Mixed-Methods Evaluation of the Initial Implementation of Advanced Home Visits in Chile.
Home visiting programs are evidence-based interventions that have a myriad outcomes for mothers and newborns. Chile offers these services as part of the Chile Crece Contigo, a nationwide program. However, implementing home visiting programs in community settings is difficult. In this study, we repor...
| Publicado en: | Health Promotion Practice Vol. 23; no. 3; pp. 493 - 504 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
May2022
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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=156834836&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156834836 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15248399 IS2 jtl: Health Promotion Practice issn: 15248399 maglogo: Y pubinfo: dt: May2022 vid: 23 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 156834836 147959782 156834836 156834836 10.1177/1524839920982674 156834836 ppf: 493 ppct: 11 formats: tig: atl: Mixed-Methods Evaluation of the Initial Implementation of Advanced Home Visits in Chile. aug: au: Garcia-Huidobro, Diego Vergés, Alvaro Basualto, Patricia Calvo Miranda, Carlos Boetto, Carolina Soto, Mauricio Kopplin, Erika Martínez, Mayra Aracena, Marcela affil: Pontificia Universidad Católica de Chile, Santiago, Chile sug: subj: Home Visits Chile Implementation Science Primary Health Care Human Multimethod Studies Evaluation Chile Qualitative Studies Quantitative Studies Interviews Focus Groups ab: Home visiting programs are evidence-based interventions that have a myriad outcomes for mothers and newborns. Chile offers these services as part of the Chile Crece Contigo, a nationwide program. However, implementing home visiting programs in community settings is difficult. In this study, we report clinic, provider, and participant engagement with the implementation of advanced home visits (ViDAs) in Chilean primary care clinics. ViDAs include a high number of visits, external supervision, and the use of technology. In this study, qualitative and quantitative data were collected to assess the initial implementation of the home visiting strategy. Qualitative data consisted of individual interviews and focus groups with directors of city health departments, clinic managers, and providers conducting home visits. Quantitative data included clinic, provider, and participant recruitment. City health departments were approached to authorize the participation of primary care clinics in the ViDAs program. Then, clinic directors were invited to approve the implementation of the home visiting program at their health centers. In total, 16 clinics, 42 practitioners, and 185 participants were recruited. A large amount of resources was needed to recruit clinics, providers, and participants. The intervention had low acceptability, low adoption, and a high implementation cost. Initial program implementation experienced several challenges. Identified facilitators and barriers both highlighted the need for community engagement at all levels for the successful implementation of an innovation in Chilean primary care clinics. In addition, this article provides recommendations for practitioners and researchers regarding the conduct of research in community-based settings. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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