Implementation science communications最新文献

{"title":"Preferences for rapid implementation science: a real-time discrete choice experiment.","authors":"Elvin H Geng, Rohit Ramaswamy, Alex T Ramsey, Andrew M Kanyike, Ejemai Eboreime, Rachel Sturke, Susan Vorkoper, Noelle Le Tourneau","doi":"10.1186/s43058-026-00986-z","DOIUrl":"10.1186/s43058-026-00986-z","url":null,"abstract":"<p><strong>Background: </strong>A persistent challenge in implementation science is the gap between the pace and priorities of academic research and the needs of decision-makers. While traditional research emphasizes methodological rigor, policymakers often require timely, relevant, and stakeholder-engaged evidence to inform decisions.</p><p><strong>Methods: </strong>We conducted a real-time discrete choice experiment (DCE) with participants at an implementation science conference in Washington, D.C. during a 75-minute session on rapid implementation science. At the midpoint of the panel, the audience were invited to participate in a 10-minute DCE based on a vignette describing a hypothetical study on implementing a new vaccine facing public hesitancy. Choice sets included six attributes: rapidity of study, study design, primary outcome, level of community engagement, leadership, and costs. We used a mixed logit model to analyze preferences in real time and presented results back to the audience at the end of the session.</p><p><strong>Results: </strong>Ninety-four participants completed the DCE; all reported working in research and 83% reported working in program implementation. Respondents placed high value on timing of results, with strong preferences for receiving results in 6 months compared 12 months (β=-1.1, 95% CI: - 1.6- - 0.6; p < 0.001) and 18 months (β=-1.7,-2.3- - 1.0; p < 0.001). Participants preferred the primary outcome to be vaccine uptake rather than vaccine acceptability (β = 1.7, 1.1-2.2; p < 0.001) and the study to be community-engaged rather than expert-led (β = 1.6, 1.0-2.2; p < 0.001). We found no preference for randomization compared to before and after (p = 0.88), nor leadership by the ministry of health versus academic institutions (p = 0.12). Respondents were willing to wait 11.3 (95% CI 7.0-15.5) additional months for a program developed with engaged stakeholders compared to expert-driven (p < 0.001) and 11.9 months (95% CI 8.1-15.8) for results on vaccine uptake rather than acceptability (p < 0.001).</p><p><strong>Conclusions: </strong>This real-time DCE demonstrated that with adequate preparation, it is feasible-to generate robust, interpretable, and actionable results within an hour. Findings challenge the assumption that randomization is the highest priority in research design, highlighting instead the importance of outcome and community engagement. By aligning more closely with the values of decision-makers, rapid science approaches such as real-time DCEs may help bridge the research-policy gap.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13540950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284936","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":"An implementation strategy bundle to improve home visit quality of the national child development program in Brazil: an implementation feasibility trial.","authors":"Alexandra Brentani, Christopher M Westgard, Susan Chang-Lopez, Ana Carolina Silva Onofre, Nayara Vieira Peres, Luana Bessa, Ana Luiza Raggio Colagrossi, Jaqueline Lima Santos, Diego Fontana Siqueira Cunha, Joumana Haidar, Herbert B Peterson, Susan Walker","doi":"10.1186/s43058-026-00994-z","DOIUrl":"10.1186/s43058-026-00994-z","url":null,"abstract":"<p><strong>Background: </strong>Programa Criança Feliz (PCF) is Brazil's home visitation program aimed at enhancing early childhood development. Evaluations of the program have found significant program challenges and implementation barriers, including the lack of a structured curriculum, insufficient training, and little supervisory support. This study tests the revised content of the home visits and new implementation strategies aimed at addressing these barriers and enhancing the quality of PCF home visits.</p><p><strong>Methods: </strong>The implementation strategies were piloted across 8 diverse municipalities in an implementation feasibility trial. The strategy bundle included a 40-hour initial training for home visitors using demonstration and simulation-based methods (based on the Reach Up methodology), an 8-hour supervision-focused training module for supervisors, and standardized home visit guidelines and an activities compendium. The new strategies were assessed using a one group pre-post analysis along with mixed methods to assess the extent to which they were acceptable, feasible, and associated with a change in home visit quality. A paired t-test and an independent t-test analysis were used to assess the change in home visit quality. The implementation outcomes were assessed with qualitative analysis and the Framework Method approach.</p><p><strong>Results: </strong>The proposed home visitation guidelines, material, training, and supervision process were determined to be highly acceptable, feasible, and associated with improved quality of home visits. The home visit quality scores significantly increased by 14.68 points (SD = 14.89, CI 95%: 7.27-22.08, p = 0.0006), according to the paired t-test. The study participants provide insightful suggestions for adaptations that can occur before testing the strategies more broadly. Key suggested adaptations included adjusting activity difficulty to individual developmental levels rather than age alone, shortening training duration to improve staff access, and incorporating guidance for culturally diverse and traditional communities.</p><p><strong>Conclusion: </strong>The findings suggest three transferable design principles for home visitation and paraprofessional-delivered public health programs: reducing excessive discretion through structured, age-appropriate visit guidance; externalizing quality through experiential training methods such as demonstration and role-play; and embedding feedback loops through structured supervision and monitoring. These principles may generalize to programs facing heterogeneous staff preparation, high turnover, and limited supervisory capacity.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284903","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":"Barriers and facilitators to implement innovations in Canadian long-term care facilities: a longitudinal study of organizational readiness for knowledge translation.","authors":"Marie-Soleil Hardy, Randa Attieh, Maxime Sasseville, Maude Laberge, Vincent Couture, Machelle Wilchesky, André Côté, Clémence Dallaire, Marie-Pierre Gagnon","doi":"10.1186/s43058-026-00984-1","DOIUrl":"10.1186/s43058-026-00984-1","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic negatively affected residents of long-term care facilities (LTCFs). This situation highlighted the necessity to translate evidence-based policies and practices into this setting. However, implementing innovations represents a challenge for LTCFs. This study aims to identify the facilitators and barriers to the implementation of innovations in Canadian LTCFs.</p><p><strong>Methods: </strong>We conducted a longitudinal correlational study involving different LTCFs participants and the use of the Organizational Readiness for Knowledge Translation (OR4KT) measurement tool before and after the implementation of an innovation. Only data collected at T1 were considered in the analysis due to the low response rate obtained at T2. A mixed-model effect with a random effect for LTCFs was used to account for within organization dependency on responses.</p><p><strong>Results: </strong>In total, 256 respondents from 55 (60.4%) LTCFs participated in the study of which 107 participants were high and middle-level managers, and 149 were non-managerial staff. Variations in OR4KT scores were explained by some organizational factors. The province of location of the LTCF emerged as a significant factor for five subscales of the OR4KT as well as for the total score. The presence of a medical director and belonging to a chain (an organization with multiple LTCFs) seemed to be associated with higher OR4KT scores.</p><p><strong>Conclusion: </strong>Successful LTCF innovation implementation may rely on the geographical administration of healthcare (e.g., the province), the presence of a medical director and the organizational contextual factors between the different actors of LTCFs and the health system.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284872","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":"Roll-Out Implementation Optimization (ROIO) trial to develop and test the implementation of a food security screening and referral process: a study protocol.","authors":"Kyung E Rhee, Sarah Hiller-Venegas, Clare Viglione, Michelle A Polich, Jeannie S Huang, Jane J Kim, Mandeep S Bajwa, Michelle Zive, Dawn M Eichen, David R Strong, Nicole A Stadnick, Lauren Brookman-Frazee","doi":"10.1186/s43058-026-01025-7","DOIUrl":"10.1186/s43058-026-01025-7","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity (FI) is associated with poorer physical and mental health outcomes, exacerbation of chronic diseases, and decreased access to healthcare. Children experiencing FI face additional risks, including lower psychosocial functioning and reduced academic achievement. Although national initiatives call for integrating nutrition support services into healthcare, clinical workflows for FI screening and referral remain inconsistently implemented and difficult to sustain. The goal of this study is to refine, adapt, and optimize a comprehensive FI screening and referral program, and identify effective implementation strategies for pediatric healthcare systems.</p><p><strong>Methods: </strong>We will use a RollOut Implementation and Optimization (ROIO) trial design to iteratively implement and refine the implementation strategies for our FI screening and referral program (I-FRESH: Implementing Food Referrals for Equity and Sustained Health) across 4 pediatric clinics. I-FRESH includes: (1) FI screening; (2) assessment of family needs and readiness to access services; (3) referral and navigation support to community nutrition programs; and (4) follow-up to assess fit, utilization, and ongoing needs. The Pragmatic, Robust Implementation and Sustainability Model (PRISM) will guide adaptation and evaluation of contextual determinants, while RE-AIM will guide assessment of outcomes (implementation feasibility and acceptability, fidelity, adoption, reach, effectiveness, and maintenance). We will identify several implementation strategies to increase the likelihood that I-FRESH can be successfully implemented and sustained in a pediatric healthcare system. We will enroll 240 participants and assess preliminary effectiveness on family‑level food security and pediatric nutrition‑related health outcomes (e.g. weight status, blood pressure, lipids, HbA1c, liver function tests). The information gathered in this trial will be utilized in the development of a fully powered Type 2 Hybrid Effectiveness-Implementation Trial that will test the effectiveness of the identified implementation strategies and impact of the FI program on clinical outcomes.</p><p><strong>Discussion: </strong>By integrating PRISM and RE-AIM within an iterative ROIO design, this study will generate a scalable, contextresponsive implementation model for addressing FI in pediatric healthcare settings. Findings will inform sustainable strategies that link families to highquality nutrition support programs and improve nutritionrelated health outcomes for lowincome children.</p><p><strong>Trial registration: </strong>NCT06661538.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284889","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":"Walking the talk for dementia: building social networks and collaborations.","authors":"Walter D Dawson, Jenn Reed, Fernando Aguzzoli-Peres, Kate Irving, Sherril B Gelmon","doi":"10.1186/s43058-026-00997-w","DOIUrl":"10.1186/s43058-026-00997-w","url":null,"abstract":"<p><strong>Background: </strong>Dementia is one of the greatest global health challenges requiring multimodal efforts to address its impact on people and societies. Walking the Talk for Dementia (WTD) is a unique global initiative designed to challenge the stigma that surrounds dementia, foster intergenerational dialogue, build a community, and inspire a renewed sense of purpose among participants. A social network analysis (SNA) was conducted to provide greater detail and contextualization of the connections made during WTD and insights into the collaborations that arose from this immersive event which may influence dementia policy, care, and services.</p><p><strong>Methods: </strong>A robust, comprehensive, and minimally intrusive evaluation was created in 2024 to capture the results, outcomes, and impacts of WTD 2024. This mixed methods research examined the experiences of the WTD 2024 participants, 79 of whom consented to participate in this research. Pre- and post-surveys collected quantitative and qualitative data (94% and 87% response rates), and were augmented by 95 written, audio, or video reflections. To further investigate the social network of the larger WTD community, a follow-up survey was sent six months after WTD 2024 to the 2024 participants plus the additional 40 participants from WTD 2023. Quantitative survey data were analyzed with descriptive and inferential statistics; qualitative data were analyzed using content analysis to identify core aspects and common themes of the experience. A social network analysis (SNA) was used to visualize and quantify connections between participants of WTD.</p><p><strong>Results: </strong>Results from the SNA analyses illustrate the development of multiple new connections and collaborations among WTD participants. The results also point to how connections and collaborations among participants that existed prior to WTD 2024 may have changed as a result of WTD.</p><p><strong>Conclusions: </strong>Connections appear to have increased post-WTD. A community developed among WTD participants, who are a multi-disciplinary, global group of professionals and people with lived experience of dementia. This analysis provides evidence of the benefits of social connections for individuals living with dementia and their care partners with other dementia advocates. These findings are important to future advancement of dementia awareness, advocacy, and policy change.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280285","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":"Bridging policy and practice: a scoping review of health system implementation research practice in Ethiopia.","authors":"Berhanu Fikadie Endehabtu, Emebet Birhanu Lealem, Destaw Fetene Teshome, Getasew Amare, Kassu Ketema Gurmu, Bejoy Nambiar, Mohammed Aliye, Binyam Tilahun, Kassahun Alemu","doi":"10.1186/s43058-026-00989-w","DOIUrl":"10.1186/s43058-026-00989-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Implementation research plays a key role in bridging the gap between evidence and practice, particularly in low-resource settings. In Ethiopia, persistent challenges in healthcare access, quality, and system performance highlight the need for context-specific implementation evidence. Although implementation research has been advancing in the country, its scope, practice, and contribution to health system improvement remain insufficiently characterized and documented. This gap underscores the need to assess the landscape of healthcare and health system implementation research in Ethiopia to inform decisions about health policies, programs, and practices. Therefore, this scoping review aimed to comprehensively investigate the current landscape of healthcare and health system implementation research in Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a scoping review in accordance with Joanna Briggs Institute guidance and PRISMA-ScR reporting standards. A systematic search of major electronic databases and relevant sources was performed using the Population, Concept, and Context (PCC) framework, which involved keywords and MeSH terms. Two researchers independently screened the studies and extracted data using a piloted form, resolving and discrepancies through discussion. Extracted data included study characteristics, outcomes, contextual factors, and implementation strategies. We categorized implementation strategies using ERIC frameworks. The findings were analyzed through descriptive and thematic approaches and organized across key health system blocks and contextual dimensions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The search identified 10,853 studies. One hundred sixty-four articles underwent full-text review, and 96 were included in the analysis. The studies included in the review used 40 mixed methods, 23 quantitative, and 33 qualitative approaches. According to the health system building blocks, 70 studies focused on service delivery, 16 on health information systems, and 5 on leadership or health financing. Among the service delivery studies, neonatal, child, maternal, and reproductive health were most commonly addressed topics. Key implementation outcomes included fidelity, feasibility, acceptability, sustainability, and cost-effectiveness. Forty-three studies used determinant, process, or evaluation frameworks, including Consolidated Framework for Implementation Research; Reach, Effectiveness, Adoption, Implementation, and Maintenance framework; Exploration, Preparation, Implementation, and Sustainment; Theoretical Domains Framework; Medical Research Council Framework; diffusion and social network theories; and Donabedian's quality framework. Fifty studies involved stakeholders in implementation research. Global funders supported 72 studies. A total of 55 studies reported the use of implementation strategies, with 27 out of 39 maternal and child health studies including such strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclu","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280271","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: Study protocol for the: HIV enhanced access testing in emergency department program using a systems analysis and improvement approach (HEATED-SAIA) cluster randomized trial.","authors":"Adam R Aluisio, Gideon Loevinsohn, Elwyn Chondo, Arthur Nderitu, Mercy Bruba, Ahmed Adam, Janette Baird, Omar Galárraga, Marta Wilson-Barthes, Malabika Sarker, Kishorchandra Mandaliya, John Kinuthia, Rose Bosire, Benjamin Wachira, Zachary Gross, Peter Cherutich, George Wanje, R Scott McClelland, McKenna C Eastment","doi":"10.1186/s43058-026-01019-5","DOIUrl":"10.1186/s43058-026-01019-5","url":null,"abstract":"","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"7 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13274090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274060","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":"Refining MediQuit: an iterative, participatory approach to shared decision-making in deprescribing.","authors":"Nele Kornder, Sarah Burkhardt, Konrad Hierasimowicz, Annika Viniol, Norbert Donner-Banzhoff","doi":"10.1186/s43058-026-01022-w","DOIUrl":"10.1186/s43058-026-01022-w","url":null,"abstract":"<p><strong>Background: </strong>Polypharmacy and potentially inappropriate medications are highly prevalent in primary care and are associated with adverse drug events, reduced adherence, and diminished quality of life. Deprescribing is a key strategy to address these challenges, but its implementation is complex, particularly when long-term preventive medications are involved and decisions are preference-sensitive. Digital tools may support shared decision making in deprescribing, yet many existing tools lack clear implementation orientation. This study describes the iterative refinement of arribaMediQuit, a digital deprescribing tool for primary care, with the aim of improving usability, ethical robustness, and implementation potential.</p><p><strong>Methods: </strong>The refinement followed an iterative, participatory development process informed by the Medical Research Council framework for complex interventions and the International Patient Decision Aid Standards. Multiple stakeholder groups were involved, including general practitioners, researchers in health services and pharmacology, members of a patient advisory board, experts in medical ethics, and the original developers of the tool. Regular expert meetings were used to review content, terminology, visual design, decision logic, and deprescribing strategies. Feedback was continuously integrated into successive versions of the tool. The study focused on qualitative refinement rather than outcome evaluation.</p><p><strong>Results: </strong>Key refinements included the development of a dynamic medication database and a structured categorization of medications into three categories (symptomatic, intermediate, and preventive medications) with tailored decision processes. A new linear decision model was introduced for preventive medications to better reflect value-sensitive trade-offs under uncertainty. Terminology and visual elements were revised to align with everyday clinical language and to enhance patient comprehensibility. Ethical considerations, including the communication of benefits, harms, and withdrawal symptoms, were explicitly addressed. Stakeholders also identified potential future uses of the tool, such as educational applications and integration with other deprescribing or medication review tools.</p><p><strong>Conclusions: </strong>The iterative, theory-informed refinement of arribaMediQuit illustrates how shared decision making principles can be operationalized in a deprescribing tool designed for routine primary care. By integrating technical guidance with value-sensitive deliberation and implementation considerations, the tool shows promise for supporting ethically grounded and feasible deprescribing. Future studies will evaluate feasibility, acceptability, and use in routine practice.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13281240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274062","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: Scaling up point-of-care hepatitis C testing in Canada: protocol for a multilevel implementation science study of clinical processes, barriers, facilitators and implementation strategies (SCALE-POCT study).","authors":"Meagan Mooney, Charlene Weight, Mia J Biondi, Jason Grebely, Nadine Kronfli, Tamara Barnett, Julie Bruneau, Kate Dunn, Daniel N Elakpa, Cole Etherington, Christina Greenaway, Valérie Martel-Laferrière, Andrew Mendlowitz, Natalie Taylor, Guillaume Fontaine","doi":"10.1186/s43058-026-01014-w","DOIUrl":"10.1186/s43058-026-01014-w","url":null,"abstract":"","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":"7 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13273947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274083","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 sustainability of measurement-based care in child and adolescent mental health services: a study protocol.","authors":"Kalee Jack, Graham Gaine, Kewir Dufe, Kimberly Manalili, Ahlam Zidan, Erin McCabe","doi":"10.1186/s43058-026-01024-8","DOIUrl":"10.1186/s43058-026-01024-8","url":null,"abstract":"<p><strong>Background: </strong>Measurement-based care (MBC) is the routine use of patient-reported outcome measures to inform treatment planning in mental health care. MBC provides clinicians with real-time indicators of clients' symptoms and functioning, and organizations with aggregate outcome data to inform service evaluation. While our understanding of how to implement MBC is growing, there is very little evidence on how to sustain MBC within child and adolescent mental health services (CAMHS). The purpose of this project is to describe the conditions, and processes that promote sustainment of MBC in eight community child and adolescent mental health treatment programs.</p><p><strong>Methods: </strong>We will use an explanatory, sequential mixed-methods design. Quantitative data on MBC sustainability will be derived from clinician surveys and the provincial electronic medical record. Following Yin's multiple-case study methodology, qualitative data will be collected through interviews to explore factors that promoted sustainability across sites. We use the Dynamic Sustainability Framework as the theoretical model for this study and the Consolidated Framework for Implementation Research. The proposed project will take place in eight public CAMHS clinics from a single urban jurisdiction. Participants will include clinical staff from the sites and clients ages 11-17.</p><p><strong>Discussion: </strong>This study will examine sustainment of MBC in CAMHS settings after external implementation support has been withdrawn. Knowledge of specific events, processes, and contextual conditions within clinics in this study that supported MBC sustainment will help practitioners implement and sustain MBC in CAMHS.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":73355,"journal":{"name":"Implementation science communications","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267123","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}