmacogenetics into routine practice.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13471391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341478","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":"Implementing systems- and organisational-level change to advance gender equality in healthcare leadership: a mixed-methods implementation protocol.","authors":"Belinda Garth, Anusha Ramani-Chander, Jenny Proimos, Darren Rajit, Erwin Loh, Elizabeth Sigston, Graeme Currie, Kathleen Riach, Mariam Mousa, Helena Teede","doi":"10.1186/s43058-026-01030-w","DOIUrl":"10.1186/s43058-026-01030-w","url":null,"abstract":"<p><strong>Background: </strong>Despite comprising over 70% of the global healthcare workforce, women remain significantly underrepresented in healthcare leadership. This imbalance has implications for care quality, as leadership diversity is increasingly recognised as a determinant of care quality, equitable outcomes, and health system performance. Structural barriers persist across academic medicine, health services, and professional organisations, limiting career progression and leadership opportunities for women. Existing efforts have largely prioritised individual-level interventions, with limited attention to the systems- and organisational-level determinants that influence adoption, implementation, and sustainability of gender equity initiatives. Coordinated action is needed to address gender inequality through sustainable, evidence-informed systems change.</p><p><strong>Methods: </strong>This protocol outlines the Organisational Change Management workstream within the Australian Advancing Women in Healthcare Leadership initiative, a nationally implemented, multi-sector partnership. Using a mixed-methods, co-produced implementation research approach, the workstream will implement and evaluate multi-level interventions and associated implementation strategies across system and organisational levels. Guided by the Consolidated Framework for Implementation Research, the Learning Health System framework, and the Reach, Effectiveness, Adoption, Implementation and Maintenance evaluation model, stakeholders are engaged across outer (policy, regulation, funding) and inner (organisational culture, leadership structures) settings. Data collection includes administrative datasets and policy documents, semi-structured interviews, and surveys. Qualitative data will be analysed thematically and quantitative data analysed descriptively. Findings will be triangulated to inform the selection, tailoring, and evaluation of implementation strategies and a codesigned implementation toolkit, supported by iterative learning cycles.</p><p><strong>Discussion: </strong>This protocol describes a national initiative applying a systems- and organisational-level, co-produced approach to advancing gender equality in healthcare leadership, engaging health services, professional colleges and associations, government, and women in the workforce. By leveraging implementation science and systems change methodologies, the initiative aims to support sustainable organisational transformation. The protocol provides a replicable framework for advancing gender equality in healthcare leadership and beyond and contributes to implementation science by demonstrating how multiple established frameworks can be integrated to operationalise large-scale, system-level organisational change in complex healthcare systems.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341486","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":"Harmonizing intervention, context, and implementation strategies with Context-Driven Co-Design (CD2).","authors":"Sarah A Birken, Emily R Haines, Cheyenne R Wagi, Bonny B Morris, Kathryn E Weaver, Kathleen M Lisborg, Sara J Landes, Geoffrey M Curran, Miriam Bender, Maria E Fernandez, Ashley Strahley, Kimberly Wiseman, Kristie L Foley","doi":"10.1186/s43058-026-01020-y","DOIUrl":"10.1186/s43058-026-01020-y","url":null,"abstract":"<p><strong>Background: </strong>Extant approaches to close the gap between implementation evidence and practice have been unsuccessful due in part to overreliance on researcher engagement. In practice, change is often driven by mid-level managers. We developed Context-Driven Co-Design (CD2) to equip mid-level managers with a theory- and evidence-based approach to implementation planning.</p><p><strong>Methods: </strong>We used a two-pronged design. First, we engaged six established implementation researchers in a modified Delphi process, involving two hour-long meetings and asynchronous feedback to develop and refine a CD2 prototype. Second, we piloted an in-person CD2 training and conducted an hour-long focus group to solicit feedback from mid-level managers on the potential value of CD2 for addressing implementation challenges and opportunities for improving the training. We incorporated focus group feedback and iteratively refined CD2 materials, codified each step of the approach, and further articulated CD2's key features through two empirical applications.</p><p><strong>Results: </strong>Delphi panelists unanimously agreed that prototype content would be best delivered through interactive training. The resulting one-time, three-hour in-person training was piloted with 17 mid-level managers affiliated with the National Cancer Institute Community Oncology Research Program who were often tasked with implementing cancer care delivery interventions and research protocols. Focus group participants (N = 5) appreciated the training's practical tools, suggested that the training should focus on a common intervention, and requested more opportunities for peer learning before and after the training. CD2, further refined through subsequent empirical application, involves three steps: (1) agreeing upon an intervention to address a clinical problem and identifying the intervention's effectiveness-driving features; (2) understanding the context in which the intervention will be implemented, including potential end-users, their workflows, and features of their environment; and (3) co-design session(s) to identify intervention adaptations, context modifications, and exogenous implementation strategies needed to facilitate the intervention's implementation.</p><p><strong>Conclusions: </strong>We codified CD2, a theory-driven approach to harmonizing interventions, implementation contexts, and implementation strategies. Mid-level managers found CD2 to be an appropriate and acceptable approach to implementation planning. CD2 is consistent with perspectives that advocate humility and deference of researchers to individuals and contexts that biomedical research often positions as subjects. Future work is needed to enhance CD2's feasibility and scalability.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334992","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":"Participatory approaches for tailoring implementation strategies in healthcare settings: a scoping review of contemporary literature (2019-2024).","authors":"Laura Krusch, Sara Söling, Christine Aumann, Aline Dick, Trutz Bommhardt, Nicola Gabriela Dymek, Juliane Köberlein-Neu, Silke Kuske","doi":"10.1186/s43058-026-00939-6","DOIUrl":"10.1186/s43058-026-00939-6","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Participatory approaches are crucial for identifying the determinants of successful implementation and informing the development of implementation strategies. However, systematic knowledge regarding the nature of participatory approaches for tailoring implementation strategies in healthcare remains limited. Therefore, we explored and mapped participatory approaches used in tailoring implementation strategies, characterized them, and conducted an exploratory analysis of their reported links to implementation outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A scoping review of contemporary literature was conducted using MEDLINE via PubMed, PsycINFO and CINAHL via EBSCOhost that included literature published between January 2019 and December 2023. The search was updated for 2024. Backward and forward citation tracking was applied for studies that included labeled participatory approaches and quantitative outcomes. Two raters independently screened the literature. An adapted Intervention Component Analysis (ICA) was conducted as an exploratory approach to analyze reported characteristics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Based on 24,240 citations, 129 studies were identified. Among them, 71 studies reported labeled participatory approaches, summarized in seven main categories: co-approaches, design, research, engagement, mapping, knowledge translation and other approaches. Nearly two-thirds were common approaches such as co-design, while slightly more than one-third were specific, such as the Person-Based Approach. More than half of these were implementation-specific, e.g., implementation mapping. Among these approaches, the linking of determinants to implementation strategies was based primarily on interest-holder theory (experience-based). Empirically measured quantitative outcomes were identified in 12 studies, six of which were eligible for ICA. All six studies reported positive findings of participatory approaches applied to the tailoring of implementation strategies. Among them, three studies reported results for each tailoring step and linked them to the participatory approach used. Three studies reported significant quantitative outcomes. However, no method showed a notable link to the success of participatory approaches for tailoring implementation strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This scoping review identified diverse participatory approaches that were applied for tailoring implementation strategies in healthcare. The emergence of implementation-specific participatory approaches highlights the need to consider specialized methods in implementation science. The lack of rigorously evaluated studies across all tailoring phases emphasizes the need for further research to facilitate a comprehensive understanding of effective participatory approaches for tailoring implementation strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration: &lt;/strong&gt;Protocol registered on Open Science Framework (24 April 2024, https://doi.org","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"7 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320392","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":"Advancing health equity through the development of a scholars training program in implementation science.","authors":"Rebekka M Lee, Loni Parrish, Rebekah Jacob, Cheryl Valko, Andrea Jimenez-Zambrano, Erica T Warner, Ross C Brownson","doi":"10.1186/s43058-026-00992-1","DOIUrl":"10.1186/s43058-026-00992-1","url":null,"abstract":"<p><strong>Background: </strong>Approaches to achieving health equity in implementation science are critical to ameliorating disparities resulting from social, economic, and racial injustices. The field needs to grow transdisciplinary tools, processes, and increased workforce capacity to lead health equity research, particularly among scholars from groups that are underrepresented in science. This project, perhaps the first of its kind, used mixed methods to develop and pilot a robust, actionable model for mentoring and training to advance health equity in implementation science.</p><p><strong>Methods: </strong>To inform the content and design, we conducted concept mapping with implementation science and equity researchers (N = 69) and qualitative one-on-one interviews with leaders (N = 6) and past trainees (N = 14) of established programs with a health equity or disparities focus. We piloted the training among 17 scholars (100% underrepresented in science, 88% women) over 2.5 days. It followed engagement and active learning principles with small group discussions, speed mentoring, problem-based learning, and peer-to-peer teaching.</p><p><strong>Results: </strong>Concept mapping identified priority competencies of engaging the community, equity-relevant methods, cultural humility, and mentoring to integrate into the training. Interviewees discussed the importance of designing the program based on participants' needs. Therefore, we added a pre-program survey to determine scholars' priorities. Interviewees emphasized the importance of having presenters from underrepresented backgrounds discuss their journeys and opportunities to learn equity content from other scholars, which informed a panel of junior investigators on navigating academia. They recommended including presentations led by community members, historical perspectives on health equity, and equity-focused methods, which informed a community engagement and measurement lecture co-led by an academic-community partnership. Scholars identified mentorship opportunities, a supportive environment, diverse perspectives of scholars and faculty, and engaging discussions as program strengths.</p><p><strong>Conclusions: </strong>This study applied a user-informed, data-driven approach to designing an implementation science training that prioritizes the interests of diverse scholars. We identified curriculum competencies and processes to build capacity for an implementation science workforce that centers on equity.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13555887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320966","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}