Identification of implementation strategies for community health management of cardiovascular-kidney-metabolic (CKM) syndrome using the CFIR-ERIC matching tool: a mixed methods study.
Objective: This study aimed to identify the barriers and facilitators of the implementation of community health management for cardiovascular-kidney-metabolic (CKM) syndrome in China, and develop a priority strategy combination. Methods: This mixed methods study was conducted in Tianjin, China and i...
| Publicado en: | JBI Evidence Implementation Vol. 24; no. 3; pp. 559 - 574 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul2026
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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=195416594&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195416594 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Jul2026 vid: 24 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 195416594 195416594 195416594 10.1097/XEB.0000000000000555 195416594 ppf: 559 ppct: 15 formats: tig: atl: Identification of implementation strategies for community health management of cardiovascular-kidney-metabolic (CKM) syndrome using the CFIR-ERIC matching tool: a mixed methods study. aug: au: Sun, Huajun Wang, Yingxuan Chen, Hong Zhang, Yaxin Du, Yue affil: School of Public Health, Tianjin Medical University, Tianjin, China sug: subj: Cardiovascular Diseases Therapy Kidney Diseases Therapy Metabolic Syndrome X Therapy Community Health Services Administration Implementation Science Evaluation Conceptual Framework Human Funding Source China Male Female Adult Middle Age Multimethod Studies Semi-Structured Interview Purposive Sample Descriptive Statistics Logistic Regression Multiple Logistic Regression Health Policy Financial Support Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Objective: This study aimed to identify the barriers and facilitators of the implementation of community health management for cardiovascular-kidney-metabolic (CKM) syndrome in China, and develop a priority strategy combination. Methods: This mixed methods study was conducted in Tianjin, China and involved 14 stakeholders and 228 medical personnel. Semi-structured interviews explored domains of the Consolidated Framework for Implementation Research (CFIR). Interview transcripts were double-coded via directed content analysis. The CFIR-ERIC Matching Tool was used to create matching strategies to address prioritized barriers. The Best-Worst Scaling method was used to further refine implementation strategies. Results: The CFIR Outer Setting, Inner Setting, Intervention Characteristics, and Implementation Process domains were facilitating factors. The Inner Setting, Intervention Characteristics, and Implementation Process domains also emerged as key barriers impeding CKM syndrome health management. Developing a formal implementation blueprint, accessing new funding, promoting adaptability, and identifying and preparing champions may contribute to a more effective and sustainable approach to the community health management of CKM syndrome. Conclusions: This study identified critical barriers and facilitators influencing community health management of CKM syndrome in China. The proposed strategies—systematic implementation protocols, multi-source funding, contextually tailored approaches, and institutional advocacy—address core obstacles, offering an innovative paradigm for chronic disease management in developing countries. http://links.lww.com/IJEBH/A477 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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