Application of an Implementation Science Framework to Policies on Immediate Postpartum Long-Acting Reversible Contraception.
Objectives: Implementation science provides useful tools for guiding and evaluating the integration of evidence-based interventions with standard practice. The objective of our study was to demonstrate the usefulness of applying an implementation science framework—the Consolidated Framework for Impl...
| Publicado en: | Public Health Reports Vol. 134; no. 2; pp. 189 - 197 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Sage Publications Inc.
Mar2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=135207378&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 135207378 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00333549 PHR jtl: Public Health Reports issn: 00333549 maglogo: Y pubinfo: dt: Mar2019 vid: 134 iid: 2 pid: 344 pub: Sage Publications Inc. artinfo: ui: 135207378 10.1177/0033354918824329 ppf: 189 ppct: 8 formats: tig: atl: Application of an Implementation Science Framework to Policies on Immediate Postpartum Long-Acting Reversible Contraception. aug: au: DeSisto, Carla L. Kroelinger, Charlan D. Estrich, Cameron Velonis, Alisa Uesugi, Keriann Goodman, David A. Pliska, Ellen Akbarali, Sanaa Rankin, Kristin M. affil: Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA Division of Reproductive Health, Field Support Branch, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Chamblee, GA, USA Division of Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA Division of Reproductive Health, Maternal Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Chamblee, GA, USA Association of State and Territorial Health Officials, Arlington, VA, USA su: Communication Contraception Health services accessibility Interviewing Medicaid Medical care costs Health policy Public health Social networks Telephones Human services programs Evaluation of human services programs Conceptual structures Health care teams Learning strategies Research methodology Medical societies Postnatal care Leaders sug: subj: Communication Contraception Health services accessibility Interviewing Medicaid Medical care costs Health policy Public health Social networks Telephones Human services programs Evaluation of human services programs Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Administration of Public Health Programs Professional Organizations Health and Welfare Funds Other Individual and Family Services Electronic components, navigational and communications equipment and supplies merchant wholesalers Conceptual structures Health care teams Learning strategies Research methodology Medical societies Postnatal care Leaders keyword: Consolidated Framework for Implementation Research contraception implementation science long-acting reversible contraception Consolidated Framework for Implementation Research contraception implementation science long-acting reversible contraception ab: Objectives: Implementation science provides useful tools for guiding and evaluating the integration of evidence-based interventions with standard practice. The objective of our study was to demonstrate the usefulness of applying an implementation science framework—the Consolidated Framework for Implementation Research (CFIR)—to increase understanding of implementation of complex statewide public health initiatives, using the example of Medicaid immediate postpartum long-acting reversible contraception (LARC) policies. Methods: We conducted semistructured telephone interviews with the 13 state teams participating in the Immediate Postpartum LARC Learning Community. We asked teams to describe the implementation facilitators, barriers, and strategies in 8 focus areas of the Learning Community. We audio-recorded and transcribed interviews and then coded each interview according to the domains and constructs (ie, theoretical concepts) of the CFIR. Results: Cosmopolitanism (ie, networking with external organizations) was the most frequently coded construct of the framework. A related construct was networks and communications (ie, the nature and quality of social networks and formal and informal communications in an organization). Within the construct of cost, state teams identified barriers that were often unable to be overcome. Trialability (ie, ability to test the intervention on a small scale) and engaging champions (ie, attracting and involving persons who dedicate themselves to supporting the intervention in an organization) were among the most salient constructs of the framework and were the sources of many implementation strategies. Conclusions: State leaders and program staff members may benefit from considering the CFIR domains and constructs in the planning, implementation, and evaluation of complex statewide public health initiatives. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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