Implementation strategies preferred by primary care clinicians to facilitate cancer prevention and control activities.
Key clinical and community members need to be involved in the identification of feasible and impactful implementation strategies for translation of evidence-based interventions into practice. While a wide range of implementation strategies has been developed, there is little research on their applic...
| Publicado en: | Journal of Behavioral Medicine Vol. 46; no. 5; pp. 821 - 837 |
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| Autores principales: | , , , , |
| Formato: | forms research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2023
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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=172842166&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172842166 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Oct2023 vid: 46 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 172842166 162965720 172842166 172842166 10.1007/s10865-023-00400-2 172842166 ppf: 821 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Implementation strategies preferred by primary care clinicians to facilitate cancer prevention and control activities. aug: au: Glasgow, Russell E. Brtnikova, Michaela Dickinson, L. Miriam Carroll, Jennifer K. Studts, Jamie L. affil: Department of Family Medicine, University of Colorado School of Medicine, 1844 Kona St. Eugene, OR 97403-2142, Aurora, CO, USA sug: subj: Neoplasms Prevention and Control Primary Health Care Physicians, Family Professional Practice Methods Funding Source Human Convenience Sample Descriptive Statistics Data Analysis Software Surveys Counseling Cancer Screening Analysis of Variance Male Female Adolescence Young Adult Adult Middle Age Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Key clinical and community members need to be involved in the identification of feasible and impactful implementation strategies for translation of evidence-based interventions into practice. While a wide range of implementation strategies has been developed, there is little research on their applicability for cancer prevention and control (CPC) efforts in primary care. We conducted a survey of primary care physicians to identify implementation strategies they perceive as most feasible and impactful. The survey included both primary prevention behavior change counseling and cancer screening issues. Analyses contrasted ratings of feasibility and impact of nine implementation strategies, and among clinicians in different settings with a focus on comparisons between clinicians in rural vs. non-rural settings. We recruited a convenience sample of 326 respondents from a wide range of practice types from four practice-based research networks in 49 states and including 177 clinicians in rural settings. Ratings of impact were somewhat higher than those for feasibility. Few of the nine implementation strategies were high on both impact and feasibility. Only 'adapting to my practice' was rated higher than a 4 ("moderate") on both impact and feasibility. There were relatively few differences between rural and non-rural clinicians or associated with other clinician or setting characteristics. There is considerable variability in perceived impact and feasibility of implementation strategies for CPC activities among family medicine clinicians. It is important to assess both feasibility and impact of implementation strategies as well as their generalizability across settings. Our results suggest that optimal strategies to implement evidence-based CPC activities will likely need to be adapted for primary care settings. Future research is needed to replicate these findings and identify practical, implementation partner informed implementation strategies. pubtype: Academic Journal doctype: forms research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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