Integrating CFIR-ERIC and e-Delphi Methods to Increase Telegeriatrics Uptake.
Background and Objectives Participatory implementation methods are needed in geriatric health care to improve care and services for a growing population of older adults. We describe an efficient participatory approach to improve uptake of Geriatric Research Education and Clinical Center (GRECC) Conn...
| Published in: | Gerontologist Vol. 63; no. 3; pp. 545 - 558 |
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| Main Authors: | , , , , , , |
| Format: | Article |
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Oxford University Press / USA
Apr2023
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=162734670&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 162734670 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Apr2023 vid: 63 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 162734670 10.1093/geront/gnac107 ppf: 545 ppct: 13 formats: tig: atl: Integrating CFIR-ERIC and e-Delphi Methods to Increase Telegeriatrics Uptake. aug: au: Kernan, Laura M Dryden, Eileen M Nearing, Kathryn Kennedy, Meaghan A Hung, Will Moo, Lauren Pimentel, Camilla B affil: Center for Healthcare Organization and Implementation Research, Department of Veterans Affairs (VA) Bedford Healthcare System , Bedford, Massachusetts , USA Department of Orthopaedics, Dartmouth-Hitchcock Medical Center , Lebanon, New Hampshire , USA Eastern Colorado Geriatric Research Education and Clinical Center, Rocky Mountain Regional VA Medical Center , Aurora, Colorado , USA Division of Geriatric Medicine, University of Colorado Anschutz Medical Campus , Aurora, Colorado , USA New England Geriatric Research Education and Clinical Center, VA Bedford Healthcare System , Bedford, Massachusetts , USA Department of Family Medicine, Boston University School of Medicine , Boston, Massachusetts , USA Bronx Geriatric Research Education and Clinical Center, James J. Peters VA Medical Center , Bronx, New York , USA Department of Geriatrics and Palliative Medicine, Icahn School of Medicine , Mount Sinai , New York, New York , USA Department of Neurology, Harvard Medical School , Boston, Massachusetts , USA Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts Lowell , Lowell, Massachusetts , USA su: Rural conditions Medical care Interviewing Qualitative research Action research Veterans Conceptual structures Quality assurance Descriptive statistics Research funding Delphi method Telemedicine sug: subj: Rural conditions Medical care Interviewing Qualitative research Action research Veterans Administration of Veterans' Affairs Conceptual structures Quality assurance Descriptive statistics Research funding Delphi method Telemedicine keyword: Health care systems and management telehealth Implementation science Quality improvement Rural and urban issues Health care systems and management telehealth Implementation science Quality improvement Rural and urban issues ab: Background and Objectives Participatory implementation methods are needed in geriatric health care to improve care and services for a growing population of older adults. We describe an efficient participatory approach to improve uptake of Geriatric Research Education and Clinical Center (GRECC) Connect, a national geriatrics outpatient consultation service using telehealth technology to connect geriatric specialists to rural, older veterans though community-based clinics. Research Design and Methods We designed a three-phase participatory method to identify high-priority implementation strategies to support the uptake of GRECC Connect. We used the Consolidated Framework for Implementation Research-Expert Recommendations for Implementing Change (CFIR-ERIC) Strategy Matching Tool to derive expert-recommended implementation strategies informed by qualitative interviews with both GRECC Connect staff and clinicians at community-based clinics. We engaged expert panelists in a participatory two-step modified e-Delphi process using confidential surveys and discussion to prioritize strategies nationally. Results Qualitative interviews revealed barriers, facilitators, and recommendations for program uptake. Many strategies recommended by CFIR-ERIC addressed multiple barriers but needed to be tailored to our specific context. In our two-step e-Delphi process, expert panelists shared previous experience with the strategies presented, views on the importance and feasibility of each, and arrived at a consensus about which strategies to prioritize nationally. Discussion and Implications We demonstrate the feasibility and benefits of engaging subject matter experts to identify strategies to be tested on a national level. Future considerations include weighting of survey responses, accounting for regional differences, and sensitivity of Likert scales used in the e-Delphi process. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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