Beyond efficacy: a qualitative organizational perspective on key implementation science constructs important to physical activity intervention translation to rural community cancer care sites.
Purpose: To identify constructs relevant to implementation of evidence-based physical activity (PA) behavior change interventions for rural women cancer survivors from an organizational perspective.Methods: During the development of a PA intervention implementation toolkit, 11 potential intervention...
| Publicado en: | Journal of Cancer Survivorship Vol. 13; no. 4; pp. 537 - 547 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Aug2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137870882&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137870882 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19322259 46CU jtl: Journal of Cancer Survivorship issn: 19322259 maglogo: N pubinfo: dt: Aug2019 vid: 13 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 137870882 137870882 NLM31250353 10.1007/s11764-019-00773-x NLM31250353 137870882 ppf: 537 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Beyond efficacy: a qualitative organizational perspective on key implementation science constructs important to physical activity intervention translation to rural community cancer care sites. aug: au: Rogers, Laura Q. Goncalves, Latoya Martin, Michelle Y. Pisu, Maria Smith, Tamika L. Hessong, Danielle Oster, Robert A. Qu, Haiyan Shewchuk, Richard Iqbal, Fatima Sheffield, Mary E. Minter, Alex Baumann, Ana A. affil: School of Medicine, Division of Preventive Medicine, University of Alabama at Birmingham, 1720 2nd Ave S, 35294-4410, Birmingham, AL, USA sug: subj: Quality of Health Care Administration Quality of Health Care Standards Therapeutic Exercise Rural Population Neoplasms Cancer Care Facilities Administration Primary Health Care Administration Aged Research, Medical Methods Adult Female Therapeutic Exercise Standards Male Qualitative Studies Health Personnel Research, Medical Focus Groups Palliative Care Methods Palliative Care Standards Cancer Care Facilities Standards Young Adult Primary Health Care Standards Palliative Care Therapeutic Exercise Methods Exercise Middle Age Ferrans and Powers Quality of Life Index Aged: 65+ years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Purpose: To identify constructs relevant to implementation of evidence-based physical activity (PA) behavior change interventions for rural women cancer survivors from an organizational perspective.Methods: During the development of a PA intervention implementation toolkit, 11 potential interventionists and 19 community and organizational stakeholders completed focus groups stratified by role. Narratives were audio recorded, transcribed, and coded for Consolidated Framework for Implementation Research (CFIR) constructs.Results: Multiple CFIR constructs were identified: Implementation Process (i.e., Engaging, Reflecting and Evaluating), Intervention Characteristics (i.e., Design Quality and Packaging, Cost, Evidence Strength and Quality, Adaptability, Complexity), Inner Setting (i.e., Implementation Readiness, Implementation Climate, Structural Characteristics), Outer Setting (i.e., Patient Needs and Resources, Cosmopolitanism), and Characteristics of Individuals (i.e., Knowledge and Beliefs, Stage of Change). Narratives identified rural implementation barriers (e.g., transportation) and facilitators (e.g., community-oriented). Unique needs of the cancer survivor (e.g., coping during cancer treatment and long-term effects on physical abilities) were emphasized as important barriers potentially addressed through Adaptability and Readiness implementation strategies. Narratives identified multi-level (i.e., individual-, organizational-, and community-level) strategies for targeting the identified constructs.Conclusions: Fourteen CFIR constructs emerged as potentially important for organizations to consider when implementing PA interventions. Constructs were integrated into our implementation toolkit and research testing their potential mechanisms of action when implementing PA interventions in rural settings is warranted.Implications: Strategies that target the identified constructs may enhance the implementation of PA programs for rural cancer survivors. Cancer survivors can facilitate these efforts by partnering with their health care providers and community organizations.Implications For Cancer Survivors: Organizations promoting physical activity programs for cancer survivors must overcome implementation barriers including but not limited to cost, necessary expertise, and lack of awareness. Cancer survivors can facilitate these efforts by partnering with their health care providers, cancer center, and local community organizations to raise awareness and champion these efforts. It will "take a village", with cancer survivors being their own best advocate, to bring physical activity promotion to a broad range of cancer survivors. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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